HOSPILEC Module 3

policy framing; recommending; therapeutic use; drug

Pharmacy and Therapeutics Committee is a _______________ and _____________ body to the medical staff and administration of hospital on matters related to the ______________ of the ________.

selection, procurement, dispensing, labeling, availability, administration, and control

Pharmacy and Therapeutics Committee is responsible for framing policies and procedures for ________, ___________, __________, _________, __________, ___________ and __________ of drugs throughout the hospital

rational use; issues

Pharmacy and Therapeutics Committee encourages ____________ of drug in hospital and also monitors _________ relating to drug safety.

communication

Pharmacy and Therapeutics Committee serves as the organizational line of ________________ with the medical staff and pharmacy department

prepare and update

One of the most important functions of PTC is to __________ and ________ hospital formulary, which provides information on various drugs to be used in the hospital

evaluation, selection, and therapeutic use

[Advisory] The committee recommends the adoption of, or assists in the formulation of broad professional policies regarding ___________, ____________ and _______________ of drugs in hospitals.

investigational drugs.

[Advisory] Serves in an advisory capacity to medical staff and hospital administration in all matters pertaining to the use of drugs, including the ________________

stocked

[Advisory] It makes recommendations concerning the drugs to be __________ in hospital patient care areas.

effective

[Advisory] Advises the pharmacy in implementation of ____________ drug distribution and control procedures.

to meet the needs of the professional staff.

[Educational] The committee recommends or assists in the formulation of programs assigned to ________ the ______ of the _____________ (physicians, nurses, pharmacists and other health care practitioners) for complete current knowledge on matters related to drugs and drug use

educational schemes

[Educational] It establishes suitable ________________ for the hospital’s professional staff on the matters related to the use of drugs

monitoring, analyzing, reporting ADR, and implementing corrective actions.

[Drug Safety and Adverse Drug Monitoring] The safety aspects are more or less taken for granted by pharmacy, medical and nursing staff, one of the aim of PTC is to improve medication safety and monitoring adverse drug reaction by (4)

at least 3 physicians

a pharmacist,

a representatives of the nursing staff

a hospital administrator with his/her designated person an ex-official member of the committee

Composition of PTC vary from hospital to hospital. The P&TC is composed of: (4)

chairman

One physician will be appointed as __________

secretary

Pharmacist will be appointed as the ____________

at least 6 times per year

[Operation of PTC] The committee should meet regularly at least ___ times per _____ and when necessary.

unique knowledge, skills and judgement

[Operation of PTC] The committee should invite to its meeting persons within or outside the hospital who can contribute specialized or ______________, _____ and ___________.

secretary; before

[Operation of PTC] An agenda and supplementary materials should be prepared by the __________ and submitted to the committee members in sufficient time ________ the meeting for them to properly review the material.

previous

[Typical Agenda] Minutes of _________ meeting

content

[Typical Agenda] Review of _________ of the Hospital Formulary

new drug

[Typical Agenda] Informing regarding _________ which may have become commercially available

investigational drug

[Typical Agenda] Review and or adoption of _______________ currently under processing in the hospital

side effects, ADR, toxic effects, drug interactions reported

[Typical Agenda] Review of _________, _____, _________, _________________ by different units in hospital

drug study

[Typical Agenda] Review of ____________ in hospital

side committees

[Typical Agenda] Reports of various _____________

medical audit

[Typical Agenda] Report of _______

prepared by the secretary

[Operation of PTC] Minutes of the committee meetings should be _________ by the _________ and maintained in the permanent records of the hospital.

medical staff

[Operation of PTC] Recommendations of the committee shall be presented to the _____________ or its appropriate committee for adoption or recommendation.

Liaison; maintained

[Operation of PTC] ________ with other hospital committee concerned with drug use (e.g. infection control, medical audit) shall be _____________

Republic Act 11223 (otherwise known as the Universal Healthcare Act)

[Drug Selection] One of the general objectives of the Republic Act _________ (otherwise known as the ____________________) is to ensure that all Filipinos are guaranteed equitable access to quality and affordable health care, goods and services against financial risk.

implementation and success

[Drug Selection] Therefore, pharmacists play an important role in the _____________ and ___________ of the Universal Health Care, by ensuring that affordable, safe, quality, and efficacious drug products are available for the patients.

access

It is a crucial step in drug supply management as to the following reasons:

Drug selection process ensures _________ to rational drug use

Essential, affordable, and cost-effective

It is a crucial step in drug supply management as to the following reasons:

_________, _________ and _____________ drug products are highly prioritized

safe, effective and quality

It is a crucial step in drug supply management as to the following reasons:

Availability of _____, _________ and _________ drug products at all time is ensured.

