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MTMS Business Plan: Pharmacy Store Model - PowerPoint PPT Presentation. To view this presentation, you'll need to enable Flash. PPT MTMS Business Plan: Pharmacy Store Model PowerPoint presentation | free to download - id: 24eb5-OTUzN. The Adobe Flash plugin is needed to essay, view this content. MTMS Business Plan: Pharmacy Store Model. Patients are more compliant with their medication therapy with pharmacist involvement. . Full Speech! Medication Therapy Management Services (MTMS) . PowerPoint PPT presentation. Title: MTMS Business Plan: Pharmacy Store Model. MTMS Business PlanPharmacy Store Model Marc Young Linda Byrd Brad Barker Harshal Pandya Wes Wilkerson. Outline Business Concept Assessing Clinical and Quality Management and.
Operations Marketing Strategy Financial Data Projections. MTMS What is it and where did it come from? Background of gideon v. wainwright, Medication Management The cost of generator, healthcare is steadily increasing. Better control of v. wainwright essay, a disease state should lower. the overall cost to treat that disease. What have past studies shown us about this idea? The Literature Studies such as the on cultism in nigeria, Asheville Project used. pharmaceutical care disease state management to. improve personal health outcomes as well as. decrease health system costs. Project ImPACT demonstrated that a. pharmacist-physician team approach improved.
medication therapy compliance and treatment. The Asheville Project Employees of the city of Asheville, NC and. Mission-St. Josephs Health System were provided. Pharmaceutical Care Services for the treatment of. diabetes. Gideon! Demonstrated successful economic and thesis gratis clinical. outcomes attributed to pharmacist participation.
Asheville Project (cont) Economic Outcomes Decreased Direct Medical Costs Ranged from 1622 to 3356 per patient per year Increased Productivity Decreased sick leave every year from 1997-2001 One employer estimated an 18,000 per year. increase in productivity. The Asheville Project Long-Term Clinical and. Economic Outcomes of a Community Pharmacy. Diabetes Care Program. Journal of the American. Pharmaceutical Association. (43)2. Asheville Project (cont) Clinical Outcomes Disease State Improvement Compared to Baseline Increased number of patients with optimal. Hemoglobin A1c levels at each follow-up 57.7 81.8 of patients had improved A1c levels. at every follow-up Increased number of patients with optimal LDL.
The Asheville Project Long-Term Clinical and. Economic Outcomes of a Community Pharmacy. Diabetes Care Program. Journal of the American. Pharmaceutical Association. (43)2. Asheville Project (cont) Clinical Outcomes (cont) Disease State Improvement Compared to gideon essay, Baseline. (cont) 50.0 66.7 of patients had improved LDL levels.
at every follow-up Increased number of patients with optimal HDL. levels 53.3 75.0 of patients had improved HDL levels. The Asheville Project Long-Term Clinical and. Economic Outcomes of a Community Pharmacy. Diabetes Care Program. Journal of the American. Pharmaceutical Association. (43)2. Asheville Project (cont) Clinical Outcomes (cont) Improved Quality of Life Measures The following are some the full obama, patients self-reported. findings as a result of the intervention Patients felt more in control of their lives Patients felt they were healthier Patients were instilled with a sense of hope that. they could control their diabetes Patients cited changes in v. wainwright essay lifestyle and an. improved overall quality of essay in nigeria, life as a result of.
The Asheville Project Participants Perceptions. of Factors Contributing to the Success of gideon essay, a. Patient Self-Management Diabetes Program. Journal of the same essay two classes, American Pharmaceutical Associatio. Project ImPACT ImPACT (Improve Persistence And Compliance with. Therapy) conducted by gideon v. wainwright essay the APhA Foundation between March. 1996 and obama speech October 1999 Idea was to demonstrate that pharmacist/physician. collaboration could promote patient persistence. and compliance with dyslipidemic therapy.
Pharmaceutical Care Services and gideon v. wainwright essay Results in. Project ImPACT Hyperlipidemia. Journal of the. American Pharmaceutical Association. (40)2. Project ImPACT (cont) Therapy goals were based on the National.
Cholesterol Education Program (NCEP) Persistence defined as a patient who started on. medication, remained on medication subsequent to. drug therapy initiation, and continued to case studies ii disorder, be on. medication as of essay, his or her last visit. Compliance defined as determined through an. evaluation based on the number of missed doses. for each lipid-lowering medication and refill. Pharmaceutical Care Services and Results in. Project ImPACT Hyperlipidemia. Journal of studies, the. American Pharmaceutical Association. Gideon! (40)2.
Project ImPACT (cont) Previously Published Data Patients treated without provider collaboration. with Coronary Artery Disease (CAD) on therapy for. dyslipidemia Showed that only letter director, 40 of patients continued. therapy at the end of v. wainwright, 12 months, a measure of. compliance.
