Budget-preparation and implementation, Hospital drug policy

Hospital Pharmacy Pharm D 4th year

1. 3) Budjet - Prepenclioo ond 4
tie

Bag tus defined as foantiel or gjuantitehve

Shebenant prepared fer given Ha pupose 9, cl
ojedive
= won hum Armugh lich Josp'tel
odriiovibvation y monoqement ab He Spastmirt levels
He governing bodies con review Me hospital pesecetg
Savices in edolionelp to prepared plan in a
Comprehensive and intepated pom erpsened m
cancel tems
Objectives
= Development 3 Standards
~ Comparision 8 actual eull with clardeuds
-Sduntrehion & nahen or Jacken:
= Dkamnahen q deta when th paged à
<eonomt cally Seaible ond Realulic -
= Go memos posptlal grana achrher-
= éslimabe te cost chjedire idenlified 10 A

pmposal -

2. apo À budget prepalion:
on dusabion stb can be dimded into

- Rased
= Shot dom C2 yeou)
- Leng dam {s-10yen)
dosel on ogerisabion| ctas 6, api:
S can be dwded into
= cerbaliged Budget
+ Decerhchiged budget
D Cabres, badge peyton +
+ a pharmacist in odes 0° participate more
ehechuey Yn! Ad buhgehay " protens “mad he.
Joker with he certain capeds “Sy the, paotend
wath as”
2) Personal conidutions:
1) Detbopnent op embidene, wong. Au, da ach
9 andihdhonal policies -

3 Demographica), preset:

0) Pesonal con

Sudha prenons «texpencite in tke Guelo,

8 badge os. jahljeahen has a, belo,

Chance “6, sapproval

3. b) Develepranh Gh conbidince año lu cal;
- As mosh a, phaması Achwities olfech Ha du
department & a rl rh à important joda

phamantk do secuw Rea Collboraions and spot
Sen peision .
% Ama and chedhves 6 hotel ond ak

© Snsh

cont
dede)

9) Derogahel rene:

= Padients -veprcsentedives wi a tenodedge &
Aemagragacal. Aetoslo. ou. park Sete. bou
& trudees: ond heme. ‘mn Jer Corcamlantes
promeut om able do poude Af dpe toc |
weeded by Aa people

3) Decorah

ma veponibiby dug budjefe Kes with A
each jnbvidaal Aeparbnanh ‘not only ad pls

depostment
a approach” tan Vend to an improvement 19

oline Wed” pias o> y bebo pdt oubsomes -

lower costs and les warfage 5% medh eahons

¡Sconned with ComSconneı

4. et provide gay sewteen 4, init onal

oumercials
La dug badge au aleded 4e da dpatnent |

set phoney, brent ail co =

asp
nlabed cosmos inde

ue vs do

ine + Boye SR dard ene

LS E Bud Budget:
ySxome acom or vert accounts

9) Expertas accounts

y taal capa “ond codi

1) Some Cor) Revanın Accourlss ,
Gateh ¡ome rast be Coluledes or te inplerun!

a gt”
LEE J recounting à

pod or comal income
2 Nos Sp prarpiou audi do subcalegones
¿heno dispersed pe phosmacut

Ihn >

opal tata daly weh,

HONG Sh proc
stows. gr Seite

= Medieahon co pa palate dn. aldayı
- Sole & dug to sopcherts 4 cub patients:

= Medicakion cod pa chsical wort

5. % Lrperdihun Bccounk : Greudes

ia Vacant
Deque A she ond mohesich
Oak phoracol chald repone ronca) ctoberoent dr
creaba At vaut à anal da epee for

Gurke ond arab

— Mecosony de shown fhe dual (ols 2 matara

O Due ond nd Phoseraceadicel :
tase dupaved by proplton. heil „ghaunscy

wad in ostpatiesb amageny ord clu Aepastmurts

3) Pudar Expos

Su ont Chola cidade Jee cf y peeserphten >
Cexdudieg Rose wlenled for outpahents) in care hast!
does nck have 5 ción has -
© Mucdlaneais’ supphes Ar Expenses:
7 Pescado, baller labels, ala omnes » recho,
) on olechlic pumik {res spurned Jess ond stationary "

