Most ASCs have a consultant pharmacist. Few have a true pharmacy program.

Ambulatory Pharmacist Partners helps surgery centers move beyond the basic pharmacist visit to a stronger pharmacy program that is structured, teachable, and built to last.

Ambulatory Pharmacist Partners pharmacist with surgery center team
Our promise
  • Better trained teams
  • Fewer surprises
  • A pharmacy program you can depend on

A comprehensive pharmacy program for ambulatory surgery centers. Not just audits.

From controlled substance oversight to board-ready quarterly reports, every service is designed around the regulatory, clinical, and operational realities of ambulatory surgery, with follow-through built in.

Every finding is tracked to closure. Every visit feeds the dashboard. Every education session is documented. The program produces the evidence your team, your leadership, and your surveyors expect.

Pharmacy Program Greenfield Surgery Center
Quarter 4 · 2026
Pharmacy Survey Readiness 92%
Open Findings 3
Closed This Quarter 11
Staff Trained 24/26
Pharmacy Program Survey Readiness, Quarter Over Quarter
25%
Quarter 1
52%
Quarter 2
76%
Quarter 3
92%
Quarter 4
Controlled-substance count log gap, OR 2 Closed
All high-alert medications properly labeled Verified
Refrigerator temp log, 2 missed days In Progress

Most consultants start fresh every visit. We believe a good pharmacy program builds on itself.

Before Quarter 1 · Onboarding

We start by going deep.

Before the first quarter begins, we redesign the foundation. A full policy review with the changes your state and accreditation body require, a pharmacy program built for your case mix, and a baseline that tells us exactly where to focus.

  • Full policy manual review with rewrites
  • Pharmacy program design for your case mix
  • Baseline assessment of medication management, CS, and storage
  • Workflow and formulary review
  • Licensure and DEA compliance confirmed
Q1

Baseline and structure

Deliverables
  • Baseline readiness audit
  • Prioritized gap list
  • Standardized visit cadence
  • First leadership summary
You see exactly where the program stands and what to fix first.
Q2

Targeted education and follow-through

Deliverables
  • Staff education targeted to gaps
  • Corrective actions tracked
  • First readiness review
  • Trend data begins
Education directly tied to what the program found.
Q3

Readiness and QAPI

Deliverables
  • QAPI quality study underway
  • Mock drill conducted
  • DEA audit readiness check
  • Board-ready quarterly report
The program starts building the evidence a surveyor expects.
Q4

Durability and survey-ready

Deliverables
  • Annual program review
  • Year-over-year trend report
  • Survey-readiness evidence pack
  • Team competency assessment
Year one closes with a program that can carry itself forward.

Every major accreditation body. Every state survey standard.

Ambulatory Pharmacist Partners programs are built around the specific pharmacy standards of every accreditor and state pharmacy board that governs ambulatory surgery centers.

AAAHC

Controlled substance standards, medication management standards, tracer methodology, and infection control readiness.

The Joint Commission

Controlled substance standards, medication management standards, tracer methodology. Prepared for TJC's rigorous survey process.

QUAD A

Medication labeling, beyond-use dating, controlled substance handling, emergency drug kits.

ACHC

USP compliance, drug storage temperature monitoring, quality improvement documentation.

CMS

Conditions for Coverage pharmacy requirements, controlled substance oversight, and quality improvement.

State Pharmacy Boards

State-specific requirements maintained and current wherever you operate.

Choose the level of pharmacy partnership for your center.

Every tier is built on the same belief: pharmacy should be structured, teachable, and built to last as part of ASC quality.

Core

Your team. The Ambulatory Pharmacist Standard.
For facilities with a trusted pharmacist or nurse lead who can execute locally.
  • Ambulatory Pharmacist Standard and program roadmap
  • Software: audits, findings, follow-ups, reporting
  • Readiness dashboard and corrective action tracking
  • QAPI-ready reporting templates
  • Essential staff education
  • Scheduled quarterly review cadence
  • Limited support
Talk to us about Core →
Most Chosen

Partner

Ambulatory Pharmacist Partners helps lead and support your pharmacy program.
For facilities that want hands-on pharmacist support and program guidance.
  • Everything in Core
  • pharmacist-led audit cadence
  • Program review and corrective action support
  • Controlled substance and DEA audit readiness review
  • Drug diversion prevention program
  • Routine staff education support
  • QAPI-ready reporting
  • Program improvement roadmap
  • Defined support access and response times
Talk to us about Partner →

Enterprise

One pharmacy program standard across every facility.
For management companies and multi-site operators.
  • Ambulatory Pharmacist Standard across all facilities
  • Portfolio dashboard and multi-site reporting
  • Standardized training and competency tracking
  • Executive summaries and cross-facility trends
  • Quarterly business reviews
  • Program rollout support
  • Pharmacist network coordination
  • New center onboarding support
Talk to us about Enterprise →

Additional services for specific needs.

Available as standalone engagements or as additions to any program.

Mock DEA Audit

Full simulation of a DEA diversion investigator visit with a written findings summary.

Survey Readiness Sprint

Intensive readiness assessment and preparation in the weeks before a survey notification or after a poor result.

Drug Diversion Program Build

Design or reset your diversion detection, staff accountability, and documentation systems.

Policy Manual Rewrite

State-specific, accreditor-specific policy manual built from scratch or updated to current standards.

QAPI Study Package

Standalone annual quality study for medication management, from topic selection through board-ready summary.

Live Staff In-Service

On-site or virtual pharmacy training session for nursing staff, tailored to your current gaps.

Start right from day one.

Opening a new surgery center? We help with everything pharmacy, from licensing through opening day, so you build your program on the right foundation from the start.

Opening a new ASC?

Most de novo ASC owners underestimate pharmacy. We are your pharmacy partner from the first conversation through your first survey.

  • Formulary selection designed for your case mix
  • DEA registration and licensing support
  • State-specific policy manual
  • Medication workflow design
  • Staff education before opening day
  • Survey-readiness from day one