Bruce Karns, RPh is a Pharmacy Accreditation Reviewer at URAC. Prior to joining URAC, he spent more than 20 years in home infusion and specialty pharmacy. In that time, he progressed from Pharmacy Manager to Area General Manager and, finally, to Director of Operations. His responsibilities included all administrative, financial, clinical, and qualitative oversight of the branch. He successfully guided his organization through numerous accreditation reviews and chaired the Quality Management Committee which was responsible for monitoring patient care, coordinating benchmarking data for assessment and reporting, and recommending the implementation of processes to ensure safe and efficient patient care.