Term
| 4 parts of a business plan? |
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Definition
Background
Marketing analysis
Operations
Financial Assessment
Exit Strategy |
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Term
| What should the background section of a business plan include |
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Definition
2pg executive summary
Business profile
Product/service description |
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Term
| What should be in the marketing section of a business plan |
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Definition
-SWOT
-Determine who customers are
-Determine who competitors are
-Determine the size of your market |
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Term
| The "Internal" section of the SWOT includes |
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Definition
Stregnth
Weaknesses
... one of my weakness seems to be spelling "Strengths" |
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Term
| The external section of the SWOT includes |
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Definition
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Term
| What is included in the operations section of a business plan? |
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Definition
Org chart (Horizontal? Vertical? Matrix?)
Workflow (Staff reqs? Automation? |
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Term
| What is included in the Financial assessment section of a business plan? |
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Definition
Break-even point (TR=TC)
Time until profitability
Startup costs
Cash reserves reqd?
Accounts payable delay period? |
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Term
| 3 new business challenges? |
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Definition
Third-party payment delay
employee wages
accounts payable delays |
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Term
| Break-even point occurs when: |
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Definition
| Total cost = total revenue |
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Term
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Definition
| Variable cost + Fixed costs |
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Term
| Describe the exit strategy section of the business plan |
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Definition
How to get out
What is the goal of the business? |
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Term
| According to Fred Herzberg MOTIVATORS are? |
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Definition
award
advancement
responsibility
autonomy |
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Term
| According to Fred Herzberg HYGIENE is? |
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Definition
schedule
relationship
salary/benefits
job security |
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Term
| Motivators are _____________ characteristics while Hygiene is an _______________ characteristic. |
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Definition
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Term
| In the staff planning/job-analysis phase what are three things you should do/consider? |
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Definition
Create job descriptions
Determine job responsibilities
Determine skillset reqd |
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Term
| How does CDS enhance the decision making work flow? |
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Definition
Alerts/reminders
Guideline/Dx
Condition specific order sets
Smart Documentation forms
Focused pt data
Reference links |
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Term
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Definition
1. prevent errors
2. make workflow more efficient
3. decrease cost
4. inform on options and risks
5. increase satisfaction |
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Term
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Definition
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Term
| CPOE what key issue; and adds what features |
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Definition
eliminates handwriting issues
Adds pre-constructed orders
Adds check and balance |
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Term
| With CDS complicated linked orders are made into |
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Definition
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Term
| how many stages of IT development? Which stage represents 0, and which is full-blown technified (EMRs...) |
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Definition
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Term
| In the interoperability Taxonomy what is the highest level? |
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Definition
1 = lowest (no PC)