Had only case bipolar, a range from 8-33 of patients being. successfully treated to goal lipid levels. Pharmaceutical Care Services and Results in. Project ImPACT Hyperlipidemia. Gideon V. Wainwright! Journal of fuente gratis, the. American Pharmaceutical Association. (40)2. Project ImPACT (cont) Results of Project ImPACT 62.5 of patients were at NCEP goals at v. wainwright, their. last full lipid profile. 73.2 of same, patients were at v. wainwright, or below NCEP goals on. two or more visits during the study. The persistence rate was 90.1 over essay generator, an average of.
24 months The compliance rate was 93.6 over an average of. Pharmaceutical Care Services and gideon Results in. Project ImPACT Hyperlipidemia. Journal of the. American Pharmaceutical Association. Case Studies Ii Disorder! (40)2. Putting it all together The Asheville Project demonstrated that.
pharmaceutical care could improve long term. health management outcomes in gideon v. wainwright several key areas Economic Increased Productivity Decreased Direct Medical Costs Physiological Improved Disease State Management Psychological Improved Quality of Life. Putting it all together Project ImPACT showed that Patients are more compliant with their. medication therapy with pharmacist involvement. Patients have a better chance of meeting therapy. goals when pharmacists are actively involved with. physicians in their treatment. Medication Therapy Management Services (MTMS) Combining the principles explored by these two. studies leads to the concepts pursued by letter executive director MTMS Economic Increase Productivity Decrease Health System Costs Improve Medication Utilization and Decrease Waste Physiological Improve Disease State Management Maximize Benefits Associated with Medication. Compliance Psychological Improve Quality of Life Maximize Patient Independence Improve Patient-Provider Relationship.
Medicare Modernization Act (MMA) The MMA recognizes pharmacists as providers. eligible to essay, bill Medicare for cognitive services. As of January 1, 2006 eligible patients will be. able to letter position, receive drug therapy management from gideon v. wainwright essay an. eligible provider to assist with the maintenance. of their chronic diseases. Medicare Patients are eligible for Medication Therapy.
Management services provided they Are enrolled in Medicare Part D Have multiple chronic diseases such as diabetes, asthma, hypertension, hyperlipidemia, heart. failure, etc. Take multiple drugs covered by full speech Medicare Part D Are likely to incur annual costs associated with. Medicare Part D drugs that exceed a level set by. the Department of Health and Human Services. Medicare Modernization Act (MMA) The MMA recognizes pharmacists as providers. eligible to bill Medicare for gideon v. wainwright cognitive services. Essay Two Classes! As of January 1, 2006 eligible patients will be. able to gideon v. wainwright, receive drug therapy management from an. eligible provider to assist with the maintenance. of their chronic diseases.
Medicare Patients are eligible for Medication Therapy. Management services provided they Are enrolled in Medicare Part D Have multiple chronic diseases such as diabetes, asthma, hypertension, hyperlipidemia, heart. failure, etc. Essay! Take multiple drugs covered by Medicare Part D Are likely to incur annual costs associated with. Medicare Part D drugs that exceed a level set by. the Department of gideon essay, Health and Human Services. Description of Medication Therapy Management. Services (MTMS) MTMS Consensus Definition A distinct service or group of essay on cultism, services that. optimize therapeutic outcomes for individual.
patients Independent of, but can occur in conjunction. with, the provision of v. wainwright essay, a medication product Encompasses a broad range of full, professional. activities and responsibilities within the. licensed pharmacists, or other qualified health. care providers, scope of v. wainwright, practice.
Outcome Pharmaceutical Healthcare, LC. MTMS Business Concept Most prevalent MTM-related activities Medication therapy management/polypharmacy Disease management Lab testing/screening Wellness programs/ immunizations Important to distinguish between disease state. management and medication use management. The Lewin Report 2005. The Lewin Group. MTMS How do we do it? Comprehensive Medication Review Prescriber Consultation Cost Efficacy Management Identifying Resolving Drug Therapy Problems Patient Compliance Consultation Patient Education Monitoring. Outcome Pharmaceutical Healthcare, LC.
Description of cover letter position, MTM Services Assess patients health status Understand why the prescription was written for. that patient. During education, the pharmacists confirms why. the medication was prescribed. Outcome Pharmaceutical Healthcare, LC. Description of MTM Services Monitoring and evaluating the patients response. to therapy, including safety and effectiveness Patient prescribed new medication, educated, follow up call to monitor Pharmacist counsels patient on new medication, schedules follow up call, upon gideon essay, follow up, Outcome Pharmaceutical Healthcare, LC. Description of on cultism, MTM Services Perform a comprehensive medication review to. identify, resolve, and prevent medication-related. problems, including adverse drug events Comprehensive Medication Review (CMR) or Brown.
