The Pharmacy Podcast Network is the Pharmacy industry's first audio blog network about the 'Business of Pharmacy'. The Pharmacy Podcast Network is a collection of over 20 different pharmacist's podcasts, discussion, ideas, innovation, and interviews from the brightest minds in pharmacy. 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.
The Patient's Podcast - Pharmacy Podcast Episode 349

Today - we release a new podcast to the Pharmacy Podcast Network dedicated to our patients. The Patient's Podcast, where the Voice of the Patient is the most important voice in healthcare. 

Our host Kristy Sobel is a dynamic Entrepreneur and sufferer of chronic pain & Autonomic Neuropathy.

Kristy writes: "I believe everyone is born with a talent. Some are blessed with more than one. It's not always clear what it is, so it begins with one foot in front of the other. With each challenge and task it becomes apparent. I've always been an out of the box thinker and somewhere along the way, I found my niche in the fashion world. I created something out of necessity that turned into a must have for busy women. One concept turned into many other wonderful branches. Once established, I created products for people with special needs. Then the bottom fell out of my life in an instant.

Everything I built became meaningless. I was given 2 months to live. The decision to give-up or find a way to not just exist or survive but find the strength to become a live-r again. I found the expert I needed to beat this incurable illness. The expert lived in LA but was retiring, so he didn't want to get involved.

With my life hanging in the balance, I bought a ticket and flew to LA and sat on his door step. I told him if I was going to die, he was going to watch. He decided to take me on. We put together the best of the best team of Drs. from all over the world. Drs. that deal strictly with modern medicine and other Drs. that practice out of the box medicine.

Seven years later, I've become the trail blazer in beating the illness. By sharing my story it proves anything is possible as long as you never let anyone steal your "Hope". I want you to share my story with other to stop those who are contemplating surgery and bring awareness to atrocity that has occurred in the United States. We need help reaching others who had this surgery and are suffering with similar complications as I am.

It's a must for them to be tested for Autonomic Neuropathy. It's a difficult illness to be diagnosed. We need funding for research and a law passed that All Artificial Disc's must be tracked in the human. As it stands right now in my medical records, the surgery was a success.

The claims that artificial discs are successful is baseless and unfounded. We have no way of knowing how many people who has had this surgery and are suffering. It's my crusade to be the voice for thousands who had their lives taken as I have. I have the strength to not let my life be in vain." 

Please reach out to the show and submit your story and help reach other's suffering with a serious disease or condition. PatientsPodcast@gmail.com 

Direct download: the_Patients_Podcast_First_Episode_.mp3
Category:podcasts -- posted at: 3:29pm EST
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Pharmacy Podcast Episode 181 The Patient Access Network Foundation

Mission Statement

The Patient Access Network (PAN) Foundation offers help and hope to people with chronic or life-threatening illnesses for whom cost limits access to breakthrough medical treatments.

Vision Statement

The PAN Foundation envisions a society in which every individual can access needed medical care, offering hope for a healthy tomorrow.

About PAN  

It’s a harsh reality. Healthcare is one of the top social and economic problems facing the United States today. The inability to pay for essential medical care isn’t just a significant problem for the uninsured, but also for those with health insurance.

Because of rising deductibles and co-pays, many insured patients with chronic diseases are struggling to pay for the care they need. Those who can’t afford their treatments are often unable to continue compliance or end up refraining from seeking care all together; simply because they don’t have available funds to cover the costs.

Unfortunately, few options exist for financially-needy patients. Many are not only faced with rising premiums, deductibles, and co-pays, but also limits on coverage for various services, or services which are excluded—all which contribute to a dramatic increase in out-of-pocket expenses.

The Patient Access Network (PAN) Foundation was founded in May 2004 as a solution to help the underinsured access the health care they so desperately need to continue living a relatively normal and productive lifestyle.

Since then, PAN has provided more than 300,000 underinsured patients with over $700 million dollars in much needed financial assistance to cover out-of-pocket medical expenses. Many of these patients would have few alternatives without the help of PAN. That’s why charitable donations from both the public and private sector are so crucial to continuing the financial assistance provided by the Foundation.

The PAN Foundation is an independent, national 501 (c)(3) organization dedicated to providing underinsured patients with co-payment assistance through nearly 60 disease-specific programs that give them access to the treatments they need. We have an impressive administrative fee of only 5%. This means $0.95 of every dollar received will go directly towards helping our patients. For the last six years, less than one penny of each dollar contributed to PAN has been spent on fundraising.

Please watch these videos and learn more about PAN and the work we do. Meet some of our Board members, staff, providers and patients and hear firsthand how exactly PAN is fulfilling its mission of providing help and hope.  

Direct download: 1_Patient_Access_Network_Final.mp3
Category:podcasts -- posted at: 1:42pm EST
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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 EST
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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 EST
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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 EST
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