title: Implementation and pharmacoeconomic analysis of a clinical staff pharmacist practice model.
abstract: The implementation and pharmacoeconomic analysis of a clinical staff pharmacist (CSP) practice model are described. Staff pharmacists at a large, tertiary care, academic medical center were selected and trained to perform clinical pharmacy services under the direction of clinical pharmacy specialist mentors. Clinical interventions by these CSP practitioners were evaluated in terms of direct cost savings (the difference in actual acquisition costs between therapies) and cost avoidance (the dollar value of adverse drug events [ADEs] avoided). The CSPs performed a total of 4959 interventions during a 12-month period. The interventions provided direct cost savings of $92,076 and an estimated cost avoidance of $488,436. Comparing cost savings and cost avoidance with the expenses of providing these services indicated a net economic benefit of $392,660. A new model of pharmacy practice that integrates staff pharmacists into existing clinical practice has the potential to minimize the risks, decrease the costs, and improve the outcomes associated with drug therapy.
authors.affiliation: Department of Pharmacy, Cleveland Clinic Foundation (CCF), Cleveland, OH, USA. tnesbit@jhmi.edu
authors.forename: T W
authors.initials: TW
authors.lastname: Nesbit
authors.forename: K M
authors.initials: KM
authors.lastname: Shermock
authors.forename: M B
authors.initials: MB
authors.lastname: Bobek
authors.forename: D L
authors.initials: DL
authors.lastname: Capozzi
authors.forename: P A
authors.initials: PA
authors.lastname: Flores
authors.forename: M C
authors.initials: MC
authors.lastname: Leonard
authors.forename: J K
authors.initials: JK
authors.lastname: Long
authors.forename: M A
authors.initials: MA
authors.lastname: Militello
authors.forename: D A
authors.initials: DA
authors.lastname: White
authors.forename: L D
authors.initials: LD
authors.lastname: Barone
authors.forename: M P
authors.initials: MP
authors.lastname: Goldman
authors.forename: D A
authors.initials: DA
authors.lastname: Kvancz
mesh_terms: D017046:Cost Savings / Q000191:economics; D016903:Drug Monitoring / Q000191:economics* / Q000379:methods; D006801:Humans; D017063:Outcome Assessment, Health Care / Q000191:economics*; D010564:Personnel, Hospital / Q000191:economics*; D010595:Pharmacists / Q000191:economics*; D010607:Pharmacy Service, Hospital / Q000191:economics*