Institution A
Pharmacy Renovation for
Bedside Prescription Delivery Service
Developed collaboratively by the ASHP Research and Education Foundation,
the ASHP Section of Pharmacy Practice Managers, and ASHP Advantage.
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Summary Plan – Bedside Prescription delivery 7am to 11pm
Less than 10% of all hospital discharge prescriptions are filled by Institution A pharmacy today.
This plan proposes to capture and deliver 25% of all home going prescriptions to the bedside
before discharge. This program will be offered house-wide 7 days per week between the hours
of 7am to 11pm when the majority of patients leave the main campus. This service will result in
improved patient experiences (HCAPS scores), incremental revenue and margin gained, and the
potential to decrease medication-related readmissions. Current staffing is inadequate for
extended outpatient hours or the ability to offer delivery house-wide 7 days per week.
FINANCIAL ANALYSIS
Rx Volume
YR1
YR2
YR3
YR4
YR5
49,225
50,702
52,223
53,789
55,403
Revenue
4,411,925
4,803,436 5,145,440 5,511,795 5,904,235
Drugs
Total Expenses
EBIDA
3,414,875
3,948,105
463,820
3,721,577 3,986,554 4,270,396 4,574,449
4,270,804 4,552,257 4,853,071 5,174,604
532,631
593,183
658,724
729,632
Capital estimate is $600,000 from Office of Construction Management.
OPERATIONAL INTERDEPENDENCIES
Pharmacy will work closely with physicians, nursing, care management, and hospital
throughput personnel on facilitating the prescription delivery process. A key assumption that
will drive success is early identification of which patients are being discharged along with
completed medication orders. Insurance benefit verification and copay collection is required
prior to discharge. The pharmacy is not allowed to place the prescription charge on the
patient’s hospital bill. Institution A will be renovated in its current space and robotic dispensing
technology will be installed to support prescription volume growth.
EXIT STRATEGY AND ASSOCIATED COSTS
There is capital investment required for the renovation of the Institution A pharmacy and the
addition of pharmacy robotic equipment. Should this volume not materialize, the equipment
could be moved to another busy pharmacy operation.
PROJECT TRACKING AND REPORTING MECHANISM
Measures of success will be as follows:
Developed collaboratively by the ASHP Research and Education Foundation,
the ASHP Section of Pharmacy Practice Managers, and ASHP Advantage.
Visit www.pharmacycsuitetoolkit.org
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

Patient experience HCAPS and net promoter scoring monthly
P&L statement monthly
PROJECT MANAGEMENT
The Institution A pharmacy renovation will take 3-6 months after it is funded. Pharmacy will
work closely with assigned Construction Manager to deliver project. Pharmacy will coordinate
discharge bedside delivery with nursing leadership in phases with the goal of hospital-wide
access within the first 12 months of go-live.
RECOMMENDATION
Finalize Institution A pharmacy construction estimate, request funding source and FTEs be
approved, and launch program.
Developed collaboratively by the ASHP Research and Education Foundation,
the ASHP Section of Pharmacy Practice Managers, and ASHP Advantage.
Visit www.pharmacycsuitetoolkit.org
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Appendix 1: P&L and FTEs Bedside Prescription delivery 7am to
11pm
ASSUMPTIONS:


Used Institution A cost & revenue/script as basis for incremental Institution A volume
Used Institution A cost & revenue/script as basis for incremental hospital volume
Rx Volume
YR1
YR2
YR3
YR4
YR5
49,225
50,702
52,223
53,789
55,403
Revenue
4,411,925
4,803,436 5,145,440 5,511,795 5,904,235
Drugs
3,414,875
3,721,577 3,986,554 4,270,396 4,574,449
S&B
478,530
492,886
507,672
522,903
538,590
Med/Surgical Supplies
13,500
13,905
14,322
14,752
15,194
Non Medical Supplies
14,000
14,420
14,853
15,298
15,757
Purchased services
18,000
18,540
19,096
19,669
20,259
7,200
7,416
7,638
7,868
8,104
Software maintenance
Other misc expense
Total Expenses
EBIDA
Staffing
2,000
3,948,105
463,820
2,060
2,122
2,185
2,251
4,270,804 4,552,257 4,853,071 5,174,604
532,631
593,183
658,724
729,632
Nights
Total W/ 17%
Subtotal
Coverage
Days
Evenings
Pharmacist
0.4
1.4
1.8
2.1
Technician
0.4
4.2
4.6
5.4
6.4
7.5
Developed collaboratively by the ASHP Research and Education Foundation,
the ASHP Section of Pharmacy Practice Managers, and ASHP Advantage.
Visit www.pharmacycsuitetoolkit.org
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Appendix 2: Capital Cost Estimates for Each Project Area
Items
Cost
Comment
Institution A Pharmacy
Construction
Order of magnitude provided by
$250,000 OCM
Fixtures, equipment,
casework
$100,000 Quote received from vendor
Robot
$170,000 Quote received from vendor
Design
Contingency
Total
55,000
$25,000
$600,000
Developed collaboratively by the ASHP Research and Education Foundation,
the ASHP Section of Pharmacy Practice Managers, and ASHP Advantage.
Visit www.pharmacycsuitetoolkit.org
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Appendix 3: Institution A Pharmacy Renovation Layout Using
Existing ~ 2200 square feet
(no additional space)
Developed collaboratively by the ASHP Research and Education Foundation,
the ASHP Section of Pharmacy Practice Managers, and ASHP Advantage.
Visit www.pharmacycsuitetoolkit.org
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