title: ReCAP: Pharmacists' Impact in Hematopoietic Stem-Cell Transplantation: Economic and Humanistic Outcomes.
abstract: OBJECTIVE
  This study seeks to evaluate the impact of pharmacists' involvement in the care of patients undergoing bone marrow transplantation (BMT).
  
  
  METHODS
  This was a three-phase study. In phase 1, inpatient and outpatient pharmacist encounters were totaled and services provided were translated to revenue generated from prescription revenue and billing charges. In phase 2, pharmacists' activities and interventions were associated with time savings estimated by providers. In phase 3, patients and providers were surveyed to assess their expectations, experiences, and value perceptions of pharmacists.A positive response rate of 80%for each survey item was set as the threshold for high expectations and successful service delivery.
  
  
  RESULTS
  In phase 1, after 6 months of data collection, clinical services were provided to 170 inpatients and 290 outpatients. For inpatients, there was an average discharge prescription revenue of $990 per patient through the outpatient pharmacy. In the outpatient clinic, pharmacist visits generated an additional $23,000 in charges (approximately $80 per patient) and an annual prescription revenue of approximately $840,000 through the outpatient pharmacy. In phase 2, pharmacists' activities led to a total time savings of 122 hours. In phase 3, patients and providers met the predetermined 80% positive response rate for most survey items. The item for which patient and provider responses consistently did not meet this threshold related to pharmacists educating patients about their BMT.
  
  
  CONCLUSIONS
  Pharmacists are valuable resources in the care of patients undergoing BMT, as their care translates to increased revenue, provider time savings, and positive perceptions from patients and providers.
authors.affiliation: University of North Carolina Medical Center; and UNC Lineberger Comprehensive Cancer Center, Chapel Hill, NC maurice.alexander@unchealth.unc.edu.
authors.forename: Maurice D
authors.initials: MD
authors.lastname: Alexander
authors.affiliation: University of North Carolina Medical Center; and UNC Lineberger Comprehensive Cancer Center, Chapel Hill, NC.
authors.forename: Kamakshi V
authors.initials: KV
authors.lastname: Rao
authors.affiliation: University of North Carolina Medical Center; and UNC Lineberger Comprehensive Cancer Center, Chapel Hill, NC.
authors.forename: Tippu S
authors.initials: TS
authors.lastname: Khan
authors.affiliation: University of North Carolina Medical Center; and UNC Lineberger Comprehensive Cancer Center, Chapel Hill, NC.
authors.forename: Allison M
authors.initials: AM
authors.lastname: Deal
authors.affiliation: University of North Carolina Medical Center; and UNC Lineberger Comprehensive Cancer Center, Chapel Hill, NC maurice.alexander@unchealth.unc.edu.
authors.forename: Maurice D
authors.initials: MD
authors.lastname: Alexander
authors.affiliation: University of North Carolina Medical Center; and UNC Lineberger Comprehensive Cancer Center, Chapel Hill, NC.
authors.forename: Kamakshi V
authors.initials: KV
authors.lastname: Rao
authors.affiliation: University of North Carolina Medical Center; and UNC Lineberger Comprehensive Cancer Center, Chapel Hill, NC.
authors.forename: Tippu S
authors.initials: TS
authors.lastname: Khan
authors.affiliation: University of North Carolina Medical Center; and UNC Lineberger Comprehensive Cancer Center, Chapel Hill, NC.
authors.forename: Allison M
authors.initials: AM
authors.lastname: Deal
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016026:Bone Marrow Transplantation / Q000191:economics; D003695:Delivery of Health Care / Q000191:economics / Q000706:statistics & numerical data; D005260:Female; D019538:Health Care Surveys; D006282:Health Personnel; D018380:Hematopoietic Stem Cell Transplantation / Q000191:economics; D006801:Humans; D008297:Male; D008875:Middle Aged; D010593:Pharmaceutical Services / Q000191:economics / Q000706:statistics & numerical data; D010595:Pharmacists; D010820:Physicians; D055815:Young Adult