The Director's Forum series is edited by Robert Weber and Scott Mark and is designed to guide pharmacy leaders in establishing patient-centered services in hospitals and health systems. This month's article is the first of a 2-part series to help pharmacy directors in developing a pharmacy practice model that is patient centered. This article provides the pharmacy director with a primer on the types, development, and implementation characteristics of pharmacy practice models. U nited States health care continues to experience significant change, and hospital pharmacy departments are no exception. Much of this change is driven and directed by the managed care environment as well as the philosophy of the marketplace in paying for health care services. If you were to examine the operations of a contemporary pharmacy department, the change would be noticeable in a variety of areas including integrated medication information and drug dispensing technology, facilities renovation, and pharmacy's direct patient care services, supported by the organization's pharmacy practice model. The pharmacy practice model provides the foundation for developing patient-centered pharmacy services. As stated in previous articles of this column, the director of pharmacy is critical to ensuring the success of the practice model. Central to gaining acceptance is the pharmacy director's strategic vision of the pharmacy practice model at their organization. This vision creates a clear sense of program direction, resources, and interdisciplinary cooperation. Through their participation in various forums in the hospital (eg, the medical staff executive committee) they solicit ''buy-in'' from key stakeholders and provide justification (quality and cost) for the practice model. For example, if a hospital supports a unit-based pharmacy model, nursing collaboration will be necessary to coordinate any direct patient care activities on the nursing unit.A specific example of nursing collaboration in a unit-based pharmacy practice model involves pharmacy-based medication education. Because patient education is a collaborative process in most hospitals, the unit-based pharmacist will need to understand and augment the nursing assessment of patient knowledge of care (especially with regard to medications) to provide an effective pharmacist education session. Additional considerations that require consultation with other health care providers may include literacy, special needs, and social situations. The summary point is that pharmacy directors need a comprehensive understanding of their practice model and a vision for integration with an interdisciplinary care process.This article is first of a 2-part series to help pharmacy directors in developing a pharmacy practice model that is patient centered. This article provides the pharmacy director with a primer on the types, development, and implementation characteristics of pharmacy practice models. The aims of this article are to (1) describe the different types of pharmacy practice models, and (2) list t...