Category: Professional Posters
Purpose: Develop and implement a formal process to review over 600 hospital site specific pharmacy policies to integrate and consolidate the information into new health system policies.
Methods: A project lead began by assigning each of the over 600 hospital site specific policies into 7 different groupings based on the themes of content. Two pharmacy content experts were assigned as co-leads for each of the policy groupings. Each of the co-leads then selected pharmacy representation from each of the hospital site locations to form a working commitee to handle that section policies. All day working meetings were held for each policy groupings where draft health system policies were proposed to replace selected hospital site specific documents. An electronic depository was created to track the review process and status of every new proposed policy throughout the four month process. These completed draft health system policies were then assigned as tasks through committees for appropriate reviews and vetting. As the new documents were approved, a process was created to ensure education and implantation was completed at each location for these new health system pharmacy policies.
Results: During the four month process the original over 600 site specific policies were consolidated into 140 new health system policies. The established document review process identified and resolved significant deficiencies and variabilities in standard pharmacy operational process across the individual hospital site specific locations. Efficienies were created allowing a single health system docuemnt to ensure established best proactices were used at each location across the health system.
Conclusion: A innovate and robust policy process was effective on taking over 600 documents and consolidating them into 140 new health system documents.