Maddie didactic

who is hygeia

god of medicine, daughter of Asclepius

what was the bowl of hygeia used for

to mix the remedy which was obtained from her sister

who is panacea

sister of hygeia, name means cure all

what does the snake on the bowl of hygeia mean

serpent of wisdom

how are hygeia, asclepius, and panacea related

asclepius = father

hygeia = daughter

panacea = sister

what do show globes or jars represent

placed in the window of pharmacies to indicate the business

what does rx mean

recipe which in latin means take

when and where was the first school of pharmacy established

1821 - philadelphia college of pharmacy

when, where, and by who was the first pharmacy program at a public institution established

1860 - university of michigan - by albert prescott

when was the standardized BSc degree established and how long is the program

1940s - 4 year degree program

when did UGA CoP adopt the BSc degree program

1925

when was the BS Pharm degree established and how long is the program

1950s - 5 year degree program

(2+3, 1+4, 0+5, pre+pharm)

when did UGA CoP adopt a "2-3" BS Pharm program

1960

when was the PharmD degree established and how long is the program

1950s - 6 year degree program (2+4, pre+pharm)

when did UGA CoP start offering the PharmD degree

late 1970s

what was the first college of pharmacy to offer the PharmD degree

University of Southern California (1950)

how has residency training grown over the years

continuously increasing

true or false: georgia recognizes DAW boxes

false

what duties are prohibited for technicians

taking telephoned rx, transferred rx (in or out), patient counseling, receiving or providing rx drug order information, drug order verification, weighing/measuring ingredients without verification

why do people go to pharmacies for clinical services

convenient locations, extended hours, no visit fees, dont require appointments

true or false: exact immunization authority varies from state to state

true

georgia state immunization laws

-vaccines on the ACIP adult (18+) schedule via a prescriber-approved protocol or non patient specific order (prescription not required)

-vaccines on the CDC recommended schedule for children 7-18 require a prescription

-Pharmacists, pharmacy interns, and technicians can administer vaccines (with training)

-13 and older for influenza and illness resulting in public health emergency

what are pharmacists roles in providing immunizations

-providing immunizations in practice

-expanded authority during emergencies

what is medication therapy management (MTM)

a distinct service or group of services that optimize therapeutic outcomes for individual patients; services are independent of, but can occur in conjunction with, the provision of a medication product

benefits of medication therapy management (MTM)

-ensure patients are on the right medications and taking them the right way

-facilitates interventions that improve patient outcomes

-return on investment and cost savings

-patient satisfaction

-helps healthcare facilities meet performance measures

what is medication synchronization

when the pharmacist coordinates the refill medications so patients can pick them up on a single day each month

what are the benefits of medication synchronization

-eliminates calling in multiple rx refills

-fewer trips to pharmacy

-can speak to pharmacist on a monthly basis

who is medication synchronization most helpful for

patients taking multiple, ongoing monthly medications, older adults, and patients new to chronic drug therapy

what are barriers to community pharmacy based clinical services

time, legal constrictions, logistical considerations (space, supplies), expertise, money, patient/provider expertise

solutions to the barriers of community pharmacy based clinical services

incorporate services into workflow, delegate, training, partnering with college of pharmacy

what are the requirements for joining the community pharmacy enhanced services network (CPESN)

-provide minimum service set established by local network

-clinical documentation system capable of transmitting eCare plan

-pay annual fee

what is the pharmacist eCare plan

standard for documenting and sharing data - data is standardized regardless of platform - follows patient care process - can be shared with providers and payers

first dean of UGA CoP

Dr. Samuel C Benedict (1903-1914)

when did the first class graduate from the UGA CoP

1908

what was the first degree offered in school of pharmacy's

pharmacy graduate (PhG)

who was the second dean of the UGA CoP

Robert C Wilson (1924-1948)

when did the first women graduate from UGA CoP? who were they?

1925 - Gloria Miller, Evelyn O'Quinn, Marcella Richardson

when was accreditation obtained for the UGA CoP by the American council on Pharmaceutical Education

1939

who was the third dean of the UGA CoP

Kenneth L Water (1948-1977)

what was the first student organization chartered at UGA CoP

phi delta chi

who was a building at the CoP dedicated to and when?

Robert C Wilson on October 29, 1978 (his 100th birthday, he was in attendance)

when was the PhD degree program authorized at UGA CoP, and when were the first degrees granted?

1964, 1967

who was the first african american graduate of UGA CoP and when did they graduate?

William Robie III, 1970

who was the 4th dean of UGA CoP

Dr. Howard C Ansel (1977-1991)

under what dean was the school of pharmacy title changed to college of pharmacy

Dr. Howard C Ansel

who was the 5th dean of the UGA CoP

Dr. Stuart Feldmen (1991-2000)

when was the entry level doctor of pharmacy degree initiated at the UGA CoP

1998

who was the 6th dean at UGA CoP

Dr. Svein Oie (2000-2018)

under what dean did the UGA CoP become actively involved in residency training

Dr. Svein Oie

how many logos has the UGA CoP had

4 total (1st and 4th have the arch, 2nd and 3rd had the G)

who is the current UGA CoP dean

kelly smith (2018-present)

what are some of Dean Kelly Smith's accomplishments

-Past president for the american society of health system pharmacists (ASHP)

-Most outstanding alumna 2018 of zeta tau alpha

-Kentucky society of health system pharmacists presidents award 2016

who was the first UGA CoP faculty member to have a bobblehead

Henry H Cobb

what UGA CoP faculty was the first treasurer for the American Association of Colleges of Pharmacy

Keith N Herist

Who was the first UGA CoP faculty to have completed a residency before working here

