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Implementing and maintaining a private pharmacokinetics practice.

J E Murphy1, E S Ward, M L Job

  • 1Georgia Baptist Medical Center, Atlanta.

American Journal of Hospital Pharmacy
|March 1, 1990
PubMed
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A private practice pharmacokinetics service was established and maintained in a hospital setting. This service, offering drug concentration monitoring, proved valuable and well-accepted within the institution.

Area of Science:

  • Clinical Pharmacy
  • Pharmacokinetics
  • Health Services Research

Background:

  • Establishing a pharmacokinetics service in a hospital requires demonstrating value to administrators.
  • Physician support, internal data, and literature are key to securing institutional buy-in.
  • Reimbursement models are crucial for the financial sustainability of specialized clinical services.

Purpose of the Study:

  • To describe the development and maintenance of a private-practice pharmacokinetics service.
  • To outline the strategies used to gain administrative approval and financial support.
  • To detail the operational structure and scope of services offered.

Main Methods:

  • A contracted pharmacokinetics service was implemented at a 525-bed hospital.

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  • Administrative approval was secured through physician support, in-house studies, and literature.
  • Reimbursement was achieved by adjusting fees for drug concentration determinations.
  • The service was administratively aligned with the pathology department and its staff were credentialed.

    • Main Results:

    • The pharmacokinetics service has been operational for eight years.
    • The service is financially sustained through monthly payments based on drug concentration determinations.
    • The service is well-integrated and accepted within the hospital institution.
    • Additional services beyond the contract include quality assurance, research, and education.

    Conclusions:

    • A private-practice pharmacokinetics service can be successfully developed and maintained within a hospital.
    • Demonstrating clinical and economic benefits is essential for service approval and sustainability.
    • The model described provides high-quality patient care and is well-accepted institutionally.