Organizations that use contracts can use more than one contract. The contracting process could separate pharmaceuticals from consultants. Segregation allows for renegotiations for a specific purpose. Consulting services typically incorporate policy and procedure updates related to state and federal regulatory compliance, quality assurance programs, and staff training. Contracts can update professional services as the population changes. The inclusion of a subacute unit requiring more advanced equipment, multiple drug substitutions and an advanced emergency kit represents an upgrade of professional services.4 The role of the consultant pharmacist involves oversight of pharmacy services as well as assessment and monitoring of pharmacological therapy of residents (Marrone, 1988). The consultant pharmacist must have a written agreement or contract with the facility that outlines responsibilities and scope of service. The pharmacist coordinates the pharmaceutical services in the pharmacy contract. This broad range of services includes ongoing quality assurance checks and drug reviews. They also include recommendations and implementation of emergency kits that the pharmacy monitors and maintains. Providing organized medication carts greatly reduces medication administration errors because it separates medications prescribed for each resident with each medication in unit-dose packages (Brown, 1988). Pharmacists conduct in-service training programs to meet the needs of professional and other ancillary staff. . Topics may include monitoring trainees on complex drug regimens, use of infusion pumps, IV administration and certification, and state and federal regulatory compliance updates...... middle of document.. .... have quality programs. Modern healthcare. 30(43) 56. Retrieved April 5, 2010 from the EBSCO database. Prescription drug errors can affect millions of patients. Nutrition Health Review: The Consumer's Medical Journal; 2006, number 96, p.19-19, 2/3p. Retrieved April 2, 2010, from http://search.ebscohost.com/login.aspx?direct=true&db=awh&AN=25554129&site=ehost-live.Sloane, P.D., Bates, J., Donahue, K., Irmiter, C. & Gadon, M. (1995-2010). Effective clinical partnerships between primary care practices and public health agencies. American Medical Association. Retrieved April 2, 2010, from http://www.ama-assn.org/ama/pub/physician-resources/Wilson, D., Malloy, M., McCoy, J., & Turner, M. (2004). 3 Steps to Profitable Managed Care Contracts. Healthcare Financial Management: Journal of the Healthcare Financial Management Association, 58(5), 34-38.