In the wake of recent reports of contaminated doses of methylprednisolone acetate from a compounding pharmacy, ASHP and the ASHP Research and Education Foundation have free resources available to help health care practitioners work more effectively with these entities.
The ASHP Guidelines on Outsourcing Sterile Compounding Services offer an overview of factors that health care organizations should consider when exploring the outsourcing of pharmacy sterile compounding.
The guidelines recommend that hospitals engage in due diligence and carefully review prospective compounding pharmacies. The document highlights key components to include in requests for proposals (RFPs), including:
- Minimum experience requirements,
- History of results of regulatory or accreditation surveys,
- Proof of professional and general liability and workman’s compensation insurance coverage, and
- Evidence of qualified staff who are licensed or eligible for license by federal, state, and local agencies.
The guidelines are available on ASHP’s website at http://www.ashp.org/DocLibrary/Bestpractices/MgmtGdlOutsourcingSterileComp.aspx
The ASHP Foundation’s Outsourcing Sterile Products Preparation Contractor Assessment Tool is a free web-based tool that serves as a checklist for organizational pharmacy directors and others involved in purchasing decisions and inventory control to evaluate outsourcing proposals. The tool addresses critical areas covered in the ASHP guidelines and generates a report that provides comparative data for RFP responses. This report can then be used, in conjunction with site visits, to evaluate proposals in the context of the hospital’s or health system’s patient care and operational needs.
The assessment tool is available on the ASHP Foundation’s web site at http://www.ashpfoundation.org/SterileProductsTool.
ASHP also has several professional policies relating to compounding and outsourcing sterile compounding: ASHP Policy on Safe and Effective Extemporaneous Compounding; ASHP Policy on Accreditation of Compounding Facilities; and Compounding by Health Professionals.
ASHP encourages all practitioners and organizations that currently work with or are considering working with a compounding pharmacy to review these useful materials.
Access to Drug Monographs
ASHP is providing free access to its AHFS Drug Information and AHFS DI Essentials monographs on Amphotericin B Liposomal and Voriconazole.
For information on ASHP’s other compounding-related products, please visit http://store.ashp.org/default.aspx?TabId=194