Exam 2- Ops & Svcs

Question 1

What are compliance packages?

Answer 1

Where all medications a patient is taking are packaged into one package (either pouches or blister packs).

Question 2

Overall goal of compliance packages?

Answer 2

make it easier for the patient to take their medications

Question 3

Patient pros for compliance packaging

Answer 3

• improve adherence
• single container (avoid multiple bottles and packages)
• improve administration (right drug at right time)

Question 4

pharmacy pros for compliance packaging

Answer 4

• increase patient loyalty
• increase refills and in turn portion of days covered (star ratings)
• profit

Question 5

patient cons for compliance packaging

Answer 5

medication changes

Question 6

pharmacy cons for compliance packaging

Answer 6

• medication changes
• time consuming (certain cases)

Question 7

Benefits of Delivery

Answer 7

-same/next day delivery
- any location (work, home, etc.)
- any products (prescriptions, OTC products, wound care, etc.)

Question 8

Charge Accounts

Answer 8

patients/customers in good standing can apply to set up an account where RXs, OTC products, wound care, etc. may be charged on credit.

Question 9

Charge Accounts: Advantages

Answer 9

• appeals to pts (pt may choose pharmacy bc of this svc)
• good for pts that live paycheck to paycheck
• may not be present at the time of delivery
• pt’s fam/caregiver may pick up RXs for the pt

Question 10

Charge Accounts: Disadvantages

Answer 10

• pharmacy needs to make enough funds w/o charge accounts to ensure they can still run their business
• what happens when pt doesn’t pay?

Question 11

Language barriers can lead to suboptimal communication with healthcare providers can increase what?

Answer 11

• Rx med misuse
• treatment nonadherence, treatment failures
• adverse med reactions

Question 12

What are language barriers associated with?

Answer 12

• lower quality care
• poor clinical outcomes
• longer hospital stays
• higher rates of hospital readmissions

Question 13

What is an interpreter?

Answer 13

A person specially trained to convert ORAL MESSAGES from on language to another

Question 14

What is a translator?

Answer 14

A person specially trained to convert WRITTEN TEXT from one language to another.

Question 15

What can trained healthcare interpreters do?

Answer 15

• reduce liability
• help ensure appropriate utilization
• increase client adherence and satisfaction with services

Question 16

What can trained interpreters help with?

Answer 16

• assure effective communication between the client and provider
• support effective use of time during the clinical encounter
• improve outcomes

Question 17

• Who can serve as a healthcare interpreter

Answer 17

• trained bilingual staff
• on-staff interpreters
• contract interpreters
• telephone interpreters- trained volunteers

Question 18

Who should not serve as as a healthcare interpreter?

Answer 18

• pt’s family and friends
• children under 18
• other pts or visitors
• untrained volunteers

Question 19

Best practice regarding interpreters and translators

Answer 19

FOLLOW YOUR ORGANIZATIONAL POLICY FOR INTERPRETIVE OR TRANSLATIONAL SERVICES

Question 20

What are the 4 activities and processes that Clinical Pharmacy Services perform?

Answer 20

• ensure optimal therapeutic outcomes
• minimize adverse drug events (ADEs)
• promote cost-effective strategies
  -engage in interprofessional activites

Question 21

Where can Clinical Pharmacy Services be provided?

Answer 21

In all heathcare setting where a pharmacist may practice

Question 22

Examples of Clinical Pharmacy Services in Community Pharmacy

Answer 22

• test to treat
• immunizations (clinical and non-clinical)
• Medication Therapy Management Services

Question 23

What does FS 465.1895 state?

Answer 23

RPhs may test or screen to treat MINO, NONCHRONIC health conditions w/in the framework of an established written protocol with a supervising physician licensed under chapter 458 or chapter 459.

Question 24

What can RPhs “test to treat”?

Answer 24

• influenza
• streptococcus
• lice
• skin conditions, such as ringworm and athlete’s foot
• minor, uncomplicated infections

Question 25

Requirements for test to treat pharmacists

Answer 25

-active license
- board certificate to test and screen
-follow board developed formulary to treat minor, non-chronic health conditions
- written protocol between RPh and supervising physician
- written pt info to advise on a follow up plan

Question 26

What does an RPh have to do in order to be board certified to test and screen

Answer 26

• 20 hours of CE initially and 3 hrs of CE course every renewal
• liability coverage $250,000
• report diagnosis of public health significance
• upon pt request provide records to health care professionals
• maintain records of this service for 5 yrs

Question 27

What does pharmacy practice consist of?

Answer 27

• non-clinical administration services
• clinical services
• pharmacy operations

Question 28

Compounding

Answer 28

• preparation of customized meds on an Rx basis
• Meets UNIQUE physician and patient need
• Medications NOT commercially available
• Preparations often made from scratch