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IPC > T2 - Week 5 > Flashcards

T2 - Week 5 Flashcards

1
Q

What is Omnibus Budget Reconciliation Act of 1990?

A
  1. Enacted by federal gov to improve understanding of medications by Medicaid beneficiares
  2. Allows states to create drug utilization review boards to manage purchasing and formulary decisions for state programs
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2
Q

What responsibilities are placed on pharmacists by Omnibus?

A
  1. Perform prospective DUR
  2. Provide patient counseling
  3. Maintain proper patient records
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3
Q

What are the components of OBRA?

A
  1. Prospective DUR
  2. Patient counseling
  3. Maintaining records
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4
Q

What is prospective DUR?

A

Is the prescription necessary and appropriate

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5
Q

What is the importance of patient counseling?

A

Making sure a patient is administering the drug correctly or having any side effects

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6
Q

Why is it important to maintain records?

A

Records but remain accurate and up-to-date

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7
Q

What are the factors of OBRA counseling?

A
  1. Patient counseling should be in person
  2. No cost to patient
  3. Written information may supplement patient counseling, but cannot substitute
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8
Q

What are the causes of opting out of counseling?

A
  1. Patient or caregiver refuses
  2. Counseling may be detrimental to patient’s care
  3. Patient is in a healthcare facility
  4. Practitioner specifies there is to be no patient counseling
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9
Q

Why is patient counseling important?

A
  1. Inappropriate medication use is costly
  2. Outcome-based reimbursement
  3. Patient have a right to know how to use their medications to achieve the best outcome
  4. Patient safety
  5. Improve therapy adherence
  6. Legal liability
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10
Q

What type of information should be included on a pharmacist professional judgment?

A
  1. Medication name
  2. Medication use and expected benefit and action
  3. Medication route, dosage form, and site of administration
  4. Action to be taken in case of missed dose
  5. Adverse effects
  6. Self-monitoring techniques
  7. Drug-drug interactions
  8. Refill authorizations
  9. Proper storage
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11
Q

What are tips for patient counseling?

A
  1. Collect medical history
  2. Perform DUR
  3. Warn patient of unacceptable, recognized, and medically significant risk of serious harm or death to the patient
  4. Think patient safety first
  5. Take your time to counsel
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12
Q

What are the steps of the patient counseling process?

A
  1. Prepare
  2. Assess
  3. Counsel
  4. Document
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13
Q

How do we prepare for patient counseling?

A
  1. Prescription
  2. Patient profile
  3. Personal Knowledge
  4. Prepare mentally
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14
Q

How do we assess for patient counseling?

A
  1. Physical, sensory, and/or cognitive impairments
  2. Ability and willingness to use medication
  3. Knowledge about his/her health problems
  4. Disease and medication management
  5. Cultural barriers
  6. Literacy issues
  7. Emotional or functional barriers
  8. Non-verbal ques
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15
Q

How do we counsel in patient counseling?

A
  1. Open-ended questions
  2. Probing
  3. Reflectie listening
  4. Summarization
  5. Empathy
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16
Q

What should a document for patient counseling look like?

A
  1. Offer to counsel and if accepted and provided or refused
  2. Counseling points provided
  3. Perceived levels of patient understanding
17
Q

How is new prescription counseling achieved?

A
  1. Show containers of meds
  2. Show measuring devices for oral doses
  3. Demonstrate use
  4. Provide written information
  5. Ask patient if they can do it
  6. Limit responses to level understanding
  7. Ask how they have been using their medication
18
Q

What should a counseling environment look like?

A
  1. Private
  2. Minimize communication barriers and disruption
  3. Should be comfortable, confidential, and safe
19
Q

What stage of of the PPCP should counseling fall into?

A

Plan

20
Q

What are you assessing when you ask what did your provider tell you what the medication is for?

A
  1. Disease state knowledge
  2. Openness about disease state
21
Q

What are you assessing when you ask how did your provider tell you how to use the medication?

A
  1. Knowledge of directions
  2. Morning and evening doses
  3. Importance of compliance
22
Q

What are you assessing when you ask what did your provider tell you to expect?

A
  1. Medication onset
  2. Duration of therapy
  3. Common side effects and how to manage
23
Q

What is being evoked from a message?

A
  1. 40% hear
  2. 50% see or feel
  3. 10 % said
24
Q

What is being heard in a message?

A
  1. Vocal clarity
  2. Tone of voice
  3. Verbal expressiveness
25
Q

What is being said or felt from a message?

A
  1. Facial expression
  2. Touch
  3. Dress
  4. Posture/body language
  5. Eye contact
26
Q

What is the purpose of HIPAA?

A
  1. Enhance data exchange to have more effective and efficient administrative and financial transactions
  2. Improve healthcare information security and privacy
  3. Give patients access to their information
27
Q

What are the parts of HIPAA regulation?

A
  1. Transactions: standards on what data to submit
  2. Security: allow practitioners access to internal and external information
  3. Privacy: protect patient’s health information
28
Q

What is a transaction?

A

Electronic information exchange for financial or administrative healthcare activities

29
Q

What is the purpose of transactions?

A
  1. Increase efficiency
  2. Improve information quality and accuracy
  3. Reduce costs
30
Q

What are rules of HIPAA security?

A
  1. Established national standards to protect health information
  2. Requires safeguards
  3. Requires identification and protections against threats
  4. Requires compliance of workforce
31
Q

What are the rules of HIPAA privacy?

A
  1. National standards to protect medical records and other PHI
  2. Sets limits on use and disclosure of information without patient authorization
  3. Gives patients the right to access their health records
  4. No restrictions on disclosure of de-identified health information
32
Q

What are basic principles of HIPAA?

A
  1. Health information belongs to the patient
  2. Patients should be informed about all the uses and disclosures of their health information
33
Q

What are the questions of the Indian Health Counseling Techniques?

A
  1. What did your provider tell you the medication was for?
  2. How did your provider tell you to use the medication?
  3. What did your provider tell you to expect?

IPC (41 decks)

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