Transcript Hospital Operation

ASPECTS AFFECTING THE
HOSPITAL OPERATION
• Financial
• Operational
• Administrative
• Clinical
• Safety
FINANCIAL
• Pharmacy budget is 14 % of hospital
budget.
• Negotiations to get best price on
medications.
• Expensive medication (chemotherapy,
biological agent, etc)
• Control cost.
• Inventory control.
• Alternative to expensive drugs.
• Control physician preferences.
• Limit off-hospital formulary
• Collect data to review usage and cost to
predict future utilization.
• Review financial history and compare prior
budgets with actual spending and identify
outlier area and past cost containment
measures and analyze it.
• Build high priority drug budget A relatively
small number (50-60) of products typically
represent 80 percent to 90 percent of the
total budget. Efforts should focus on this
list. Plot historical spending patterns and
carefully project future cost and volume.
• Establish drug cost containment plan by
using benchmarking programs, areas of
potential inefficiencies, inappropriate
prescribing patterns, and formulary
noncompliance to find areas of savings
based on preliminary budgets.
• Monitor actual use and expenditures
against budget to figure out the reasons
for variances and factor those into future
budgets. Document and collect data.
• Be up to date with third-party payers new
rules and regulations.
OPERATIONAL
• Collaboration with other professionals
(Doctors, Nurses, Nutritionists)
• Educating other professionals( new
therapies and introducing of new
medications).
• Management of the staff properly
managing staff, utilizing resources, and
provide best service for patients)
• Problem solving.
ADMINISTRATIVE
• Policies and procedures.
• Operations manuals
• Quality improvement.
• Laws and regulations
• Recruitment
• Orientation.
• Performance evaluation.
• Education and training.
• Insure patient confidentiality.
• Committee involvement
• Workload and financial performance.
• Position descriptions
CLINICAL
• Apply scientific knowledge( planning and
development in hospital setting)
• Apply medical knowledge( keep the
pharmacy aligned with all departments)
• Creating new knowledge by conducting
research ( in a university hospital).
• Patient education.
• Scientific contribution( pharmacy research,
multidisciplinary research)
• Control clinical protocols
• Control the use of antibiotics.
• Ensure that quality of pharmaceutical
services are provided according to
accreditation and professional standards.
SAFETY
• Medication dispensed from the pharmacy
is labeled with the name of the patient,
name of the drug, concentration or
strength, dosage and expiration date
• Drug storage locations are locked
• High-risk drugs are stored in a location
separate from the other drugs