Term
| what is the basis for the hospital's purchasing stratgey? |
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Definition
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Term
| do purchasing/inventory control systems differ or stay the same between hospitals? |
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Definition
| differ (bc drug formularies diffeR) |
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Term
| purchasing volume depends on- |
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Definition
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Term
| purchasing strategy depends on- 2 |
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Definition
patient care services
priotires for inventory management |
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Term
| the PIc repsonsiblites for pruchasing strategy is determiend by? |
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Definition
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Term
the _ is respnisible fr procurement and storage of drugs?
they can get input from who? |
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Definition
PIC
staff relative to the responsbility |
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Term
| the _ is repsonsible for determining specificaitons of all drugs rpocured by facility |
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Definition
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Term
| regardless of where drugs are used or stored in hospt, the PIC is in chare of-2 |
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Definition
procurement
specificaitons
(ex: for radioilogy, for nusring floor, ) |
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Term
| Which agency best tells the PIC HOW to procure drugs |
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Definition
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Term
| PIc's _ can be delagtes elswhere |
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Definition
authority
(NOT responsibility) |
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Term
| PIC must actively act in devolping-3 |
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Definition
purchasing system
policies for purchasing
monitring/assessment |
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Term
PIC authority must be negotied with who-2
when is it hard to do this? |
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Definition
hospital ADMin
medicla staff
govt owned/coproate owned |
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Term
| pharm purchasing system has 3 options for strucutre: |
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Definition
centralized in purchasing dept
assigned to pharm department
combo of both |
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Term
| strucutre chosen for the purchasing depedns on _ preference, _ capabilities, _ posturing, or - |
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Definition
hospt Admin
pharmacy dept
political
regulaotry requirements |
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Term
| pharmacy dept need to be able to provide what for the purchase system-4 |
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Definition
space for storage
equipement for speical sotrage
accounting support
staff with expertise to mamange purchasing |
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Term
| is the PIc respn for X-ray contrast media sotred by radiology since it was purchased outside of pahramcy control? |
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Definition
| yes, no matter where drug stored or purchased the PIc is ultiemalty resp |
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Term
| the pahramcy dept must purchase and store all drugs used within hospt? |
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Definition
| false- drug purchasing policy estb by PIC, but PIc can delegate this authority |
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Term
| group purchasing orgnaizations covers a wide variety of |
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Definition
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Term
| deinfiiton: leveraged purchasing power thru org of hospt systems |
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Definition
| group purchasing organizations |
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Term
| who ngoitaes with manufactures for best price on meds for its memebrs? |
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Definition
| GPO (group purch. organizaiton) |
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Term
| true false/ bigger GPO better med prices? |
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Definition
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Term
| GPO monitors and reports what-2 |
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Definition
| changes in market place and manufacture contracts |
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Term
| advatages for GPO memebrship-5 |
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Definition
best prices to all members
p;urchasing power is multiplied
saves negotiating time
reports changes
broad range of non-drug contracts |
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Term
| disadvtg for GPO membership-5 |
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Definition
particiaption not voluntary
drug on contract not hospt drug of choice
still solict bids for non GPO drugs
counter offers for multi source d rugs not given
limited input to bid/award process |
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Term
Purhcasing model:
place order and make payment directly to mnaufacturere |
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Definition
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Term
Purchasing model:L
place order thru whosale vendor for 90% of purchases |
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Definition
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Term
purchasing model:
comboination model has more emphasis on? |
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Definition
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Term
These advantages define what purchasing structure?
-payment offer discounts, no processing fee, |
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Definition
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Term
These advantages define what purchasing structure?
-cna do large volume purchases, orders placed infrequently |
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Definition
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Term
These disadvantages define what purchasing structure?
indirect costs with invoices, minimum purchase required, shipping costs |
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Definition
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Term
These disadvantages define what purchasing structure?
drugs not available in smal SKU, loss to expiration, storage space |
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Definition
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Term
These disadvantages define what purchasing structure?
