Institutional law

Question 1

Three things that are exempt from HIPAA

Answer 1

1. treatment 2. payment 3. healthcare operation. key:Keep information to the minimum necessary

Question 2

What is HIPPA

Answer 2

Health Information Portability and Accountability Act of 1996.

Question 3

what is Section: 4729-5-29, Ohio Administrative Code (OAC)

Answer 3

confidentiality of patient records

Question 4

What records are confidential?

Answer 4

Practice of pharmacy includes: – Prescriptions – Dispensing records – Patient specific prescription labels – Counseling records – Drug regimen reviews with patients – Drug utilization review records – Consult Agreements – Immunization administration records

Question 5

• Definition of “Institutional facility”

Answer 5

-hospital, licensed ODH, OSBP-3727.01 ORC -medical care onsite & record therein

Question 6

Minimum Standards for Institutional Pharmacy: document

Answer 6

-library: access to state and federal laws -necessary references to practice pharmacy in best interest of the patient example:poison control center number.

Question 7

Minimum Standards for Institutional Pharmacy: storing

Answer 7

• Drug inventory, fixtures and space: -Inventory and equipment must be applicable to that practice -Temperature -physical protection to avoid diversion, adulteration.

Question 8

Minimum Standards for Institutional Pharmacy: personnel

Answer 8

-appropriately staffed, -OH has no Tech ratio’s - Employees must be identified by a nametag that includes job title

Question 9

Electronic RX

Answer 9

-May be transmitted by a “Board approved paperless automated data processing system” -Access to system for entering and transmitting original order is restricted to licensed HCP using positive ID. -the prescriber must validate each order with positive ID

Question 10

What’s Positive ID?

Answer 10

– identifying the person prescribing, dispensing or administering the drug. 2 factor • something you : – Know – Are – Have

Question 11

best time ask for ID?

Answer 11

at the end of the process.

Question 12

What’s the D.E.A. say on ID?

Answer 12

Controlled substances: – 2 factor positive ID • Must be 2 different factors.

Question 13

What’s the D.E.A. say on E-system?

Answer 13

Both prescribing and pharmacy systems need “certified/approved” by auditing firms for the D.E.A. using: www.surescripts.com

Question 14

Responsible Person?

Answer 14

-RP must be a pharmacist for one pharmacy • Must be in“full and actual charge” • Must be physically present a sufficient amount of time • May only be RP of 1 pharmacy at a time without

Question 15

Responsible Person’s job?

Answer 15

1. Responsible for security and control of all drugs within the institution! 2. In conjunction with multi-disciplinary team, create P&P’s to ensure sufficient distribution of drugs.

Question 16

if RP change, what to do?

Answer 16

• Must notify board within 30 days upon becoming RP – Mail or fax – Include name, address and TDDD # of the institutional pharmacy – His/her name and their RPh lic # – Date which change will occur – Recommend doing the same when leaving!

Question 17

What should happen when RP leaves and new RP starts work?

Answer 17

– Best if both together do the inventory of all controlled substances • Otherwise leaving RP and incoming RP must each complete inventories.