Institution A
Business Case Analysis
Date: Insert Date
Submitted By: Insert Name
Statement of Opportunity: Pharmacy Ambulatory Specialist – Women’s Health
0.5FTEE
The Medical Home Model in Women’s Health cannot be achieved without the addition of a pharmacist
as a team member. Pharmacists are active and integrated members of all primary care teams in
primary care at our Institution A except Women’s Health. Specifically, a pharmacist is needed because
of the number of women who are of child bearing age and at risk of teratogenic medications.
Pharmacy input is also critical because of the number of women in our program who are on multiple
medications, including meds for mental health conditions. Additionally, pharmacy is needed to initiate
a Lipid Clinic to help us overcome the gender disparity for LDL in Diabetics and patients with
cerebrovascular disease. Pharmacy could provide more intensive interventions than Women Health
Clinic can provide without the assistance of a pharmacist.
Insert supporting information from your institution or national statistics. See samples below.
Developed collaboratively by the ASHP Research and Education
Foundation, the ASHP Section of Pharmacy Practice Managers,
and ASHP Advantage.
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Gender Disparity in Diabetes & CVD: 2010
Female Disparity Percentage
0.00%
-5.00%
-10.00%
-15.00%
-20.00%
-25.00%
-30.00%
-35.00%
-40.00%
Jan
Feb
Mar
Apr
May
Diabetes LDL < 100
-5%
-2.10%
-25.70%
-15%
-7.20%
CVD LDL < 100
-36%
-26.20%
-32.30%
-21%
-15.70%
Women's LDL Score in CVD:2010
80%
70%
Women's Score
60%
50%
40%
30%
20%
10%
0%
Target CVD
CVD LDL < 100
Jan
Feb
Mar
Apr
May
74%
74%
74%
74%
74%
30.80%
40.00%
37.50%
50.00%
57.10%
Developed collaboratively by the ASHP Research and Education
Foundation, the ASHP Section of Pharmacy Practice Managers,
and ASHP Advantage.
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Women LDL Scores for Diabetes: 2010
80%
70%
Women's Scores
60%
50%
40%
30%
20%
10%
0%
Target Diabetes
Diabetes LDL < 100
Jan
Feb
Mar
Apr
May
54%
54%
54%
54%
54%
64.30%
67.90%
45.90%
58.80%
66.70%
Strategic Goals this Initiative will help meet:
1. Goal:
a.
b.
c.
2. Goal:
a.
Put Patients First/Patient Focused Care
Increase Patient Satisfaction
Improve access to care
Enhance services and environment for OIF/OEF veterans and women
Produce Meaningful Performance
Achieve all performance measures and monitors
Expected Outcome and Impact:
Achieve a consistent level of pharmacist care in primary care clinics.
Pharmacy staff at Institution A have established a successful Lipid Clinic that additional FTE would allow
us to initiate here. Staff have indicated that pharmacy patient management in the Lipid Clinic has
helped them exceed the benchmark for LDL in women diabetics and patients with cerebrovascular
disease (data June 2010 c1b4 DM Outpt LDL LT 100 (HEDIS)= 65.9% target 54%; c1c1 CVD outpt LDL LT
100 = 81.8%, target 76%). The addition of a pharmacist to manager lipids will provide mechanism to
reach the benchmarks in women with diabetes and with cerebrovascular disease.
Alternatives Considered:
Cost Estimates of Recommended Approach and Alternatives:
Developed collaboratively by the ASHP Research and Education
Foundation, the ASHP Section of Pharmacy Practice Managers,
and ASHP Advantage.
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$118,500
yearly salary
$29,625
yearly benefits
$148,125
yearly cost for 0.5FTEE Ambulatory Specialist Pharmacist in Women’s Health
Developed collaboratively by the ASHP Research and Education
Foundation, the ASHP Section of Pharmacy Practice Managers,
and ASHP Advantage.
4
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