Case Study: All-Inclusive Support Contract

Regional Hospital is located in charlotte Mecklenburg North Carolina and serves a community of an estimated 875,000 members within the integrated delivery system (IDS). Recent efforts are being spent on reviewing several proposals for integration of a disease management contract that will assist in reducing utilization costs with the primary goal of improving our patient health outcomes.

Organisational policy and procedures should include how to receive and record medication, safe storage, prescribing, dispensing, administration, monitoring and

My interest in the PGY1 Residency Program at Kaiser Permanente Orange County has been sparked by my attraction to the field of hospital pharmacy. More specifically, I am interested in an inpatient hospital pharmacy experience that the Kaiser Permanente provides. During summer 2017, I was an intern pharmacist at Pomona Valley Hospital Medical Center, and I learned a lot about the pharmacist’s role in a hospital setting. After completing that rotation, I hoped I could learn more about the pharmacist’s role in a hospital setting. The reason I am more interested in residency program at Kaiser Permanente is many different kinds of experiences that Kaiser provides, such as Ambulatory Care, and Drug Use Management.

DISCUSSION: Kelli Brown (Interim Superintendent) and Nate Kamban (Transitional Assistant Superintendent) were present to discuss the union contract between The General Truck Drivers and Helper’s Union (Affiliated With The International Brotherhood of Teamsters) Local #92 and the Tuscarawas County Board of Developmental Disabilities. Mr. Kamban said they felt it would be best practice to match the Teamsters contract with the OAPSE contract that was passed several weeks ago. Commissioner Abbuhl asked if the time line matched up as well. Ms. Brown said it did (3 years). Ms. Brown also said they tried to match up the language in the contracts. Ms. Brown felt the negotiations went very well and was successful. She said everyone came to the table

This summer I was able to do my IPPE hours at Kroger Pharmacy in Findlay, OH with Dr. Alison Mosler. This was my first experience working in a pharmacy, so I was very excited to learn everything I could about community pharmacy. From shadowing a pharmacist in my first semester, I gained a basic understanding of the process of filling a prescription. Through this experience, I was able to shadow at each work station and work hands-on at production and some at drop-off. Furthermore, I participated in activities like taking a phone-in prescription, testing my blood glucose levels, and transferring a prescription.

Contract A-37615 is federally funded that furnishes and install ILC Dover Flex Gates (Stairwell protection devices) at (23) Subway Station entrance locations which are in the category 2&3 flood zones. Contractor for Contract A-37615 is only required to install the NYCT provided K-Rails at 23 station entrance locations but not to furnish. The K-Rails are being supplied through NYCT K-Rail vendor, McElroy for these 23 locations. As a standard NYCT practice the supply of K-Rail only is funded through State under a different Contract between NYCT and McElroy and was not budgeted under this Contract A-37615. The lead time for fabricating the K-Rails requires Four (4) to Six (6) weeks. McElroy is the only fabricator at this time and has a back-log

The article is, Evaluating the Impact of Medication Cabinets in Patient’s Rooms on a Medical-Surgical Telemetry Unit, and it is a study about the impact of medication cabinets in each patient’s room on the administration of medication. In the article it states, “Nurses spend 27% of their time on medication-related activities and over 73% of their time on nonmedication-related activities, and they are responsible for 26-38% of medication errors in hospitalized patients,” (Arinal, M. F., Cohn, T., & Avila-Quintana, C., 2014, pg. 77). From personal experience in the hospital, it is no surprise that nurses spend so much time on medication administration. A majority of the morning is spent gathering supplies and

the State of Iowa; the Board of Regents, State of Iowa; and, Iowa State University for any claim paid or payable on this policy.

?As a general rule, parents are not liable for the contracts entered into by their minor children? (Kubasek et al., 2016, p. 226). Cercel and Scurtu advised civil law regulates that there is "limited legal capacity of minors between 14 and 18 years of age" given the assumed insufficient psychological magnitude to exercise legal rights (Cercel, S., & Scurtu, S., 2015). Despite the fact that my son was turning 18 soon and irrespective of Marshall?s awareness to my son?s age, my son was only 17 and was not authorized to act on my behalf.

Although outpatients’ facilities may differ in dimension and in services, all should have clear general features, such as competence and cost-effectiveness, flexibility and expandability, cleanliness and public hygiene, openness, and a healing atmosphere. This facility is operational with a recently extended flat parking area with handicap assistance with a safety employee on duty. Some of the other features includes a smiling friendly face greeting and assisting patient with directions, call-ahead services with labs requests, new motorized beds in the pre-op testing quarter, and seven different registration locations to help accelerate the paperwork. Coming soon the center include two operational medical cubicles, whereas individuals can pre-register themselves or complete other actions such as paying or tracing his or her charges.

frameworks have turned out to be progressively normal in the inpatient setting as a procedure to

After working in the main pharmacy, I travelled up to the satellites on the various floors. The pharmacists in the satellites verified orders and checked orders filled by technicians, but more specifically for the patients on their floor. If a patient is newly admitted from the night before and the pharmacist is not familiar with the patient, they usually

Per order received from the court the support obligation amount increased in this case to $647.45 per month effective on 7/17/17. Fiscal modified the SOA amount in the CC account to begin charging $645.45 per month effective 7/17/17. In addition, fiscal modified the amount on the CA account to $19.55 per month. Therefore, after modifying the account SOA charges, fiscal adjusted the balance on account to $228.65 balance.

Set-up and workflow of my pharmacy is pretty good for patient centered care. Patient does not have to wait too long for their prescriptions to be filled. Patients can call for their refills via telephone or online, which makes their life easy as they don’t have bother coming in-person for refills. Patient profile shows all medication history as well as number of refills remaining. This makes it easy for pharmacist to know whether to refill a prescription or call doctor for refill request. After confirming to fill a prescription pharmacist runs claim through insurance and print label after claim is successful. All medication is arranged alphabetically on shelves, thus it is easy and quick to retrieve. Then after technician fills medication and then pharmacist checks it. This workflow is quite smooth and quick to process. Final check is done by pharmacist, who confirms right medication for right patient as well as the NDC dispensed, amount dispensed, direction for use, and day supply. All these steps of process take place on working table in sequential order, which helps to reduce errors in filling and have effective prescription filling. Once the prescription is filled pharmacist do all paper

Records of all the required sampling, inspection and testing procedures to demonstrate that all the products, formally assessed against the outlined specifications.