The Pharmacy Podcast Show is the industry's first audio blog about the 'Business of Pharmacy'. The Pharmacy Podcast Network is dedicated to the pharmacy profession and is a collection of content with diverse topics within the pharmaceutical industry. The Pharmacy Podcast Show is about good useable content, information, and innovative ideas that we believe will advance the pharmacy profession. We are always expanding our programming to Independent Retail, Compounding, Long-term Care, Specialty, Hospital Systems, and Small Chain Pharmacy Businesses. We're expanding content for Patients and Pharmacy Students and encourage our listeners to submit ideas for future shows. The Pharmacy Podcast Show is about dynamic people in the pharmacy industry making a difference for our profession, customers, and patients.
PTR Pharmacy Podcast Episode 21 The Power of Pharmacy Data Analytics and Mevesi

PTR Pharmacy Podcast interviews the co-founder of Mevesi Omar Sosa and Sales Leader - John Kutcher.

Mevesi Rx was created by experienced pharmacy professionals looking to streamline the management, integration and dissemination of pharmaceutical information.  This platform was designed to provide the same pharmacy management and automation capabilities to independent, specialty and small chain pharmacies that large retailers offer today.

The power of your data is incredible. Having a quick overview of operational performance, revenue trends and Key Performance Indicator (KPI) reports to generating manufacturer drug reports and submitting them to the appropriate sources automatically for you is a tremendous value.

Mevesi helps pharmacy owners and management to focus on their pharmacy operations instead of data analytics and technologyEasy-to-use intuitive Web 2.0 interface makes navigation and training a breeze
Lower Total Cost of Ownership (TCO)

Direct download: PTR_Pharmacy_Podcast_Episode_21_Pharmacy_Data_Analytics_Mevesi.mp3
Category:Pharmacy -- posted at: 2:52pm EDT
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PTR Pharmacy Podcast Episode 20: Is there a lack of Technology Innovation in Pharmacy?

Pharmacist & Technology Bloggers discuss the industry - technology current state.

 

Special Guests:

About John Poikonen, Pharm.D.
 
Director of Clinical Informatics
UMass Memorial MedicalCenter
 

John has held numerous positions as a pharmacy administrator, informatics and patient safety leader, and positions in information systems research, development, and marketing. During the 1980s, he was a director of pharmacy for a contract pharmacy management firm. He joined Megasource Clinical Systems as its first pharmacist and helped grow the hospital pharmacy software system to over 300 clients prior to its sale to Cerner.

 

 About Jerry Fahrni Pharm. D.

Jerry has been a licensed pharmacist in California since obtaining his Pharm.D. degree from the University of California, San Francisco in 1997. Jerry's pharmacy experience is almost exclusively hospital based totaling nine years of inpatient pharmacy, including a couple of years as a pediatric pharmacist and five years of critical care medicine. Jerry is a Product Manager for a Pharmacy Technology & Automation company in Spokane WA.

Discussion Based on Jerry Fahrni’s blog post:

Who’s to blame for the lack of advancement in pharmacy automation and technology?

http://pharmacytechnology.blogspot.com/2010/11/whos-to-blame-for-lack-of-advancement.html

 

Without question there is a lack of advanced automation and technology in multiple pharmacy settings:

 

·         Acute care pharmacy setting

·         Independent Pharmacy / Community

·         Long-Term Care Pharmacy

·         Specialty Pharmacy

 

Development and advancement of pharmacy technology should be a key component of any plan to change the current pharmacy practice model

What are the causes of the lack of innovation in pharmacy?

 

**pharmacy technology is either poorly designed for the needs of the pharmacy or the pharmacy in which it is used has a poorly designed workflow that doesn’t take advantage of it.

**Why is that?

**Who’s to blame; someone, anyone, no one?

System Designers/ Thought Leadership Pharmacy Technologists

**Understanding that the designers of pharmacy automation and technology are not the limiting factor in the advancement of pharmacy practice

Ideas and thought processes are clearly ahead of the current thinking in healthcare, specifically pharmacy.

** why pharmacy is slow to consider the future, and even slower to adopt new technologies

 

Possible Reasons?

 

There is a clear lack of pharmacist involvement in the development of pharmacy automation and technology – Sure there are some pharmacists that dabble in software development, or play around with new technologies, but overall there appears to be little interest within the profession.

