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99 Cards in this Set

  • Front
  • Back
Fiscal Year
unit of time used to record financial transactions (is a year but doesn't have to be 1-1 to 12-31)
Assets (5)
1)what a company owns and uses to produce revenue
2)cash
3)equipment
4)supplies
5)inventory
Equities (2)
1)sources of assets
2)liabilities + owner's equitiy = equities/assets (this equation can be manipulated)
Liabilities
debt owed on assets
Owner's equity (2)
1)owner's own funds
2)net worth
Balance Sheet?
snapshot of companies assets, liabilites, and shareholder equity @ any point in time
Solvency goals
business's ability to pay debts over long period of time
Current assests
a)def
b)3ex
a)can be converted to cash quickly
b1)cash
b2)accounts receivable
b3)inventory
Long-term assets
a)def
b)2x
a)needed to produce revenue so NOT intended to turn to cash quickly (non-current assets)
b1)fixtures
b2)equipment
Ex of other assets? (4)
1)prepaid insurance
2)prepaid rent
3)prepaid taxes
4)prepaid wages
PREPAID EXPENSES
Current Liabilities
a)def
b)3ex
a)claims that are due soon (within next accounting cycle)

b1)accounts payable
b2)notes payable (within 1yr)
b3)accrued expenses
Long-term Liabilities
a)def
b)ex
a)notes that are payable or debts due (in about a year)
b)notes payable (later than 1yr)
Retained earnings? (2)
1)stockholder's equity that has come from profits in a corporation
2)these are reinvested and not distributed to stockholders
Net Worth
a)def
b)3ex
a)what owners owe after all liabilities are satisfied

b1)contributed capital
b2)capital account
b3)retained earnings
Income statement def
combines all sales and expenses over a period of time and shows profitability
Profitability
ability to produce sufficient sales to cover expenses, pay current liabilities and produce an acceptable return on investment
Revenues
total sales
COGS (cost of goods sold)
cost to the pharmacy of the goods sold to pts
Gross margin (2)
amount of money availiable to pay for all expenses and taxes as well as provide a profit

total sales - COGS
Operating expenses def and 3ex
costs to conduct the professional practice

1)manager's salary
2)employee's wages
3)rent, etc
Net profit before taxes
what remains from revenues after the payment of COGS and operating expenses
Net profit after taxes
sum remaining after all financial claims have been satisfied
Retained earnings
portion of shareholder's equity remaining in the business
Net income
value for net income after taxes appearing on the income statment
Statement of Cash Flow (4)
1)pharmacies check book
2)helps managers to better monitor the inflows and outflows of cash
3)has inflows/outflows of cash
4)records deposits of cash
Outflows of cash 4ex
1)checks and eletronic transfers used to pay wholesaler invoices
2)employee wages
3)payments of loans and mortgages
4)purchase of stocks/bonds
Importance of cash balance? (2)
1)most pharmacies operate on credit
2)most consumer purchases are charges or promises to pay later for goods and services provided
Profitability Ratios (2)
1)gross margin ratio
2)Net Profit ratio
Gross Margin Ratio (4)
1)get numbers from income statment (profit/loss statment)
2)= (sales-COGS)/sales
3)indication of efficient purchasing
4)most community pharmacies are 20-25% but want this as high as possible (b/c= more money to pay other expenses)
Net Profit Ratio (4)
1)get numbers from income statment
2)= (net income after taxes)/(sales)
3)shows relationship between sales and profits after taxes
4)range is 2-4% (want high and most efficient pharmacies are 7%)
Current Ratio (7)
1)LIQUIDITY ratio
2)evaluates relationship b/w current assets and current liabilities
3)get numbers from balance sheet
4)= (current assets)/(current liabilities)
5)below 2 is not enough current assets
6)over 5 = lotsa cash but not using it to best of abilities
7)optimal value depends on business environment
Debt-to-Total Assests Ratio (6)
1)is a SOLVENCY ratio
2)get numbers from the balance sheet
3)= (total debt)/(total assets)
4)ability to survive over long term
5)lower value = more assets to creditors if company becomes insolvent
6)40% for established pharmacies
Inventory Turnover ratio (4)
1)ASSET TURNOVER RATIO
2)get numbers from income statement and balance sheet
3)= (COGS)/(average inventory)
4)minimum of 5-10, but higher=better
Hospital pharmacy financial reports are different from community pharmacy reports via... (5)
1)in hospital pharmacy is viewed as a cost center
2)budget is responsibility of director of pharmacy
3)drugs costs in Expense Report
4)labor costs in Productivity Assessment Reports
5)Benchmark comparisons via AHA and ASHP
5 key purposes of budgeting systems
1)planning
2)supporting communication and coordination
3)assigning resources
4)assessing performance and conferring rewards
5)benchmarking
Master Budget (2def and 5 parts)
1)all inclusive set of interdependent budgets
2)covers all parts of a pharmacies operation for a set period of time