¡Sconned with CamScanriet

6. phoorea ch corona rreoente books eb am iichideds
| E Copied & prot as and _Conshudion

soto hesphals ¿ending Au py or lees wake
pios Ha thin ond purchase, Oy £gmipret
para Selle het infame

Y

Sngemenlahton a, Budget.

lud dlewieg Fatals

3: Requena 0 Ajout epale

Shade dual duna portion:
3 Obl ay in en.
he Cost 0 pods

S-Quantihy 5 prducls

By planing sa | Bagel :

Aduanas

= Dudep betr ranch ploenieg

- Gaver bte, Yoo on decision malang to He trond

= huh mongge He Jana) aspech 8 hospital

= pesto “te seas Goes expense

= Enhance efficiency) A Shelf and others -

7. - PL we poh Jemen and Setormending bed
do the medical Stuhl; Sor Ale adora din “a
A toplal on all alloy vote b Betepeuhe ox
a ap

— Ms Comites ash to tte formation of broad
poesia! pole egjadiog Me pice ¿prima
Gabbuhon sen y Sojo procedan for He we „cp dupe
in ta bospila)

* hey:

mu commer to weommended for A adopto f;

pale es
e tonmbbee adicdd 4 inplemanlabions 65 effective

doug dubibihen ond conti proces:
+ Education:

0%, comal racine) de temdchon 4 Judio
desga fo meet tte need y profesiona shelf

Cpugaciano, russes, Phumacists, citas hella cou Prat
yor Complete task kradebye à alles ~selaked de
But and its wage:

8. peg Sey ond advent Aug monitor
Buy monitoring:

à Phoseno Cit has on meraned -yerponsibitity and aio

“pe à toga Gor) lege) and profesional Hanns
y lead 1e hanálo 9 + cda &

oy ewes
Susp

à (pos ho:

or

Ja” vases, Atom hospital 4 bocpitel ta compared
odas a placa dom ah, nel de

Part a

A creprentadive & using ob"
dengrded

ralbe

<A hospital adennistrador. with

om rapie member *
= Chairmen’ medie spainiert Loi Seno” dedor
Ha bosphal executive, boud

apoted. by
act, 1 not july

= Secıch ey hospital phew
Prearsatt CH mass +

age Armed Cath à
ago

ehnician #

indludig represents ch.

~ Members

Jjom euch and OH)

9. Pharmacy and Auapeche conse]
” A =
Lab
e ie [une ei Er ES

ee ||
rh 8) Cdto- astro [pers Ke
EE Sn] pe soda gs bear Lo Pra tdo |
E va | au |
(ES Dray |
| © Castro
} gyda
| um En be |
[ous | M] ES
Yen | oem | cry
a | “ee || Pa |
E rms Leg

Pic:

= laydovon 4e olla pales “ond pisaduna ir du
Sedo ¡prom Share and dubibuhon and we
F bugs chung iniohgalion..g ro bugs. |

— Prevent“ meteo ity % du, probo a

do promote lionel -Haopeithe quiddines

ich after sake wage of du

Winds Ha oidside manhackuing unk before approving
eve produc do i hosp) purchase wt

Recommend tte level Sy Stock pr each medicine do
be maidlained-

10. d recommend. Ik
gy © end. Au suctem A dudabubt I
guy 19 hospital Ú = shbuhien 2 1

: eacation exow and ADR snonitning -
nie PTE to deg Safely
¿qu bespttel mad employ a qualified ont null

phamacuh ah ableat pe pharmacy. degrees Y heil,
pneu and Na. yok wlhiellent Dera. degree
“he topa) shoud not post fon phosracy person to

dape and olga Hu dug
opel mak pronte adeqaale spate, and hong

pally or phamasy o
m hospital hold hove paies regados Ha use. 8

marc du in basplal ond diner: |
ke neluence libro eat.