George Francisco

who is the UGA CoP department head of clinical and administrative pharmacy

Henry Young

what UGA CoP faculty was the first and only pharmacist to be awarded the healthcare georgia foundations joseph D greene community service award

Brian Seagraves

What UGA CoP faculty was the first research technician on the UGA first large NIH grant

Deborah Elder

what is a bates stamp

used to assign prescription numbers

what UGA CoP makes honey and hot sauce

momany and seagraves = honey

seagraves = hot sauce

what is the BIN on insurance cards

bank identification numbers

-tells pharmacy program which pharmacy benefit management (PBM) should receive claim

what is the PCN on insurance cards

processor controller number

-used to locate patients member profile under the PBM

what are pharmacy discount cards

-different than insurance, most times cannot be used with insurance

-entered like insurance

what are patient assistant cards

-Obtained through manufacturers patient assistance programs

-Brand name drugs

-Decreases the co pay

what are preferred provider organizations (PPOs)

-flexibility in selecting doctor/hospital

-fewer restrictions / sometimes covers out of network providers

-can be more expensive

what are health maintenance organizations (HMOs)

-lower monthly premiums, low or no annual deductible

-require PCP referrals to see specialists

-provide a list of network providers

what is medicare

federal

>65 and worked at some point

medicare part A

hospital inpatient, nursing facility, hospice, home health care

medicare part B

Clinical research, ambulance, DME, mental health, some vaccines, some meds for ESRD, some respiratory meds (nebulizers), injectable osteoporosis meds, IVIG, transplant / immunosuppressive meds

medicare part C

private insurance (HMO, PPOs, etc) contracts with medicare to cover part A, B and sometimes D

what is medicaid

state

georgia resident, low income, and

>64, pregnant, disabled, blind, children <18, someone in the household that is disabled

types of insurance rejections

-M/I PCN

-M/I BIN

-M/I Grp

-non matched cardholder ID

-pharmacy not contracted

-plan limitations exceeded

-refill too soon

-M/I DAW

-M/I days supply

-duplicate claim

-prescriber not covered

-M/I prescriber ID

-NDC not covered

-PA required

DAW code 0

no product selection indicated

DAW code 1

substitution not allowed by prescriber

DAW code 2

substitution allowed - patient requested brand

DAW code 3

substitution allowed - pharmacist selected product

DAW code 4

substitution allowed - generic drug not in stock

how to verify a DEA number

Step 1: add the 1st, 3rd, and 5th digits

Step 2: add the 2nd, 4th, and 6th digits; then multiply the sum by 2

Step 3: add step 1 and step 2

The second digit in the answer will match the checksum (last number)

NDC nomenclature

-National drug code (NDC) is a 10 or 11 number to identify the drug

-Contains three segments

The manufacturer (First 4-5)

The product (Second 3-4)

The package size (Third 1-2)

health behavior change theories (viewing and fixing problems)

viewing: predict behavior, identify influences on behavior, understand process of behavior change

fixing: counseling approaches, public health messages, marketing, interventions, programming

what are the concepts involved in the health belief model

modifying factors (personal variable, cues to action)

individual perceptions (perceived threat, benefits, barriers)

likelihood of action (behavior based on expectation)

what are the stages of change

precontemplation, contemplation, preparation, action, maintenance

how does self efficacy relate to the stages of change

precontemplation: low confidence, high temptations

contemplation: increasing confidence

preparation: increasing confidence, few temptations

action: high confidence, low temptations

interventions consistent with precontemplation stage of change

express empathy, autonomy to choose, personal experiences / ideas, education (resources)

interventions consistent with contemplation stage of change

motivational interviewing, tailored motivational messaging (decisional balance, self efficacy)

interventions consistent with preparation stage of change

action plan (self efficacy), steps to support change, rehearse new behaviors, identify support systems

interventions consistent with action stage of change

action planning, positive actions/thoughts to replace old patterns, support systems, plans to overcome temptations

interventions consistent with maintenance stage of change

reinforce success with recognition of cure to support action

why is cultural consideration needed in the pharmacy profession

caring for diverse populations, health disparities, ethical standards, professional practice standards, legal rationale

what is cultural competency as a system

A set of congruent behaviors, attitudes, and policies that come together in a system, agency, or profession that enables that system, agency, or profession to work effectively in cross cultural situations

what is cultural competency in terms of health care professionals

the knowledge and interpersonal skills that allow providers to understand, appreciate, and work with individuals from cultures other than their own

what is the goal of cultural competency in the health care profession

to be sensitive to cultural differences and to provide care that takes cultural issues into consideration

what are problems associated with cultural competency in the health care profession

-suggests that culture can be reduced to a skill that can be trained to develop

-culture may not be central to the patient situation

-false sense of security (resolving cultural issue may not solve problem)

-attention to differences could be intrusive or make them feel singled out

what are barriers to providing care to diverse populations

lack of knowledge, fear and distrust, stereotyping, physical contact/touch, nonverbal communication, verbal and effective communication

what are strategies for providing care to culturally diverse patients

suspend judgement, examine personal cultural background, immerse/learn about other cultures, adapt services, evaluate care

what is cultural relativism

suspend judgement about other cultures, recognize that all cultures develop their own ways of dealing with demands of the environment

LARA methodology

listen, affirm, respond, add

LEARN model

Listen

Explain

Acknowledge

Recommend

Negotiate

ETHNIC model

Explanation

Treatment

Healers

Negotiate

Intervention

Collaboration

hospital departments

Pharmacy, nursing, administration, medical records, radiology, clinical laboratories, housekeeping, business office, respiratory therapy, purchasing, central service, social service, information service, case management