A QI program entails regular operations that are designed and implemented in an organization to assist in assessing, monitoring and improving quality of services offered at health care facilities. An initiative that will be implemented in this case is a clinically-related program that will help in improving the facility's operations and in proper financial management ( Hei et al. 2016) .
Purpose of the Quality Improvement Initiative
Pharmacist-led Medication Therapy Management is the best quality improvement initiative that will improve the operations of the health facility. The primary purpose of this program is to enhance the quality of services offered to patients and reduce the cost of care. However, this will be achieved where the facility leverage its analytics systems to exhibit the effects of pharmacist-led medication therapy management in minimizing the total health care costs ( Hei et al. 2016) . As well, the initiative aim at expanding the participation of pharmacists conducting medical therapy management activities to reduce treatment-related adverse activities in health care systems. Therefore, this initiative is essential since it will improve the quality of services offered all patient at low costs.
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Targeted Population or Audience of the Initiative
A Pharmacist-led Medication Therapy Management program target two main groups. First, it targets health care personnel. It will enable health care personnel, particularly pharmacists, to minimize the cost of providing medication to patients ( Hei et al. 2016) . As such, this will improve the quality of services offered to patients at reduced costs. As a result, the profitability and reputation of the facility will grow. This initiative also targets patients. Patients typically are one of the essential stakeholders in health care. Intrinsically, the Pharmacist-led Medication Therapy Management program aims to improve the quality of health services offered to them at low charges ( Hei et al. 2016) . The program optimizes patient therapy for various diseases and improves clinical outcome at reduced costs. Therefore, if the facility implements this program, patients will benefit massively because they can receive multiple clinical therapies at reduces charges.
Benefits of the quality improvement initiative
Pharmacist-led Medication Therapy Management has outstanding importance in health care. Most importantly, the program will help in reducing the total cost of health care services provided to patients seeking for therapy medical services. As such, this will improve the efficiency of health care delivery ( Hei et al. 2016) . Thus, it is essential to implement the program to help the facility to achieve its services delivery goals more efficiently at low cost.
Secondly, Pharmacist-led Medication Therapy Management is s capable of improving prescription devotion and also moderate the frequency of visiting facilities for patients with health conditions such as type 2 diabetes mellitus ( Hei et al. 2016) . Therefore, all plans using guidelines should be appropriately implemented to enable clinical pharmacists to dedicate their time when services patients fully.
Furthermore, Pharmacist-led Medication Therapy Management will help to improve the relationship between health practitioners and patients because patients will feel satisfied with the quality of therapy medical services offered to them by therapists ( Hei et al. 2016) . Consequently, most patients will consider seeking health services at the facility instead of seeking such services from other health facilities.
Inter-professional collaboration required for the program
Inter-professional collaborations that are required for this program refers to a situation where health professionals from different lines of duties will work with patients and other key stakeholders to improve the quality care services offered to patients ( Richards et al. 2017) . A Pharmacist-led Medication Therapy Management will require teamwork, networking and coordination.
Teamwork will be applied in this program between pharmacist and therapists, and therapists and patients to ensure that pharmacists notify therapists in time about the availability of drugs that should be given to patients ( Richards et al. 2017) . Besides, teamwork between therapists and patients will ensure that patients adhere to all medication guidelines.
Networking is another inter-professional collaboration that is crucial for this program. It will enable health professionals attending to patients to do continuous medical research on how to improve the efficiency in implementing the initiative ( Richards et al. 2017) . Lastly, proper coordination is also an essential inter-professional collaboration required for this health program. Coordination between pharmacists, therapists and the management of the facility is necessary for appropriate implementation of the program.
Cost or Budget Justification of Program
The cost of implementing the program is an essential factor that must be considered. A projection for this initiative will be as follows:
The total cost of care reduction per patient = $ 2,100 (Running for 6 months after the first pharmacist). MTM encounter approximately $ 600,000, which will be extrapolated out over 300 MTM patients. There will be a 10 % reduction in hospital per 1,000 members and 8 % reduction in the emergency department.
Evaluation of Pharmacist-led Medication Therapy Management
The effectiveness of the program will be evaluated to be based on the ability to improve the quality of health service provided to patients. Pharmacist-led Medication Therapy Management will involve the use of advanced technology to advance the quality of therapy offered to patients ( Richards et al. 2017) . As such, the first assessment will be conducted 6 months affect implementation. After 6 months, a cost or benefit analysis should be done to determine whether the initiative is cost-efficient or not. If the benefits derived from the program are more than costs, then the facility should implement the program for an extended period.
Goal-based is another basis that will be used to assess the program. A goal-based approach will primarily concentrate on how possible to achieve the facility's objectives when the initiative is implemented effectively.
References
Hei, H., Hoegg, C., Smathers, S., Coffin, S., & Sammons, J. S. (2016, December). A Multidimensional Quality Improvement Initiative to Reduce Pediatric Healthcare-Associated Respiratory Viral Infections. In Open Forum Infectious Diseases (Vol. 3, No. suppl_1). Oxford University Press.
Richards, K. A., Cesario, S., Lim, A. H., Best, S. L., Deeren, S. M., Bushman, W., & Safdar, N. (2017). The utility of routine urinalysis and urine culture testing in an ambulatory urology clinic: a quality improvement initiative in a Veterans healthcare facility. The Canadian journal of urology , 24 (1), 8627-8633.
