Assisted-living Pharmacy Services Bob Rhinehart, R.Ph. Cornerstone Pharmacy

History 1990 – established as a Kelley-Ross satellite 1992 – partnership 1994 – sole ownership – rapid growth Today – serving 15 alf’s plus, prescriptions/day

Then…

Orders Come From: Nurses Patients Family Prescribers

Via: Fax Telephone Scheduled (cycle fill) Walk-in

Then… Picked up Delivered, via: In-house delivery personnel Messenger service “On the way home” Mail

Processing Orders “Man-on-man” Receive order, fill it “Zone” Staff takes “ownership” of a facility Usually a blend

Relations With Nursing Staff Important because of their position as caregiver/gatekeeper/conduit/protector Easy to play “blame game” when things go wrong or people are stressed Common goals – keeping residents happy and healthy. Reducing turnover Assisted-living is competitive – pharmacy can add value

Owning the Business Similar to parenthood – a blessing and a burden Requires lots of time and energy You’re in control of more variables more fun, less hassle nurture the good stuff/prune the bad a business can take on a life of its own

Owning the Business Know thyself What do you enjoy, what are you good at? What do you hate or are not so good at? Hire someone who is good at it Rewards Financial Creativity

Owning the Business Find a mentor Find a partner Buy into an established practice