Services

Expert Consulting for Hospital Pharmacy Teams

Every engagement is led personally by Dr. Sarah Flowers. No junior consultants, no templated deliverables — just deep clinical expertise applied directly to your institution's specific challenges.

28%

Reduction in broad-spectrum antibiotic use across a 12-hospital network

40+

Hospital pharmacy clients served across community and academic settings

15+

Years of direct clinical and consulting experience

200+

Stewardship and PK protocols designed and implemented

Antimicrobial Stewardship Program Development

Build or strengthen a stewardship program that meets regulatory requirements, survives staff turnover, and produces measurable outcomes.

Ideal for

Community hospitals, critical access hospitals, and regional health systems building or formalizing stewardship infrastructure.

What's included

  • Gap assessment against IDSA/SHEA core elements and Joint Commission standards
  • Prospective audit and feedback program design and implementation
  • Formulary restriction and prior authorization frameworks
  • Rapid diagnostic stewardship protocols (BCID panels, PCR-based testing)
  • Stewardship metrics dashboard and reporting infrastructure
  • Pharmacist and physician education curriculum

Clinical Pharmacokinetics & Dosing Services

Design and implement pharmacokinetic dosing programs that improve outcomes and reduce toxicity in your highest-acuity patients.

Ideal for

ICUs, medical-surgical units, and pharmacy departments seeking to standardize PK-guided dosing across their patient population.

What's included

  • AUC-guided vancomycin monitoring program design and pharmacist training
  • Extended and continuous beta-lactam infusion protocols
  • Aminoglycoside dosing and monitoring frameworks
  • TDM optimization for critically ill patients with augmented renal clearance
  • Renal dose adjustment protocols and pharmacist-driven order sets
  • Competency assessment tools for clinical pharmacists

Resistance Management & MDR Organism Protocols

Develop evidence-based protocols for managing multidrug-resistant organisms and reducing carbapenem and last-resort antibiotic use.

Ideal for

Institutions with rising resistance rates, high carbapenem utilization, or recent MDR organism outbreaks seeking a structured response.

What's included

  • Carbapenem-sparing strategy development and implementation
  • MRSA bacteremia management protocols and pharmacist-driven bundles
  • MDR gram-negative organism treatment algorithms
  • Antibiogram interpretation and institutional resistance trend analysis
  • Infection control collaboration and contact precaution frameworks
  • De-escalation trigger criteria and clinical decision support tools

Pharmacy Education & Residency Development

Strengthen your pharmacy team's clinical capabilities through structured education, competency frameworks, and residency program support.

Ideal for

Pharmacy departments investing in staff development, institutions launching residency programs, and health systems standardizing clinical training.

What's included

  • Stewardship-focused pharmacist competency assessment and training
  • PGY-1 and PGY-2 residency program development and ASHP accreditation support
  • Clinical rotation design for infectious diseases and stewardship
  • Case-based learning curriculum for pharmacy staff
  • Preceptor development and evaluation framework design
  • Onboarding programs for new clinical pharmacists

How we work together

Engagement Models

Project-Based Engagement

A defined scope of work with clear deliverables and timeline. Ideal for program launches, protocol development, or gap assessments with a specific endpoint.

4–16 weeks

Ongoing Advisory Retainer

Sustained access to expert guidance on a monthly basis. Covers emerging clinical questions, protocol updates, staff education, and stewardship program oversight.

Month-to-month or annual

Intensive On-Site Engagement

Embedded consulting with on-site presence for rapid program build-out or turnaround. Best suited for institutions facing regulatory pressure or significant stewardship gaps.

2–8 weeks on-site

Not sure which engagement fits your needs?

Every consultation starts with a no-obligation discovery call. Dr. Flowers will review your current program, identify the highest-impact opportunities, and recommend an engagement model that fits your timeline and budget.

Schedule a Discovery Call