Correctional Pharmacy Management Services

Maxor’s California Prison Pharmacy Improvement Project.

In January 2007, the California Prison Health Care Receivership Corporation (CPR) and Maxor National Pharmacy Services entered into an agreement to provide management consulting services necessary to achieve improvements to the California Department of Corrections and Rehabilitation (CDCR) pharmacy services.  The purpose of this agreement was to implement the court approved plan  for achieving safe, effective and efficient pharmacy practices (Roadmap from Despair to Excellence). 

The collective efforts of the pharmacy improvement program are guided by the Roadmap developed by Maxor andadopted by the CPR.   The required improvements outlined in the Roadmap are organized into seven primary goals, each supported by specific objectives and timelines:

Goal A: Develop meaningful and effective centralized oversight, control and monitoring over the pharmacy services program.
Goal B: Implement and enforce clinical pharmacy management processes including formulary controls, Pharmacy and Therapeutics committee, disease management guidelines, and the establishment of a program of regular prison institution operational audits.
Goal C: Establish a comprehensive program to review, audit and monitor pharmaceutical contracting and procurement processes to ensure cost efficiency in pharmaceutical purchases.
Goal D: Develop a meaningful pharmacy human resource program that effectively manages staffing, compensation, job descriptions, competency, performance assessment, discipline, training, and use of the workforce including temporary employees and non-pharmacist staff.
Goal E: Redesign and standardize overall institution level pharmacy drug distribution operations for inpatient and outpatient needs. Design, construct and operate a centralized pharmacy facility.
Goal F: Based on a thorough understanding of redesigned work processes, design and implement a uniform pharmacy information management system needed to successfully operate and maintain the CDCR pharmacy operation in a safe, effective and cost efficient way.
Goal G: Develop a process to assure CDCR pharmacy meets accreditation standards of the designated healthcare review body (NCCHC or ACA) and assist in obtaining accredited status.

The Roadmap to Excellence is intended to lead the CDCR towards an accountable and responsive pharmacy services program resulting in three desired outcomes:  first, a priority on improved patient safety; second, the development of an evidence-based practice; and, third, a cost-effective pharmacy program.  Significant progress has been made towards achieving each of these outcomes.

Read more about Maxor’s work in California prisons at http://www.cphcs.ca.gov/project_pharm.aspx

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