Well‑designed CPAs formalize how pharmacists act on prescriber‑approved protocols, unlocking faster turnaround and fewer errors without adding busywork.
What a CPA covers
- Refills & renewals: Standing criteria for refill approval, including adherence checks and labs.
- Dose mods: Guardrails for toxicity‑based holds and dose adjustments, and when to escalate.
- Lab ordering: Protocolized labs tied to the regimen and cycle day, routed to the EHR inbox.
- Documentation: Smartphrases and order sets that keep the record clear and auditable.
Implementation tips
- Start with one disease group and one regimen to reduce variability.
- Co‑author with physician champions and nursing leads to ensure adoption.
- Train on real cases. Simulate AE calls and walk through the escalation tree.
- Track metrics before/after: processing time, adherence, intervention counts.
Compliance & quality
Align your CPA with state scope rules, institutional policies, and payer requirements. Maintain an annual review, and log pharmacist actions as required. Use dashboards to surface trends and target improvements.
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