Twinkle Ruparel
Vancouver,BC
Summary
Results-driven health professional with extensive experience in planning, implementing, and optimizing pharmacy services across diverse healthcare settings. Expertise in developing and executing innovative service models that enhance delivery and improve care outcomes in large urban, or rural and remote First Nations communities. A strong commitment to advancing clinical quality improvement initiatives fosters evidence-informed practice standards and services for equity-deserving populations. Proficient in project management, leveraging Model for Improvement and Lean Six Sigma methodologies for service excellence and alignment with organizational strategic goals.
Overview
13
13
years of professional experience
Work History
Manager, Med Safety, Quality, Parenteral Services
Fraser Health Authority
01.2025 - Current
- Regional Accreditation Canada medication management standards preparedness in Fraser Health, Vancouver Coastal Health, Providence Health Care, and programs within Provincial Health Services Authority
- Plan, develop, implement and evaluate regional medication safety priorities such as nomenclature builds, order sets, clinical policy development, label and practice consults
- Plan, develop, implement and evaluate regional quality assurance initiatives, policies and personnel competency assessment program to maintain compliance to sterile compounding standards (NAPRA, USP) and regulations across Lower Mainland Pharmacy Services
- Plan, develop, implement and evaluate regional parenteral services priorities and initiatives such as Parenteral Drug Therapy Monographs (PDTM), infusion pump drug libraries, parenteral services policies and guidelines
- Manage human and financial resources through recruitment, professional development, training and education, residency rotations in teams
Pharmacy Coordinator
St. Paul's Crosstown Pharmacy (Providence Health Care)
09.2018 - 01.2025
- Manage sterile compounding operations in NAPRA compliant cleanroom and participate in quality control and assurance activities
- Reduced department vacancy rates by 87% through rotation development, design and recruitment strategy to build a pipeline of interested applicants
- Implement a progressive and robust pharmaceutical drug distribution and clinical services to maintain medication management and comprehensive pharmacy care for client population with severe and refractory Opioid Use Disorder
- Plan, develop, implement, and evaluate policies for interdisciplinary practice and medication management workflows in alignment with provincial, regulatory and organizational standards
- Align pharmacy operations priorities with clinic mandates, service delivery model and Lower Mainland Pharmacy Services policies and standards
- Manage human and financial resources through staff recruitment and scheduling, training and orientation plans, rotation development, and performance management to meet operational requirements
- Liaise across all levels of the organization and pharmacy director to support development and optimization of pharmaceutical services in accordance with strategic plans
Clinical Pharmacist
First Nations Health Authority (FNHA)
07.2020 - 09.2023
- Plan, develop and implement clinical and operational pharmacy professional practice program to improve nursing medication practice and safety in BC First Nations health facilities
- Review and maintain medication formularies and formulary system in accordance with federal and provincial pharmacy and therapeutics committees, clinical practice policies and demonstrated need within nursing operations
- Identify pharmacy services gaps based on multi-stakeholder feedback, and responsively develop organizational pharmacy support structures to support nursing services
- Plan, lead and implement clinical pharmacy initiatives such as deployment of biomedical equipment (IV pump drug libraries), novel COVID-19 therapies, and clinical applications such as PharmaNet and Care Connect
- Plan, develop and implement medication safety and quality initiatives and committee within Office of the Chief Nursing Officer
- Develop FNHA's Hazardous Drugs Exposure Control Program for nursing services in collaboration with provincial working groups, FNHA Occupational Health and Safety and regional nursing teams
- Liaise across all levels of the organization and nursing leadership to support development and optimization of pharmaceutical services and management strategy
- Plan and develop pharmacy components of mental health, substance use and harm reduction initiatives based on FNHA's framework for toxic drug crisis response
- Liaise with provincial health policy decision makers to identify gaps and advocate for potential strategies to improve BC First Nations' access to equitable substance use care across the province
- Represent FNHA and BC First Nations communities with acknowledgement of impacts of systemic racism, intergenerational trauma, and social determinants of health on Indigenous healthcare outcomes
- Advance BC First Nations' priorities at federal and provincial pharmacy leadership tables for services and supports rooted in cultural safety and humility
- Support FNHA's Registered Controlled Substances Officer to plan, develop, implement, and evaluate nursing professional policies, and clinical and operational practice for narcotic medication management
