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The groundbreaking Fleetwood Project , the preliminary results of which were published in the Archives of Internal Medicine , provides a clear picture of the enormous impact of consultant pharmacist services in achieving optimal therapeutic outcomes and reducing medication-related problems . " It is past time to insist on , document , and be compensated for the value of these and other consultant pharmacist services , says Steve Feldman , FASCP , president of the ICPS Group in Boston . Therefore , we designed two studies to quantify economic impact of the guidelines , to increase the level and effectiveness of consultant pharmacist interventions , and to demonstrate the outcomes of such a program to our long-term care colleagues . When prescribed medications are used appropriately , optimal patient outcomes can result ; consultant pharmacist reviews of drug regimens contribute to attaining this goal . A lot of data are being collected and published about the costs of drug-related problems and the value of consultant pharmacist interventions , and that information is being widely disseminated and read . The purpose of this study was to examine consultant pharmacist services , billing methods , and payment as reported by nursing home administrators . Using an 80 % acceptance rate by physicians to consultant pharmacist interventions , as reported by Miller ,6 our interventions may have produced a potential drug cost savings of $ 7,972.73 . Facilities with a greater percentage of Medicaid patients paid more for consultant pharmacist services , perhaps because consultant pharmacists charge more to keep facilities in compliance with Medicaid regulations . Central tenets of the ASCP model language include mandatory use of drug regimen review and other consultant pharmacist services at least monthly for all residents requiring medication assistance , and close involvement by consultant pharmacists in interdisciplinary care planning , medication monitoring , compliance counseling , resident education , predischarge counseling , and other quality assurance activities . " There 's high use of consultant pharmacist services in subacute care units already , but how they are used wi0ll change .