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Pharmacy Management : Essentials for All Practice Settings

by Shane P. Desselle
15.0 minutes

Key Points

Pharmaceutical Care as a Management Movement

This chapter explores how management skills are crucial for pharmacists in today's evolving healthcare landscape. It busts common myths about business in pharmacy and highlights the importance of a management perspective for better patient care and outcomes.

Expected outcomes:

  • Understand the historical shift in pharmacy practice.
  • Recognize the significance of management in pharmaceutical care.
  • Dispel myths about business and ethics in pharmacy.
  • Apply managerial sciences to improve pharmacy services.

Core Content:

1. Role of Pharmacists Over Time

  • Early 20th Century: Pharmacists compounded medications and advised on minor ailments.

  • Mid-20th Century: Mass production of drugs reduced compounding; pharmacists became dispensers.

  • Late 20th Century: Clinical pharmacy emerged, emphasizing pharmacists as therapeutic advisors.

  • Present Day: Pharmacists are integrated into healthcare teams, providing services and managing patient outcomes.

    Pharmacists have evolved from compounders to advisors and managers, adapting to changes in healthcare.

2. Pharmaceutical Care and Management

  • Pharmaceutical care isn't just clinical; it's about managing patients' pharmacotherapy to prevent problems.

  • MTM focuses on helping patients maximize drug therapy benefits through compliance, education, and disease management.

  • MTM is now a key component in pharmacy care services because of Medicare legislation

    • Example: A pharmacist managing a patient’s diabetes could review their medications, educate them on proper usage, and coordinate with their doctor to optimize their treatment plan.
    • Action suggestion: Pharmacists can promote this by implementing/offering/suggesting MTM services to patients/customers.

3. Myths about Business in Pharmacy

  • Pharmacy is ethically inconsistent with good business: Most businesses operate ethically.

  • Business lacks ethical standards: Business practices are governed by standards.

  • Quality is secondary to profit: Resource allocation ensures more people receive better care.

  • A good pharmacist is a "clinical purist": Managing resources is essential for clinical effectiveness.

    • Example: A well-managed pharmacy can efficiently handle prescriptions, reducing errors and improving customer satisfaction, which ultimately benefits patients.

4. Importance of Management Skills

  • Strategic planning leads to higher sales and profitability in community pharmacies

  • Help pharmacists gain entry-level jobs to higher-level administrative positions

  • Pharmacists manage staff, workflow/workloads, and improve better patient outcomes.

    In today's healthcare environment, pharmacists need management skills to optimize productivity, reduce errors, and improve patient outcomes.

5. Managerial Sciences for Pharmacists

  • Accounting: Tracking transactions to manage finances and ensure compliance.

  • Finance: Planning and managing funds for new services and profitability.

  • Economics: Evaluating resource allocation, such as staffing and investments.

  • Human Resources: Optimizing employee productivity through training and motivation.

  • Marketing: Identifying competitive advantages and targeting consumer bases.

  • Operations Management: Designing workflow and managing inventory.

    • Action suggestion: Stay abreast of industry trends to take advantage of technological advances and new profit opporutnities.

Q&A:

Q: Why is management important in pharmacy?

A: Management skills are important because now pharmacists need to provide quality patient care while maintaining an appropriate level of profit for the facility they work at. This is in light of increasing health costs.

Q: What are medication therapy management (MTM) services?

A: Helping patients adhere to drug therapy, providing patient wellness programs, and become more intimately in disease management and monitoring are some of MTMs goals.

Q: Can good management practices and patient care coexist?

A: Yes, good business and good patient care are almost entirely mutually dependent. Good management practices allow for better resource allocation, efficient workflow, and higher quality service delivery, all of which benefit patients. By being able to allocate capital properly, the pharmacist can invest in new technolgies beneficial to the field.

Q: What if a pharmacist doesn't want to "bother with management?"

A: Unfortunately, as a result of doing so, that pharmacist will be less effective and clinical outcomes drop due to not understanding how the health system flows.

MindMap

Target Audience

Pharmacy students, pharmacists, pharmacy technicians, and pharmacy managers.

Author Background

Dr. Desselle is Professor, Associate Dean for Tulsa Programs, and Chair, Department of Pharmacy: Clinical and Administrative Sciences—Tulsa at the University of Oklahoma College of Pharmacy. He has practice experience in both community and hospital pharmacy settings and teaches courses in health care systems, economics, and pharmacy practice.

Historical Context

The book addresses the evolution of pharmacy practice and the increasing need for management skills in the context of pharmaceutical care and medication therapy management movements.

Chapter Summary

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