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Related Experiment Videos

Multidisciplinary task force for controlling drug expenses

J N Hayman1, V S Crane

  • 1Department of Pharmacy Services, Parkland Memorial Hospital, Dallas, TX 75235.

American Journal of Hospital Pharmacy
|November 1, 1993
PubMed
Summary
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A multidisciplinary task force successfully controlled rising drug costs by implementing targeted strategies. This initiative reduced the growth of pharmaceutical expenses by $2.33 million, making cost control an institutional priority.

Area of Science:

  • Health Economics
  • Hospital Administration
  • Pharmaceutical Management

Background:

  • Despite existing cost-control measures, a 964-bed teaching hospital experienced a significant increase in drug expenditures from $9.8 million (1986) to $26.8 million (1992).
  • Contributing factors included shifts in drug prescribing patterns, increased outpatient volume, inflation, and legislative changes like the Omnibus Budget Reconciliation Act of 1990.

Purpose of the Study:

  • To establish a multidisciplinary task force to identify and implement strategies for reducing pharmaceutical expenses and enhancing revenue.
  • To foster institutional-wide prioritization of drug cost control beyond the pharmacy department.

Main Methods:

  • Formation of a seven-team task force (e.g., AIDS, ambulatory care, medicine, pediatrics, surgery) to analyze drug spending and propose cost-saving recommendations.

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  • Implementation of a comprehensive communication and education strategy targeting physicians, pharmacists, nurses, and pharmaceutical representatives.
  • Development of a monitoring system to track goal achievement and program effectiveness.

    • Main Results:

    • The program, active from September 1991 to September 1992, achieved a reduction in the growth of drug expenses by $2.33 million.
    • The initiative successfully shifted drug cost management into an institutional priority.

    Conclusions:

    • A multidisciplinary, team-based approach involving physicians, administrators, nurses, and pharmacists is effective in significantly reducing the growth of hospital drug expenses.
    • Collaborative efforts are crucial for sustainable pharmaceutical cost containment in healthcare settings.