Bag Pharmacist calls patient to notify them of their. new MTMS visit and schedules a 30 minutes sit. down. Pharmacist reviews Rx, OTC, herbal , vitamin, etc. looking for potential drug therapy. Outcome Pharmaceutical Healthcare, LC. Description of MTM Services Provide verbal education and essay training designed to. enhance patient understanding and generator appropriate use. of his/her medications Compliance intervention regarding administration. technique (i.e. asthma rescue inhaler) education Patient is refilling their rescue asthma inhaler. too soon, and the pharmacist discovers it is due.
to poor technique, which is gideon v. wainwright, causing the overuse. Outcome Pharmaceutical Healthcare, LC. Description of MTM Services Coordinate and integrate medication therapy. management services within the broader health. care-management services being provided to the.
patient. The whole patient approach medication AND other. factors that affect their health and. communicating with others on the health care. team. Pharmacist communicates a drug-drug interaction. with the prescriber, who was unaware about full obama, the. general practitioners prescribed regimen.
Outcome Pharmaceutical Healthcare, LC. MTMS Business Concept Pharmacy Store Model Goal Provide MTMS in accordance with. collaborative practice standards MTMS is a distinct service or group of gideon, services. that optimize therapeutic outcomes for individual. Driving Forces Improve quality of essay, care Make money Attract new business Keep current customers. MTMS Business Concept In the gideon, Tennessee and Alabama region, a large. percentage of obama, diabetes, hypertension, and. hyperlipidemia patients are eligible for MTMS. Initialize a diabetes management service that. could accommodate hypertension and.
hyperlipidemia. Evaluate the niche market of CHF, asthma, arthritis or osteoporosis. Driving Forces MTMS will reimburse based on outcomes and time. spent with a patient. This new clinical service increases job. satisfaction of gideon essay, those involved.
Driving Forces With good marketing and product differentiation, new customers may seek out our service who. currently dont receive medications from our. store. Potential exists to director position, collect revenue from product. management as well as product provision. Prospective Customers All Medicare eligible beneficiaries within our. stores local radius. Potential for having fee-for-service and insured. customers for v. wainwright essay those who meet same criteria. Prospective Customers To be eligible for MTMS reimbursement from editing CMS, a patient must Have multiple chronic diseases Have multiple Part D drugs Likely Incur annual costs above level set by. Dept.
Health/Human Services (DHHS) (4,000) A provider must register with CMS to receive. The Lewin Report. The Lewin Group International. Strategic Plan Provide pharmaceutical care Identify new revenue Maintain a positive cash flow after XX months. Window of Opportunity CMS Reimbursement starts January 1, 2006.
Fee-for-service or insured patients will broaden. Issues that may affect service The reimbursement for gideon v. wainwright essay these services may. negatively affect the bottom line for the PDP. and potentially ours as well. Fee-for-service and other insured customers help.
defray negative reimbursement issues. Issues that may affect service Software and facility upgrades may eventually be. necessary. Legal Alabama does not have an explicit collaborative. practice agreement for pharmacists. Letter Executive Director Position! Tennessee has collaborative practice under medical order provision. Critical relationships Physicians need to refer and maintain patients. within our service. Patients need to know about our service and.
realize its value to return for gideon v. wainwright essay visits. Obama Speech! Staff needs communication, coordination and. Critical Risks and Opportunities Internal Factors Profitability Strength- Potential new revenue stream from CMS, insured and fee for gideon service customers. Weakness- If reimbursement is lower than expected. or enrollment low, could be negative cash flow. Critical Risks and Opportunities Internal Factors Quality Strength- Spending more time with patients gives. us an opportunity to cover letter, demonstrate our value to. patients and essay physicians. Case Studies Ii Disorder! Weakness- Our staff could fail to v. wainwright, provide the.
expected standard of care. Critical Risks and Opportunities Internal Factors Customer Service Strength- Our community location and in nigeria pharmacy. access allows us a leveraged opportunity versus. stand alone clinics. Weakness- Our employees might not meet customer. expectations, especially if customer. expectations arent known. Critical Risks and Opportunities Internal Factors Facilities Strength- Open, friendly environment where. patients feel less threatened to approach. providers. Essay! Weakness- Environment may send mixed message.
(retail vs. professional). Hard to studies bipolar ii disorder, separate in. customers mind the provision of MTMS service from. Critical Risks and Opportunities Internal Factors Staff Strength- Pharmacists rated as very trustworthy. over multi-year surveys, can capitalize on this.
established perception. Weakness- Will patients feel comfortable with. Critical Risks and OpportunitiesExternal Factors Competition Opportunity- If no or few others provide this. service, could dominate the market. Threat- May be difficult to differentiate amongst. competition to gideon v. wainwright, customers. Critical Risks and thesis Opportunities External Factors Technology Opportunity- Use of technology can provide.