 

Meetings where informatics sessions have very few attendees, while the clinical sessions are bursting at the seams with pharmacists trying to get a peek at the latest information for disease state management, clinical application, etc.


Does healthcare administration & Pharmacy owners fail to see the big picture – Hospital administration often fails to see the advantages of automation and technology implementation in the pharmacy.

How do you improve pharmacy operations? You streamline the distribution process, and one way to do that is through judicious use of automation and technology.

 

What does improved pharmacy operations get you? Efficiency, which translates to more pharmacist time for clinical activities. What does increased pharmacist clinical activity get you?

Fewer drug misadventures, better and safer patient care, and a significant cost savings to the healthcare system. Simple, logical, reasonable thought, but rare in the healthcare environment.

Is there a lack of pharmacy leadership from the top down??

Detriment to innovation and development is being in a comfort zone.

Do vendors follow the (same old / same old) industry and fear innovation?

Are there key features and concepts of the technology we have at our disposal which are refused to implement into daily operations based on the status-quo and what’s known??

The vendors create a product, provide the end users with training, produce training manuals and videos, have listservs for us to bounce ideas off other users and give us “help desks” that we can access for additional information when we get ourselves in trouble. What else can Vendors do to help innovation in pharmacy?

 

Todd S. Eury

Executive Director

 Pharmacy Technology Resource, LLC. 

800 Mount Royal Blvd. Suite 2

Pittsburgh, PA 15223

Office: (412) 735-4427

Mobile: (412) 585-4001

Our website: http://www.pharmacytechnology.net 

PTR Blog: http://pharmacytechnology.blogspot.com 

Follow me on Twitter at: http://twitter.com/ToddEury 

PTR Podcast Show: http://www.pharmacypodcast.com  

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PTR Pharmacy Podcast Episode 19 Randall Murphy Manchac Technologies Dosis L60

o   Allow Independent Pharmacies to provide services to differentiate themselves

Many of the smaller nursing homes like specialized features that often cannot be satisfied by pharmacies who are too busy.  Most of the time the pharmacist tries to force all their homes to be homogeneous such that the pharmacy has one way to fill.  This is often why homes leave some of the large national pharmacy providers to go back to smaller pharmacies who can provide the desired, customized features.

What are these features:

§  Calendar Filling

§  Event cards (i.e. weekend card)

§  Skip dose

§  Home specific prescription labeling

 

The smaller homes are also looking for ways to differentiate themselves. Having these features available can lead to higher medication compliancy, smoother medication administration, and healthier patients in a less hectic atmosphere. 

 

DOSIS was designed for both simplicity and flexibility. Although easily overlooked, a unique and important feature is that DOSIS dispenses directly from the canister into the individual blister pouches on each card.  Unlike all other LTC automation, DOSIS can fill into the blister pouches in any order.  For example, DOSIS reads the start date entered into the Pharmacy Management Information System (PMIS) and dispenses the medication into the blisters so that the pre-printed numbers on the card match the dates for the prescription. In the same manner, DOSIS can interpret multiple SIG entries of a prescription to properly dispense event cards. Event cards allow a patient to receive separate cards for use in separate locations such as weekends, regular offsite therapy or work programs, vacations, etc. 

 

Skip dosing is relatively simple for most pharmacies to handle with manual fills, but, when a pharmacy is busy, keeping things the same reduces occurrences of misfilled prescriptions. DOSIS handles skip dosing based on the SIG interpretation from the PMIS. By keeping this special demand from the normal manual filling operation, DOSIS aids in keeping the manual filling operation more homogeneous and efficient.

 

DOSIS labels have all of the necessary information required for a given pharmacy. DOSIS labels can include barcodes for the pharmacy’s workflow process or auxiliary codes/labels.  All labels – prescription, pre-pack, canister replenishment - are customizable to give the pharmacy the flexibility required to satisfy state boards of pharmacy as well as their customers. Since the cards come out of DOSIS with the prescription label already adhered to the card, the blister cards are ready to be reviewed and toted for the home.

 

o   Affecting a pharmacy business's bottom-line

All of these unique and specialized filling features traditionally cause higher filling costs than a standard 30-day prescription. Since payroll expenses are typically 16% of the revenue in the LTC pharmacies, adding complexity to how the cards are filled in order to gain and/or maintain LTC business for independent pharmacies can increase cost.  DOSIS was designed with a small footprint to fit into these smaller pharmacies and do the required work at a cost point below the manual labor cost that will enable them independents a competitive edge to maintain and capture LTC business.