4 = full-blown technified |
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Term
| Which orgs can help you walk the IT adoption line? |
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Definition
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Term
| Examples of drug information "trigger events" in CDS |
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Definition
FDA Medwatch listservs
FDA CDER listservs
Secondary sources
Primary literature
Customer reports |
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Term
| Highly specific CS support is composed of what 3 elements? |
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Definition
1. Fine tuning existing
2. Creating new parameters and filters
3. Local customization |
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Term
| What is the top four medication errors? |
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Definition
39% Prescribing
38% Administration
12% Transcribing
11% Dispensing |
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Term
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Definition
- every slice is a step
- every hole is a potential error
- error reaches the pt if all holes line up |
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Term
| T/F BCMA eliminates 13 chances of error? |
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Definition
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Term
| In addition to reducing chances of error BCMA also adds... |
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Definition
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Term
| eMAR benefits over paper? |
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Definition
1. exact timing of administration
2. catches errors
3. Computer/tablet/workstation/PDA...
4. Clinical support |
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Term
| To implement eMAR w/ barcode you need to: |
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Definition
1. have a database for validation
2. Associate all meds to their NDCs |
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Term
| The five rights eMAR captures |
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Definition
Right:
1. pt
2. Drug
3. dose
4. time
5. route
6. documentation (6 of 5?) |
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Term
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Definition
Linear
Low density
less information |
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Term
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Definition
High density
No alpha numeric limitations
Ex: QR code |
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Term
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Definition
1. scan pt
2. Verball confirm pt
3. Review eMAR
4. Scan med
5. Screen confirmation
6, administer |
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Term
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Definition
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Term
| When does BCMA/eMAR start |
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Definition
| in the pharmacy when meds a received |
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Term
| t/F FDA mandated all meds have barcodes/ |
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Definition
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Term
| In mu;ti-component orders barcodes are not appropriate so, |
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Definition
| One barcode is made for the entire order |
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Term
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Definition
titration drips
sliding scale insulin
pt controlled meds
Chemo
Peds (crushed tablets) |
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Term
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Definition
extra wristband
photocopies of labels
scanning post admin
alert fatigue |
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Term
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Definition
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Term
| Functional benefits of CPOE |
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Definition
eliminate hand writing errors
reduce transcription errors
reduce incomplete orders
standardize order writing
Embed CDS |
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Term
| Components of closed loop med admin (IT development stage 5) |
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Definition
CPOE
CDS
Process/fill
Bedside delivery |
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Term
| Keys to successful implementation of CPOE |
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Definition
1. software
2. design emphasis on clinicians
3. Training
4. Support
5. Leadership commitment |
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Term
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Definition
| pt uses more services because they are covered |
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Term
| Key issues of pharmacy reimbursement? |
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Definition
inadequate dispensing fees
Growth of mail service
Transparency in PBM contracting transactions |
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Term
| Services with ____________ dispersement are less likely to get done? |
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Definition
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Term
| T/F Medicaid can negotiate prices |
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Definition
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Term
| T/F Medicare can negotiate prices? |
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Definition
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Term
| Why get a 4th tier drug through insurance if copay is full price? |
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Definition
| To help meet the deductible |
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Term
| The different parts of medicare |
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Definition
A = impatient
B = outpatient
C = Receive benefits through private care
D= Drugs |
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Term
| The Part D coverage gap aka: doughnut hole |
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Definition
$2960-$7062
65% cost paid by pt
35% cost paid by plan |
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Term
| T/F eMar can be used w/ or W/o BCMA |
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Definition
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Term
| Risk of smart pump library bypass |
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Definition
1. low risk perception
2. Poorly managed drug libraries
3. Workload
4. Emergencies
5. Institutional culture
6. Pumps that power on in standard mode |
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Term
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Definition
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Term
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Definition
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Term
| In accrual accounting revenue is counted in the period it is _________ |
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Definition
| earned; even if money has not yet exchanged hands |
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Term
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Definition
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Term
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Definition
Cash
Accounts receivable
Inventory |
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Term
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Definition
| Revenue or sales - cost of goods sold |
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Term
| Gross profit - operating expenses = |
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Definition
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Term
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Definition
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Term
| Solvency, and liquidity are represented on your balance sheet by |
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Definition
debt ratio
current ratio
quick ration |
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Term
| Probability is represented on your income sheet by |
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Definition
gross profit margin
return on assets |
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Term
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Definition
liabilities/assets
determines solvency |
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Term
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Definition
current assets/current liabilities
determines liquidity |
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Term
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Definition
(cash + receivables) / current liabilities
determines liquidity |
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Term
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Definition
gross profit / sales
represents profitability |
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Term
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Definition
net income/total assets
represents profitability |
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Term