- Advance nursing services strategic priorities to include clinical pharmacy support services such as opioid stewardship and quality assurance activities
Pharmacist (Project Coordinator)
BC Transplant (PHSA)
09.2019 - 04.2020
- Coordinate execution of a provincial brand conversion project in collaboration with PHSA and regional Health Authorities for an immunosuppressive agent (tacrolimus) used by 3400 solid organ transplant recipients in BC
- Adopt implementation science strategies to engage with key partners to assess implementation readiness, ensure patient safety and clinician support during the brand conversion phase
- Develop and implement a project charter in conjunction with PHSA's Transformation Leadership Office
- Conduct a comprehensive engagement and communications plan for transplant recipients, professionals at BC transplant centres, post-transplant clinics, acute care hospitals and transplant partnered pharmacies across the province
- Coordinate regional Health Authority departments such as medication safety, provincial formulary, production centres, pharmacy informatics to support readiness to meet project go-live dates and deadlines
- Plan, schedule and conduct clinician teleconferences and in-service rounds to communicate implementation methodology and expectations for the project
- Develop reference materials for clinicians and patients to implement a systematic conversion using modeling options and standard documentation tools
- Collect and document project related metrics to track status, progress and capture learnings through clinician and patient feedback
Pharmacy Manager
Family Care Pharmacy
09.2012 - 03.2016
- Manage pharmacy budgets, vendor and clinician relations, marketing and delivery strategies to optimize pharmacy performance
- Optimized delivery services to reduce travel time by 90% resulting in increased capacity to deliver to expanded areas
- Supervise dispensary operations and exemplary customer service to align with standards and pharmacy's professional image
- Plan, develop and implement clinical pharmacy services such as medication reviews, vaccination clinics, travel clinics
- Plan, develop, and implement policies, procedures, and standards for pharmacy staff orientation, performance, documentation, and record-keeping
- Manage pharmacy staff rotations and schedules in a high-volume dispensary to ensure efficient and accurate prescription dispensing that meets professional practice and medication safety standards
- Identify opportunities for improvement or business expansion while ensuring optimal pharmaceutical care and services outcomes for pharmacy clients in collaboration with community and health authority clinicians
Education
Master of Health Administration - Health Administration
University of British Columbia
Vancouver, BC11-2025
Lean Six Sigma Green Belt - HealthCare
McGill University
Montreal, BC01.2023
Post Baccalaureate Diploma - Human Resources Management Courses
Kwantlen Polytechnic University
Surrey, BC01.2011
Bachelor of Science - Pharmacy
Babaria Institute of Pharmacy
India01.2010
Skills
Deputy Minister’s Award in COVID-19 Pandemic Response in First Nations Communities
Pharmacy services coordination and management with focus on quality improvement
PHSA San'yas Indigenous Cultural Safety and Bystander to Ally Certification
Quality assurance and regulatory compliance (NAPRA, Accreditation Canada)
Retail and health authority distribution and clinical pharmacy services management
Accomplishments
- Managed a portfolio of 18 FTE clinical pharmacists, coordinators, supervisors and pharmacy technicians with a focus on regional medication safety, quality assurance and parenteral services at Lower Mainland Pharmacy Services
- Managed 15 FTE pharmacy staff to optimize distribution and clinical pharmacy services and sterile compounding workflows at St. Paul's Hospital Crosstown Pharmacy
- Developed clinical pharmacy support services at the First Nations Health Authority such as medication formulary, pharmacy and therapeutics, medication safety and infusion pump drug libraries for Baxter Spectrum IQ infusion pumps at remote nursing stations and health centres
- Collaborated with multidisciplinary teams to facilitate initiatives such as drug shortages response, remote supply chain optimization, and vendor relations to improve access and nursing care in remote First Nations communities
Languages
English
Native or Bilingual
Gujarati
Native or Bilingual
Hindi
Full Professional
Punjabi
Limited Working
Interests
- Physical fitness and mental wellbeing
- A thriving work culture and teams (https://wwwnewyorkercom/news/news-desk/cowboys-and-pit-crews)
- Travel and adventure
- Music
- Volunteering - BCSPCA
Timeline
Manager, Med Safety, Quality, Parenteral Services
Fraser Health Authority
01.2025 - Current
Clinical Pharmacist
First Nations Health Authority (FNHA)
07.2020 - 09.2023
Pharmacist (Project Coordinator)
BC Transplant (PHSA)
09.2019 - 04.2020
Pharmacy Coordinator
St. Paul's Crosstown Pharmacy (Providence Health Care)
09.2018 - 01.2025
Pharmacy Manager
Family Care Pharmacy
09.2012 - 03.2016
Lean Six Sigma Green Belt - HealthCare
McGill University
Post Baccalaureate Diploma - Human Resources Management Courses
Kwantlen Polytechnic University
Master of Health Administration - Health Administration
University of British Columbia
Bachelor of Science - Pharmacy
Babaria Institute of Pharmacy