Exam 1 Flashcards
Medication therapy management services (MTMs)
Services that optimize therapeutic outcomes for individual patients
Coaching
A tool managers use to provide support, direction, and advice to improve performance
(Coaching employees to be better at their jobs)
Variance
Difference between actual realized amount and budgeted amount
(The difference in what you expect to happen [budget] vs what actually happens [actual realized amount])
Budget
Financial plan to estimate future operation results
What are the pharmacy care practice domains
Disease and medication therapy management
Patient centered care delivery
Risk management
Business management
Pharmacy care services marketing
(Don’t Push Really Bad Pills)
Risk management domain of pharmacy care practice
Devise a system for data collection (collect info)
Documenting therapeutic interventions and activities (keep track of what you do)
Reporting adverse drug events to FDA (report what FDA needs to know)
Obtaining OTC medication history (make sure you’re getting the FULL med list)
Performing prospective drug utilization review (review meds)
Triage patient needs for proper referral (refer when necessary)
Remain abreast of newly uncovered adverse effects and drug-drug interactions (stay up to date on new info)
Calculating doses for drugs w/ a narrow TI and special populations (math for the tricky drugs)
(Don’t DROP The Red Crap)
Patient centered care delivery domain of pharmacy care practice
Promote patient wellness
Serve as advocate even when things like money, social, or emotional barriers get in the way
Maintain caring and friendly relationships
Attempt to change med orders if barriers to adherence exist (like changing from a BID med to one dosed once daily)
Counsel on new and refill meds as necessary
Call patients to come get prescriptions that were called in but not picked up
(P SMACC)
Disease and medication therapy management domain of pharmacy care practice
Carry inventory of products necessary for patients to execute and monitor a therapeutic plan
Provide info to patients on how to manage their disease
Monitor pt progress resulting from pharmacotherapy (check in and see if meds are working)
Supplying patients w/ info on support and educational groups
(Cassie’s PMS)
Business management domain of pharmacy care practice
Utilize techs and other staff to free up the pharmacist’s time
Identify opportunities for billing and reimbursement of pharmacist services
Pharmacy services marketing domain of pharmacy care practice
Meet prominent prescribers in local area
Be an active member of professional associations that support the concept of pharmaceutical care
Make an area available for private conversations w/ patients
Identify software that facilitates pharmacist’s patient care related activities
What factors affect the delivery of pharmacy goods and services?
Patient demographics
Attitudes & belief systems
Competitive markets
Technology
Third party payers/coverage issues
(PACTT)
Accounting
Utilization of data to calculate financial ratios to compare business performance w/ industry averages
(Like comparing profit margins of your company to other companies)
Financial accounting
Summary, analysis, and reporting of financial transactions pertaining to a business
(Keeping track of every aspect of spending & earning)
Management accounting
The use of accounting data for business decision making, devising, planning, and performance of the production
(Using the numbers to make decisions)
Economics
Description and analysis of the production and distribution of goods and services
Assists w/ determining optimal mix of capital and other resources to produce prescription goods and services
Helps us to understand consumer purchase behavior
Finance
The study of investments and how people and businesses acquire, generate, and use money
Aims to price assets based on their risk level and expected rate of return
Marketing
The action or business of promoting and selling products and services
Includes decisions around product/service pricing, placement, and promotion
Examines concept of transactional exchanges between 2+ parties
Human resource management
Process of achieving organizational objectives through the management of people
Focuses on policies and systems in a business organization
Maximize human performance by balancing fair and equitable treatment to promote effective work environments
Operations management
Designing and controlling the process of production and redesigning business operations in the production of goods and services
Assist w/ ensuring that business operations are efficient in using as few resources as needed and effective in terms of meeting customer needs
Presides over the conversion of inputs into outputs
Revenue and expense report
Same as a profit and loss statement
The statement is defined by a time and provides a listing of revenues and expenses for the business unit
Management
The art of maximizing productivity by using and developing people’s talents while providing them self-enrichment and opportunities for growth
What are Fayol’s 5 management functions?
Control
Forecast & plan
Coordinate
Organize
Command
(Can’t Fucking Catch Old Cats)
What are Fayol’s 14 principles for organizational design and effective admin?
Specialization and division of labor
Teamwork
Unity of command
Discipline
Initiative
Authority & responsibility
Line of authority
Order
General interest > individual
Unity of direction
Equity
Fair treatment and pay of staff
Centralization
(Sitting Through Unbearable DIALOGUES For Class)
Management cycle
Determining what happened and why, then making changes
Plan
Organize
Control
Reviewing outcomes and processes
Arrange activities & resources necessary for the effective accomplishment of goals and objectives
Bring purposeful action by others to achieve the desired goals & objectives
Lead
(Delicately Pulling Out CRAB Legs)
What factors influence motivation?
Belonging
Independence
Respect
Attainment
Equity
Power
(Bitch I’m Reaching An End Point)
SMART goals
Specific
Measurable
Attainable
Realistic
Timely
What are the 4 elements of communication?
Receiver
Environment
Measurable
Sender
(REMS)
Contingency planning
Development of strategies to address possible future risks, problems, or undesirable situations
Exit strategies
Should leave both parties well positioned for future achievements
Succession planning
Exiting individuals should have personal action plan
Exiting organizations should have plans to minimize disruption to operations and protect financial solvency
What does it mean to “manage up?”
Working with your boss (or someone in a position higher than you) to obtain the best possible results
What is 360º feedback?
Feedback tool for managers that allows feedback from all angles
How should you manage up?
Disagree with tact and respect
Provide complete info
Assist in managing time
Clarify roles & expectations
Know what work & communication styles the boss uses
Be dependable & trustworthy
Be positive & appreciative
(Don’t PACK Big Bags)
Service
Things/features that distinguish a good/service that can be marketed
What does the relative value theorem predict?
Predicts that any professional service must have potential for generating high perceived value in the minds of potential buyers if it is to succeed in the marketplace
Price
Cost includes monetary and nonmonetary factors (like time)
What is the relative value theorem based on?
Relative Value = (Price + Service) x Perceived Value
Perceived value
Actual cognitive perceptions of tradeoff
Opportunism
Assertive and uncooperative
Accommodation
Unassertive and cooperative
Collaboration
Assertive and cooperative
Avoidance
Unassertive and uncooperative
What factors may prompt conflift?
Scheduling disagreements
Being understaffed
Don’t understand duties
New protocols/procedures
After a medication error
Heavier than normal workloads
Impression that the pharmacist makes the money but the techs do the work
New staff members/leaders
(Stupid Bitches Don’t Need A Hand In Nagging)
Thomas-Kilmann conflict mode instrument 5 conflict behaviors
Competing
Compromising
Collaborating
Accommodating
Avoiding
(2 As + 3 Cs)
What are the sources of negotiating power?
Best alternative to a negotiated agreement (BATNA)
Authority
Attitude
Best alternative to a negotiated agreement (BATNA)
The course of action that a person will take if a negotiation fails and no agreement is reached
What is the result of avoidance?
Lose-lose