low turn over rate, turn around time risk |
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Definition
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Term
| prime vendor wholesale subsititures the wholesaler for-2 |
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Definition
pharm dept warehouse
accoutns-payable dept |
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Term
| wholesaler best prices with prime vendor wholesale strucutre are based on-4 |
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Definition
GPO contract
priavte contracts
volume driven discounts
charge back to manufacturer |
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Term
| in which stucture are orders places frequently (5x/week), for small quanitties? |
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Definition
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Term
| in which structure are invoices paid in batches? |
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Definition
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Term
| in which structure can hospt save money assoc with paying invoices? |
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Definition
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Term
| in prime vendor, the wholesaler add cost +/- fee to drug aquisition based on-2 |
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Definition
montly purchase volume
payment terms |
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Term
| what strategy can have wholesalers offer a discount |
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Definition
| investment buying strategy |
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Term
| what strategy is source fro cost minus tier shcedules |
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Definition
| investment buying stratgey |
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Term
| with investment buying strategy the _ discounts become avaialbe from manufactureer deals |
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Definition
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Term
with investment buying, you purchase drugs in larqe quantity why?
previously purchased is sold how? |
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Definition
anticipation of price increases
hgiher current prices |
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Term
| investment buying shares net margin with- |
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Definition
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Term
what strategy advatgaes does this describe-
-small quanitites to handle, invoivces paid in batches, charge back to GPO, volume discounts, reduced staffing costs, multiple report options |
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Definition
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Term
what stratgey does this disadvatge describe-
no bakc orders, no volume discounts, difficult to add new items, cost fees if >0% |
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Definition
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Term
| if hospital belongs to a GPO does pharmacy director still ahve to neogtiate drug contracts? |
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Definition
| yes, bc not all drugs covered on GPO |
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Term
| *neither prime vednor or manufacturere direct is better. prime vednor offers more advtages, but still not technically better |
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Definition
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Term
| what factors have changed effecting investment buying-2 |
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Definition
second market diversion
MIMA (manufact. iventory management agreements) |
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Term
| changes in whole sale industries-2 |
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Definition
wholesalers devloping own GPO
economic conditions requirer reduced production/shortages |
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Term
| who competes with GPOs for contracts now? |
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Definition
| wholesalers devloping exlcusive generics |
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Term
| what servies used to be free and now have fees?-2 |
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Definition
non standard reports
inventory reports |
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Term
| increasing these 2 thigns leads to exclusive distribution through company owned distrbition companies |
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Definition
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Term
| process for solicitng bids and awarding contracts is lossely structed fro? |
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Definition
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Term
contract bid and award process can be delegated by the _
the rules of engagemtn are set by _ |
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Definition
pharmacist director
administration |
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Term
| what lends legitimacy to the contract bid proces |
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Definition
| P and T committee (defends bias questions) |
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Term
| P&T role for bid process-4 |
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Definition
generic products
therpeutic equivalent products
biosimialr products
bundled contracts |
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Term
guiding principals for bid process:
follow-
involve what department and what committee?
*also be consistant |
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Definition
defined process
Purchasing; MEdical Staff |
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Term
definiton:
sent to supplier requestin basic company info regarding products |
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Definition
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Term
deinifiton:
sent to eleigble suppliers to outline specififactions and time table for bid process |
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Definition
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Term
| ASHP guidelines say in contract bid process, the obligations fo the supplier include-3 |
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Definition
technical considerations
distribution policies
marketing and sales policies |
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Term
| ASHP guidelines say in contract bid process, the obligation of the prucharser is |
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Definition
| outlinig bid and award process |
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Term
PIC set to adhere to strict rules for contract bid rpocess depednds on-2
when is this a certainty? |
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Definition
depedns on rules of engagement set by hospt admin and ownership type
publicily owned its a definite yes |
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Term
defiitno:
agents who rpomote products and provide info to healthcare rpoviders |
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Definition
| pharmaceutical representatives (vendors) |
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Term
| pharm representatives call on hopsital pharmacies for-2 |
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Definition
sales detailing
medical education |
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Term
| hospitals have rules regulating vendor/pharm rep activies, what is the big reason to do so? |
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Definition
| facilitate and enhance relationship by establishing rule sof conduct |
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Term
| policie son vendor activities prevents-6 |
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Definition
promotion of unlabaled indicaitons
distribution of samples
produtcs conflicting with formulary
conflict of interest
disruption of nromal operations
gifts and other influences |
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Term
policy elements fo vendors includes:-4
the rest on pg 34 |
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Definition
registration
locations permitted
material dist
research acitvies |
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Term
policies invovling vendor regulaitons should invovle input from which committee?
what 2 regulate? |
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Definition
P&T
purchasing and pharmacy depts |
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Term
| do public or private owned hosp have more policies about drugs or equipment delagted to pharm department |
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Definition
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Term
| *vendors are free to call singly on physcian to talk about new drug and have that physician try to get it on the formulary |
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Definition
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