|Abstract or Summary
- A 24 bed community hospital was the setting where a comparison
of shared and traditional pharmacy services took place. This study
also provides a model for implementation of shared pharmacy
services for health care professionals faced with improving the
quality of patient care and controlling costs.
Curry General Hospital and Medical Services, consisting of a
24 acute care bed, non-profit community hospital in Gold Beach and
a clinic in Port Orford and Brookings, was chosen as the site of the
pilot Shared Pharmacy Services project. It is representative of the
small hospitals of the southern Oregon coast and is geographically
further removed from the referral center, Bay Area Hospital in
Coos Bay. The Shared Pharmacy Services program decreased
capital investments, decreased operating expenses and increased
revenue totaling approximately $22, 650. This savings can be broken
down as follows: (1) group purchasing, $3750; (2) decreased
inventory, $10, 000; and (3) increased revenue, $8900.
Other areas of decreased operating expenses were also found
but specific measurements could not be determined within the time
frame of this study. These include: (1) drug and poison information
and (2) pharmacy and therapeutic project, formulary development.
The third area of financial concern was finding ways to better
utilize existing monies in the hospital budget. The Pharmacy
Inservice Education project produced an 8. 5 -fold increase in the
hospital's inservice dollar purchasing power.
The cost of a shared regional pharmacist would be approximately
$20, 000 including the benefit package available at Bay Area
Hospital. The personnel costs of one pharmacy technician including
the benefit package would be approximately $10, 000. It is anticipated
that one pharmacist and one pharmacy technician would be needed to
begin implementation of the Shared Pharmacy Services program. to
the other three hospitals. At a later date the services of another
pharmacist may be needed. The maximum personnel cost of two
pharmacists and one technician would be approximately $50, 000.
Similar financial benefits can be obtained by the other small
hospitals in Bandon, Coquille and Reedsport through implementation
of the Shared Pharmacy Services program. Decreased operating
expenses and increased revenue amounting to $50, 600 could be
expected if the program were to be implemented by all four hospitals
in the South Coast Area. Additionally, a reduction in capital investment
of approximately $40, 000 could be realized which would increase
the hospital's return on investment.
Each hospital will present some different problems, but they all
are operated in the same basic manner as Curry General Hospital.
The hospital personnel have similar backgrounds and educational
experience. It is important to provide latest technology and knowledge
available which can best be done by sharing the expense when
resources are limited.
Shared Pharmacy Services program utilizing a shared regional
pharmacist for Curry General Hospital and Medical Services has been
shown to be both financially and clinically beneficial.