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100 Cards in this Set

  • Front
  • Back
AAC?
actual acquistion cost

price pharmacy pays the drug wholesaler for drug
EAC?
estimated acquistion cost

TP's estimate of what pharmacy pays drug wholesaler
AWP?
average wholesaler price

list price for what drug wholesalers charge pharmacies; overestimate of what wholesaler actually charges pharmacy
WAC?
wholesaler acquistion cost

list price for what manufacturers charge drug wholesalers, overestimate of what manufacturers actually charge wholesalers
MAC?
maximum allowable cost

max cost the TP will pay for a multisource drug, average of generic drug price
Multisource drugs
drugs that have at least one generic equivalent
Fixed Costs
a)direct
b)indirect
a)pharmacy license
b)rent
Semi-fixed costs
a)direct
b)indirect
a)pharmacist salary (b/c you can add more DPh's)
b)adverstising
Variable Costs
a)direct
Rx vials
Differential Analysis
compares differential (marginal) revenue w/ the differential (marginal) cost of dispensing a Rx
Contribution Margin
Differential revenue - Differential cost
Pro Forma Analysis
projection of what the income statment would look like both if the contract was accepted or rejected
Other considerations in evaluating a TP contract (5)
1)consumer impact
2)pharmacy image
3)impact on Private Pay customers (cost shifting)
4)signal to other TP plans
5)effect on other store sales
Cost shifting
raise cash prices (U&C) to make up for lost revenue (doesn't work b/c not enough people pay cash)
Accept Assignment (TP contract terminology)
pharmacy agrees to not charge the pt any additional monies (not even for delivery)
Most favored nation clause (TP contract terminology)
pharmacy agrees to extend their lowest reimbursement rate to that TP
All-Products Clause (TP contract terminology)
pharmacy agrees to participate in all of the TP's plan
Discount Cards (TP contract terminology)
cash paying pts get the TP reimbursement rate formula
Responding to Reduction in TP reimbursement (3)
1)incr Rx volume
2)cognitive services
3)decr expenses
Future TP reimbursement issues (2)
1)decline in TP reimbursement rate
2)incr focus on multi-source medications
STRATEGIC PLANNING
a)purpose
b)def
b)steps (8)
a)ensure organization is doing the right things now and in the future
b)selecting organizations goals, determining policies/programs needed to reach these goals and establisihing methods necessary to ensure policies/programs are implemented


1)define the planning process to a single purpose
2)assess the current situation
3)selecting goals
4)ID strategies to reach these goals
5)est. objectives that support progress toward goals
6)define responsibilities and timelines for each objective
7)write/communicate the plan
8)monitor progress toward meeting goals/objectives
Vision?
Vision Statement? (3)
a)what the pharmacy org wants to be @ some future time point

b1)should make people THINK and should MOTIVATE people to strive for something greater
b2)RESONATES/INSPIRES
b3)is for employees
Mission?

Mission statement
a)def
b)answers what Q's? (2)
c)for who?
d)characteristics of one (3)
a)purpose of the company

