Pharmacy managers

Non-regulatory functions > 7 ( procurement Manufacturing 7 < procurement Hospital pharmacy management 7 7 7 Production of biological products (INH) y... 

Thompson CA. 2001. Health care system needs overhaul, IOM report says. Am JHealth SystPharm 58 556. Tootelian DH, Gaedeke RM. 1993. Essentials of Pharmacy Management. St. Louis Mosby. 

Tootelian DH, Gaedeke RM. 1993. Essentials of Pharmacy Management. St Louis Mosby. 

Select a specific pharmacy practice setting (i.e., hospital practice, community practice, or managed care). What barriers do you believe would limit the ability of pharmacists and pharmacy managers to conduct effective planning in that setting ... 

Mantel SJ, Evans JR. 1992. Operations Management for Pharmacists Strategy and Tactics. Cincinnati, OH Institute for Community Pharmacy Management. 

Dedden P, Chang B, Nagel D, 1997. Pharmacy-managed program for home treatment of deep vein thrombosis with enoxaparin. Am J Health-Syst Pharm 54 1968. 

Pharmacy managers may consider the use of other strategies to recognize and reward good performers ... 

Given the factors detailed above, pharmacy managers are confronted with the fact that the customer... 

Zgarrick D (eds), Pharmacy Management, pp. 52—62. New York McGraw-Hill. 

Financial reports used in independent pharmacy practice are very similar to those used in chain community pharmacies. Managers in chain community pharmacies pay attention to the same financial ratios and key indicators on balance sheets and income statements. It was with this knowledge that Marco and Diana decided to spend some time with WHP s owner to gain more insight into the preparation and review of financial reports in community pharmacy practice. 

Finally, the director of pharmacy pays special attention to external financial reports. Professional associations such as the American Hospital Association and the American Society for Health-System Pharmacists publish reports that show the national trends in pharmaceutical expenditures and labor productivity in hospitals (American Hospital Association, 2007 Hoffman et ah, 2005). Pharmacy managers can gauge the efficiency of their operations by comparing their financial ratios and other indicators with national averages. 

About the Author Dr. Urmie is an Assistant Professor in the Clinical and Administrative Pharmacy Division at the University of Iowa College of Pharmacy. She received a B.S. in pharmacy from the University of Wisconsin and worked as a community pharmacist prior to returning to the University of Wisconsin for graduate school, where she received an M.S. in pharmacy administration and a Ph.D. in social and administrative sciences in pharmacy. Her teaching interests include insurance and reimbursement in pharmacy, health insurance, the U.S. health care system, and pharmacy management. Her main areas of research are prescription drug insurance and consumer preferences related to health care use. 

Discuss the history of third-party reimbursement for prescription drugs and its impact on pharmacy management. 

Identify the broad range of other factors that a pharmacy manager should consider when evaluating a third-party contract. 

Marcie Hawkins, a pharmacist who was promoted recently to pharmacy manager at Good Service Pharmacy, opens her mail and sees that Better Health Insurance has sent a new contract. Better Health is the insurer for about 20 percent of the patients at Good Service Pharmacy, so Marcie is anxious to see what the new reimbursement rates will be. As Marcie reads the new contract, she is dismayed to find that the new Better Health rates are average wholesaler price (AWP)... 

This scenario is a common occurrence in pharmacies of all sizes and types across the country. Pharmacy managers and owners are forced to make difficult decisions about whether to accept or reject third-party plans pharmacists and patients deal with the consequences of those decisions. A thirdparty is defined as an organization that reimburses a pharmacy or patient for all or part of the patient s prescription drug costs. Since most prescriptions dispensed in pharmacies today are paid for by third parties, it is essential that pharmacy managers and pharmacists understand the effect of third parties on pharmacy operations. 

This shift toward more third-party payment for prescription drugs has had a significant impact on pharmacy management. Pharmacies determine what price they want to charge private-pay patients, but as will be discussed in more detail later in this chapter, third... 

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