Term
| Slide regarding pharmaceutical industry |
|
Definition
| The U.S. is ranked #1 in the world for pharmaceutical innovation and profits |
|
|
Term
| Criticisms of the industry |
|
Definition
Drug recalls
Pricing powers
Rx advertising
|
|
|
Term
|
Definition
Higher-copayments
Monthly limits
For each 10% increase in cost sharing, Rx spending decreases by 2-6% |
|
|
Term
| Behavior that causes a certain percentage of death of patients |
|
Definition
Behaviors that affect 35% of US deaths
smoking
poor diet
low exercise |
|
|
Term
| How errors affect physicians |
|
Definition
stress
Difficulty sleeping(insomnia)
loss of confidence
NOT Weight gain |
|
|
Term
| Generics in terms of what's going on with them in prescription markets |
|
Definition
| Generics account for more than 50% of total rx market resulting in decrease sales but an increase profits |
|
|
Term
What are the factors that affect the health system of the country?
|
|
Definition
Service delivery
Health Workforce
Health information
Medical technology
Health financing
Leadership and governance |
|
|
Term
Canadian health care system, facts about it!
Universal access regardless if the patients can pay
Services covered are extensive
Great source of pride/ U.S. has 45 million uninsured
|
|
Definition
U.S. seeks to control costs by limiting supply of service while Canada utilizes cost-sharing.
True or False
False
Canadian physicians salary is __ less than U.S.
1/3 |
|
|
Term
|
Definition
Answer is C and D
Our country is becoming more diverse
minority serve as a role models, improve patient provider relationships and result in better follow up patient care, outcomes |
|
|
Term
| Institute of medicine report, what is that all about? |
|
Definition
Ensure availability of pharmaceutical decision support
Include a pharmacist during rounds of patient care units
Change has been slow |
|
|
Term
| What affects the supply of pharmacists? |
|
Definition
1. Female pharmacists
2. Length of education
3. Advanced training
4. Enrollment
5. Decreased interest
6. Pharmacist work patterns
7. Pharmacists leaving the profession
8. Foreign pharmacy graduates |
|
|
Term
| What affects the demand of pharmacists? |
|
Definition
1. Aging population
2. New service roles
3. New jobs
4. New technology/technicians |
|
|
Term
|
Definition
5 = highest demand
June 2009 average was 3.69 versus 3.94 from one year ago
Numbers:
5 = High demand: difficult to fill open positions
4 = Moderate demand: some difficulty filling open positions
3= Demand in balance with supply
2= Demand is less than the pharmacist supply avail
1 = Demand is much less than the pharm. supp available |
|
|
Term
| Which states had the highest pharmacist demand? |
|
Definition
2 level - Hawaii
3-level 14 states
4 level - 35 |
|
|
Term
Consolidation...which payers had merged together?
Which merger is paired incorrectly? |
|
Definition
A. CVS/Eckerd
B. Riteaid/Eckerd
C. Walgreens/Happy Harrys
D. Kmart/sears
None of the above
None of the above |
|
|
Term
|
Definition
Mandates that pharmacist must offer counsel to Medicaid patients on outpatient prescription drugs
Requires pharmacists to document patient counseling and drug utilization review (DUR) activities |
|
|
Term
| Why pharmacy has become a political issue? |
|
Definition
1. Economics
2. Baby boomers
3. Drug safety and errors
4. Patents
5. PBMs
6. Pharmaceutical industry |
|
|
Term
| What happens when you waive copy? |
|
Definition
Increase generic utilization
Increased drug utilization
Improved patient outcomes |
|
|
Term
| Where do you get sources of pharmacy news? |
|
Definition
1. www.pharmacytimes.com
2. www.drugtopics.com
3. www.uspharmacist.com |
|
|
Term
| What is projected shortage of pharmacists in the future? |
|
Definition
Manpower project - shortage of 157,000 pharmacists by 2020
157,00 openings by 2020
Drive up salaries
Other incentives |
|
|
Term
| What is the largest provider of retail clinics? |
|
Definition
|
|
Term
| Key things senator first said... |
|
Definition
1. technology
2. incentives for healthcare
3. leadership |
|
|
Term
|
Definition
1. Average salary in 2008 was 112,00 to 135,000
2. Based on 4% annual raise
3. 2012 graduate $131,000 (40 hour a week)
4. 2015 graduate 142,000
5. 2020 graduate 173,000
6. 2025 graduate 210,000 |
|
|
Term
|
Definition
NACDS/NCPA partnership - independent pharmacy owners
NACDS/APhA Preceptor training - mainly applies to retail clinics
|
|
|
Term
|
Definition
Continue to expand and physicians oppose it
Run by nurse practitioners and physicians assistants |
|
|
Term
| Different consolidation in the industry |
|
Definition
More chain mergers
PBM/Chain partnerships
Hospitals mergers
Pharmacy manufacturers |
|
|
Term
| Treatment of various amongst ethnic groups |
|
Definition
| Asians generally require lower doses of antipsychotic drugs |
|
|
Term
|
Definition
| African Amerians are 1.6 more times likely to have diabetes |
|
|
Term
| What are global challenges and opportunities worldwide? |
|
Definition
Healthcare is increasing portion of GDP
Injuries and Violence
Mental illness
aging population |
|
|
Term
| What are the reasons for the rising health care cost worldwide? |
|
Definition
1. Prices
2. Technology
3. Aging
4. Waste
5. Inefficiency
6. Legal system
7. New disease patterns
8. Corporate consolidation
Too many consumers and providers |
|
|
Term
| US ranked in the world as a U.S. health organization and why |
|
Definition
US is ranked number 37
United states outspends all other countries and ranks near the top on average measures
However, fails to deliver health care to large proportion of population |
|
|
Term
| Per Capita incomes of countries is it high or low (true or false question) |
|
Definition
United states - Per capita spending = $5,274
Canada - per capita spending = $2,931
Germany - per capita spending = $2,817
United Kingdom - per capita spending = $2160 |
|
|
Term
| What are some issues with med therapy management? |
|
Definition
1. Progress has been very slow
2. lack of standardization with plans
3. Qualified for those on a certain amount of meds and have certain conditions
4. Reimbursement |
|
|
Term
| What do pharmacists spend most of their time counseling on? |
|
Definition
|
|