ACCREDITATIONS​

PFSP Accreditations

PFSP’s unwavering commitment to quality and safety is one of the primary reasons we are trusted and sought after by medical providers to serve their patients. This commitment to quality isn’t just something we claim-it’s been validated through our Specialty Pharmacy accreditation by URAC.

Accreditation typically involves a neutral third-party organization reviewing a company’s operations to ensure they are meeting the highest national standards. These include issues for quality control, sterility of medications and the safety of all our patients.

Our URAC Accreditation

Our role as a specialty pharmacy is to serve patients with complex, chronic diseases. Our exceptional quality and safety standards drive patient outcomes, as well as financial outcomes.

Our URAC Specialty Pharmacy Accreditation helps us position ourselves and demonstrate our value in delivering these specialized clinical services to patients and physicians. Many payors and manufacturers recognize our URAC Specialty Pharmacy Accreditation as a differentiating factor and independent validation of quality. Some manufacturers even require URAC accreditation to participate in their network, and our Accreditation has given us access to limited-distribution drug networks to better serve our patients with rare and tricky diseases.

URAC

Originally incorporated under the name Utilization Review Accreditation Commission, URAC is an independent, non-profit accreditation entity with a stated mission to “advance health care quality through leadership, accreditation, measurement and innovation.”  Founded in 1990 in Washington, D.C., the full name was shortened to URAC when it began accrediting other types of organizations such as health plans, pharmacies and provider organizations. 

The basic beliefs held by the URAC-accredited organization are:

  • The patient is at the center of everything we do.
  • The provider’s voice must be heard.
  • The best approach to care delivery is through physician-led teams.
  • Healthcare solutions must be local to be sustainable.
  • Continuous improvement is achieved through performance measurement.

The organization takes a learning approach to the accreditation process and takes a genuinely client-based approach to uphold URAC’s exceptional standards.

Accreditation through URAC usually takes approximately 10-12 months to complete and involves a 5-step process.

  1. Two-part application process: An account manager is assigned to aid clients in the application process. First, the client must receive approval by URAC as an applicant.  Then, the client must upload the required information to the URAC web portal.
  1. Desktop review. In this stage, the information uploaded by the URAC applicant is reviewed to ensure compliance.  The applicant has the opportunity to address any deficiencies that arose during the application process through a request for information.  This review takes 30-45 days.
  1. Validation review. In this stage, a member of URAC will visit the organization.  During the visit, leadership and staff members are interviewed and systems, work processes, and policies and procedures outlined in the desktop review are validated.  The organization’s URAC score will then be generated based on information collected by the surveyor.
  1. Committee review. This is a formal assessment of the organization by the URAC Accreditation Committee.  The committee consists of experts in healthcare fields relevant to the specialty pharmacy accreditation.  Validation review findings and the score from the surveyor will be considered to determine the application status.  This review normally takes one week, and then the committee will notify the applicant of their results.
  1. Once accreditation is received, URAC will regularly monitor the organization to make sure they are maintaining standards and are in compliance.  Requirements may include collection and annual reporting of quality measures, as well as a mid-cycle onsite review with 14 days’ notice.  Specialty pharmacy accreditation is awarded for a period of 3 years, after which a member of URAC will conduct another visit to validate that accreditation may be maintained.

The standards developed by URAC “promote industry best practices, encourage quality improvement, and protect and empower consumers.”  Their programs and services follow continuous improvement aligning with the principles of Lean Six Sigma.

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