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Build a clear case for a pharmacy service

Summary
Organize a proposal around a specific need and a feasible response. Use the questions below before preparing a business case or requesting approval.
Last reviewed
September 29, 2026

What does a strong pharmacy service proposal contain?

Some of the most meaningful advances in pharmacy began as one professional’s idea for a better way to serve patients. A useful pharmacy service proposal connects a documented need with a feasible response and a clear decision. This PharmD Hub™ framework covers the population, delivery model, resources, costs, initial implementation, measures, and approval requested. It gives decision makers a way to examine both the opportunity and the assumptions that need further work.

Define the Need

Who is affected? What is happening now? What evidence demonstrates the problem? Describe the current process and distinguish measured findings from assumptions. State what will happen if the problem remains unresolved without overstating the consequences.

A woman sketches a chart on a whiteboard while colleagues follow along.

Describe the Proposed Service

Explain who would receive the service, what would be delivered, how people would enter it, and where responsibilities would begin and end. Identify referral, documentation, communication, and escalation arrangements.

Test Feasibility

List the people, time, training, systems, facilities, and coordination required. Identify legal, regulatory, privacy, payer, or contractual questions that need qualified review. Do not assume that a clinically useful service is automatically reimbursable.

A woman walks colleagues through a chart on a flip chart.

Explain the Economics

Separate startup costs from ongoing delivery costs. State the assumptions behind volume, capacity, revenue, or savings estimates. Distinguish projected benefits from observed results. Consider more than one scenario when assumptions are uncertain.

For each estimate, record its source and whether it is observed, quoted, or assumed. A simple lower-volume and higher-volume scenario can show which assumptions most affect feasibility without presenting a forecast as an established result.

A team meets around a table while a colleague writes on a whiteboard.

Define a Bounded First Implementation

Specify the initial population or scope, accountable owner, preparation steps, review point, and conditions for changing or stopping the approach. A clear limited implementation can make learning and oversight more manageable.

Clinicians meet with a small group around a table.

Choose Useful Measures

Include measures of delivery, outcomes, and unintended effects. Define each measure, source, owner, and review schedule. Avoid promising an improvement that the proposed measurement cannot establish.

State the Decision Requested

Explain what approval, resources, or further investigation you need now. Keep unresolved questions visible and assign responsibility for answering them.

Worksheet prompts: Need; Population; Service; Workflow; Resources; Assumptions; Required reviews; Measures; Initial scope; Decision requested.

A physician writes notes while a colleague looks on.

Start Your Proposal

Print the worksheet prompts and draft one or two sentences under each. Mark unresolved questions and assign an owner before turning the outline into a presentation or financial model. Use the metrics framework to make the proposed measures precise enough to interpret.

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