b1)defines what the company does or is OR atleast what it should be
b2)what do we do? what should we be?
c)patients/customers
d1)short in length
d2)help differentiate from other co's providing similar services
d3)focuses on common purpose of organization
PrePlanning phase (STRATEGIC PLANNING PROCESS) (2)
1)steps necessary to organize the strategic planning effort
2)planning for the planning
Planning Phase (STRATEGIC PLANNING PROCESS) (2)
1)ideas actively generated for the pharmacy organization
2)also called strategizing
PostPlanning phase (STRATEGIC PLANNING PROCESS) (3)
1)communicating the plan
2)implementing the plan
3)monitoring progress once the plan is implemented
Autocratic leaders
1)make all decisions and allow for NO (or little) input from employees
Democratic leaders
consult w/ their subordinates and allow them some input in the decision making process
Laissez-faire leaders (2)
1)allow employees complete autonomy
2)employees set own goals and work toward them w/ no direction from management
TP's def of Management/Leadership
Management deals w/ things, Leadership deals w/ people
Characteristics of Principle Centered Leaders (9)
1)continually learning/reading/training
2)service-oriented
3)radiate positive energy
4)believe in other people
5)lead balanced lives
6)see life as an adventure
7)synergistic
8)exercise for self-renewal
9)improve any situation they get into
Universal Mission Statement
a)what is it
b)def the last 2words in it
c)involves 3 other things
a)"To improve the economic well-being and quality of life of all STAKE-HOLDERS"
b)who suffers if pharmacy fails?
c1)ecological balance
c2)short and long term prospective
c3)personal sense of stewardship
What is a Level 5 Leader? (2)
1)channel ego needs away from themselves and into the larger goal of buidling a great company
2)Their ambition is first and foremost for the institution, NOT themselves
Strategic planning =
long term planning
Assets equation =*****
Liabilites + Owner's Equity
Planning? (5 KEY PURPOSES OF BUDGETING SYSTEMS) (2)
1)enumerate a plan of action
2)forces you to anticipate what may occur in the future
Supporting communication and coordination (5 KEY PURPOSES OF BUDGETING SYSTEMS) (5)
1)manager must be aware of plans made by others within the organization
2)strive to establish credibility
3)frame goals on common ground
4)vividly reinforce his position
5)connect emotionally with team members
Assigning resources (5 KEY PURPOSES OF BUDGETING SYSTEMS) (2)
1)resources are limited
2)budgets provide a means of assigning resources among competitive uses
Benchmarking (5 KEY PURPOSES OF BUDGETING SYSTEMS)
1)budget serves as a useful benchmark w/ which actual financial results can be compared
Assessing Performance and conferring rewards (5 KEY PURPOSES OF BUDGETING SYSTEMS)
1)comparing actual results w/ budgeted results helps managers eval the performance of individuals/departments
Budgeted income statment, budgeted balance sheet, budgeted statement of cash flow are used to...(at the end of the year)
generate next year's sales revenus budget
Core of time management is...
ORGANIZATION
First 2 steps in Practice of time management are....
1)recognize the need for improvement
2)conduct honest self-reflection of how you currently use your time

3)set goals
4)get orgzind
5)just do it
6)reveiew, revise, modify
Professional Recognition STRESS 5ex
1)not being challenged by work
2)feeling that opportunities for advancement on the job are poor
3)not being able to use your abilities to the fullest extent on the job
4)not being allowed to participate in making decisions about your job
5)feeling that you are inadequately paid as a health professional
Patient Care Responsibilites STRESS 5ex
1)caring for emotional needs of pts
2)caring for terminally ill pts
3)dealing w/ difficult pts
4)feeling ultimately responsible for pt outcomes
5)trying to meet secoety's expectations for high-quality medical care
Job Conflicts STRESS 5ex
1)conflicts w/ coworkers
2)conflicts w/ supervisors
3)have so much to do that everything canNOT be done well
4)not having enough staff to provide necessary services adequately
5)having job duties that conflict with family responsibilities
Professional Uncertainty STRESS 5ex
1)being inadequately prepared to meet the needs of pts
2)not knowing what type of job performance is expected
3)possessing inadequate info regarding a patient's medical condition
4)fearing that a mistake will be made in treatment of a pt
5)not being recognized/accepted as a true health professional by other health professionals
In Conducting an Honest Self Reflection/Analysis of How You Currently Use Your Time
a)useful tool for it
b)questions to ask with regard to each activity you do (4)
c)questions about how your time is spent (4)
a)time journal (be honest about it)

b1)why am i doing this?
b2)what is the goal?
b3)why will i succeed?
b4)what will happen if i choose not to do it?

