The following steps must be taken when considering changes in drug usage criteria:
- Issue is identified—could be related to shortages, best practice, trends, research, etc.
- Issue reported to network Pharmacy
- Pharmacy writes up “issues statement” and presents to P&T chair or other P&T medical member (physician champion).
- Pharmacy and medical staff identify alternatives
- Input is gathered from key physicians and the alternatives are modified based on physician input
- Pharmacy develops recommendation
- P&T reviews recommendation, approves, revises, denies, etc.
- Incident Command medical staff approves, revises, denies, etc.
- Incident Command notifies physicians and pharmacy
- Implementation