efficiencies and decision support for evidence. based patient care. Gideon V. Wainwright Essay! Threat- Vital new technology may not exist or may. Critical Risks and Opportunities External Factors Regulation MTMS approved at federal level Opportunity- In Tennessee, stated directly for. collaborative practice in pharmacy practice act. Threat- Not directly stated in fuente gratis Alabama Pharmacy. Critical Risks and gideon Opportunities External Factors Reimbursement Opportunity- Potential for both CMS, insured and. cash customers for MTMS. Same Essay Two Classes! Threat- If expected CMS and insurance.
reimbursement incorrect, cash customers may not. exist in gideon v. wainwright essay high enough volume for editing profitability. Critical Risks and OpportunitiesExternal Factors Costs Opportunity- Initially can use low-tech approach. with small number of gideon v. wainwright, personnel until. reimbursement level determined. Threat- Software upgrades by vendors, new. equipment and space may eventually decrease. Critical Risks and Opportunities External Factors Political Climate Opportunity- Pharmacy community very positive.
about potential outcomes, great. recruitment/retention tool. Threat- Physicians might feel patient care is. being taken away from them. Critical Risks and full speech Opportunities External Factors Customers Opportunity- There is gideon v. wainwright, no out of pocket expense. for CMS patients. Letter Director Position! Threat- Need to v. wainwright essay, communicate the value of the.
service to potential clients to create a demand. Compliance Issues What documentation is bipolar, required to receive. reimbursement beyond ICD codes? How will care be documented and what does CMS and. insurance companies expect? Compliance Issues-Documentation Example Outcomes Encounter Documentation- A five. Outcome Pharmaceutical Healthcare. Risks Inadequate recruitment of patients Need good marketing campaign for v. wainwright patients and. physicians. Inadequate reimbursement from calculated costs.
and expected efficiencies. Constantly evaluate for ROI. Risks Poor outcomes Practice good evidence based medicine and. communicate with physicians and patients. Excessive competition Create a unique niche market/service. Worst Case Scenario (s) A patient is editing, harmed through our management and. faith is lost in essay our service from thesis physicians. Recruitment falls short of needed goal causing. negative cash flow. V. Wainwright! Inefficiencies cause recruited patients to go. Assessing Clinical and full obama Quality Management and.
Contribution to Health of essay, Community Face to essay on cultism in nigeria, face advice to clients and other health. care professionals on gideon v. wainwright the safe and effective use. of medicines. Gratis! Point of first contact with healthcare services. for people in community. Pharmacist in position to identify clients that. will benefit from service. Contribution to Health of gideon v. wainwright essay, Community Decreased adverse health events Reduced hospital and physician service. utilization One stop shopping for cover director position medications and MTMS.
Contributions (contd) Providing individualized services by a. pharmacist/health care provider Preventing, detecting and reporting adverse drug. reactions, medication errors and drug. interactions Optimizing dose therapy to gideon, increase patient. Contributions (contd) Contribute to essay, seamless and safe medicine. management throughout patient health journey. while improving quality of life. Support for clients as partners in gideon v. wainwright medication. therapy to gratis, improve drug therapy outcomes. Monitor clinical outcomes of prescribed.
Regulatory Boards Alabama Board of Pharmacy Tennessee Board of Pharmacy. Standards of Care Well established treatment guidelines and. Standards of Care. Essay! Guidelines and Standards of Care for the. Diagnosis and Management of Arthritis and. Osteoporosis. (Niche market) Guidelines and Standards of Care for diagnosis. and management of diseases of co-morbidities. Diabetes COPD CHF Hypertension Hyperlipidemia Other diagnosis. Outcome Measurements Service Audits Cost containment measures Client/Patient Satisfaction Health Measures Use of SOAP Notes Teaching Lab Values Quality of Life Collaboration/communication with other healthcare. StaffCertified Pharmacist/Provider Reviews medical history and on cultism in nigeria medications Monitors disease Reviews treatment Educates patient Designs treatment care plans tailored to the. client Coordinates with other clinical professionals.
Ancillary Staff Technician Takes history Takes vital signs Provides educational materials Future Secretary Billing Clerk. Mechanisms for Continuity of Care/Services Monthly follow-up Referrals to specialized care providers Easy accessibility Telephone Walk-ins Collaboration with healthcare provider HIPPA regulations Permission forms Web Appointments p.r.n. Clinic Space Little or no modifications to essay, an existing. pharmacy. At least 2 separate private areas. Case Bipolar Ii Disorder! One area for essay intake with technician. One area for counseling with pharmacist. Case Bipolar Ii Disorder! A third area for instructional videos/DVDs would. Physical Environment Close Proximity to Pharmacy Intake Room No White Walls Appropriate lighting for gideon essay reading Table for computer and client use Chairs Computer Rack or file cabinet for educational.
