...Institutional Pharmacy Setting When thinking of an Institutional Pharmacy, the name is deceptive enough that the first thought of what it is, seems to overshadow the importance that it provides. These types of pharmacies tend to our loved ones in nursing homes, hospitals, long term care facilities, and on their last days with hospice (Johnston, Frank, & Luke, 2006). Within this environment are trained pharmacy technicians that are sworn to protect the health, rights, and privacy of the patients they care for. This is a privilege all by itself, but the job of a pharmacy technician is just beginning. Pharmacy technicians work as a support system of an institutional pharmacy. There is much weight applied to their shoulders as they function with less supervision. Confidence in the education that has been taught and what is retained are aspects that are earned. Professional technicians must be familiar with the policies and procedures within the pharmacy and adhere to state guidelines (Fred, 2005). One entrusted with the technical care of others in a pharmacy setting should have a thorough understanding of dosage, compounding, IV administration, and related drug procedures. Institutional pharmacies use controlled dispensing systems to ensure the proper dispensing amount with the correct dosage and form (Johnston, Frank, & Luke, 2006). Where state guidelines permit, unopened and unused medications may be returned to the pharmacy for later use. These practices are excellent...
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...This paper describing about the changing of Pharmacy profession all over the world. Expanding the roles and responsibilities for pharmacist and pharmacy technician as regulated health care professionals will play an integral part of this more fully realized patient-centered and outcomes based care. Furthermore, enhancing pharmacy technician practise, they are involved in community pharmacy and hospital pharmacy with the pharmacist and become a part of pharmacy team The role of pharmacist and pharmacy technicians are similar in many ways. David Hill, chair of the task force of (CPhA), notes that pharmacist and pharmacy technicians face the greatest challenge in meeting the goals of the Blue print that, it is the Profession’s responsibility to protect the safety, security, and integrity of the drug distribution. On July1,2011, Pharmacy technician become a regulated profession under Alberta’s Health Profession Act. Under the supervision of one or more pharmacist, a pharmacy technician’s essential duties include assisting the pharmacist in the day-to-day operation of the pharmacy, measuring, mixing, packaging, labelling and delivering drugs, restocking medication and related supplies, identifying expired products for disposal or destruction, inputting prescription into the computer system, maintaining computerized lists of medication taken by patient, filling medication order, maintain inventory, looking after home-health care products such as, vision aids and...
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...Introduction There is an increasing need for better management of Long Term Conditions (LTC) within Primary Health Care (PHC) that requires practice development processes and adaption to models of care that are person centred. Within my clinical setting implementation of a pilot scheme is underway with a common vision to work alongside the accompanying community pharmacy for better sharing of knowledge and information to enable optimum care for our mutually registered LTC patients. Analysis of evidence based practice, facilitation of roles and responsibilities, and appropriate health care frameworks will support how a plan is being developed that reflects nursing management and integrated service collaboration towards best health outcomes. Important to note that throughout this essay, reference will be made to Long Term Conditions, Chronic Conditions and Chronic diseases, these terms all relate to the same context. Evidence Mismanagement of chronic conditions is the leading cause of hospitalisations in New Zealand (NZ) (National Health Committee, 2007). The mantra ‘better, sooner, more convenient’ targets the role that primary health care in NZ must assume in order to reduce acute hospital admissions, through better management of patients with chronic conditions and, active support of high needs populations (Ministry of Health, 2011). The World Health Organisation (WHO, 2005) define long term / chronic conditions as having one or more of the following descriptions – permanence...
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...| You Decide | Merck’s Acquisition of Medco | | Antonio Cruz | 1/24/2016 | You are the Chairman and CEO of Merck. Make a recommendation to the Board of Directors of Merck & Co. regarding this acquisition based on the recommendations of the three associates and your own analysis. You are the Chairman and Chief Executive Officer of Merck & Company, and you will make the final "yes" or "no" recommendation to the Board of Directors of the company. You are listening to the advice of various department heads regarding this acquisition. Based on your evaluations and additional analysis of the recommendations of your three associates, make your recommendation to the Board of Directors. What will you recommend? Yes? No? Yes with some conditions? What are the reasons for your recommendation? | The Major force driving this acquisition of 6.6 billion dollars between Merck & Company and Medoc Containment Services Incorporated the largest prescription benefits management company and marketer of mail-order medicines in the United States was due to fundamental changes taking place in the pharmaceutical industry such as the growth of managed care in the health care industry which according to the industry experts by the turn of the century 90% of Americans will have drug costs included in some kind of managed health care plan and 60% of all outpatient pharmaceuticals will be purchased by managed care programs (Weston, Mitchell and Mulherin). Other factors driving...
