Background

Maintaining compliance with standards set forth by healthcare accreditation bodies is essential to ensure safe, quality patient care within the healthcare setting; however, the implementation of these standards can become challenging for healthcare institutions to implement and maintain, especially when barriers are present. Health systems can turn to pharmacy solutions companies, such as

Comprehensive Pharmacy Services, in order to meet and exceed these standards through a variety of tools and resources utilized by these solutions companies. Comprehensive Pharmacy Services (CPS) is a leading provider of pharmacy solutions across the United States and Puerto Rico. CPS provides clients with a plethora of leadership, best practice methodologies, and technology solutions to manage the entirety of the pharmacy enterprise. One aspect of these solutions is regulatory compliance driven by the Compliance and Regulatory Services (CRS) and Vice Presidents of Operations (VPO) teams through the Comprehensive Pharmacy Assessment (CPA) tool.

The Comprehensive Pharmacy Assessment (CPA) tool is an internally-developed, multi-point pharmacy metrics instrument used by CPS. This auditing tool allows CPS-affiliated health systems to track various domains for quality improvement over time. The tool’s metrics directly translate to categories of patient care, and reflect standards set forth by state and national healthcare accrediting agencies including regulatory compliance, which is considered one of the “high-risk” categories. The high-risk categories identified within the CPA are General Regulatory, Controlled Substances, USP and Medication Safety & Quality.

Objectives

• Apply the UNDP Capacity Assessment Framework to pharmacy department quality improvement initiatives.
• Evaluate process improvement through individualized action plans developed for each selected site.
• Assess the perceptions of individualized process improvement methods and apply feedback to develop best-practice quality improvement practices for CPS.

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