Impact of Telepharmacy in a Multihospital Health System
American Journal of Health System Pharmacy 67: 1456-1462
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CHARLES EISENBERG, PHARM.D., is Director of Pharmacy, Mercy Regional Health Center, Manhattan,KS.
JANELL MOERER, M.B.A., is Vice President of Business Development,VCH.
JOE CARRITHERS, PH.D., is Director of Research Operations, VCH-W
(Address correspondence to Dr. Garrelts at the Pharmacy Department, Via Christi Hospitals—Wichita, 929 North St. Francis, Wichita, KS 67214 (jim_garrelts@via-christi.org)
Article Summary
Telepharmacy services were implemented at five hospitals within a Catholic, nonprofit, integrated delivery network health system. Telepharmacy services were provided by seven pharmacists employed by the health system. Using a virtual private network or terminal server, pharmacists directly accessed hospital servers and information systems to conduct their work. Telephone calls were automatically routed to the telepharmacist so that handling of nursing and other calls would be transparent to staff. Hours of telepharmacy service were 5 p.m. to 2 a.m. Monday through Friday evenings at four of the hospitals and 8 p.m. to 10 p.m. at the rural hospital. New paragraph, then Findings (in bold): Order-processing time for routine orders was reduced from 26.8 to 14 minutes (p < 0.0001), while stat order processing was shortened from 11.6 to 8.8 minutes (p = 0.007). New paragraph, then Findings (in bold): For routine orders, turnaround times greater than 60 minutes became almost nonexistent after telepharmacy services were implemented. New paragraph, then Findings (in bold): The number of clinical interventions documented increased by 42%, from 619 to 881, equivalent to a net annualized saving of $1,132,144. New paragraph, then Findings (in bold): A significant improvement in nurses’ global satisfaction with pharmacist availability for unit consultations was reported (3.0 versus 4.0 on a 5.0 Likert scale; p = 0.028)
Conclusion
The implementation of telepharmacy services in a multihospital health system expanded hours of service, improved the speed of processing of physician medication orders, and increased clinical pharmacy services and cost avoidance. Surveys of health care staff found that telepharmacy services were well received.
