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Comprehensive pharmaceutical services for a state correctional facility

R L Kingston, C E Pfeifle, R J Cipolle

    American Journal of Hospital Pharmacy
    |January 1, 1982
    PubMed
    Summary
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    A new contractual model for pharmaceutical services in correctional facilities significantly reduced drug inventories by 83% and expenditures by 62%. This cost-effective program improved formulary management and provided practical training for pharmacy students.

    Area of Science:

    • Health Services Research
    • Pharmaceutical Sciences
    • Correctional Healthcare

    Background:

    • Correctional facilities face unique challenges in managing pharmaceutical services.
    • Optimizing drug formularies and inventory control is crucial for cost-effectiveness and patient safety.

    Purpose of the Study:

    • To describe a contractual model for comprehensive pharmaceutical services between a medical center, university, and department of corrections.
    • To evaluate the impact of this model on formulary management, inventory, and drug expenditures.

    Main Methods:

    • Implementation of a contractual model involving collaborative pharmaceutical services.
    • Development of policies and procedures for drug use, including a patient population-specific formulary.
    • Assessment of program impact over a 30-month period.

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    Main Results:

    • An 83% decrease in on-site drug inventories and a 62% decrease in quarterly drug expenditures.
    • One-time savings of over $26,500 from reduced inventory and projected annual savings of $44,000.
    • Significant reduction in formulary items, including removal of most controlled substances and nonprescription drugs.

    Conclusions:

    • The contractual model is cost-effective and functional for correctional departments.
    • Implementation of strict policies and procedures improved drug management and financial outcomes.
    • The program provided valuable educational experiences for pharmacy students in institutional practice.