"a phaanacy, should hove. adego
a pummcdegy «toxologs y posslegy, and infpreabion 10
plarmacesdica) 11

Role g Pic im Dg beton sone

Ing due

= DUR rnchides presen admoratrabing 204

ONE poste du de patient’

= DUR aps in detecting He omg huacho
omg nduted disene

Dag polenta) © dosiciy

11. pi ech ia
N cu
EEES bat: sung A any
ranged e Beach 9 Ami ves Gabeualin Cor) insulin
Singen & Sol A Synge:
— Needles ay “te 18 907 91%, 93 and 26
= Files for bear ampules and Tourniquet
2) Um fir emeginey’ bar
= Amir - o-as gull”
= Aroping cabal „sans ent
~ealewen qhucorede ~Agenlen)
= Dép 0:45 ng nd
— Aepauin = 10,000 units fond
> Safe toe caber vi, voom
= Venormow» connulakon seh
“Each sek 1-1? Venomous calida,
~omggen Calder ; slesle Suchen cates
Hp oR emergency Supplies:
= Resection caló
= Phlebotomy : Seb
- Oy equipa ©
= Srecheckony :

12. Ge HF comtinuourly sewed comphahon +

granacicel dosage agent ‘ond Alar ors ole which
meh tte comen” discal Judge 5 da dien stoff!

A sn :
MARS à a mellol , colo by tt medal staff &
ax kespitel wilh see help pre. selects ond evalucdes
waticnal agents & His dosage, foams which ‘ax.
endend de bent sebil in poliest core

AE provides. informellen bor

ron

= Presenbang +

u Duperiny

~ pivsusbalion: of dugs -

Tapes ORES “Que du 3 baste “fypes A fama,
>) pun Aprraleng - :

Y dosel Lo) ~veshiched formulany

3 Souastive based prado

2) Open formulary: An oF sena machy as à guide,
a pican enay precnbe coy da, bid ts

*eocpumnged to we He foimulary (at “in prescabed
demon

¡Sconned with ComSconnel

13. 9 clored Romdawy

"an rbb a cel [revticled foumadany, aks
Ma hugs Mal ol ge embursed by te health ca
Provider non—fprmelary drugs coll be reimbursed only
TE tay an ote dovtang gauge sal be hor
Prior to paotbing

3) docentve bared domador: An 18e repr a
Hybrid bekicen oa open and closed formularies

= Palunt pay .a higher puise or non fermulay duge
A steps revolve? fy de papascion oy HE:

» den) An most Common durease being treabed
to He hospital by combos alt du medical dept

Apr each disease an appropriate 1% choke 5 teealmenh
ahead byes eh using slandad - Hrdmant guides

D An put commillée con be beouglh fogelter to dai

He appoprate real jor each 6 Ha tormon health
pollens the alternate melhd ws sèviewins He Lo pod

Tuk a essential enediines may all ¿be used 25 tasting

Pont

De capatiy, oy He hospital ond its clef h
a eet

Specht dugs should mol be mgollen dung Au selection

hondle

pues

14. art de Vespatad ae Mob mut be prepared oo

qa? each departeness}
y Be dmg and TE mal adibade gy: ais comments

à
)

wed pre eed bade

cb 8 Drug Manogaphy

Non POP MAY, rome, O Bug + PPT ‚cost, available

bonds aamtealion . DES à andieahion Corhanascahon »
icheradtion

precadioma, dose pego ok jathos and HORS:
‘goles redes
Arrodasÿ "Bath cchèndl Jordi) Srdion rakional

- WHO
Jaap À sordo roue |

erlang ue come Edo os

W many hospitals
hospitals in Gaia Lowe developed “He 000 jemdos

m
fespitel ot Monpal, <briatan medical

FE
Wa kashaba

dol .d vellove

college hose’

Mirage dedos del
Géding and deleting dq

done to be.