0)sales/revenue budget (making use of a sales forecast)
1)production budgets
2)cash flow budget
3)budgeted financial statements
4)sales expense budget
Budgeted Financial Statements include...(3) and purpose (2)
1)budgeted income statement
2)budgeted balance sheet
3)budgeted statement of cash flow

1)pro forma analysis
2)illustrate how a pharmacy's financial statments will appear at a specific time if business proceeds according to plan
Purpose of Participative Budgeting (3)
1)involve all personnel in budgetary process
2)budget is result of consensus building rather than being imposed
3)BUT too much participation and discussion can lead to indecisiveness and delay
What is Budgetary Slack? (2)
1)padding the budget
2)difference b/w the revenue or cost projection that an individual provides and a realistic estimate of the revenue or cost
Reasons for Budgetary Slack (3)
1)performance looks better
2)cope w/ uncertainty
3)budgetary cost projections are often cut in the cost-allocation process
How to avoid Budgetary Slack? (2)
1)avoid relying on the budget as a negative eval tool
2)give incentives to not only achieve projections but to provide accurate projections
Ethical issues in budgeting (4)
1)padding the budget
2)manipulating reports
3)maximizing one's personal gain for that of others
4)violation of several of the profession's stated ethical standards
Purchasing objectives (5)
1)obtain right products
2)obtain products in the right quantity
3)obtain products @ right time
4)obtain products @ right price
5)obtain products from the right vendor
Right Product?
determine how much space is available to stock products and how much money is available to invest in products
Inventory management objectives for a pharmacy (6)
1)inventory
2)acquistion cost
3)procurement costs
4)carrying costs
5)stock-out-cost
6)inventory management
Inventory?

Acquisition cost?

Procurement costs?
Inventory-- stock of products held to meet future demands

Acquisition cost-- price pharmacy pays for product

Procurement costs-- costs associated w/ purchasing the product (checking inventory, placing orders, stocking product, etc...)
Carrying Costs?

Stock-out-Cost?

Inventory Managment?
Carrying costs-- storage, handling, insurance, cost of capital

Stock-out-cost-- cost of not having a product in shelf when pt wants it

Inventory Management-- planning/organizing inventory so that it contributes to profitability
Visual Method (of inventory managment)
requires pharmacist to look @ number of units in inventory and compare them w/ a listing of how many should be carried
Periodic method (of inventory managment)
count stock on hand @ predetermined intervals and compare it w/ minimum desired levels
Perpetual method (of inventory managment)
computerized inventory management systems AND are most efficient method to manage inventory
Selection of generic products (and condiseration in inventory management)
generics have lower acquistion cost so by stocking em the amount of money invested in inventory is reduced
Reduction of inventory size (and condiseration in inventory management)
decide to have small front end in sotre to reduce amount invested in inventory
Returned-goods policies (and condiseration in inventory management)
in exchange for returning unsalable goods, provide credit on future purchases, etc
Management of unclaimed Rx's (and condiseration in inventory management)
monitor these unclaimed and after a specific period return to shelf
Monitoring shrinkage (and condiseration in inventory management)
losses due to shoplifting, employee theft, robbery
Use of formularies (and condiseration in inventory management)
used to facilitate inventory management (so you can carry 1 therapeutic equivalent in a class)
Management def
brings together resources and unites them collectively to achieve goals or objectives in the most efficient manner possible
Leadership def
getting a group of people to move towards a particular vision/ideal
Management activity (PLANNING)
predetermining a course of axn based on one's goals and objectives
Managment activity (ORGANIZING)
arrangement and relationship of activities and resources that are necessary for the effective accomplishment of a goal
Managment Activities (LEADING)
bringing about purposeful action toward some desired outcome
Management Activities (CONTROLLING)
reviewing the progress that has been made toward the objectives that were set out
Resources that are managed by a Manager (4)
1)money
2)people
3)time
4)information
Today's managers need to: (4)
1)energize
2)empower
3)support
4)communicate
Energize
have a vision of what they want to create and the energy to make it happen
Empower
empower employees to do what needs to be done
Support
provide their employees with the training, resources, and authority needed to do their jobs
Communicate
Need to be able to communicate effectively or their organziations will suffer (even if they have the other 3 qualities)
Common myths/pitfalls w/ regard to time management (6)
1)I dont have time
2)Im too busy
3)My personal time management skills have nothing to do with how I manage time @ work
4)I need time to focus in order to....
5)I'm a perfectionist
6)They didn't teach time management in my cirriculum
Need for time managment and organizational skills (4)
1)poor time management can lead to frustration, failure to achieve goals
2)cause others to lose faith in you (less promotions)
3)safety can be compromised

