U.S. Department of Health and Human Services
Indian Health Service: The Federal Health Program for American Indians and Alaska Natives
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Planning, Evaluation & Research

RRM Category: ANCILLARY SERVICES

RRM Module: Pharmacy

Overview:
The RRM Pharmacy staffing module estimates the requirements for pharmacists and pharmacy technicians to distribute and manage the use of medications. The workload parameters that are the key variables in the staffing estimation are Average Daily Patient Load (ADPL) and Primary Care Provider Visits (PCPVs) and CHP encounters. The Pharmacy Department consists of inpatient and outpatient services.

Services Description:
The Pharmacy Department consists of inpatient and outpatient activities.

Staffing Criteria:
Inpatient:
Fixed Pharmacist staff of 1.00 FTE, plus 0.50 FTEs Pharmacist for every 14 ADPL above 14 ADPL.

1.00 Pharmacist (CHA/P) for every 20,000 CHP encounters.

0.50 FTEs Pharmacy Technician for every 14 ADPL above 14 ADPL.

Outpatient:
Fixed Pharmacist staff of 1.00 FTE for a facility with at least 4,400 PCPVs, plus 1.00 FTE Pharmacist for every 5,000 PCPVs above 4,400 PCPVs.

0.50 FTEs Pharmacy Technician for every 5,000 PCPVs above 5,000 PCPVs.

Note: A clerical staff pool of 0.3 FTE/10,000PCPVs will be formed for Pharmacy, Laboratory and Imaging.

Fixed Pharmacy Billing Specialist for every facility with 20,000 or more PCPVs.

STAFFING FORMULAE

Driving Variables:
ADPL - Total
PCPVs
CHP Encounters

Personnel Categories:
Pharmacist
Pharmacy Technician
Pharmacy Billing Specialist
Pharmacist (CHA/P)

MINIMUM STAFFING LEVELS (fixed):

Personal Category FTEs
Pharmacist (Hospitals) 1.00
Pharmacist (Ambulatory) 1.00
Plus, VARIABLE STAFFING LEVELS:
Personal Category FTEs per Driving Variables Min. Max.
Pharmacist (CHA/P) 1 20,000 CHP Encounters 0 n/a
Pharmacy Technician 0.5 14 ADPL 14 n/a
Pharmacist 1 5,000 PCPVs 4,400 n/a
Pharmacy Technician 0.5 5,000 PCPVs 5,000 n/a
Pharmacy Billing Specialist 1 20,000 PCPVs 20,000 20,000


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