Pharmacy
RRM Category: ANCILLARY SERVICES
Overview
The RRM Pharmacy staffing module estimates the requirements for pharmacists and pharmacy technicians to distribute and manage the use of medications. The workload parameters that are the key variables in the staffing estimation are Prescriptions per day processed, Average Daily Patient Load (ADPL), pharmacy driven based clinics per day, point of sale electronic claims submitted per day, and Primary Care Provider Visits (PCPVs). The Pharmacy Department consists of inpatient and outpatient services.
Services Description:
The Pharmacy Department consists of inpatient and outpatient activities. Recent changes such as IHS patients receiving care from outside providers with Affordable Care Act coverage and new innovations in the delivery of care such as Improved Patient Care (IPC) have led to expanded pharmacy services such as anti-coagulation, lipid, and other advanced practice clinics.
Staffing Criteria
Inpatient: 24/7 coverage
Fixed Pharmacist staff of 4.00 FTE per location
1 FTE Supervisory Pharmacist
plus 1 FTEs Pharmacist for every 30 ADPL
plus 1 FTE Pharmacist for every 90 ADPL
1 FTEs Pharmacy Technician
Plus 2 Pharmacists for 12 hour coverage with Emergency Department
Not 24/7 coverage
1 FTE Pharmacist
1 FTE Pharmacist Supervisor for ADPL > 10
1 FTE Pharmacy Technician
Alternative Rural Inpatient
1 FTE Pharmacist
Outpatient:
Fixed Pharmacist staff of 1.00 FTE per location
plus 1.00 FTE Pharmacist for every 120 prescriptions per day processed
plus 1 FTE Pharmacist for every 6 FTE Pharmacists
1 FTE Supervisory Pharmacist per 8 Pharmacists
Plus 1 FTE Pharmacist per 80 pharmacy driven-based clinic visits/week
1 FTEs Pharmacy Technician for every 120 prescriptions/day processed
1 FTE Pharmacy POS-Billing Technician per 500 Point of Sale electronic claims submitted/day
1 FTE Pharmacy aid/clerk per 600 prescriptions/day processed
Staffing Formulae
Driving Variables:
ADPL - Total
PCPVs
CHP Encounters
Prescriptions
Point of Sale electronic claims
Pharmacy based clinics per day
Personnel Categories:
Pharmacist
Pharmacy Technician
MINIMUM STAFFING LEVELS (fixed):
| Personal Category | FTEs |
|---|---|
| Pharmacist (Inpatient) | 4.00 |
| Pharmacy Tech (Inpatient) | 1.00 |
| Pharmacist (Ambulatory) | 1.00 |
Plus, VARIABLE STAFFING LEVELS:
| Personal Category | FTEs | per | Driving Variables | Min. | Max. |
|---|---|---|---|---|---|
| Pharmacist (Inpatient) | 1 | 30 | ADPL | 30 | 89 |
| 2 | 90 | ADPL | |||
| Pharmacy Technician (Inpatient) | 1 | 30 | ADPL | 30 | n/a |
| Pharmacist (Ambulatory) | 1 | 120 | Perscriptions/day | n/a | |
| 1 | 6 | Pharmacists | |||
| 1 | 80 | Pharmacy driven based clinic visits/week | |||
| Pharmacist Supervisor | 1 | 8 | Pharmacists | ||
| Pharmacy Technician (Ambulatory) | 1 | 120 | Prescriptions/day processed | ||
| Pharmacy POS Billing Technician (Ambulatory) | 1 | 500 | Point of sale electronic claims | ||
| Pharmacy Aid/Clerk (Ambulatory) | 1 | 600 | Prescriptions/day processed |
