Developing A Community Pharmacy Practice Site

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Developing A Community Pharmacy Practice Site. 2 Working Definitions of Developing a Practice Site. Starting from scratch and creating a practice environment that does not exist. Taking a practice site that already exists and growing or shaping it into your ideal practice site. - PowerPoint PPT Presentation

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<ul><li><p>*Pharmacy Management *Developing A Community Pharmacy Practice Site </p><p>Pharmacy Management </p></li><li><p>2 Working Definitions of Developing a Practice Site*Pharmacy Management *Starting from scratch and creating a practice environment that does not exist.Taking a practice site that already exists and growing or shaping it into your ideal practice site. From your perspective what you want to do we will address consumer demand in the next lectures.</p><p>Pharmacy Management </p></li><li><p>Possible Practice Sites &amp; Activities*Pharmacy Management *Traditional sites:chain, independent or hospital setting staff to ownership positionsNon traditional opportunities:CVS Pharmacare (formerly ProCare), Kroger initiatives Head to Toe Wellness and ResearchAPC Pharmacy Care ClinicCherokee PharmacyTerry Forshee at the Pharmacy Clinic (and related businesses)http://www.cherokeepharmacy.com/ Barneys Pharmacy; coumadin clinics; kinetics; long term care Nuclear pharmacy; Government; Insurance industry (ESI, Medco); Pharma, VA, etc. </p><p>Pharmacy Management </p></li><li><p>Possible Practice Sites &amp; Activities*Pharmacy Management *Specialty compoundingOncologyBoard certification, specialized practice sitesWellnessWorkplace interventions such as Asheville project - http://theashevilleproject.net/Fitness, lifestyle management Immunizations Long term care consulting</p><p>Pharmacy Management </p></li><li><p>DOES YOUR IDEAL PRACTICE SITE EXIST? IF NOT, THEN:*Pharmacy Management *Decide:</p><p>Pharmacy Management </p></li><li><p>Thinking about your ideal practice site, could you actually create it?*Pharmacy Management *What is your mission?What services will you offer?Are you clinically competent?Are you competent in terms of management, accounting, marketing, advertising and promotions? Is this a new idea, or is there already competition?</p><p>Pharmacy Management </p></li><li><p>Thinking about your ideal practice site, could you actually create it?*Pharmacy Management *Location?What will you need in terms of:Cash / LoansStaffEquipmentLawyers, builders, insurance agentsHow does the State BOP / Pharmacy Practice Act view your idea?How will you get paid? Is there sufficient demand?</p><p>Pharmacy Management </p></li><li><p>*Pharmacy Management *APC Pharmacy Care Clinic</p><p>Pharmacy Management </p></li><li><p>*Pharmacy Management *</p><p>Pharmacy Management </p></li><li><p>Balancing Clinical and Business Interests*Pharmacy Management *ClinicalBusiness</p><p>Pharmacy Management </p></li><li><p>APC Pharmacy Care Clinic*Pharmacy Management *APC Pharmacy Care Clinic Disease management programsSmoking cessation, asthma, lipids, coumadin, diabetes, HTN, general medication use. Clinical TrialsPharmacotherapy Reviews Immunization programs </p><p>Payment / Reimbursement Billing incident to physician National HC Provider ID Number Contracts with insurersDirect payment from patients</p><p>Pharmacy Management </p></li><li><p>Current status of APC*Pharmacy Management *Independently operatedClinical trials &amp; clinical servicesDrs. Aull, McElhannon, Cook, Johnson, Herist have created similar-expanded service sitesMonroe, Clinton SC, Raleigh NC, Athens</p><p>Pharmacy Management </p></li><li><p>Getting Started at the PCC*Pharmacy Management *Develop physician relationship Identify needs: space equipment personnel (not just clinical)Billing and reimbursementDevelop clinical protocols Must have MD input and approvalLegal:Develop the collaborative practice agreementDevelop the annual operating planCheck in with State BOPTake good care of patients</p><p>Pharmacy Management </p></li><li><p>Important Documents:*Pharmacy Management *The collaborative practice agreementUsually, required to be on file at State Board of PharmacyAnnual operating plan or business planClinical protocols</p><p>Note: these documents will be very different for the many types of practice sites</p><p>Pharmacy Management </p></li><li><p>Collaborative Practice Agreement*Pharmacy Management *Spells out the legal issues between the providers (pharmacists and physicians) specifically, the boundaries of care are, and how care will be monitored.</p><p>Pharmacy Management </p></li><li><p>Annual Operating Plan*Pharmacy Management *Defines the financial arrangements:For APC, it was:MD handles all billing (insurance and cash payments)First $2,000 goes to APC for their cost of operationsFor each $1 over $2,000 revenues are split 65% to PCC and 35% to APCWhen payments will be madeFinancial controls to be usedCould be between you and a physician group, pharmacy, other retail establishment, etc.</p><p>Pharmacy Management </p></li><li><p>Clinical Protocols / Care Tools*Pharmacy Management *Detailed documentation of the specific procedures as to how care will be provided.From a patient care perspective, these are the most important documents.Clearly delineate the parameters of the providing care.</p><p>Pharmacy Management </p></li><li><p>Success Metrics *Pharmacy Management *How will you define success?SatisfactionYouYour patientsThe professionals you work withRevenue / salaryStudent training sitePharmacy studentsPharmacy residentsScholarshipDissemination of the practice concept; Clinical / economic / outcomes studies </p><p>Pharmacy Management </p></li><li><p>What about developing more traditional practice sites?*Pharmacy Management *Are these kinds of practice environments possible?Will you be able to find a practice site that you will truly like?</p><p>Pharmacy Management </p></li><li><p>Your ideal practice site could be right in your own back yard.*Pharmacy Management *</p><p>Pharmacy Management </p></li><li><p>THIS STRATEGY IS ALSO KNOWN AS SUCCESS.*Pharmacy Management *So remember (from first year): If you dont want to be replaced by a robot, dont act like one. Find or create the kind of practice site where you will be happy.</p><p>Pharmacy Management </p><p>*******************</p></li></ul>

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