c1)what am i doing that dose NOT really need to be done?
c2)what am i doing that could be done by someone else?
c3)what am i doing that could be done more efficiently?
c4)what do i do that wastes other time?
GROSS MARGIN RATIO MEANING (4)
1)percent of each sales dollar to be put toward operating expenses, taxes, profits
2)measure of average markup on products
3)indicates efficient purchasing
4)HIGHER IS BETTER
NET PROFIT RATIO MEANING (3)
1)percentage of each sales dollar that is kept as profit after operating expenses and taxes
2)this profit is the money used to reinvest in the company
3)HIGHER IS BETTER
CURRENT RATIO MEANING (5)
1)ability of comany to pay short term debt
2)normally b/w 2-5
3)less than 2= not enough assets to cover liabilities
4)over 5= may not be efficiently using assets
5)higher is NOT always better (but could be if you are saving up for a large expenditure)
DEBT-TO-TOTAL ASSETS RATIO MEANING (3)
1)ability to pay long-term debt
2)normally around 40%
3)high is not always better
INVENTORY TURNOVER RATIO MEANING (5)
1)measure of how many times inventory is cycled per time period
2)normally 5-10 w/ efficient pharmacies being greater than 10
3)incr turnover means less cash tied up w/ inventory sitting on shelves
4)BUT incr out-of-stocks may affect customer retention
5)higher is NOT always better (but if you are good at judging purchases it is!)
Sales/Revenue budget (2)
1)starting point for any master budget
2)based on a sales forecast of products/services
Sales Expense budget (2)
1)fits together the desired sales revenues with the projected sales expenses
2)ITEMIZES all expense items involved in the sale of a Rx and nonRx products/services
Production Budget (3)
1)detailed plan for using basic factors (material, labor, overhead) to produce a product/service
2)begins w/ sales forecast so that the number of products to be produced can be estimated
3)involves manufacturing, dispensing, professional services
Cash Flow Budget
forecast of cash receipts and cash payments for the budget period
Job Characteristics theory encourages 3 basic psychological states
1)experienced meaningfulness of work
2)responsibility for outcomes
3)knowledge of work outcomes
Core job characteristics to accomplish these goals in last NC (5)
1)skill variety
2)task identity
3)task significance
4)autonomy
5)feedback
Task Identity? (answer as a question)
To what degree does the work require performing a complete set of interventions or tasks for which the employee is responsible?
Task Significance? (answer as a question)
To what degree are the tasks performed highly significant for the well-being of others and for the organization?
Feedback? (answer as a question)
To what degree does the work provide feedback about the outcomes of effort independent of supervisors or coworkers?
Skill Variety? (answer as a question)
To what degree does the job require a variety of tasks that demand a greater knowledge and skills for which the employee has been educated?
Autonomy? (answer as a question)
To what degree can the employee exercise independent judgment in performing the work
Managers must have a basic awareness of... (8)
1)knowledge of employee stress
2)career development
3)diversity
4)significant factors in human relations management
5)employee satisfaction
6)job-related stress
7)career programs
8)fairness in the workplace
Why must a manager have a basic awareness of these things? (2 and last one has 4)
1)early ID of problems and challenges and effective monitoring in consultation w/ human resources are integral parts of the routine fxns of management
2)significant factors in overall health and effective fxning of organizations (employee satisfaction, job-related stress, career programs, fairness in workplace)
Optimal pharmaceutical care practice environment (3)
1)redesign work environment to create instrinsically enriched situations
2)make public see and learn value of pharmaceutical care
3)meet expectations and needs of clinically trained pharmacists
Generation dynamics
a)Baby Boomer
b)Generation X
c)Millennials
a)1946-1964
b)1965-1980
c)1981-1999
Tasks associated with HRM? (5)
1)recruiting
2)hiring
3)training
4)developing
5)firing employees
____ is the primary piece of legislation affecting HRM practices (and purpose of legislation) (2)
Federal Civil Rights Act of 1964

1)protect workers from certain employer practices and biases
2)prohibit discrimination in employment hiring, promotion, compensation, and treatment of protected employee groups
EEOC does what? (2)
1)has authority to monitor discrimination and file lawsuits to correct discriminatory practices in workplace
2)every process of HRM is influenced in some way by EEOC oversight
HRM def
process of achieving organizational objectives through the management of people
What pharmacists want in a job? (4)
1)autonomy
2)respect
3)security
4)self-worth
Poor fit between the person, the job and the organization's culture leads to.... (4)
1)overwork
2)stress
3)wasted time
4)eventual employee turnover
___ and ___ are two of the most important tasks of a manager and why (3)
1)recruitment
2)placement

