title: Impact of a Regional Pharmacy Call Center on Telephone Access Metrics Within the Veterans Health Administration.
abstract: OBJECTIVE
  To establish a cost-effective centralized pharmacy call center to serve the patients of Veterans Integrated Service Network (VISN) 11 that would meet established performance metrics.
  
  
  METHODS
  A pilot project began in August 2011 with the Indianapolis VA Medical Center (VAMC) and the Health Resource Center (HRC) in Topeka, Kansas. The Indianapolis VAMC used a first-call resolution business model consisting of pharmacy technicians receiving tier 1 phone calls that could be escalated to a tier 2 line that consisted of lead technicians and pharmacists, while the HRC utilized general telephone agents that would transfer unresolved calls to the primary facility. Pre- and post-VISN 11 Pharmacy Call Center performance metrics were compared for each of the 7 facilities in the network with the goals being monthly average abandoned call rate less than 5% and average speed to answer less than 30 seconds. Cost per call was also compared.
  
  
  RESULTS
  The average abandoned call rate for the network during the year prior to VISN 11 Pharmacy Call Center implementation (August 2010-July 2011) was 15.66% and decreased to 3% in July 2014. The average abandoned call rate decreased for each individual facility. In fiscal year 2014, the VISN 11 Pharmacy Call Center was operating at a cost of $4.35 per call while providing more services than the HRC, resulting in less workload being transferred back to the individual facilities.
  
  
  CONCLUSIONS
  A centralized VISN pharmacy call center is a reasonable alternative to individual facility call centers or the HRC.
authors.affiliation: Associate Chief, Pharmacy Service, Richard L. Roudebush VA Medical Center , Indianapolis, Indiana.
authors.forename: Christina A
authors.initials: CA
authors.lastname: White
authors.affiliation: Chief, Pharmacy Service, Richard L. Roudebush VA Medical Center , Indianapolis, Indiana.
authors.forename: Marshall R
authors.initials: MR
authors.lastname: Jones
authors.affiliation: Staff Development Program Manager, Richard L. Roudebush VA Medical Center , Indianapolis, Indiana.
authors.forename: Melanie K
authors.initials: MK
authors.lastname: Kuester
authors.affiliation: Management Analyst, Pharmacy Service, Richard L. Roudebush VA Medical Center , Indianapolis, Indiana.
authors.forename: Kelly L
authors.initials: KL
authors.lastname: Myers
authors.affiliation: Supervisor, VISN 11 Pharmacy Call Center , Indianapolis, Indiana.
authors.forename: Barbara A
authors.initials: BA
authors.lastname: Schnarr
keywords: hospital pharmacy; hospitals; telemedicine; telephone; veterans