Brochures/materials Pictures and case bipolar plants to soften environment. Physical Environment (contd) Counseling Room No white walls Appropriate light Desk for pharmacist Large round table for v. wainwright essay client and pharmacist with. chairs Exam table, screened if a third room for physical. examination unavailable Computer, fax and telephone File cabinet/shelves/drawers for educational. materials and equipment Plants, pictures to soften room. Management of Clinical Expertise Cooperative workflow with a dedicated technician Initially pharmacist will divide time between.
pharmacy and MTMS services Train the full speech, trainer Cooperative/collaborative training with. pharmacist who are in v. wainwright specialized clinical. Location of Services Pharmacy department Private area required for editing confidentiality Teaching area may be necessary for videos, DVDs, demonstrations, brochures and gideon information. Must be easily accessible with wheelchair, etc. Will consider acoustics Will consider climate control. Visits Visits will be billable in 5 minute increments. Initial visit will require 30-60 min (15 min with.
technician and 30-45 min w/ pharmacist). F/U visits 5 minutes with Technician and 5-25. min. w/ Pharmacist Appointments may overlap due to letter executive director position, time with each. Visits Visits will be booked every 15-60 min. depending. on visit type. Provisions must be made for walk-in, self-referrals or patients identified by. pharmacists as candidate for gideon v. wainwright essay services. A separate waiting area with educational videos. will help with workflow and minimize congestion.
if clients need to wait. Types of Visits Medication Therapy Management Services Disease Management visits Follow-up Visits Limited Visits. Anatomy of an Initial Medication Visit Obtain health history Review medications (prescribed, herbal, OTC and. cultural). Full! Perform Physical Assessment and Examination (only. if indicated).
Order and interpret diagnostic/laboratory. studies. Manage medication therapy by gideon v. wainwright essay creating. individualized care plan. Counsel and teach client. Collaboration and coordination of care. Schedule continued/follow-up care. Anatomy of an essay, Initial Disease Management Visit Obtain health history. Review medications. Perform physical assessment and examination.
(focused). Order and gideon interpret diagnostic/laboratory. studies. Manage disease and full medication therapy by. counseling and collaboration. Create individualized disease management and. medication care plan Counsel and teach client Coordinate care Schedule continued/follow-up care. Anatomy of a Follow-up Visit Review health/medication history Review diagnostic/lab studies results Counsel and teach client Answer any questions Clear up any misunderstandings about use of. medications Manage and monitor medication therapy effects Modifies care plan Collaborate with health care provider Schedule follow-up care and coordinate care. Anatomy of a Limited Visit Brief visit (5-10 minutes) Identified by pharmacist or self referral.
(Walk-ins) Medication review Medication therapy by counseling (No. individualized care plan) F/U medication visit essential May involve collaboration with physician/ancillary. health care providers. Potential IS Infrastructure PCs (desk or laptop) IS hardware and software to essay, support Client records (Open Source EMR) Documentation Billing Referrals Collaboration Web site. Potential IS Infrastructure (contd) Outcomes Encounter Documentation 5 Step Process Reason Action Result ECA Notes Reference what medications are involved under.
Prescription Information section Personnel Training Software Clinical Training Customer service training Software training. Potential IS Infrastructure (contd) Interface capabilities for communication with Communication with ancillary services Physician and other health care providers Billing. Always stay in essay two classes the path of color. Outcomes Pharmaceutical Health Care At Ohio. Pharmacy Ass. Annual Conference April16, 2005. Electronic claim is started. Patient information automatically populates.
Outcomes Pharmaceutical Health Care At Ohio. Pharmacy Ass. V. Wainwright Essay! Annual Conference April16, 2005. Personnel Recruitment Advertise in local schools of executive position, pharmacy Schools of essay, pharmacy are likely to include. specialized training in cover executive director position curriculum. Gideon! Advertise national schools of pharmacy. Advertise in pharmaceutical journals.
Operational Disadvantages Creating supply and cover letter director demand for essay services may be. difficult or slow. Essay On Cultism! Project may be duplicated in community (niche). Gideon! New Market Capital costs will require funding (equipment, Operational Advantages Payment for MTMS based on full speech outcomes and time spent. with client. Specialized market niche (Arthritis and. Osteoporosis) Evidence based interactions Client-centric Easy access Qualified specialists. Service Opportunities Actual text reads MTMS uses as disease examples Diabetes Asthma Hypertension Hyperlipidemia (i.e., high cholesterol) CHF.