1)good time management=higher quality life
4 Drucker suggestions for helping executives to better manage their time
1)find out exactly how you actually use your time
2)determine what does and does not have to be done (dc the latter)
3)delegate work to others who are equally or better qualified than you are
4)stop wasting other people's time
7 step change cycle
1)establish your purpose
2)create your vision
3)take stock of current realty
4)choose support
5)draw on organizing wisdom
6)take effective action
7)go deeper to keep going
Time Management Matrix
Quad1- urgent and important
Quad2- not urgent but important
Quad3- urgent and not important
Quad4- not urgent and not important
Quad1 activities (3)
1)crisis
2)pressing problems
3)deadline-driven projects
Quad2 activities (4)
1)prevention and "principle centered" activities
2)relationship building
3)seeing new opportunities
4)Best leaders spend most of time here
Quad3 activities (3)
1)interruptions
2)some calls/mail/reports
3)some meetings
Quad4 activities (3)
1)trivia/busy work
2)time wasters
3)pleasant activities
Leader (time management style) (2)
1)above all value getting the job done and moving forward
2)direct and succint and brief
Analytic (time management style) (2)
1)value getting tasks done w/ precision and accuracy
2)systematic w/ facts, logic, structure
Relater (time management style) (2)
1)getting along w/ other is most important
2)dislike making decisions that affect others
Entertainer (time management style) (2)
1)generate new ideas that keep companies alive
2)no precise predictable schedule
When setting goals the goals should be... (5)
SMART
Specific
Measuralbe
Achievable
Realistic
Timed
Getting your goals organized (4)
1)sort through tasks
2)prioritize tasks
3)schedule tasks
4)use a system (calendar, PDA)
"Just Do It" (time managment/organizing) (6)
1)we do what we like to do first
2)we tackle what we know how to do faster
3)we do activities that we have resources for
4)we do scheduled things before non-scheduled things
5)we respond to others demands before ours
6)we wait until a deadline approaches before getting moving
General tips from experts on time management (8)
1)take care of yourself
2)morning tasks (some ppl do best work in morning)
3)check email/voice mail 2x/day
4)cluster tasks and activities together (when possible)
5)quantity does NOT equal quality
6)busy does NOT equal productive
7)working harder does NOT equal working smarter
8)rewarding yourself
Time management in pharmacy practice (6)
1)make full use of techs
2)repond to Q's on the phone thru techs whenever possible
3)if pt insists on speaking to DPh explain that DPh is busy w/ another pt right now
4)find out when is best time to call back the pt
5)gracefully exit conversation after 2 minutes
6)have tech take down all script transfer info
Impact of Job stress on DPh (6)
1)job dissatisfaction
2)leaving a job and possibly and organization
3)leaving pharmacy as a career
4)lower commitment to pharmacy as a career
5)substance abuse potential
6)burnout
4 types of stress and situations
1)professional recognition
2)pt care responsibilities
3)job conflicts
4)professional uncertainty
Organizational change (management of stress) (3)
1)problem identification
2)design and implementation of interventions
3)constant evaluation of the interventions
Individual techniques (management of stress) (5)
1)problem focused coping techniques
2)seeking social support from family and friends
3)meditation and relaxation
4)biofeedback
5)physical exercise
Third Party?
organization that reimburses a pharmacy or pt for part or all of the pt's Rx drug costs
Patients are either...(3)
1)TP
2)private
3)cash paying/uninsured
Indemnity Insurance def and was replaced by...
pt pays cash and then submits to the insurance program for coverage

Service Benefit Plans
Service Benefit Plans
pt pays a predetermined amount (copay) and TP pays the remainder
PBM provides...
Rx claims processing
TP Reimbursement Rate formula
Ingredient Cost (EAC--estimated acquistion cost) + Dispensing fee
Pharmacy Payment Rate formula
[AAC--actual acquistion cost + Medication cost marigin] + Dispensing fee
Medication cost margin formula
EAC-AAC
Adequate Payment (pharmacy) formula
AAC + Cost of dispensing