 

o   What does 7-Day (or 14-Day) prescriptions mean to DOSIS?

Answer: Absolutely nothing!  DOSIS is compliant today. DOSIS can and does fill short-cycle prescriptions in the existing materials.

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PTR Pharmacy Podcast Episode 18: NPTA Interview with Founder & CEO Mike Johnston

NPTA, the National Pharmacy Technician Association, is the world's largest professional organization established specifically for pharmacy technicians. The association is dedicated to advancing the value of pharmacy technicians and the vital roles they play in pharmaceutical care. The NPTA is composed of pharmacy technicians practicing in a variety of practice settings, such as: retail, independent, hospital, mail-order, home care, long term care, nuclear, military, correctional facility, formal education, training, management, sales and many more. NPTA is a reflection of this diverse profession and provides unparalleled support and resources to our members.

 

We interview Founder and CEO Mike Johnston about the NPTA and its impact on Independent Pharmacy Businesses.  

 

http://www.pharmacytechnician.org

Office: 888-247-8700

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PTR Pharmacy Podcast Episode 17: 340B Independent Pharmacy and SunRx

Episode 17 - we interview Steve Zielinski about 340B Programs and the opportunity for Independent Pharmacies. The 340B Drug Pricing Program helps provide underserved populations with affordable prescription drugs through qualified community health organizations. Federal regulations allow community health centers to have one pharmacy location to dispense 340B medications for each health center site. Many health centers choose to contract with a local pharmacy. SUNRx enables contract pharmacies to provide affordable medications to 340B customers seamlessly and efficiently. SunRx has a fully automated solution which will manage eligibility, formulary, sliding scale and co-payment calculations, replenishment and inventory management. SUNRx also generates purchase orders and invoices to reduce paperwork and improve cash flow.

Contact:

Steve Zielinski RPh

SUNRx, Inc., Central Regional Director

 340B.Simplified.

5565 River Run Parkway

Belvidere, IL  61008

(856)380-7536

Mail to: steve.zielinski@340Bsimplified.com

http://www.340Bsimplified.com

Direct download: PTR_Pharmacy_Podcast_Episode_17_SunRx_340B_Pharmacy.mp3
Category:podcasts -- posted at: 2:15pm EDT
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PTR Pharmacy Podcast Episode 16: Untold Truth - Healthcare Bill’s Pharmacy Exemption Requirements

All non-accredited pharmacies have until December 31, 2010 to apply for the Pharmacy Exemption.

 

Centers for Medicare and Medicaid Services (CMS) have been releasing information concerning the pharmacy exemption requirements. The 5% Pharmacy Exemption Rule has been widely advertised as a relief for independent pharmacies. However, it is not as simple as the press releases have made it sound. Please remember, if you are accredited, no actions or decisions are needed, your accreditation is for three full years.

If the pharmacy is accredited, the pharmacy exemption requirements do NOT apply to you. You have met the highest standard.

The pharmacy does not qualify for the Pharmacy Exemption if:

• The pharmacy’s EIN is less than 5 years old

• DME sales are greater than 5% of the gross pharmacy sales

• The pharmacy is submitting or preparing to submit a bid for competitive bidding

 

To qualify for the exemption, the pharmacy must complete the following items annually

• DME sales must be less than 5% of gross pharmacy sales

o The pharmacy must prepare detailed financial statements proving the DME sales are less than 5% of gross sales

o The financial statements are submitted to CMS annually

o Pharmacy computer systems do not segregate DME and pharmacy sales, unless the pharmacy operates separate systems

o CPA costs can be significant to prepare the properly formatted reports

• The pharmacy must still meet all the requirements of the Medicare Standards of Services for Suppliers and the Medicare Quality Standards

o This includes all policies and procedures, forms and patient files that must be maintained

• The exemption only excludes the actual accreditation survey

 

Additional items to be prepared for:

• Medicare Advantage programs will be eliminated. Proposed date is January 1, 2011

o Medicare Advantage patients will move to standard Medicare

o This move will increase the Medicare DME sales which will move many facilities over the 5% rule

• Medicaid roles will increase substantially because the Medicaid enrollment eligibility is being raised to $29,327.00. This portion will become effective on January 1, 2014

• Most state Medicaid programs have instituted some form of requirement to have a Medicare Part B number and/or accreditation to have a Medicare number