Service Opportunities We plan to market to essay, Osteo Rheumatoid Arthritis Osteoporosis We will handle or refer all disease states Future Possibilities Dialysis Renal Dysthymia (Depression) Depression Impacts. Elderly More Than Physical Illness 1 Alzheimers Screening 2. 1 Depression Impacts Elderly More Than Physical. Illness, Drug Benefit Trends, 17(1), Jan, 2005, p30. 2 Scratch-and-Sniff Test May Help Identify. Alzheimer Patients, Drug Benefit Trends, 17(1), Service Opportunities Advantages Services may not be targeted by other providers Disadvantages May not be Medicare reimbursable. Leading Causes of Disability Among U.S. Adults,
Service Opportunities - Awareness 1 - Just because a patient has the disease. doesnt mean they know about it. Business Concern Extra cost to promote awareness (screening. fairs?) May need low initial screening costs High Awareness Asthma Arthritis Middle Awareness CHF Diabetes Low Awareness Hypertension Hyperlipidemia Osteoporosis. Service Opportunities - Concerns Stages of Readiness Precontemplation Contemplation Preparation Action Maintenance 2 - Just because a patient knows they have the. disease doesnt mean they are ready to speech, do.
something about it. V. Wainwright Essay! Business Concern May need to do initial screening to cover letter executive, determine. customers readiness to change Different advice for different stages? Who are our Customers? Initial Target Cash Customers Eventual Target Medicare Customers Prescribed high-risk medications Unable to gideon v. wainwright, afford medications Hospitalized in essay the last 6 months Multiple medications Questions about Medications High-risk diseases Asthma COPD Diabetes Heart failure High blood pressure. From RiteAid Presentation. How is the Service the Same?How is it Different? Same Pharmacists will Answer patient specific questions Call the gideon v. wainwright essay, physicians office if a problem arises Review current medication list Different Individualized appointment Private consultation Face-to-face meeting with a pharmacist 15-60 minutes Medication evaluation Standardized Comprehensive Consult letter to the physician Therapy recommendations to patient physician.
From RiteAid Presentation. Current Market Status Pioneer Stage many competitors, fragmented. market Market Share limited by demographics only letter executive director, Leadership None, but may develop rapidly Players all sizes, little barriers to entry. Early Adopters/ Pioneers. Basic Missionary Marketing Concepts Go Slow! Dont try to do everything at once. Be Good at gideon, One Thing Grow Over Time. Dont assume we know ANYTHING going in, including. how to run our own business! Dont advertise heavily until were sure of the.
quality and value of the service. Competition Currently wide open, but leaders are emerging. rapidly RiteAid, Walgreen Medicare price is fixed-rate THIS MAY CHANGE We will initially target higher-level services to. Pricing Follow RiteAids Lead Until We Determine Our Own. Advertising All within local radius of Service Provider. Location Physician Notification of Services Available MTMS Billboard Patient Brochures Direct Mailing (by local zip code) Flyers Screenings at MTMS Service Location Diabetes, Cholesterol, Blood pressure, Osteoporosis. Brochure Example Brochure Stand Artwork Brochure Front.
Kumbera, P. (4/16/5). Medication Therapy. Management Services by Pharmacists. Paper. presented at the Ohio Pharmacists Association. Annual Conference, Columbus, OH. Brochure Example Brochure Back. Kumbera, P. (4/16/5). Medication Therapy. Management Services by Pharmacists.
Paper. presented at the Ohio Pharmacists Association. Annual Conference, Columbus, OH. Service Measurements of MD Referrals Visits of return time between Satisfaction Patient MD Pharmacist Clinical Measures Cost Effectiveness Analysis. From RiteAid Presentation. Medicare Therapy Management Service.
Is it worth it? What benefits can be derived? How to cover letter executive, measure these benefits? How to gideon, make money from essay on cultism in nigeria this? What would we need to make money? Payer Mix Initially aimed at general Population. Gideon! Plans to essay, open service to Medicare patients by gideon essay 3. months. Plans to case bipolar, open service to insured patients by 6. months. Need more data to predict change in payer profile.
MTMS Payment Protocols. Sample Payment Rates. Assumptions. Salaries Pharmacist - 42/Hour Technician - 10/Hour Customers New Customers 20/Month Follow-Up Attrition Rate 10/Month Limited Visits 10/Month of Months between follow-up Visits - 1 Increase in initial visits - 10/Month. Assumptions. Miscellaneous Achilles Machine - 18,000/machine Education Licensing - 1,200/year Warranty/Service Contract - 200/year Remodeling - 20,000 (one-time fee) Marketing Address List Cost - 500/Month Flyers - 500/Month Billboards - 500/Month Local Radio - 1000/Month Physicians - 1,000/Month Screening Fairs - 300/Month Consulting (AU) - 2,000 /Month. Projected fees cash payment insured. Expected Scenario.
Start making profit by v. wainwright month 13 (Feb-07). Return on initial investment making cumulative. profit by month 27 (June-08). 20 new customers an cover letter executive director position, increase in the number of. Worst Scenario. Gideon Essay! Start making marginal profit by month 21. (sept-07). No return on initial investment cumulative.
profit by end of cover executive, three years. Recommend a termination of project if cumulative. losses exceed 100,000 by end of gideon essay, second year. Best Scenario. Start making profit by full speech month 11 (Oct-06).
Return on initial investment making cumulative. profit by month 23(Dec-07). 25 new customers an increase in the number of.
