1 / 21

Developing A Community Pharmacy Practice Site

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.

chelsa
Download Presentation

Developing A Community Pharmacy Practice Site

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Developing A Community Pharmacy Practice Site Pharmacy Management

  2. 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. • From your perspective – what you want to do – we will address consumer demand in the next lectures. Pharmacy Management

  3. Possible Practice Sites & Activities • Traditional sites: • chain, independent or hospital setting • staff to ownership positions • Non traditional opportunities: • CVS Pharmacare (formerly ProCare), Krogerinitiatives • Head to Toe Wellness and Research • APC Pharmacy Care Clinic • Cherokee Pharmacy • Terry Forshee at the Pharmacy Clinic (and related businesses) • http://www.cherokeepharmacy.com/ • Barney’s Pharmacy; coumadin clinics; kinetics; long term careNuclear pharmacy; Government; Insurance industry (ESI, Medco); Pharma, VA, etc. Pharmacy Management

  4. Possible Practice Sites & Activities • Specialty compounding • Oncology • Board certification, specialized practice sites • Wellness • Workplace interventions such as Asheville project - http://theashevilleproject.net/ • Fitness, lifestyle management • Immunizations • Long term care consulting Pharmacy Management

  5. Decide: Does your ideal “practice site” exist? If not, then: Pharmacy Management

  6. Thinking about your ideal practice site, could you actually create it? • 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? Pharmacy Management

  7. Thinking about your ideal practice site, could you actually create it? • Location? • What will you need in terms of: • Cash / Loans • Staff • Equipment • Lawyers, builders, insurance agents… • How does the State BOP / Pharmacy Practice Act view your idea? • How will you get paid? • Is there sufficient demand? Pharmacy Management

  8. APC Pharmacy Care Clinic Pharmacy Management

  9. Pharmacy Management

  10. Balancing Clinical and Business Interests Business Clinical Pharmacy Management

  11. APC Pharmacy Care Clinic • APC Pharmacy Care Clinic • Disease management programs • Smoking cessation, asthma, lipids, coumadin, diabetes, HTN, general medication use. • Clinical Trials • Pharmacotherapy Reviews • Immunization programs • Payment / Reimbursement • Billing incident to physician • National HC Provider ID Number • Contracts with insurers • Direct payment from patients Pharmacy Management

  12. Current status of APC • Independently operated • Clinical trials & clinical services • Drs. Aull, McElhannon, Cook, Johnson, Herist have created similar-expanded service sites • Monroe, Clinton SC, Raleigh NC, Athens Pharmacy Management

  13. Getting Started at the PCC • Develop physician relationship • Identify needs: • space • equipment • personnel (not just clinical) • Billing and reimbursement • Develop clinical protocols • Must have MD input and approval • Legal: • Develop the collaborative practice agreement • Develop the annual operating plan • Check in with State BOP • Take good care of patients Pharmacy Management

  14. Important Documents: • The collaborative practice agreement • Usually, required to be on file at State Board of Pharmacy • Annual operating plan or business plan • Clinical protocols • Note: these documents will be very different for the many types of practice sites Pharmacy Management

  15. Collaborative Practice Agreement • Spells out the legal issues between the providers (pharmacists and physicians) specifically, the boundaries of care are, and how care will be monitored. Pharmacy Management

  16. Annual Operating Plan • 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 operations • For each $1 over $2,000 revenues are split 65% to PCC and 35% to APC • When payments will be made • Financial controls to be used • Could be between you and a physician group, pharmacy, other retail establishment, etc. Pharmacy Management

  17. Clinical Protocols / Care Tools • 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. Pharmacy Management

  18. Success Metrics • How will you define success? • Satisfaction • You • Your patients • The professionals you work with • Revenue / salary • Student training site • Pharmacy students • Pharmacy residents • Scholarship • Dissemination of the practice concept; Clinical / economic / outcomes studies Pharmacy Management

  19. What about developing more traditional practice sites? • Are these kinds of practice environments possible? • Will you be able to find a practice site that you will truly like? Pharmacy Management

  20. Your ideal practice site could be right in your own back yard. Pharmacy Management

  21. So remember (from first year): If you don’t want to be replaced by a robot, don’t act like one. Find or create the kind of practice site where you will be happy. This strategy is also known as success. Pharmacy Management

More Related