• Each month the number of insurance companies requiring part or all of accreditation requirements increases

 

R. Jeffrey Hedges

President

R.J. Hedges & Associates

P.O. Box H

New Florence, PA  15944

Office:  724-357-8380  Ext. 381  

Fax:      814-446-6336

Cell:      814-659-9989

Website: www.RJHedges.com  

www.TheHIPAAGuy.com

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PTR PODCAST Episode 15: Responsible Care of Pharmacy Patient Information

Guests:

  • Dave Gilmore - Chairman StrongCord Systems
  • Sean Lawson - VP Technical Services StrongCord Systems

The most valuable, monetize-able asset, U.S. healthcare has is its data. The criticality of patient data drives pharmaceutical development, bounds insurance actuarial policies, fills tomes of learning for all healthcare related education, drives strategic placement and development of healthcare related construction, and on and on the list goes.

Make no mistake about it, the U.S. Healthcare industry of over $2.3 Trillion Dollars is driven and bounded by patient data/information. On the downside, patient data is the most sensitive information about any given individual. It reveals social security identification, home address information, insurance coverage information, health history information, medication management information, and sometimes psychological and behavioral life patterns and history. Any or all of this can be used harmfully against a patient in myriad ways.

Additionally, fraud on a massive scale can be perpetrated using falsified identities for monetary gain and deeper intrusion into various healthcare industry corporate organizations.

Todd S. Eury

 Pharmacy Technology Resource, LLC. 

Office: (412) 735-4427

Mobile: (412) 585-4001

Our website: http://www.pharmacytechnology.net 

PTR Blog: http://pharmacytechnology.blogspot.com 

Follow me on Twitter at: http://twitter.com/ToddEury 

PTR Podcast Show: http://www.pharmacypodcast.com

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PTR PODCAST Episode 14: Pharmacy Medication Therapy Management Interview with NCPA's Douglas Hoey

Interview with Douglas Hoey, R.Ph., M.B.A., Senior VP & COO, NCPA

Douglas Hoey is the Chief Operating Officer for the National Community Pharmacists Association. Hoey joined NCPA in 1996. Prior to NCPA, Hoey spent 14 years working in community pharmacies that provided home infusion, long term care consulting, compounding, and full-line DME services.

Hoey is a graduate of the University of Oklahoma Health Sciences Center College of Pharmacy and has an M.B.A. from Oklahoma City University.

Topics/ Discussion Points:

 

Medication Management today and tomorrow: Project Destiny & the Independent Community Pharmacy

  • Independent Community Pharmacy in 2010 / MTM, reimbursement, and the Patient Care Continuum
  • Pharmacists are well positioned to address unmet needs – how can these healthcare providers capitalize?
  • The medication management market is being defined, as community pharmacy, nurses, physicians, payers and pharmacy benefit managers all are engaging to some degree:
    • Where are we today?
    • Next Steps? 
  • Industry stakeholders are interested in assisting pharmacy in the process of developing service offerings and bringing the services to market.
    • Who are these stake-holders?
    • Who else needs to become aware/ involved to ensure the program’s success in helping the community independent pharmacy?

Significant hurdles exist, and these range from the magnitude of the industry-wide effort, to regulatory restrictions related to pharmacists and pharmacist extenders, and time constraints on pharmacists currently. 

 

One key concept that emerged from the first phase of the project is that of a “primary care pharmacist,” who would work collaboratively with the healthcare delivery and financing systems and focus on managing medications, positively impacting health outcomes, reducing overall healthcare system costs and empowering consumers to actively manage their health. Putting this concept into practice would require the development of pharmacy-based Patient Care Management Services that are interoperable, while maintaining the autonomy of individual pharmacies.

 

The Patient Care Management Services envisioned go beyond a narrow definition of medication therapy management and include interventions targeting 15 conditions plus polypharmacy (the use of multiple medications by a patient) that drive demand for avoidable healthcare utilization. Project Destiny would seek to leverage, and not reinvent, the work of entities already demonstrating value in some segments.

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PTR PODCAST Episode 13: Pharmacy HIPAA Compliance interview with accreditation expert Jeff Hedges

Pharmacy HIPAA Compliancy & the increased concern for patient privacy in 2010: An interview with HIPAA Compliancy Expert & Consultant – Jeff Hedges

 

The importance of an independent pharmacy being HIPAA compliant is more relevant and important than ever before. With the signing of the HITECH Act as part of the federal stimulus plan pharmacy owners may be inspected for HIPAA violations at anytime.

