| An
informal survey has shown that having an operating
Pharmacy & Therapeutics Committee can reduce drug
expense.
Findings:
10% of premiums go to Rx drug costs in a well-run
health care organization with a P & T committee
and formulary system; 25% go to Rx drug costs without
a P & T committee.
We
work extensively with Pharmacy & Therapeutics
Committees and staff to help achieve optimal operations.
We have in depth experience working with all stakeholders
in this work, including some of the largest and most
respected groups in the country.
If
your formulary management operation is anything like
most groups, then the following is likely to be true:
Too
much of the wrong information...
- Staff
are filled with uncertainty about how far to go
to gather information
- Consequently,
too much information is gathered
- Much
of the information gathered is not useful
- Much
of the information gathered is not evaluated correctly
- Staff
have a tendency to upgrade evidence —
if they critically appraise it at all
- Most
studies do not do a proper accounting of their
results — and should be tossed or re-analyzed.
Most staff either do not recognize this or lack
the means to re-analyze the data
- Staff
are uncertain how to manage areas of complexity
- Monographs
are too long and don't contain the most helpful
information — nor is information presented
in the right way
Committee
members are working at odds with each other and with
staff...
- Committee
members need trustable information
- Committee
members need critical appraisal training
- Committee
members need clarity of process
Committee
processes are working against everyone...
- Are
you voting? (Learn why voting can work against quality
decisions.)
- Is
your committee tasked with comparing agents? (Learn
why this can create a host of problems for effective
functioning.)
- Do
you have clarity in your processes?
There
is an ROI for an optimally functioning P&T committee.
Pharmacy
& Therapeutics and formulary management tools
available to clients and participants of select programs.
- Delfini
has extensive experience —
- Managing,
participating and assisting P&T Committees and
Pharmacy Benefits Managers (PBMs)
- Reviewing
processes and procedures for committee work, including
monograph development, staff presentations, committee
operations and meeting management
- Evidence-based
monograph template development
- Staff
and committee member training ranging from basics
to advanced seminars
- Auditing
staff products and staff skills assessment
- Development
of criteria for committee decisions, including special
areas such as oncology
- Development
of evidence grading systems and applications
- Evidence-reviews
for monographs
- Development
of tools to support committee work
- Authors
of articles and textbook chapters
|
Delfini
Contributing Authors
Chiquette
E, Posey LM. Evidence-based Pharmacotherapy. American
Pharmacists Association. APhA Publications; 1 edition
(January 15, 2007).
ISBN-10: 1582120684
ISBN-13: 978-1582120683
Available
at Amazon.com »
Our
chapter is freely available for download here »
Formulary
Management — training, process help, monograph
development and tools:
- Committee
Management & Operations
- Drug
Review Template for monograph preparation
- Searching
and Sources
- Study
Summarizing
- Critical
Appraisal of primary and secondary studies
- Evidence
Grading
- Pharmacoeconomic
Study evaluation
- Clinical
Guideline evaluation
- Intention-to-Treat
Analysis Calculator
- Cost
Analysis
- Number-Needed-to-Treat
Drug Comparison calculator
- Evidence
Synthesis
- Wording
Conclusions
- Decision
Aids
- Implementation
- Measurement
Delfini
committee and staff training program scores
average 4.9+ out of 5.0
- Training
Modules »
- Sample
critical appraisal example »
- Read
about our work with Regence Group Pharmacy Benefits
Management »
- Pharmacy
& Therapeutics Testimonials »
- More
testimonials »
|