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...industry has several capabilities. Most consumers have at least the occasional need to shop at a retail drug store. The retail drug store industry consists of neighborhood pharmacies, large drug store chains and supermarkets or general retailers with drug store departments. Competition within the industry is strong as retailers adapt to changing trends in the market and seek to retain customers. Drug stores face several critical issues. Low margins on prescription drugs may push drug stores to expand front store merchandise sales where they compete with discount stores or into related businesses such as Pharmacy Benefit Management. The problem also arises in regulatory pressure to contain drug store prices. The continuing rise in prescription drugs costs has encouraged proposals to control drug prices either through legislation or the formation of large public buyer groups that can negotiate lower prices with drug suppliers. Controls in drug store prices have cut drug store margins. The increase in the number of widely used drugs moving from prescription to over-the-counter (OTC) status proved to be another problematic area for the drug store industry. In the U.S., 106 ingredients in more than 700 widely used medicines have moved from prescription to OTC in the past 30 years; this has completely changed the pharmacy role in categories such as cough-and-cold, allergies, antacids, and insomnia. While OTC has brought greater drug volumes, prices have fallen and such products are now sold...
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...Project Selection The relocation of the Letterkenny hospital pharmacy can be classified as a non-financial project as it was a project of fundamental and strategic importance to the hospital. As outlined in the introduction there was a myriad of critical problems that needed to be dealt with. The initial aim of the project, as outlined in the minutes of the initial project team meeting was to prepare the documentation to submit to the H.S.E to justify the needs for expansion of the pharmacy and also to prepare cost estimates and recommendation on funding. It is also noted in the minutes of the first pharmacy project management team meeting by the project manager that the pharmacy was included in the New Category 3 Plan with a cost estimate of €2.46 million and is preceded on the plan by 6 other projects. From the initial minutes of the first meeting, it is clear to see that the project team went about the selection process using a multi-weighted scoring model. It was agreed that comparisons should be made with other pharmacy departments in other hospitals around the country with similar catchment areas and throughput. Correspondence was made with a number of pharmacy departments including St Vincent’s University Hospital, Tallaght Hospital, UCHG (Galway), St James’s Hospital, Naas General Hospital asking for the total floor area, the number of beds serviced and they welcomed any suggestions the departments may have in addition to aid the project in any way. The responses...
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...Week 3 Assignment 2 Principles of Management Shacara Wyatt South University Online Walgreens management method has a small amount of change since the founder, Charles R. Walgreens systematic approach. As an entrepreneur, Charles had much more work to do than management today because he had to create a starting point. In 1893 when Walgreens was founded, there was already over 1,500 drugstores competing for business and which many were successful (n.d., Our Past). This left customers with many stores to choose from. Walgreen decided on beating the odds with changing the layout of the store and broadening the merchandise at feasible prices. Unlike the other drug stores Walgreen store was attractive and brightly lit, had wider aisles, and provided pots and pans, which was unheard of as well as products for health and wellness. Walgreens insisted on a wonderful customer experience, himself and his colleague personally greeted each customer. Always thinking of ways to grow a customer base, Walgreen also provided hot food during the cold season. Walgreens competition only served cold items ((n.d., Our Past). Like Walgreen, management today consistently keeps new ideas going to satisfy their growing customer base. Today Walgreens is continuing to provide a well experience for customers. Besides upgrading the physical store, management trains employees on how to provide exceptional customer care. Management continues to provide the right products and solutions in every neighborhood...
