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Related Experiment Videos

Pharmacy database for tracking drug costs and utilization.

B W Chaffee1, K A Townsend, T Benner

  • 1Chelsea Community Hospital, MI 48119, USA.

American Journal of Health-System Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists
|April 18, 2000
PubMed
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A new hierarchical database accurately tracks drug costs and physician prescribing trends in hospitals. This system improves drug-use-policy decisions by linking costs to clinical services and patient data.

Area of Science:

  • Health Informatics
  • Pharmacy Management
  • Clinical Pharmacy

Background:

  • Pharmacy data systems often lack accuracy for drug-use-policy decisions due to structural issues and nonclinical focus.
  • Tertiary care teaching hospitals require reliable data for effective drug cost and utilization management.

Purpose of the Study:

  • To develop and implement a hierarchical database for accurate tracking of drug costs and physician prescribing trends.
  • To improve drug-use-policy decision-making by integrating clinical use patterns with cost data.

Main Methods:

  • A hierarchical database was designed by a programmer analyst, clinical supervisor, and clinical pharmacist.
  • Internal controls were implemented to identify and correct errors in ordering, order-entry, and billing processes.

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  • The database was structured to tabulate drug costs by clinical service, disease, or financial classification, with flagging for specific drug categories.

    • Main Results:

    • The developed database accurately tabulated drug costs linked to specific clinical services.
    • It enabled comparison of aggregate prescribing trends over time for the same clinical service.
    • Reporting capabilities were enhanced for specific drug categories like cancer chemotherapy and antimicrobials.

    Conclusions:

    • Development of this database enabled a teaching hospital to accurately derive medication costs from billing information.
    • The system provides valuable, clinically relevant data to healthcare professionals for improved drug management.
    • Routine monthly reports facilitated better understanding of drug costs and utilization patterns.