Feedback for Seeking Feedback on Proposed Implementation Timeline for NAPRA's Sterile Compounding Standards

Pharmacist  ·  May 16, 2016

A two year deadline is definitely not enough time for hospitals to secure funding and additional resources that will be required to be fully compliant with the NAPRA standards. I think that a 5 year deadline is likely more feasible considering funding cycles and the "competition" for funding that occurs in most hospitals. Most hospitals in Ontario will require extensive facility renovations in order to be compliant which will cost huge amounts of money for the government. How is OCP advocating and/or supporting the flow of money from the government to facilities that require extensive work? Further, facility improvement is only one part of NAPRA compliance. The costs of supplies, cleaning reagents, sterile alcohol, testing (QA) and training/certification of staff also will add up quickly. In most cases, hospitals will also need to hire/train/maintain more staff to keep up with the standards especially when it comes to the imposed BUD (hospitals will no longer be able to batch in large quantities to gain efficiencies due to imposed QA). Added to all of this is time needed to create new procedures and policies to support and sustain the NAPRA standards. Thus, the two year deadline seems unrealistic when considering what it will take to be fully compliant with NAPRA. I would like to know what OCP is doing to educate CEOs and senior leaders in all hospitals across Ontario that the requests for financial and human resources are going to be soaring high over the next few years from pharmacy....in the midst of all the other accountabilities they have to ensure funding models/metrics are met, budgetary and financial responsibilities are managed within their means.

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