Evidence map›Paper›PMID 25126349›Full record

ArticleAmerican health & drug benefits2011

From a to z: medication cost-management strategies for disproportionate share hospitals.

Andrea Henry, Goldina Ikezuagu Erowele, Uche Anadu Ndefo, Jackie Milton-Brown, Enock Anassi, Wendy Green, Adriana Alvidrez, Alphonsus U Okpara

Abstract read
In one paragraph

Article in American health & drug benefits, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Andrea HenryManager, Department of Pharmacy, Harris County Hospital District, Houston, TX.
Goldina Ikezuagu EroweleClinical Pharmacist III, Formulary Management & Pharmacoeconomics Service, Department of Pharmacy, Harris County Hospital District, Houston, TX.
Uche Anadu NdefoAssistant Professor, Department of Pharmacy Practice, College of Pharmacy and Health Sciences, Texas Southern University, and Drug Information Specialist, Harris County Hospital District.
Jackie Milton-BrownFormulary Command Center Clinical Pharmacist, Department of Pharmacy, Harris County Hospital District, Houston, TX.
Enock AnassiClinical Pharmacist III, Formulary Management & Pharmacoeconomics Service, Department of Pharmacy, Harris County Hospital District, Houston, TX.
Wendy GreenClinical Pharmacist III, Formulary Management & Pharmacoeconomics Service, Department of Pharmacy, Harris County Hospital District, Houston, TX.
Adriana AlvidrezClinical Pharmacist III, Formulary Management & Pharmacoeconomics Service, Department of Pharmacy, Harris County Hospital District, Houston, TX.
Alphonsus U OkparaDirector, Department of Pharmacy, Harris County Hospital District, Houston, TX.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHarris County Hospital District, Houston, TX, is a publicly funded hospital system that provides care to residents of Harris County with a need-based payment system. The Harris County Hospital District pharmacy department, with a drug budget of more than $75 million in fiscal year 2010, utilizes a closed formulary system that is managed by the Formulary Management and Pharmacoeconomics Service, along with the medical staff. This service is comprised of clinical pharmacists whose goal is to provide a comprehensive, safe, and cost-effective formulary.

objectiveTo describe the unique formulary management process at a county hospital system and what makes this process cost-effective, which may benefit pharmacy departments in institutions serving an indigent patient population. SUMMARY: The Harris County Hospital District drug formulary is overseen by the Pharmacy & Therapeutics committee, which is supported by 5 therapeutic subcommittees, including antimicrobials, cardiovascular, general formulary, central nervous system, and oncology. The Pharmacy & Therapeutics Committee consists of a medical staff committee that is supported by clinical pharmacists, who serve as the facilitators of these 5 subcommittees. Their responsibilities include the provision of drug information for formulary decisions, providing parameters to govern the use of certain medications, communicating changes to the formulary, conducting class reviews and medication utilization evaluations, coordinating annual pharmaceutical bids, reviewing and writing medication use policies and procedures, facilitating the use of cost-effective medications, and monitoring the use of medications in the hospital system.

conclusionThe processes incorporated by Harris County Hospital District in its formulary management are cost-effective and may be beneficial to other pharmacy departments, especially those institutions that serve an indigent patient population and are interested in cost-effective management strategies.

Identifiers

PMID25126349
PMCPMC4105714

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.