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ASHP Survey of Health-System Specialty Pharmacy Practice: Practice Models, Operations, and Workforce - 2022.

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  • 1Vanderbilt Specialty Pharmacy Services, Nashville, TN, USA.

American Journal of Health-System Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists
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PubMed
Summary
This summary is machine-generated.

The 2022 ASHP survey reveals health-system specialty pharmacies (HSSPs) face challenges in payor access and staffing, despite high patient satisfaction. These integrated practices are advancing patient-centric care and raising quality standards.

Keywords:
healthcare qualityintegrated delivery of healthcarepharmacy practice modelspecialty medicationspecialty pharmacysurvey

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Area of Science:

  • Pharmacy Practice
  • Health Services Research
  • Healthcare Management

Background:

  • Health-System Specialty Pharmacies (HSSPs) are evolving integrated practice models.
  • These pharmacies focus on patient-centric care within health systems.

Purpose of the Study:

  • To present the results of the 2022 American Society of Health-System Pharmacists (ASHP) Survey of Health-System Specialty Pharmacy (HSSP) Practice.
  • To examine practice models, operations, and workforce characteristics of HSSPs.

Main Methods:

  • A survey was distributed via email to 273 leaders in HSSPs.
  • The survey sample was compiled from ASHP member lists and previous ASHP survey data.
  • The survey was hosted on the Qualtrics platform, achieving a 35.9% response rate.

Main Results:

  • Most HSSPs dispense ≤30,000 specialty prescriptions annually, with revenues ≤$100 million.
  • Key operational aspects include operating one location, 1-2 accreditations, and dispensing both specialty and non-specialty medications.
  • Pharmacists are involved in treatment decisions (69.8%), with 47.7% working under collaborative practice agreements.
  • Payor/manufacturer restrictions limit internal prescription dispensing to ≤50% for the majority.
  • Top challenges include payor network access, staff recruitment/retention, and declining reimbursement.
  • Patient satisfaction and service level are primary points of pride.

Conclusions:

  • HSSPs represent a maturing, integrated practice model delivering patient-centric care.
  • These pharmacies are instrumental in elevating quality standards within specialty pharmacy.
  • Despite operational challenges, HSSPs are crucial for comprehensive health system patient care.