Pera nb, en added amo, Ha HF, he
e Should conside de tuopedical equavalenc
drugs, int tema 8 picado solely ond

Commi He
to, einling

Gonvemiente 4. A089 y a
= fir Mu addthion and delehion ¿9,98 ¿Aa total

Scones ih Coan

15. Cost Jor a cause Sy treobment iol Ha neu medicine
howd be compared sith Ha albread, luted medsting
+ n0 efhork ra onde bo dodo dele, medico
none «al be delebed and He st call groso im sigs

Maïrlainiog e Formular
~Feemulary roy barme à colledion of, older, leis

eechre drug >
7 ha entire formality Should be -revewed every 2-3ys-

“nu ton be done ty evaluatiay all Jura re bone:
Wh in each, Harapeitic. class end compr Run do
alte neo nönpermulany medicines with in He dass > .
—Requuh for the adtttion q new medicines ‚or delehipn
a cd one

Role of Phiamacisd In HP

- Shamaco in Ha Dig and 16 as a Kay ele 14

decia plo and pueda goreriag des tool

Arme -
He da Prima hos 2 responsi hy or prepa

hr
= Phamacvt with a adwed and guidesce Sy. Dag

Te shall os cubes ea quently:
Sie Gy St oy Wl agp hal bike 28

16. sowaceulical prepalaliond ured jor diagnosis and“
ach She patients :

plowracwt shod var Hat puality 5 bugs a mob
cenpromiaed bY économie. Gonsidualion

e) Hospital Lommitlees

La à: à mlhaucipina tom
eonikeving O 1 policies aiofomadron, plein

ani vecommended iseredton atom «

tler responsible Jor

= + hospital can appoint an epidumiologut Co
inechous ducare, ı peuchwt (00 mcwbiclogot to

e objediven ¿9 sed control committee wy de

udestand Au +
= pane ifediion Lore concept
> tomes À nosocomal :dedios
= components Sy a inpychon “toral propias
oo an rnjediion conve) commblee con décris Hu

incidence Of emimiciobal estante

17. Composttion +

=A dare — person haypikad Area

4 desde infection control team — mcrobiology
lepoutmenk :

A chick & oll clinical depadmants

HH chek nurse

Head tte mainbinance and tanz depasmunt
~Prvedor ap Celle surly’ deparan
Radeon

~ Educahion and onenldion programs Jer polen)

Sat
= Management 8 visthns im aldo Chaises:

= Eshblubment and supaññson 9, iahedh on conti eam
= mantain standard for hospital , domestic chaning,
and food Sexnices and hyglénte Condition
Rexpousbibhes:

= Erin ea

—Fomlahig an infection prevention and control
grogne. wd hall profesional

— Dabibare Ma policies te veleart areas and imbiate
Aer implementation by Support, advice 4 education:

~ Podiipale im Je pling and upgrading § houpite

18. such and Er Comes:

o Eher tommilhee “fly deagned do rio
endeppey® The ile Ih chotcal acord Sid,
jade human patient and do pride contin,
oies Sy vaeach Shdy
= Reseach ‘and les Conmillee 1. abs culled as
independent ethical comme:

Apolence 9e. Come:
No bal 1a conduces who dix approval fm de
ethics commiblee , esoy dep needs do be approved:
No parisien ar adision cio reviso ‘Sy

ec) comnillee
= Rene He appropriate climes protocol as well
as du uly and benefi "Me Shudy picar
toggle |
- Pampa should ait he 9-15 members
= À cmivposon — should be Yom an 9 ta initiation
= 1-2 member pom he basic medica) science area .
= 4-2 choiciens a Vans elie
~ on lege expak (or vebived judge
= one phlantroput Y elit
— one lay person trom Ha community,

iSconned with CamScanneı

19. = one Loti} tererhat» & render sy secretory soda
Le from Ha comeststihdion Ñ

% jokin a digonty, dr ‘ond well being +
subjedh

— o. agguae Ha onvertal ihres vols and reteincional
scree clandouds am exprese interns dr local,
Concent, veus

=o nt and develop. eduechon cp saeach mm

response do JR local orca, eqpivernmly.