Promote

It is a crucial step in drug supply management as to the following reasons:

_________ systematic selection of drug products based on clinical practice guidelines.

optimal

[Role of Pharmacists in the Selection of Drug Products] Aids the Pharmacy and Therapeutics Committee (PTC) in ensuring ________ medication management

coordinates

[Role of Pharmacists in the Selection of Drug Products] ______________ with other health care providers with regard to the selection of drug products to be included in the list

all

[Role of Pharmacists in the Selection of Drug Products] Ensures that _____ drug products listed in the PPMP are included in the latest Philippine National Formulary (PNF)

secretary

[Role of Pharmacists in the Selection of Drug Products] Usually designated as the ___________ of the PTC, but may also act as Chair/Vice Chairman.

reports

[Role of Pharmacists in the Selection of Drug Products] Documents and __________ to all concerned hospital committees adverse drug reactions, adverse events (e.g. medication errors) concerning prescribed medications.

pharmaceutical

[Role of Pharmacists in the Selection of Drug Products] Provide _________________ expertise in the evaluation of drugs for possible inclusion in the hospital formulary

Implement

[Functions of the Pharmacy and Therapeutics Committee] _____________ Hospital Pharmacy Service.

Standardizes

[Functions of the Pharmacy and Therapeutics Committee] _____________ prescribing policies and treatment guidelines.

Formulate

[Functions of the Pharmacy and Therapeutics Committee] _____________ broad professional policies regarding drug product evaluation, selection, purchase, use, and safe practices.

Recommends

[Functions of the Pharmacy and Therapeutics Committee] _____________ adoption of policies regarding the evaluation, selection, deletion, and therapeutic use of drug products.

advisory group

[Functions of the Pharmacy and Therapeutics Committee] Serves as an _____________ to the medical staff, pharmacists, and hospital administrators in all matters pertaining to the use of drug products including those under investigation

Develops

[Functions of the Pharmacy and Therapeutics Committee] _____________ and constantly updates the hospital formulary based on the latest edition of the PNF and on evaluated and selected drug products to be used by the hospital.

Evaluates and approves/rejects

[Functions of the Pharmacy and Therapeutics Committee] _____________ and _________________ proposals of the medical staff for inclusion or deletion of drug products in the hospital formulary.

Requests

[Functions of the Pharmacy and Therapeutics Committee] _____________ authority to procure drug products not included in the current edition of the PNF

Collect and review; No. 2011-0009

[Functions of the Pharmacy and Therapeutics Committee] _____________ and _____________ ADR/ADE reports for submission in compliance to DOH AO No. _____-______ National Policy and Program on Pharmacovigilance

medication errors and ADR

[Functions of the Pharmacy and Therapeutics Committee] Monitors ________________ and _________________ that may unpredictably incur to patients during drug therapy

Organizes and recommends

[Functions of the Pharmacy and Therapeutics Committee] _____________ and ____________ periodic training programs for capability building of physicians, nurses, pharmacists and other para-medical professionals in their respective field of expertise.

Develop and disseminate

[Functions of the Pharmacy and Therapeutics Committee] _____________ and _____________ educational materials and programs relative to drug products to all concerned hospital staff

every 2 years; semi-annual; chief

[Functions of the Pharmacy and Therapeutics Committee] Reports committee composition every ____ years and submits ______________ accomplishment report to the _______ of the hospital administration and to the Policy Planning and Advocacy Division (PPAD)

Bureau of Food & Drugs or BFAD; 20th

[Functions of the Pharmacy and Therapeutics Committee] Report shall also be submitted to the Food and Drug Administration (formerly the _______________________ or BFAD) every _____ day of January and December. (per DOH AO 107 s. 2000)

