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Hospital Topics Publication details, including instructions for authors and subscription information: http://www.tandfonline.com/loi/vhos20
Pharmacist's Q's & A's Terry W. Trudeau R.Ph.
a
a
Pharmacy Brakaw Hospital , Normal, IL, 61761, USA Published online: 13 Jul 2010.
To cite this article: Terry W. Trudeau R.Ph. (1979) Pharmacist's Q's & A's, Hospital Topics, 57:4, 47-47, DOI: 10.1080/00185868.1979.9954251 To link to this article: http://dx.doi.org/10.1080/00185868.1979.9954251
PLEASE SCROLL DOWN FOR ARTICLE Taylor & Francis makes every effort to ensure the accuracy of all the information (the “Content”) contained in the publications on our platform. However, Taylor & Francis, our agents, and our licensors make no representations or warranties whatsoever as to the accuracy, completeness, or suitability for any purpose of the Content. Any opinions and views expressed in this publication are the opinions and views of the authors, and are not the views of or endorsed by Taylor & Francis. The accuracy of the Content should not be relied upon and should be independently verified with primary sources of information. Taylor and Francis shall not be liable for any losses, actions, claims, proceedings, demands, costs, expenses, damages, and other liabilities whatsoever or howsoever caused arising directly or indirectly in connection with, in relation to or arising out of the use of the Content. This article may be used for research, teaching, and private study purposes. Any substantial or systematic reproduction, redistribution, reselling, loan, sub-licensing, systematic supply, or distribution in any form to anyone is expressly forbidden. Terms & Conditions of access and use can be found at http://www.tandfonline.com/page/terms-and-conditions
by Terry W. Trudeau, R.Ph. We are in the process of developing various clinical pharmacy programs in our hospital. Is there any means of reimbursement for these services once they are established?
Downloaded by [University of Toronto Libraries] at 07:54 01 January 2015
ANSWER:
Reimbursement for clinical pharmacy services is an area currently being studied by many groups. To be sure, if the clinical pharmacy movement i s to grow and prosper, mechanisms must be established to adequately compensate for the labor costs usually associated with provision of such services. American Society of Hospital Pharmacists President Clifford Hynniman stated in his recent inaugural address, "There is no evidence that any third party (including the federal government) precludes reimbursement for clinical pharmacy services within the hospital setting." He commented that the problem is not lack of payment for what we do, but rather identification of specific programs provided and as a requisite for reimbursement, documentation of the program's positive contribution t o patient care. The Task Force on Payment for Pharmacy Services coordinated by the A.S.H.P. has indicated that billing for clinical services must be integrated with general hospital charges. Generally, if hospital administration i s convinced a specific service is needed, if there i s approval via some physician's committee (i.e., Pharmacy and Therapeutics, Patient Care, etc.) or direct physician order, and if third party insurers are provided the rationale behind the services should they request such, there will be no obstacle toward payment. The current literature describes many clinical services being reimbursed for both in hospital and ambulatory care patients.192J It is interesting to note the findings from a recent survey. When questioned about charges for clinical services, third party payers commented, "At least we will know what we are paying for.lr4 Fudge, R. P. and Latiolals, C. 1.: Blue Cross Pays for Clinical Services In Training Hemophiliacs for Home Care Self-Therapy, Pharmacy Times, 4296-41, 1976. Touquan, S. T.: Clinical Pharmacy and Blue Cross Plans: Reimbursement and Support of Innovative Pharmacy Programs, Lippincott's Hospital Pharmacy, 12: 22-26, 1977.
.
Patterson, 1. and Huethen, R. J.: Reimbursement for Clinical Pharmacy Services, American Journal of Hospital Pharmacy, 35:1373-1375, 1978. Terry W. Trudeau, R.Ph. Director of Pharmacy Brakaw Hospital Normal, IL 6 176 1
Smith, W. E. and Weiblen, 1. W.: Charging for Hospital Pharmaceutical Services: Product Cost, Per Diem Fees and Fees for Special Clinical Services, Amerlcan Journal of Hospital Pharmacy, 36:355-359, 1979.
