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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

(48 cards)

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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?

Study These Flashcards
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?

Study These Flashcards
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?

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

What does CLIA stand for?

Study These Flashcards
A

Clinical Laboratory Improvement Amendments

24
Q

What ensures that all labs meet quality standards?

25
T/F: Lab tests used by pharmacists are waived because the FDA considers them simple to administer and having little risk of error.
TRUE
26
What are the outcomes of value-added pharmacy services?
- Clinical control of disease states (BP, lipids, DM, weight) - Humanistic - QOL - Economic - Pt knowledge
27
What are the 6 P's of marketing value-added services?
1) PRODUCT 2) PLACE 3) PRICE 4) PROMOTION 5) PROCESS MANAGEMENT 6) PERSONNEL
28
What do you consider in PLACE?
Pt privacy and space
29
What is meant by PROCESS MANAGEMENT?
Create an appointment schedule
30
How can you reward pharmacists for their effort in a program?
- Cover CE costs | - Cover costs of one national pharmacy meeting per year
31
What does CLIA stand for?
Clinical Laboratory Improvement Amendments
32
What does CPT stand for?
Current Procedure Terminology codes
33
____ ____ ____ (___) __ are numerical codes that are used to describe specific types of pt visits, procedure, and lab tests.
CURRENT PROCEDURE TERMINOLOGY (CPT) CODES are numerical codes that are used to describe specific types of pt visits, procedure, and lab tests.
34
Name the two forms used in claims submissions.
1) CMS 1500 | 2) CMS 1450
35
Which claims form is used for Medicare patients?
CMS 1500
36
Which claims form is used for hospital outpatient clinics?
CMS 1450
37
What is CMS 1500 used for?
It is a claims form for Medicare patients
38
What are the 3 costs associated with value-added services?
1) FIXED COSTS 2) VARIABLE COSTS 3) SALARIES
39
Name examples of fixed costs associated with value-added services.
- Space - Office equipment - Advertising - Pt care equipment - License to perform lab tests - Lab equipment
40
Name examples of variable costs associated with value-added services.
- Sharps containers - Alcohol pads - Cost of vaccines, syringes, bandages
41
T/F: Salaries are viewed as only fixed costs.
FALSE | -Salaries can be viewed as fixed or variable costs
42
What are the compensation strategies for value-added pharmacy services?
- Cash paying pt | - Third party
43
What is an advantage to cash paying pts?
Ask for and receive immediate payment
44
What is the term for HMO reimbursement based on a uniform fee per pt?
Capitation
45
Name the 3 third party types.
1) Medicare 2) Medicaid 3) Private third party - i.e. Aetna, United Health Care, Coventry, etc.
46
What does CMM stand for?
Comprehensive Medication Management
47
What are the essential functions of CMM?
- 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
Who is likely to receive CMM (MTM)?
ELDERLY

PHA 442 - Pharmacy Practice Management (9 decks)

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