The Health Information Technology for Economic and Clinical Health (HITECH) Act provides a tiered system for assessing the level of each HIPAA privacy violation and, therefore, its penalty:

  • Tier A is for violations in which the offender didn’t realize he or she violated the Act and would have handled the matter differently if he or she had. This results in a $100 fine for each violation, and the total imposed for such violations cannot exceed $25,000 for the calendar year.
  • Tier B is for violations due to reasonable cause, but not “willful neglect.” The result is a $1,000 fine for each violation, and the fines cannot exceed $100,000 for the calendar year.
  • Tier C is for violations due to willful neglect that the organization ultimately corrected. The result is a $10,000 fine for each violation, and the fines cannot exceed $250,000 for the calendar year.
  • Tier D is for violations of willful neglect that the organization did not correct. The result is a $50,000 fine for each violation, and the fines cannot exceed $1,500,000 for the calendar year.

The HITECH Act also allows states’ attorneys general to levy fines and seek attorneys fees from covered entities on behalf of victims. Courts now have the ability to award costs, which they were previously unable to do.

RJ Hedges & Associates will develop policies and procedures that incorporate your work practices; address Medicare Quality Standards; and meet the accreditation board’s requirements.

 

R. J. Hedges & Associates

978 Pumphouse Road

New Florence, PA 15944

814-446-4176 Office

814-659-9989 Mobile

Email: Jeff@RJHedges.com

www.RJHedges.com

 

 

·         will include policies and procedures that are required from other regulatory agencies (e.g. Fire and Safety; Fraud, Waste and Abuse, MSDS requirements)

 

·         will provide computer based video training, addressing specific areas of the Medicare DMEPOS Quality Standard

 

·         will prepare and assist you in the submission of your accreditation and Medicare applications

 

·         There are no surprises, no writing of procedures, no upfront fees. Just a questionnaire to complete.

 

·         100% accreditation success rate.

 

·         Accreditation program is prepared in its entirety for your individual organization and is backed with train

 

·         This accreditation program is prepared in its entirety for your individual organization and is backed with training, updates and expert support.

Direct download: PTR_PODCAST_Episode_13_Pharmacy_HIPAA_Compliance_with_Jeff_Hedges.mp3
Category:podcasts -- posted at: 3:47pm EDT
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PTR PODCAST Episode 12: OrderGenerics.com Purchasing Portal

Ordergenerics.com is a new industry resource and purchasing portal for generics.  It was developed exclusively for pharmacists, purchasing groups, and facilities who demand an edge to remain viable.  It is the industries only independent resource providing a much-needed competitive edge when purchasing generic drugs at the best prices – all in one location, and in real-time. 

Ordergenerics.com provides pharmacies with an unsurpassed competitive advantage in this industry – a dedicated and secure portal that allows the pharmacist to seek out and purchase generic and STE (soon to expire) drugs at the best possible prices.  No calls, no faxes, no fees, no fuss or endless negotiating - and it’s completely free to the user/buyer.  Log on at your convenience; search, compare, and purchase - in one easy-to-use website. 

Ordergenerics returns a competitive purchasing advantage to the independent pharmacy. 

Ordergenerics.com brings together the buyers (pharmacies) and the sellers (drug wholesalers) in one place, allowing each to buy and sell at the best possible price. Independent and utterly egalitarian, Ordergenerics.com works with drug wholesalers from across the nation:

·                     Bellco (our newest distributor)

·                     QKHealthcare

·                     Genetco Inc.

·                     TopRX

·                     Matrix Distributors

·                     KeySource Medical, Inc 

Ordergenerics.com is proven to save the pharmacist time and money; to purchase the drugs they need at the best prices available - on any given day.  Ordergenerics is here to assist, and their timing could not be more appropriate for our industry…freeing up the site user from the burdensome calls and negotiations that have dominated our industry for too long.  

“What has come to be perceived as ‘business as usual’ in our industry is coming to an end…the valuable purchasing leverage that has all but disappeared with independents is back - in your hands…use your time doing what you are best at doing and profit again!”

 

 

Direct download: PTR_PODCAST_Episode_12_Order_Generics_interview_with_Tom_Santisi.mp3
Category:podcasts -- posted at: 2:19pm EDT
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