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Monetary incentive for pharmacists to control drug costs
Summary
Hospital pharmacists received monetary incentives for cost savings on drug and i.v. expenses. This program helped control expenses while maintaining quality of care.
Area of Science:
- Health Economics
- Hospital Pharmacy Management
Background:
- Hospitals face increasing pressure to control pharmaceutical expenses.
- Pharmacy departments are key to implementing cost-saving strategies.
- Rewarding staff can enhance the effectiveness of cost-containment initiatives.
Purpose of the Study:
- To describe a monetary incentive program for hospital pharmacists.
- To evaluate the program's impact on drug and intravenous (i.v.) expenses.
- To assess the program's effectiveness in cost control and staff motivation.
Main Methods:
- A program was implemented paying pharmacists a percentage of savings on drug and i.v. expenses.
- Incentive calculations were based on expenses saved relative to budget.
- A screening mechanism prevented payouts if total expenses exceeded budget.
Main Results:
- In fiscal 1984, drug and i.v. expenses per adjusted case decreased by 1.55%.
- Full-time pharmacists received an average payout of $500.
- Payouts were lower than anticipated due to increased intensive-care patient influx during a nursing strike.
Conclusions:
- Monetary incentive programs can be effective tools for controlling hospital drug and i.v. expenses.
- Such programs reward pharmacists for successful cost-saving strategies.
- Careful program design and screening mechanisms are crucial for success.