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...Collins does a very good job of describing how many successful companies are able to grow from good to great by having a changing environment, developing leaders, embracing technology, and establishing a culture of discipline. Collins stresses the importance of strategy and how all companies should be use the "hedgehog concept". Collins suggests using the following three criteria: 1) Determine what you can be best in the world at and what you cannot be best in the world at; 2) Determine what drives your economic engine; and 3) Determine what you are deeply passionate about. In health care I have seen examples of health care institutions using this philosophy in their strategic development. Below I have outlined five examples of strategic excellence. (Collins, 2001) First, the Cleveland Clinic has had a long reputation for medical excellence and minimizing costs of care. However, in 2009 Delos Cosgrove, CEO evaluated the performance of Cleveland Clinics nine hospitals and discovered low patient satisfaction was impacting their overall volumes. He decided they should focus on patient satisfaction and over the next three years Cleveland Clinic transformed themselves into one of the top hospitals in the nation in patient satisfaction. Cosgrove outlined a strategy to include everyone in the organization, from physicians to janitors, to ensure everyone had a role in improving satisfaction. Utilizing surveys and studying patient’s responses, Cosgrove’s strategy addressed their concerns...
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...TABLE OF CONTENTS Contents Page No. 1: INTRODUCTION 3 1.1 GOAL OF A TERM PAPER 3 1.2. PHARMACY 3 1.2.1. BABITO PHARMACY 4 2: Literature Review 4 2:0. Back to theory: the principal models for services quality 4 2.1. Customer Satisfaction 8 2.2. Satisfaction levels 9 2.2.1. Greatly disappointed customers 9 2.2.2. Mildly disappointed customers 10 2.2.3. Experience according to expectations 10 2.2.4. Mildly positively surprised 10 2.2.5. Greatly positively surprised customers 11 2.3. Dissatisfied customers 11 3. Case Study Babito Pharmacy- retail SERVICE 12 3.0. Determinant of Service Quality in a pharmacy 12 3.1. KEY FACTORS 12 3.1.1. COMPETENCE 13 3.1.2. Courtesy/ personnel friendliness 13 3.1.3. listening skills and UNDERSTANDING 13 3.1.4. medicine in stock 13 3.2. PLUS FACTORS 14 3.2.1. pharmacy location 14 3.2.2. store accessibility 15 3.2.3. PRIVATE SERVICE AREA 15 3.2.4. medicine quality 16 3.2.5. quality/price ratio 16 3.3. SECONDARY FACTORS 16 3.3.1. waiting time 17 3.3.2. LIGHTING 17 3.3.3. entrance atmosphere 18 3.3.4. shop design 18 3.3.5. freedom of movement in the pharmacy 19 3.3.6. EASE access to products and to shelves 19 3.3.7. Presentation and window display 19 4. CONCLUSION 20 5. RECOMMENDATION 20 6. REFERENCE 21 1: INTRODUCTION Services quality and customer satisfaction have been for over a decade two important topics both for the academic world and for the researches...
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...I have been impressed immensely by pharmaceutical care and how it is applied in the field of pharmacy. The idea of pharmaceutical care makes so much sense in terms of improving healthcare in the country. The exposure to pharmaceutical care started during becoming a pharmacist. I have attained so much information about it and how it all starts and end with the patient. The goal of pharmaceutical care is aimed at providing optimum health for the population through three main branches. This involves the philosophy of practice, the patient care process and patient management systems. These three arms of pharmaceutical care play critical roles in enhancing and providing good quality care. The great feature about these components of pharmaceutical...
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...States. As of May 31, 2014, the company operated 8,217 stores in all 50 states, the District of Columbia, Puerto Rico and the U.S. Virgin Islands. It was founded in Chicago, Illinois, in 1901. The Walgreens headquarters office is in the Chicago suburb of Deerfield, Illinois. COMPANY PROFILE: Company Name: Walgreens.Type : SubsidiaryIndustry : RetailFounded:1901,115 years agoHead quarters: 200 Wilmot Road, Deerfield ,Illinois, United statesFounder: Charles Rudolph WalgreenNumber of locations : 8229Area served : Unites statesPeople: James a Skinner( Executive Chairman)Products: Drug store, PharmacyParent company: Walgreens Boots AllianceSlogan : At the Corner of Happy and HealthyWebsite: Walgreens.com | Mission To be America's most loved pharmacy-led health, wellbeing and beauty retailer. Purpose To champion everyone’s right to be happy and healthy. Values Based on the principles upon which Walgreens was founded more than a century ago: Honesty, trust, and integrity with our customers, our shareholders, suppliers, the communities we serve, and among ourselves. Quality through consistent and reliable service, advice, and products across every touch point and channel. Caring, compassionate and driven to delivering a great customer and patient experience through outstanding service and a desire for healthy outcomes. A strong community commitment and presence built through service, expertise, and the personal engagement of every Walgreen team member. Slogan :...
