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Published on: November 9, 2016
Creating a shared formulary in 7 critical access hospitals
Douglas S Wakefield1, Marcia M Ward, Jean L Loes
1Center for Health Care Quality and Department of Health Management and Informatics, University of Missouri, Columbia, Missouri 65203, USA. wakefielddo@health.missouri.edu
Summary
Seven Critical Access Hospitals (CAHs) collaborated to create a shared formulary, reducing item numbers while allowing for local flexibility. Effective collaboration and management were key to this successful initiative.
Area of Science:
- Healthcare Administration
- Pharmacy Management
- Rural Health Services
Background:
- Critical Access Hospitals (CAHs) often face resource limitations.
- Developing independent formularies can be inefficient and costly.
- Shared formularies offer potential for cost savings and improved drug management.
Purpose of the Study:
- To report on a successful collaboration between seven CAHs and one rural referral hospital to develop a shared formulary.
- To analyze the process, challenges, and outcomes of creating a consolidated hospital formulary.
Main Methods:
- A case study approach was employed.
- Data collection involved document reviews and interviews with key informants.
- Descriptive statistics were used to analyze formulary data.
Main Results:
- A shared formulary of 803 items was developed from individual formularies ranging from 667 to 1,351 items.
- Individual hospitals could stock additional items and adjust quantities based on local needs.
- Final stocked items varied from 592 to 786 per hospital.
- Key challenges included logistics, process management, stakeholder engagement, and communication.
Conclusions:
- Collaboration in shared formulary development leverages diverse expertise and workload sharing.
- A well-organized and managed decision-making process is crucial for successful hospital collaborations.
- Shared formularies can lead to improved drug management and potential cost efficiencies for rural hospitals.
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