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Strategic approach for improving the medication-use process in health systems: the high-performance pharmacy practice
Lee C Vermeulen1, Steve S Rough, Thomas S Thielke
1University of Wisconsin Hospital and Clinics, School of Pharmacy, University of Wisconsin-Madison, Madison, WI 53792-1530, USA. lc.vermeulen@hosp.wisc.edu
Summary
This study introduces a High-Performance Pharmacy (HPP) framework to prioritize improvements in medication use. It assesses elements based on feasibility, financial return, and impact on quality and safety for health systems.
Area of Science:
- Health Systems Pharmacy
- Medication Management
- Quality Improvement
Background:
- The medication-use process in health systems is complex and requires strategic optimization.
- Improving pharmacy services is crucial for enhancing patient safety and financial performance.
Purpose of the Study:
- To describe a strategic framework for prioritizing improvements in the health system medication-use process.
- To establish a method for evaluating pharmacy performance elements based on feasibility, financial return, and quality/safety impact.
Main Methods:
- A panel of health-system pharmacy leaders identified seven dimensions of the High-Performance Pharmacy (HPP) framework.
- Sixty-nine performance elements within these dimensions were identified and assessed.
- Qualitative metric scores were assigned to each element based on resource needs and potential returns.
Main Results:
- The HPP framework categorizes performance elements by feasibility, financial return, and impact on quality and safety.
- The framework provides a structured approach to identifying and prioritizing pharmacy initiatives.
- It aids in justifying existing services and uncovering opportunities for enhancement.
Conclusions:
- The HPP framework offers a systematic method for health-system pharmacists to prioritize improvements.
- It enables a balanced assessment of initiatives considering financial, quality, and safety outcomes.
- This approach supports the strategic development and optimization of pharmacy departments.
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