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Centrum volneho casu v Roznave, Akademika Hronca 100/9a, Roznava. Gideon. CENTRUM VOLNEHO CASU BUDE OD 1. Essay On Cultism. 09. Gideon V. Wainwright Essay. 2017 PRESTAHOVANE NA ZAKLADNU SKOLU NA ULICI PIONIEROV 1, ROZNAVA. Studies Bipolar. KONTAKTY: PEDAGOGICKI ZAMESTNANCI: Mgr. V. Wainwright Essay. Karolina Labanczova (0915 474 649) Mgr. Same. Michaela Dovicova (0948 124 613) Mgr. V. Wainwright Essay. David Vasko (0919 341 270) NEPEDAGOGICKI ZAMESTNANCI: Gabriela Hacskova - uctovnicka (0908 323 758) Viliam Katrenic - sofer-udrzbar (0915 333 871) Centrum volneho casu v Roznave organizovalo od 14. Same Two Classes. do 18. Gideon V. Wainwright Essay. augusta tabor Tulave topanky, ktory bol zamerany na turistiku a spoznavanie novych miest a zakuti okresu Roznava. Thesis. V pondelok na deticky cakal vylet na Indianske jazero, na ktorom zazili kopec zabavy a hier, ktore si pre nich pripravili nasi animatori.
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Pre nas, pedagogov, taky naozaj bol. Full Obama. Mgr. Essay. Michaela Dovicova Fotografie z akcie si mozete pozriet tu. Tabor Hollywood organizovany Centrom volneho casu v Roznave sa konal od 7. Essay In Nigeria. do 11. Gideon Essay. augusta 2017. Same Two Classes. Tento tabor bol tematicky zamerany na americke filmy, sporty, kulturu, skratka na vsetko co suvisi s Amerikou. Gideon V. Wainwright. Pocas celeho tyzdna si deticky mohli zahrat frisbee, americky futbal pripadne hru ninja, ktoru maju v oblube.
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Centrum volneho casu v Roznave pokracuje v tradicii letnych primestskych taborov pre deti z Roznavy a blizkeho okolia. Tyzden od 17. Gideon V. Wainwright. – 21. On Cultism. jula bol venovany taboru s nazvom Slnecny den, ktory bol pod taktovkou dvoch vychovavateliek a dvoch animatorov z radov studentskeho parlamentu. Gideon V. Wainwright Essay. Deti sa v tomto tabore dosyta zabavili pri aktivitach a skvelom programe, ktory bol pre nich pripraveny. Studies Ii Disorder. Pondelok bol zoznamovacim dnom. Stravili sme ho s detmi pri nahanackach, sportovych aktivitach a spolocnom tanci v Centre volneho casu. Gideon V. Wainwright Essay. Utorok bol zamerany na mestske hry, tanec a nahanacky s vodnymi pistolami. V stredu sme sa s detickami vybrali na vylet na Ranc pod Ostrou skalou, kde sme okrem jazdy na konoch zazili aj adrenalinove dobrodruzstvo na drahe Tarzania. Essay Editing Generator. Stvrtok patril kupaniu na roznavskom kupalisku, kde boli pre deti, okrem kupania, pripravene zaujimave sutaze a hry.
Na zaver tyzdna sme sa rozhodli vziat deti do Gombaseckej jaskyne, z ktorej si odniesli opat vela zazitkov a poznatkov. Piatkovy den v Gombaseku sme zavrsili spolocnou opekackou. V. Wainwright. Deti odchadzali po celom tyzdni z tabora nielen plne radosti a zazitkov ale aj unavene. Horuce letne dni sme mohli lahsie prezit vdaka osviezujucej zmrzline spod Straznej veze. Case Studies. Verime, ze tabor Slnecny den bol pre deti zaujimavy a ze si v nom kazdy nasiel to v. wainwright svoje. Essay On Cultism. Uz teraz sa tesime na dalsi skvely tabor. Gideon. Mgr. Michaela Dovicova Fotografie z akcie si mozete pozriet tu.
Tyzden od 10. do. Essay On Cultism. 14. jula sa niesol v Centre volneho casu v Roznave v znameni sportu. Tak ako kazdy rok si mohli deti zmerat svoje sily v roznych sportovych aktivitach v letom primestskom tabore Sportacik, pod vedenim Mgr. V. Wainwright Essay. Patrika Molcana a Mgr. Michaely Dovicovej, ktorym pomahali animatori zo studentskeho parlamentu.
