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ASPECTS AFFECTING THE HOSPITAL OPERATION • Financial • Operational • Administrative • Clinical • Safety FINANCIAL • Pharmacy budget is 14 % of hospital budget. • Negotiations to get best price on medications. • Expensive medication (chemotherapy, biological agent, etc) • Control cost. • Inventory control. • Alternative to expensive drugs. • Control physician preferences. • Limit off-hospital formulary • Collect data to review usage and cost to predict future utilization. • Review financial history and compare prior budgets with actual spending and identify outlier area and past cost containment measures and analyze it. • Build high priority drug budget A relatively small number (50-60) of products typically represent 80 percent to 90 percent of the total budget. Efforts should focus on this list. Plot historical spending patterns and carefully project future cost and volume. • Establish drug cost containment plan by using benchmarking programs, areas of potential inefficiencies, inappropriate prescribing patterns, and formulary noncompliance to find areas of savings based on preliminary budgets. • Monitor actual use and expenditures against budget to figure out the reasons for variances and factor those into future budgets. Document and collect data. • Be up to date with third-party payers new rules and regulations. OPERATIONAL • Collaboration with other professionals (Doctors, Nurses, Nutritionists) • Educating other professionals( new therapies and introducing of new medications). • Management of the staff properly managing staff, utilizing resources, and provide best service for patients) • Problem solving. ADMINISTRATIVE • Policies and procedures. • Operations manuals • Quality improvement. • Laws and regulations • Recruitment • Orientation. • Performance evaluation. • Education and training. • Insure patient confidentiality. • Committee involvement • Workload and financial performance. • Position descriptions CLINICAL • Apply scientific knowledge( planning and development in hospital setting) • Apply medical knowledge( keep the pharmacy aligned with all departments) • Creating new knowledge by conducting research ( in a university hospital). • Patient education. • Scientific contribution( pharmacy research, multidisciplinary research) • Control clinical protocols • Control the use of antibiotics. • Ensure that quality of pharmaceutical services are provided according to accreditation and professional standards. SAFETY • Medication dispensed from the pharmacy is labeled with the name of the patient, name of the drug, concentration or strength, dosage and expiration date • Drug storage locations are locked • High-risk drugs are stored in a location separate from the other drugs