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PHA 442 - Pharmacy Practice Management > Exam 1 - Pharmacy Services: Traditional & Value Added > Flashcards

Exam 1 - Pharmacy Services: Traditional & Value Added Flashcards

1
Q

Name the four Traditional Pharmacy Services.

A

1) Community retail pharmacy
2) Hospital pharmacy
3) Home infusion pharmacy
4) Compounding (non-sterile) pharmacy

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2
Q

Name the five types of Value-Added Pharmacy Services.

A

1) Point of care services
2) Wellness/health promotion and monitoring/screening services
3) Pharmacy based immunization delivery
4) Disease state management
5) Case management/pharmaceutical care

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3
Q

What is the difference between traditional pharmacy services and value-added services?

A

Value-added pharmacy services is anything beyond traditional services (i.e. dispensing)

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4
Q

What type of value-added pharmacy services occur with dispensing function?

A

Point of care services

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5
Q

T/F: All pharmacists participate in point of care services.

A

TRUE

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6
Q

What type of value-added pharmacy service collects non-comprehensive information such as allergies to specific meds?

A

Point of care services

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7
Q

T/F: Wellness/health promotion and monitoring/screening services require more patient data.

A

TRUE

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8
Q

T/F: Wellness/health promotion and monitoring/screening services occur with the dispensing function.

A

FALSE

-Wellness/health promotion and monitoring/screening services occur separate from the dispensing function

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9
Q

Name the 3 examples of Screening/Health Promotion.

A

1) Smoking cessation
2) Osteoporosis screening
3) Lipid screening w/ cardiovascular assessment

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10
Q

Name examples of monitoring in wellness/health promotion and monitoring/screening services.

A
  • Pharmacist managed anticoagulation service

- Lipid management service

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11
Q

Who sponsors a Pharmacy Based Immunization Delivery program?

A

APhA

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12
Q

What is the role of the pharmacist in a pharmacy based immunization delivery program?

A
  • Advocate through education
  • Facilitator
  • Immunizer by administering vaccines
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13
Q

What vaccinations can pharmacists administer?

A
  • Influenza
  • COVID-19
  • Pneumococcal
  • Herpes zoster (Shingrix)
  • T-dap
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14
Q

Name the 4 ways to be compensated for a pharmacy based immunization program.

A

1) Pt payment out of pocket
2) Medicare Part B - Influenza, Pneumococcal
3) Medicare Part D - all vaccines not covered by Medicare Part B (i.e. herpes zoster)
4) Private third party

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15
Q

T/F: Disease state management programs occur separate from dispensing.

A

TRUE

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16
Q

Disease state management programs contain ____ ____ education.

A

Disease state management programs contain ongoing patient education.

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17
Q

How long could a disease state management appointment last?

A

15-60 minutes

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18
Q

Name 3 examples of disease state management.

A

1) DM
2) HTN
3) Lipid

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19
Q

What type of pharmacy service is case management/pharmaceutical care?

A

Value-added pharmacy services

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20
Q

What are the 4 components of value-added pharmacy services?

A

1) Data collection
2) Lab monitoring
3) Medication management protocols
4) Patient education

21
Q

What is collected in data collection of value-added pharmacy services?

A
  • Pt hx
  • Pt medical hx
  • Medication hx
  • Authorization to release medical information
22
Q

What lab monitoring would be included in value-added pharmacy services?

A
  • A1c
  • Bone mineral density (bone densitometer)
  • Weight
  • INR
  • Lipids
  • Blood glucose
23
Q

What does CLIA stand for?

A

Clinical Laboratory Improvement Amendments

24
Q

What ensures that all labs meet quality standards?

A

CLIA

25
Q

T/F: Lab tests used by pharmacists are waived because the FDA considers them simple to administer and having little risk of error.

A

TRUE

26
Q

What are the outcomes of value-added pharmacy services?

A
  • Clinical control of disease states (BP, lipids, DM, weight)
  • Humanistic - QOL
  • Economic
  • Pt knowledge
27
Q

What are the 6 P’s of marketing value-added services?

A

1) PRODUCT
2) PLACE
3) PRICE
4) PROMOTION
5) PROCESS MANAGEMENT
6) PERSONNEL

28
Q

What do you consider in PLACE?

A

Pt privacy and space

29
Q

What is meant by PROCESS MANAGEMENT?

A

Create an appointment schedule

30
Q

How can you reward pharmacists for their effort in a program?

A
  • Cover CE costs

- Cover costs of one national pharmacy meeting per year

31
Q

What does CLIA stand for?

A

Clinical Laboratory Improvement Amendments

32
Q

What does CPT stand for?

A

Current Procedure Terminology codes

33
Q

____ ____ ____ (___) __ are numerical codes that are used to describe specific types of pt visits, procedure, and lab tests.

A

CURRENT PROCEDURE TERMINOLOGY (CPT) CODES are numerical codes that are used to describe specific types of pt visits, procedure, and lab tests.

34
Q

Name the two forms used in claims submissions.

A

1) CMS 1500

2) CMS 1450

35
Q

Which claims form is used for Medicare patients?

A

CMS 1500

36
Q

Which claims form is used for hospital outpatient clinics?

A

CMS 1450

37
Q

What is CMS 1500 used for?

A

It is a claims form for Medicare patients

38
Q

What are the 3 costs associated with value-added services?

A

1) FIXED COSTS
2) VARIABLE COSTS
3) SALARIES

39
Q

Name examples of fixed costs associated with value-added services.

A
  • Space
  • Office equipment
  • Advertising
  • Pt care equipment
  • License to perform lab tests
  • Lab equipment
40
Q

Name examples of variable costs associated with value-added services.

A
  • Sharps containers
  • Alcohol pads
  • Cost of vaccines, syringes, bandages
41
Q

T/F: Salaries are viewed as only fixed costs.

A

FALSE

-Salaries can be viewed as fixed or variable costs

42
Q

What are the compensation strategies for value-added pharmacy services?

A
  • Cash paying pt

- Third party

43
Q

What is an advantage to cash paying pts?

A

Ask for and receive immediate payment

44
Q

What is the term for HMO reimbursement based on a uniform fee per pt?

A

Capitation

45
Q

Name the 3 third party types.

A

1) Medicare
2) Medicaid
3) Private third party - i.e. Aetna, United Health Care, Coventry, etc.

46
Q

What does CMM stand for?

A

Comprehensive Medication Management

47
Q

What are the essential functions of CMM?

A
  • Collect and analyze information
  • Assess information and formulate a medication therapy problem list
  • Develop the care plan
  • Implement the care plan
  • F/U and monitor
48
Q

Who is likely to receive CMM (MTM)?

A

ELDERLY

PHA 442 - Pharmacy Practice Management (9 decks)

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