Pondelok, aj kvoli nepriaznivemu pocasiu, sme travili den v Centre volneho casu, kde boli pre deti pripravene sportove aktivity, ktore pomohli zabezpecit nasi animatori. Gratis. Sutazilo sa na tychto styroch stanovistiach: kolky, hod lopty do vedierok, hod na basketbalovy kos a hod na bodovu stenu. Gideon. Za kazdy uspesny hod sa detom pripisali body. Same Two Classes. Sutazili zvlast dievcata a chlapci, kazdy za seba. Gideon. Po spocitani vsetkych bodov sme ocenili prvych troch medailami. V utorok sme pokracovali v sportovom duchu a nasadeni v telocvicni, v ktorej si mohli deticky zahrat futbal, florbal, bedminton ci basketbal. Fuente Thesis. Slnecna streda patrila pesej turistike do Cucmy, v ktorej sme sa vydali po stopach banskeho chodnika. V. Wainwright. Popoludnajsi program bol kazdy den v rezii animatorov. Cover Letter Director Position. Ti si pre deti pripravili zaujimave sutaze. V. Wainwright Essay. Posledne dva taborove dni deti stravili na roznavskom kupalisku, kde sa dosyta vyblaznili.
Vsetky deti dostali v piatok, na zaver tabora, darceky, ktore im budu pripominat tento skvely tabor a zazitky, ktore si z neho odnasaju. Obama. Aj za nas pedagogov musim povedat, ze to gideon bol opat jeden nezabudnutelny tyzden, v ktorom sme zazili kopec zabavy. Ii Disorder. Tesime sa na vas na dalsom tabore. Gideon V. Wainwright Essay. Mgr. Michaela Dovicova Fotografie z akcie si mozete pozriet tu. Prvy z letnych taborov 2017 organizovanych Centrom volneho casu v Roznave, POHODACIK, je uspesne za nami. Full Speech. Napriek nie celkom pohodovemu pocasiu sme detom pripravili vela zabavy. Essay. Po zoznamovacom pondelku, kedy sme si uzili sportove dopoludnie a vyhlad na krasy Roznavy z vrcholku Straznej veze, na nas v utorok cakala turistika na roznavsku Kalvariu. Two Classes. Deti s otvorenymi ustami a zatajenym dychom pocuvali pribeh, ktorym bola inspirovana. Dusny den ozivilo cvachtanie sa v mini bazene a malovanie fukacimi fixkami, a ko aj spontanne vzniknute zabavne jazykove okienko, kde sa hovorilo slovensky, madarsky, rusky, ukrajinsky aj rukami-nooohami. Gideon V. Wainwright Essay. Chladne stvrtkove rano sa nieslo v duchu filmovej romanticko- strasidelnej klasiky a neskor sme si vychutnali slniecko na opekacke v Lucke, kde nas ocarili ruiny husitskeho kostola.
Drobne prekvapenie vycarilo detom usmevy a hoci objedeni a trochu zmoknuti, isli sme domov spokojni.. Pohodovy tyzden sme zakoncili kupanim sa a santenim na preliezkach v Detskom centre. Darmo, Pohodacik bol proste pohodovy. Executive Director. Fotografie z akcie si mozete pozriet tu. V skolskom roku 2016/2017 sa uskutocnilo mnozstvo sportovych sutazi a predmetovych olympiad z prirodovednej aj spolocenkovednej oblasti. Tradicne sa do nich zapojili ziaci zo vsetkych zakladnych skol a gymnazii, ako aj strednych skol roznavskeho okresu. Gideon V. Wainwright Essay. Kazdorocne sa pod zastitou Centra volneho casu v Roznave uskutocnuje vyhodnotenie ich vysledkov s cielom najst skolu, ktora dosiahla najlepsie vysledky a ziskala najviac bodov. Essay In Nigeria. Tento rok sa v predmetovych olympiadach na prvych troch prieckach umiestnili tieto skoly: 1. miesto - ZS Zakarpatska 12, Roznava.
2. V. Wainwright. miesto - ZS na Ulici pionierov c.1, Roznava. Case Studies Bipolar Ii Disorder. 3. Essay. miesto - Gymnazium P. Case Bipolar. J. Safarika, Roznava. V sportovych sutaziach ziskali prve tri miesta tieto skoly: 1. Gideon. miesto - ZS Zakarpatska 12, Roznava. Essay Generator. 2. V. Wainwright. miesto - ZS Zlata 2, Roznava. Same Two Classes. 3. Gideon V. Wainwright Essay. miesto - ZS na Ulici pionierov c.1, Roznava. Fuente. Slavnostne odovzdavanie oceneni a diplomov sa uskutocnilo dna 22. Gideon. juna 2017 v historickej budove radnice v centre mesta. Pozvani na nu boli primator mesta, veduca odboru skolstva kultury, mladeze a sportu, riaditelia jednotlivych skol, veduci predmetovych komisii a v neposlednom rade samotni ziaci, ktori sa v danych predmetovych olympiadach umiestnili na prvych troch miestach. Essay Editing Generator. Prave ti sa najvacsou mierou podielali na uspechu svojich skol. Essay. Okrem vecnych cien pre vitazne skoly boli pre vsetkych zucastnenych pripravene ucastnicke listy, pekny kulturny program a obcerstvenie.
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