1. PHAR 746 Pharmacy Management Stacy Ramirez, Pharm.D. Clinical Assistant Professor Department of Pharmacy Practice

2. Operations Understand how your physical plant affects operations Understand how your physical plant affects operations Explore the concept of workflow Explore the concept of workflow Examine technological options designed to improve operations Examine technological options designed to improve operations

3. Physical Plant Hospital Hospital –Central –Satellite –Floor locations

4. Physical Plant Community Community –Chain –Independent –Areas for other services

5. Physical Plant Mail Order Mail Order –Warehouse Managed Care Managed Care –Office –Phone

6. Workflow Definition: A process designed to produce a product and/or service Definition: A process designed to produce a product and/or service Comprised of “widgets” Comprised of “widgets”

7. Workflow Improved efficiency Improved efficiency Increased safety Increased safety Quality of life Quality of life Reduced overhead Reduced overhead Time for patient care services Time for patient care services

8. Technology Hospital Hospital –IV Preparation –Unit dose preparation

9. Technology Counting machines Counting machines –By unit –By weight –Barcode scanning –Interface with computer

10. Technology Robotics Robotics –Can count, fill, label, cap, auxillary labels –Holds 50-200 drugs –Up to 150 scripts per hour –100% Accuracy**

11. Technology Remote dispensing Remote dispensing –Telepharmacy –Bedside dispensing –Nurse access –ATM-type refill access in community setting

12. Technology Barcoding Barcoding –Filling –Dispensing –Administration

13. Technology Computerized physician order entry (CPOE) Computerized physician order entry (CPOE) –Hospital –Community

14. Technology E-prescribing E-prescribing E-refills E-refills

15. Technology Clinical services documentation Clinical services documentation –MTM –Billing –Intervention documentation –Communication with other providers

16. Technology/Courses MTM MTM –Community-based programs –Framework –Getting started –Software APhA/NACDS Medication Therapy Management Implementation Course