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Published on: November 9, 2016
Implementing a decentralized pharmacy model across a 10-hospital enterprise
Krysta Shannon1, Grace Shyh1, Cindy Ippoliti1
1NewYork-Presbyterian Hospital, New York, NY, USA.
Purpose:
This report describes the implementation of a decentralized pharmacy practice model across a 10-hospital health system. The initiative aimed to expand clinical coverage, elevate the role of staff pharmacists, and improve patient satisfaction through enhanced education and pharmacist integration.
Summary:
A phased rollout placed decentralized pharmacists in high-impact units with suboptimal HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) scores. Key milestones included expanding clinical services, standardizing training, introducing telepharmacy services, and developing patient engagement tools. Challenges such as shifting practice models, interdisciplinary engagement, and logistical barriers were addressed through strategic planning and continuous feedback. Following program implementation, improvements in HCAHPS survey scores were observed.
Conclusion:
This report describes an innovative approach to pharmacist decentralization, offering insights for health systems to optimize pharmacist integration, improve patient satisfaction, and advance interdisciplinary care.
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