Developing and Managing a Clinical Practice Flashcards
What are the initial internal environment steps to developing a clinical practice?
1) Perform an internal environment scan
-Complete necessary background research and thoroughly evaluate your practice setting
-Understand current and future needs of your setting
2) Evaluate and prioritize your opportunities with consideration of:
-Gap analysis
-Prioritization (of potential services)
-Resources
-Culture of organization
3) Collect data
-Organizational data showing need for the service
4) Develop proposed mission and vision statements
-Mission: describes in a clear, concise, and informative manner the purpose of the program and explains why it should exist
-Vision: defines what the program wants to accomplish in next 5-10 years
5) Develop suggested goals and objectives
-Goal: indicator of success
-Objective: describes how you measure the goals
6) Describe what your program will entail (define the services by provided pharmacist)
7) Leadership and teamwork
-Know organizational structure
-Identify stakeholders (physicians, billing, “practice champion”, etc.)
What are the initial external environment steps to developing a clinical practice?
1) Identify literature that supports pharmacy program/service
2) Learn from the work of others
3) Review and incorporate standards of practice or best practices for service
4) Know what competition is doing
What are the 4 key attributes a pharmacy service must have to be successful?
-Value
-Scalable
-Reproducible
-Sustainable
After completing a review of the literature and your circumstances, what should be performed?
SWOT analysis
-Strengths
-Weaknesses
-Opportunities
-Threats
What are 4 key resource needs?
-Personnel
-Space
-Equipment
-Supplies
What is return on investment?
Used as a measure of the financial benefit the organization can expect
(gain from investment - cost of investment)/cost of investment
What does the term “soft dollars” mean?
Cost-saving figures on the basis of “what didn’t happen” (ex: hospitalizations for HD, ED visit for hyperglycemia, etc.)
What is a pro form financial statement?
Estimated profit and loss statement (usually done for next 3-5 years)
What is a CLIA waiver?
Clinical Laboratory Improvement Amendments
-simple lab exams and procedures that have an insignificant risk of an erroneous result
What general components should be included in clinic policies/procedures?
-Title
-Mission and vision statements
-List of specific services provided
-Hours of operation and off-hour coverage process
What information regarding service personnel should be defined in clinic policies/procedures?
-Job description, duties, and responsibilities
-Required credentials and preferred experience
-Scope of practice and clinic privilege (CPAs)
-CE requirements
-Continuing credentialing and/or privileging processes
What information regarding clinic operational processes should be defined in clinic policies/procedures?
-Referral process
-Patient scheduling process
-Follow-up process for patients and recommended intervals
-Coordination of care procedures
-Discharge or transfer from service
-No-show and cancellation policy
What is an ideal timeline for the creation and implementation of a new pharmacy service?
6 months
What should be completed during Month 1 of establishing a clinical practice/service?
-Perform internal and external environment scans
-Draft mission and vision statements and goals for the service-
-Identify important stakeholders and potential members of the implementation team
-Review state and federal rules on scope of practice and payment
-Perform a SWOT analysis
What should be completed during Months 3-4 of establishing a clinical practice/service?
-Complete the service proposal or business plan
-Schedule formal meetings and presentations to stakeholders and decision-makers within organization