Hospital Topics Publication details, including instructions for authors and subscription information: http://www.tandfonline.com/loi/vhos20
Pharmacist's Q's & A's Terry W. Trudeau R.Ph.
a
a
Pharmacy Brakaw Hospital , Normal, IL, 61761, USA Published online: 13 Jul 2010.
To cite this article: Terry W. Trudeau R.Ph. (1979) Pharmacist's Q's & A's, Hospital Topics, 57:4, 47-47, DOI: 10.1080/00185868.1979.9954251 To link to this article: http://dx.doi.org/10.1080/00185868.1979.9954251
PLEASE SCROLL DOWN FOR ARTICLE Taylor & Francis makes every effort to ensure the accuracy of all the information (the “Content”) contained in the publications on our platform. However, Taylor & Francis, our agents, and our licensors make no representations or warranties whatsoever as to the accuracy, completeness, or suitability for any purpose of the Content. Any opinions and views expressed in this publication are the opinions and views of the authors, and are not the views of or endorsed by Taylor & Francis. The accuracy of the Content should not be relied upon and should be independently verified with primary sources of information. Taylor and Francis shall not be liable for any losses, actions, claims, proceedings, demands, costs, expenses, damages, and other liabilities whatsoever or howsoever caused arising directly or indirectly in connection with, in relation to or arising out of the use of the Content. This article may be used for research, teaching, and private study purposes. Any substantial or systematic reproduction, redistribution, reselling, loan, sub-licensing, systematic supply, or distribution in any form to anyone is expressly forbidden. Terms & Conditions of access and use can be found at http://www.tandfonline.com/page/terms-and-conditions
by Terry W. Trudeau, R.Ph. We are in the process of developing various clinical pharmacy programs in our hospital. Is there any means of reimbursement for these services once they are established?
Downloaded by [University of Toronto Libraries] at 07:54 01 January 2015
ANSWER:
Reimbursement for clinical pharmacy services is an area currently being studied by many groups. To be sure, if the clinical pharmacy movement i s to grow and prosper, mechanisms must be established to adequately compensate for the labor costs usually associated with provision of such services. American Society of Hospital Pharmacists President Clifford Hynniman stated in his recent inaugural address, "There is no evidence that any third party (including the federal government) precludes reimbursement for clinical pharmacy services within the hospital setting." He commented that the problem is not lack of payment for what we do, but rather identification of specific programs provided and as a requisite for reimbursement, documentation of the program's positive contribution t o patient care. The Task Force on Payment for Pharmacy Services coordinated by the A.S.H.P. has indicated that billing for clinical services must be integrated with general hospital charges. Generally, if hospital administration i s convinced a specific service is needed, if there i s approval via some physician's committee (i.e., Pharmacy and Therapeutics, Patient Care, etc.) or direct physician order, and if third party insurers are provided the rationale behind the services should they request such, there will be no obstacle toward payment. The current literature describes many clinical services being reimbursed for both in hospital and ambulatory care patients.192J It is interesting to note the findings from a recent survey. When questioned about charges for clinical services, third party payers commented, "At least we will know what we are paying for.lr4 Fudge, R. P. and Latiolals, C. 1.: Blue Cross Pays for Clinical Services In Training Hemophiliacs for Home Care Self-Therapy, Pharmacy Times, 4296-41, 1976. Touquan, S. T.: Clinical Pharmacy and Blue Cross Plans: Reimbursement and Support of Innovative Pharmacy Programs, Lippincott's Hospital Pharmacy, 12: 22-26, 1977.
.
Patterson, 1. and Huethen, R. J.: Reimbursement for Clinical Pharmacy Services, American Journal of Hospital Pharmacy, 35:1373-1375, 1978. Terry W. Trudeau, R.Ph. Director of Pharmacy Brakaw Hospital Normal, IL 6 176 1
Smith, W. E. and Weiblen, 1. W.: Charging for Hospital Pharmaceutical Services: Product Cost, Per Diem Fees and Fees for Special Clinical Services, Amerlcan Journal of Hospital Pharmacy, 36:355-359, 1979.