No. 2019-0041

[Functions of the Pharmacy and Therapeutics Committee] In addition, Administrative Order No. ______-______ or the “Implementing Guidelines in Assuring the Efficacy, Quality and Safety of Pharmaceutical Products in the Public Health Facilities” states that the Therapeutics Committee of the Specialty and Retained DOH Hospitals shall be the designated DOH clearing house for drug and medicines. As stated on said issuance, the clearing house shall evaluate the medicine procurement request of end-users.

current

[Functions of the Pharmacy and Therapeutics Committee] Administrative Order No. 2019-0041…must follow the following criteria:

Drugs to be procured must be included in the _________ edition of the Philippine National Formulary

latest

[Functions of the Pharmacy and Therapeutics Committee] Administrative Order No. 2019-0041…must follow the following criteria:

The Approved Budget for the Contract (ABC) must be within the _______ Drug Price Reference Index (DPRI); and

packaging

[Functions of the Pharmacy and Therapeutics Committee] Administrative Order No. 2019-0041…must follow the following criteria:

The Purchase Request (PR) to be submitted by the end-user must include the ________________ and delivery site.

3 months

[Functions of the Pharmacy and Therapeutics Committee] It further states that the Certificate of Product Registration (CPR) must be valid for the entire period of the award. If the Certificate of Product Registration (CPR) is about to expire, the supplier must have submitted a copy of an application of renewal to the FDA at least ____ months before the expiry date (A copy of the expiring CPR, which is stamped with an “extension of validity”, shall be submitted as proof)

• pattern of prevalent diseases

• treatment facilities

• the training and experience of available personnel

• financial resources

• genetic demographics; and

• environmental factors

[Factors on Recommended Treatment and Selected Medications] Drug purchases represent a large part of the hospital budget. Thus, it is essential to optimize the allocation through proper drug selection. The treatment recommended and the drug selected depends on factors, such as:

• pattern of _________________

• _____________ facilities

• the ____________ and ____________ of available personnel

• financial ____________

• ____________ demographics;

• and ____________________

a. Updated list of drugs in the hospital formulary based on the current edition of the PNF

b. Based on clinical practice guidelines

c. Availability of drug in the market

d. Cost-effectiveness of drug

[Factors to Consider in the Review and Evaluation of the Drug Product List] In the selection of drug products to be purchased and used for the patients of the hospital, there are several factors that must be considered:

a. Updated _______________ in the hospital formulary based on the current edition of the PNF

b. Based on _________________________

c. _______________ of drug in the ______

d. __________________ of drug

prepare

[Drug Product Selection Process in a Hospital Setting] Each clinical department __________ list of drug products based on their clinical practice guidelines.

pharmacy

[Drug Product Selection Process in a Hospital Setting] List of drug products are submitted to the ____________ Section

Philippine National Formulary; 1993

[Drug Product Selection Process in a Hospital Setting] Drug products included in the list are verified if: a. Included in __________________________ - Executive Order (EO) No. 49 series of ______, directs the mandatory use of the Philippine National Drug Formulary (PNDF) Volume I as the basis for procurement of drug products by the government.

best health outcomes.

[Drug Product Selection Process in a Hospital Setting]The PNDF, now called Philippine National Formulary (PNF), shall continuously serve as the national reference for quality and rational selection of medicines that are vital in achieving the ___________________________

evaluates, reviews, and reconciles

[Drug Product Selection Process in a Hospital Setting] The Pharmacist further __________, ___________ and ___________ the historical consumption of each drug product

allotted budget, mode of procurement, and schedule/milestone of activities

[Drug Product Selection Process in a Hospital Setting] The Pharmacist shall present the reconciled list (including the _______________, _________________ and ___________________ of activities) of drugs and medicines to the PTC for deliberation and recommendation

chief

[Drug Product Selection Process in a Hospital Setting] The recommended list shall be forwarded to the ________ of Medical Professional Staff for review and approval

Project Procurement Management Plan (PPMP)

[Drug Product Selection Process in a Hospital Setting] Once approved, the list shall become the final _______________________________ (PPMP) for the following calendar year.

final

[Drug Product Selection Process in a Hospital Setting] The ______ PPMP shall then be included in the Annual Procurement Plan of the hospital for the following calendar year.