D Developing. “Maepertic

Guidelines or Hosplel formol:

Thx governing bodies &- hopital apport a Pie |
composed gy pleurs pharmacy hich wl prie
hospital fermulaay sfr »

Re medical shy 40 grasse lg dal sponser
078 online Xe pispose soransadions, funders
ard sop A popa] tommlay plana

ar Pré chal dodo

pcia and procedan quannd
Au hospital fprmalaony and medical staff, adapt Ma pohció
and procedo subjech to adwinishadive approval

20. q pak and procedise shall afford guidance in

or selection, procsement ; storage, auéhibulion,
we sahely procedures

cots alles, welaked to dugs in the hospital and

jal pobtohed in Hop jme,
gu Vespihl shall gale I} contin Hak de ue, panel /

pure a fred in ang *

use ay communication tak Hew exit th Ypmileay System

to haspilal procede goversing as Audio: “

Guapenbic guidelines:

9 oxpnualion

2) Main chyechves

+ man Audios

») Composition (si) Regie ments:

5) Guidehine chauadeiulies >

€ Examples

y pupa :

Mainly wos spor Au non profil fancy: self Supping

steledualy. asd |isandlly ¡odependerk- 8) government ond

Presmaashe) ruby:

3) Main objedives :

- To probuedu , publish ond sell al) producto and to
promote quakly S we sh mediine

21. 2) Pan Aprdien:

Io produce compasitive Jueare” bused qudiines
Apr Hasopyy bared on bert available ovidinte integraba
with dnica} exposence

1 Conparhion [Begues
— Administrado (3 members)

7 Moslak-en (1 pasen)

= Medical and pheurracy esitors (6 menbeu)

A tt (aero reinalogy)

= Recados (A person)

— Eon —
9 Guudchoor data :

—clirncakly onended

an angement

actording to choical probleme
— lear ond prackical endence

= comprate Ionen alk cono, cea 4 ca

— oulborued + credible

> Expos independant the picor Sy wndınee

22. 6) —— londition
i"

ml
y

Non- Pregract 2

en
Corteaieditadion

Teheran 20}
Po day
E ai)

23. e Hospital hamac Commanicalion — News,

—News teller ts a bulletin. vsued periodically do 4
semper &, sociehy, business 107) organisation (Hosp
As:

~ For the hansmission q mppsmadicn

= To commumerte Mu decision made by. PT
For chans|prmation
— lobo tofomahion in medical science
—Nesoly troduced droga

~Neoly Anbroduced rndicabes

Nexo drug dchvery systems

plate ‚on duly roteradtion € ADRS

Ding’ Hurapy guideline development

= Medicadion safely tobormalion Pprecaudion.” "
Be Anhormdion He physician, muses and oles
racing Sheffer publie elation

Yo tommuncale demon made by Pic:

Use gelées

~ Revorg dy Aralar

“ADR montoring Program

- Ding produc sp defect repoting OS
Png cdilicalion evt

¡Sconned with ComScanneı

24. angel Jer News letter

y dehesa Me
parte Sy Nach lex
ap fool and Painting

39 debibebien

9 Rorlages”
y sde” a a tile: |
- ma Hie “should be” speahic ‘Ccleax) And "unique

Ex: Tile lla pharmacy movies phosmacy news ball din
ana plana, mes 4
2) contend. tos le

- Editorial column

= ¡uo dsg sdedhion

= Nostra

= Medical bolt,

= Nels duree and delve sylems
9) Foral R Parti
AAA

> Srukus of, bullekia varies with organischen.
pharwacist }

= Ba publication ws, printed in ROYAL BOND. poper,

Mreaneaings sige Ay. 85-1 ¡echas
1) Dutton :

> Buhnbukton -Abeugh

> Medical chal,

25. ~ Hbrowy
= Adminybalive block

~Nuasiog Services

“labos pny alu send à plasma puhlcahen

5 Advantages
—AMiough pyepasation 8; Such news bullehin requires
dime u alt 9 infprmation io Inews- bulletin. Hu, means
batea: communtcakion, cnpared fo delephene ond vobal
‘communicakion:
Making youd pesos lees look afradhve :
layout Sy rentals should be Simple and
make it easy to namgale
— Creole a tite A+ brandy you neusleHa ond
use ¡2 pr every una
ES profesa onal |
ayuchly do Hao ah with go compo
ovaall ‘image
= Dp Mu produ or some mak gueto toveage
Wk LG HB several roms
= Sry Po hp paragraph Lbehoëen So-nswsrds

ond ayude joa Han goo words -