Health System

Ambulatory Pharmacy Operations – Strategic Assessment

IndustryHealth System
ProblemA health system pharmacy was planning an accelerated expansion of their ambulatory pharmacies and wanted a review of their operational controls and management system. The health system desired the assessment to ensure the strategies and processes for their ambulatory pharmacy program were scalable and sustainable.
PHSI SolutionPHSI conducted on-site interviews to understand the current ambulatory pharmacy operations and the strategic intent of the pharmacies within the health system. PHSI collected information to analyze the organizational structure, evaluate operational controls, benchmark financial performance, and conduct claims margin optimization analysis. PHSI used this information to provide actionable recommendations that were prioritized for realizing the financial benefits identified.
ResultsThe health system pharmacy used the assessment to refine their strategies and tactics, while focusing on improving customer service and financial results. The assessment provided specific recommendations that enabled senior health system management to better understand the business drivers of their ambulatory pharmacies. Tactical recommendations have been implemented by operations management.

340B Compliance Review

IndustryHealth System
ProblemThe client requested a gap analysis to identify any issues that needed to be addressed in the management controls, processes, and procedures to make sure that the health system was in compliance with 340B Drug Pricing Program regulations.
PHSI SolutionA compliance audit was conducted including onsite interviews, review of policies and procedures, and management controls. This review enabled PHSI to recommend operational changes to their policies and procedures along with implementing feedback mechanisms for better management controls of the end-to-end process.
ResultsPHSI provided recommendations that reduced the audit risk to the health system when HRSA conducts an audit analyzing the health systems compliance with 340B regulations.

Integrated Delivery System Retail Pharmacy Assessment

IndustryHealth System
ProblemA health system pharmacy was experiencing a decline in profits over several years due to various reasons. The health system needed an unbiased assessment of their management system and pharmacy program to analyze why current strategies were not working and how to improve them.
PHSI SolutionPHSI gathered information about the current operations of the health system, including its management structure, patient base, and the technology utilized. Pharmacists, management, and administrators were interviewed to help PHSI completely understand the health system’s operations and possible flaws. PHSI used this information to prepare alternative pharmacy strategic plans and management policies. These recommendations were prioritized by the potential return on investment and level of difficulty to implement the new system.
ResultsThe health system pharmacy can now make informed decisions that will help them better manage their company. They are also armed with the knowledge to implement the plan they choose.