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...determine the success of the process or the need to a pause to re-evaluate and possibly alter the change. According to Spector (2010), “Effective leaders communicate downward to make sure employees at all levels understand in a clear and consistent way the purpose and direction of the firm” (p. 192). Changing any facet of the health care delivery process is difficult at best; the move toward technology is much harder and more challenging. Gaining the support for the change improves the success of the change by getting staff on board and involved in the change. Involving the staff allows staff to have inputs to the change and modifications to the change process along the path. Effectiveness of the Organizational Change Change effectiveness is measured in various ways. The change to ePrescribing and the overall effectiveness of the change requires a collaboration of effort. . Leadership must review the current procedures for the renewal or refilling of prescriptions requested by local pharmacies. Statistics will be reviewed to determine the number of requests received each day. These numbers can be compared to data and statistics requested from the local pharmacies to identify the requests sent and received. Reviewing policies and procedures after implementation of the change is also required when determining the...
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...United States market. (Walgreen Vs. CVS) As for online business, it has almost 17 million visitors per month. Walgreens’s strategy has evolved throughout the century it has been in business. As CVS, it is the second largest pharmacy chain in the United States. It has more 7600 stores, and it is ranked the 13 largest company in the world by Fortune 500 in 2013. (Walgreen Vs. CVS) This paper would examine the positioning and differentiation strategies between Walgreens and CVS. * The creation of remedies for illnesses and ailments have been discovered by people since the beginning of existence. The first organized apothecary had been credited to the Babylon. Later followed by the Roman, who discovered a system of pathology and therapy which became the standards for medicine for more than a 1,000 years. While pharmacy was consider as a shadowy and sketchy business of a long time, practiced by witch doctors. As the renaissance era entered in, medicine and treatments became more structured with a scientific approach. “In 1240, German Emperor Frederick II issued a proclamation establishing the practice of pharmacy along three tenets: (1) separation of the pharmaceutical profession from the medical profession; (2) official supervision (regulation) of pharmacy; and (3) “obligation to prepare drugs reliably, according to skilled art, and in a uniform, suitable quality.””( Walgreen Vs. CVS) * * CVS is using a value driven market with its logon “CVS...
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...beauty supply store in Massachusetts. Since then it has evolved to one of the largest retail pharmacy chains in North America. In 1999, CVS was faced with a new business strategy. It appeared that there was a lot of traffic on Wall Street involving online pharmacies. The consumer and stakeholder demand for a strategic web presence for companies, with no exception of pharmacy giants like CVS, pressured the executives to implement a business strategy of incorporating its pharmaceutical retail services with the web. Helena Foulkes, Vice President of Marketing at CVS, was charged with ensuring that this new business strategy succeeded. CVS acquired a web company, Soma.com whose entire business strategy was similar to what CVS was attempting to achieve. Foulkes was faced with critical strategic challenges in transforming their new Information Technology (IT) initiative, Soma.com, to CVS.com. In this paper, we will introduce the retail pharmacy industry and its protagonists, achieve a bird’s eye view of CVS’s organizational structure, understand who CVS’s customers and competitors are, introduce the term Alignment Link in terms of overall strategy, implement the SWOT analysis tool to gauge CVS.com’s position, and conclude with a recommendation for the stated implication of the case. Retail Pharmacy Industry Since the 1990’s, the drugstore industry has been a very competitive ...
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...characteristics and intended use.” Although the distribution process is the same, the design of the channel may be substantial different comparing to branded drugs. For example, an increasing numbers of generic manufactures are locating and forming partnerships with Indian and Chinese manufactures. Generic drugs have no patent, which lead to lower prices and lower margins. Drug example Zolpidem Wholesaler: Pharmaceutical wholesalers act as middlemen for retail drugstores. They stock brand name drugs, generic drugs and sundry items to sell to retail, hospital and clinical pharmacies. They buy directly from the manufacture. Examples of the wholesalers in pharmaceutical world are McKesson, AmerisourceBergen, and Cardinal wholesalers. Retail Pharmacy: Also known as Community Pharmacy is a type of pharmacy that sells drugs to patients. The retail pharmacy market has greatly consolidated such that top five pharmacy chains now control 85% of the market....
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