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What We Deliver

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.

Core Services

Everything your pharmacy program needs.

Pharmacist Program Audits

Structured pharmacy audits with documented findings, corrective actions, and follow-through. Every finding in your dashboard within 4 hours of the visit.

Pharmacist Program Audits

Structured pharmacy audits with documented findings, corrective actions, and follow-through. Every finding in your dashboard within 4 hours of the visit.

Policy Review and Regulatory Updates

State-specific pharmacy policies reviewed and updated as standards, accreditation requirements, and DEA regulations change.

Policy Review and Regulatory Updates

State-specific pharmacy policies reviewed and updated as standards, accreditation requirements, and DEA regulations change.

Controlled Substance Oversight

DEA compliance, two-person witnessed waste, narcotic log cross-referencing, count reconciliation, discrepancy follow-up, and full audit readiness.

Controlled Substance Oversight

DEA compliance, two-person witnessed waste, narcotic log cross-referencing, count reconciliation, discrepancy follow-up, and full audit readiness.

Drug Diversion Prevention

Detection protocols, staff accountability structures, and documentation that creates a defensible chain of custody at every step.

Drug Diversion Prevention

Detection protocols, staff accountability structures, and documentation that creates a defensible chain of custody at every step.

Medication Labeling and Pre-Draw Compliance

Every syringe, cup, and basin verified — drug name, strength, expiration, preparer identity. Observed in the OR, procedure rooms, and prep areas.

Medication Labeling and Pre-Draw Compliance

Every syringe, cup, and basin verified — drug name, strength, expiration, preparer identity. Observed in the OR, procedure rooms, and prep areas.

Vial Safety and Safe Injection Practice Audits

Stopper disinfection, single-dose vial compliance, multi-dose vial dating and storage, and injection technique — caught during observation, not just policy review.

Vial Safety and Safe Injection Practice Audits

Stopper disinfection, single-dose vial compliance, multi-dose vial dating and storage, and injection technique — caught during observation, not just policy review.

Allergy Documentation Review

Cross-record consistency audit across intake, nursing assessment, anesthesia record, and operative note — a top-cited deficiency across every major accrediting body.

Allergy Documentation Review

Cross-record consistency audit across intake, nursing assessment, anesthesia record, and operative note — a top-cited deficiency across every major accrediting body.

Infection Control and Injection Practices

Hand hygiene compliance, IV hub scrubbing, PPE for spinal procedures, single-patient use verification. Cited across all five accrediting bodies.

Infection Control and Injection Practices

Hand hygiene compliance, IV hub scrubbing, PPE for spinal procedures, single-patient use verification. Cited across all five accrediting bodies.

Mock Drills and Emergency Preparedness

Malignant hyperthermia drills, DEA audit simulation, diversion response — documented and survey-ready.

Mock Drills and Emergency Preparedness

Malignant hyperthermia drills, DEA audit simulation, diversion response — documented and survey-ready.

Medication Safety Program

Crash cart audits, LASA policies, high-alert medication list maintenance, reversal agents, inventory and expiration management.

Medication Safety Program

Crash cart audits, LASA policies, high-alert medication list maintenance, reversal agents, inventory and expiration management.

Medication Reconciliation Program

Process verification at every required transition — pre-admission, admission, and discharge. Policy-to-practice alignment confirmed and documented.

Medication Reconciliation Program

Process verification at every required transition — pre-admission, admission, and discharge. Policy-to-practice alignment confirmed and documented.

Staff Education and New Hire Training

Medication safety, drug diversion awareness, pharmacology — delivered when new staff start, not just once a year.

Staff Education and New Hire Training

Medication safety, drug diversion awareness, pharmacology — delivered when new staff start, not just once a year.

Drug Cost Management

Formulary review and purchasing optimization for ambulatory care. Real savings without compromising clinical standards.

Drug Cost Management

Formulary review and purchasing optimization for ambulatory care. Real savings without compromising clinical standards.

Survey and Accreditation Readiness

AAAHC, TJC, QUAD A, ACHC, CMS, and state pharmacy board preparation support — year-round, not a sprint before notification.

Survey and Accreditation Readiness

AAAHC, TJC, QUAD A, ACHC, CMS, and state pharmacy board preparation support — year-round, not a sprint before notification.

QAPI Program Annual Quality Study

Topic selected, methodology designed, data collected, board-ready summary delivered. Every year. Your QAPI requirement: handled with you.

QAPI Program Annual Quality Study

Topic selected, methodology designed, data collected, board-ready summary delivered. Every year. Your QAPI requirement: handled with you.

On-Demand Pharmacist Access

You are not our side gig. You are our focus. You call, text, message — and we answer. Routine: 24-hr. Urgent: 4-hr. Immediate jeopardy during a survey: we pick up the phone.

On-Demand Pharmacist Access

You are not our side gig. You are our focus. You call, text, message — and we answer. Routine: 24-hr. Urgent: 4-hr. Immediate jeopardy during a survey: we pick up the phone.

Quarterly Board-Ready Compliance Report

Scored compliance report with one-page executive summary formatted as talking points. Drop it into your board deck. No rewriting required.

Quarterly Board-Ready Compliance Report

Scored compliance report with one-page executive summary formatted as talking points. Drop it into your board deck. No rewriting required.

Accreditation Bodies Supported

Every major accreditation body. Every state survey standard.

AAAHC

Medication management, drug storage, controlled substancedocumentation — prepared and maintained year-round.

The Joint Commission (TJC)

Medication management standards, tracer methodology, infection control — prepared for TJC's rigorous survey process.

QUAD A

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

QUAD A

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

ACHC

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

CMS

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

State Pharmacy Boards

State-specific requirements maintained and current wherever you operate.

New ASC Opening

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.

Formulary Selection

Designed for your case mix and specialty from day one.

DEA Registration and Licensing Support

We help navigate the licensing process so you open on time.

State-Specific Policy Manual

Delivered within 72 hours of engagement — designed for your state, accreditation body, and facility type.

Medication Workflow Design

Efficient, compliant workflows designed for your facility and specialty mix.

Wholesale Setup and Purchasing

Wholesale account setup and initial purchasing optimization.

Pre-Opening Staff Education

Your team trained and ready before the first patient walks through the door.