1)choosing the wrong employee is expensive if they leave after a short time
2)this is due to cost of training, selecting, recruiting a replacement
3)and money lost from lost business, lower productivity
Hiring expensive b/c... (4)
1)hiring an unproductive employee or one w/ personal problems can be a nightmare
2)may be able to keep their job riding the line b/w minimal acceptability and termination
3)can sow conflict and make workplace unenjoyable
4)take up managerial time with counseling, dispute, oversight
Proactive recruitment occurs when employers... (4)
1)continually recruit and network
2)maintain a pleasant work environment where people want to be employed
3)establish a positive image in the minds of potential recruits
4)continuous activity that takes place regardless of whether a position is open or not
Advertising as recruiting (process) (4)
1)decide how big of a net to cast for potential employees
2)local, regional, or national?
3)more people reached by the ads the greater the cost
4)depends partly on the amount budgeted for advertising the position
Resumes in recruiting (5)
1)look for accomplishments and credentials on which you want the candidate to expand
2)note frequent job changes
3)gaps in employment
4)demotions
5)inconsistencies and incompleteness
Purpose of job description in recruiting
form basis of interview questions
Interviewing addresses what questions (3)
1)can this person do the basic job
2)will the candidate make my job easier
3)would I want to work with this person
Reasons why employees do NOT always do what they are supposed to do... (8)
1)do not know what they are supposed to do
2)do not know why they should do it
3)think something else is more important
4)no positive consequences for them doing it, no negative consequences for them not doing it
5)rewarded for not doing it
6)punished for doing what they are supposed to do
7)are not and will never be capable of performing as desired
8)have personal problems that get in the way
Training vs. development
T)meant to improve employee performance with current tasks and jobs (ACUTE)

D)prepares employees for new responsibilities and positions. (LONG TERM)
What makes people stay at a certain company? (8)
1)career growth, learning and development
2)exciting work and challenge
3)meaningful work, making a difference and a contribution
4)great people @ work
5)being part of a team
6)good boss
7)recognition for work well done
8)fun on the job
Day-to-day performance feedback (3)
1)verbal/visual messages provided daily to employees
2)done thru conversations, body language and behaviors
3)most effective performance feedback b/c it is immediate and often
Annual or Semiannual performance reviews (4)
1)annual performance reviews act as long term planning sessions
2)managers help employees review their previous progress
3)identifies successes and areas that need improvement
4)establish goals and objectives for the next year
Ad hoc performance reviews (3)
1)designed to provide recognition for outstanding performance
2)may be accompanied by some award or gift
3)bad ad hoc's are designed to address unacceptable behavior or performance
Progressive Discipline (3)
1)series of acts taken by management in response to unacceptable performance by employees
2)escalate the consequences of poor employee performance incrementally w/ a goal of improving that behavior
3)consists of verbal warning, written warning, suspension, termination
Verbal warning
formal oral reprimand about the consequences of failing to perform as expected
Written warning (2)
1)formal step in progressive discipline that may result in eventual discharge of the employee
2)is a legal document
How to make termination of an employee easy (3)
1)provide clear performance standards
2)procedures for progressive discipline are observed
3)every step leading up to the termination must be appropriate and documented
Performance appraisal
a)def
b)opportunity to: (4)
a)formal assessment of how well employees are performing their jobs

b1)communicate mission and goals
b2)est. informal channels of communication
b3)method on which to base organizational rewards
b4)tool to improvement of job performance
Role stress has 2 components and each def
Role ambiguity- when employee is unsure about his responsibilities

Role conflict- simultaneous occurrence of 2 or more role expectations
___ diminishes prevalence of role stressors
have a performance appraisal system in place
Principal reason for conducting appraisals is to....
enhance performance
LEGAL rationale for implementing effective performance appraisals (2)
1)title 7 of civil service reform act
2)age discrimination in employment act
COMMUNICATIVE rationale for implementing effective performance appraisals (3)
1)ensurers understanding of performance expectations by managers and staff
2)provides formal means for employees to voice concerns and make suggestions
3)indicates management's commitment to open dialogue and fairness
PRODUCTIVITY OF LABOR rationale for implementing effective performance appraisals (3)
1)mitigates turnover
2)assists employees with career planning
3)provides direction on how to improve
EQUITY IN REWARDS rationale for implementing effective performance appraisals (3)
1)provides recognition for past service
2)helps to establish support for terminating "problem" employees
3)provides a means for accurate and equitable distribution of rewards
OTHER MANAGERIAL FXNS rationale for implementing effective performance appraisals (3)
1)supplies evidence to review organizational and systems problems
2)provides data on recruitment and selection procedures
3)IDs deficiencies in orientation and training probs