| T/F return on assets is on both the balance and income sheet |
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Definition
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Term
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Definition
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Term
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Definition
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Term
| generally speaking equity is... |
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Definition
| what is left after adding up assets and liabilities |
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Term
| Information marketing is used on |
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Definition
| products with no competitors |
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Term
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Definition
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Term
| ______________ is required for health, safety, and/or well-being |
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Definition
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Term
| ____________ is not required for survival, but increases happiness |
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Definition
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Term
| ____________ is a want you are willing and able to pay for |
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Definition
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Term
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Definition
product
place
promotion
price |
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Term
| ____________ can inspire loyalty |
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Definition
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Term
| Must make an offer to counsel came from |
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Definition
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Term
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Definition
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Term
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Definition
| Led to the control of controlled substance |
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Term
| Prescription drug act of 87 |
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Definition
| Supply chain. Drugs cannot leave the country and then come back |
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Term
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Definition
| Discounted prices for places covering underserved patient population |
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Term
| T/F NABP has something called "the model state pharmacy" that most states are in close alignment with |
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Definition
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Term
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Definition
| reduce the cost of healthcare; increase the # of people with healthcare |
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Term
| HIPAA incidental disclosure |
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Definition
| Someone over hears counseling |
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Term
| Fines for HIPAA violations are a result of |
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Definition
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Term
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Definition
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Term
| Describe Covey's time management 2x2 matrix |
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Definition
Quad:
1 = urgent, important
2 = not urgent, important
3 = urgent, not important
4 = not urgent, not important |
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Term
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Definition
lack of planning
disorganized work area |
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Term
| External forces affecting time mgmt |
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Definition
death
car wreck
family event |
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Term
| IRT Automation; four types of distribution |
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Definition
Centralized
Decentralized (Satellite + PoC)
Hybrid |
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Term
| Two subtypes of DECENTRALIZED distribution IRT automation |
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Definition
Satellite
Point of Care
Both used ADCs (automated dispensing cabinets) |
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Term
| 7 Goals of technology in automation |
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Definition
Increase:
1.safety/quality
2. efficiency/cost svings
3 regulatory compliance
4. wok satisfaction
5. security
6. sustainability
7. Advance clinical pratice |
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Term
| Prepare machines IRT automation |
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Definition
unit dose packers
sterile iv prep
Apoteca chemo
IV workflow software |
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Term
| Dispense machines IRT automation |
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Definition
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Term
| Porter's 5 competitive forces |
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Definition
1. Threat of new entrant
2. Threst of substitutes
Bargaining power of
3. Suppliers
4. Buyers
5. Rivarly amongst existing firms |
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Term
| Porters 3 generic strategies |
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Definition
1. Cost leadership
2. Differentiation
3. Focus |
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Term
| IRT Porter; no rivalry means |
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Definition
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Term
| IRT Porter; cost leadership reqs |
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Definition
efficiency
raw material access |
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Term
| IRT Porter; differentiation reqs |
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Definition
brand loalty
something unique
more upfront money |
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Term
| IRT Porter; a specialty pharmacy would be using what generic strategy |
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Definition
focus
-specific customers
-low vol. high profit |
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Term
| T/F Pharmacy is considered a retropesctive fee for service |
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Definition
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Term
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Definition
1. conversational
2. behavioral
3. case or situational
4. stress situation |
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Term
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Definition
| analyze past behavior to predict future response |
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Term
| Mangement firms primarily use what type of interview |
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Definition
| Case/situational - problem is presented and you are asked to work through it. |
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Term
| What type of interview uses rudeness sarcasm and hostility to provoke a respnse |
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Definition
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Term
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Definition
Situation
Task
Action
Results |
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Term
| Brown and Leigh's Feedback Rules |
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Definition
Timely
Selected - key issues not broad
Suggest things; not tell
Descriptive
Specific
Directed |
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Term
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Definition
Appreciation
Coaching
Evaluation |
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Term
| 3 types of inventory mgmt |
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Definition
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Term
| Pro/con of visual inventories |
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Definition
Manual process
Low tech = easy to train
inefficient
human error |
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Term
| Pro/con of periodic inventory |
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Definition
regularly conducted
GOOD for odd items
inefficient
not real time |
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Term
| Pro/con of perpetual inventory |
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Definition
technology
cosntantly updated
real-time automated ordering
Completely realize on technology |
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Term
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Definition
snapshot at point of time
average over period of time |
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Term
| ____________ is a function of COG sold; IRT inventory mgmt |
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Definition
| Days supply and turn over rate |
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