Community pharmacy management LAHAR PPT 2.pptx

Hospital and community pharmacy

1. A .U. C O LLE G E O F P H AR M ACEU T I CAL SC I E NCE S VISAKHAPATNAM SEMINAR PRESENTATION on Mr.S.Lahar Reg.No : 623209530010 First semester M.Pharmacy (Pharmacy Practice) Pharmacology division Subject : Hospital & clinical pharmacy COMMUNITY PHARMACY MANAGEMENT AU COLLEGE OF PHARMACEUTICAL SCIENCES 1 SEMINAR-2

2. CONTENTS 2 Introduction Definition Legal requirement Site selection Layout Drug display Super drug store model Accounts & audits Good dispensing practices Different Software & database Entrepreneur ship in community pharmacy AU COLLEGE OF PHARMACEUTICAL SCIENCES

3. INTRODUC T ION 3 Community pharmacist perform various activities among the main responsibilities are compounding, counselling, and dispensing of medications to the patients with most care, accuracy and authenticity beside with the appropriate purchase, storage, dispensing and documentation of all medicines . AU COLLEGE OF PHARMACEUTICAL SCIENCES

4. The community pharmacy medicines management (CPMM) is a unique point with an objective to introduce a structured intervention process into the relationship study between the community pharmacist, the patient and the general practitioner. The study is designed as a randomized controlled trial (RCT). DEFINITION AU COLLEGE OF PHARMACEUTICAL SCIENCES 4

5. Time of payment Place of payment Mode of payment LEGAL REQUIREMENTS There are three legal aspects involved in the payment of price: Time of payment Place of payment Mode of payment The buyer has to pay the due amount in time. If the buyer fails to inspect the goods within the reasonable time and find out whether all the items are in good condition and whether they confirm with their terms and conditions. AU COLLEGE OF PHARMACEUTICAL SCIENCES 5

6. LEGAL REQUIREMENTS IN PRICING OF BULK DRUGS The drug price control order, 1987 authorities the central Government to fix the maximum sale price of the bulk drugs. While fixing prices of bulk drugs, the following points should be taken into consideration: A past tax return of 14% on net worth. A return of 22% on capital employed. An internal return of 12% based on long term marginal costing in respect of new plant. AU COLLEGE OF PHARMACEUTICAL SCIENCES 6

7. The drug price control order, 1987 authorized the central Government to fix the maximum sales price of drug formulation. It is based on the following formula : RP = (MC+CC+PM+PC)X (1- MAPE / 100) + ED Where; RP = Retail price, MC = Material cost, CC=Conversion cost PM = Cost of packaging materials, PC = Packaging charges, MAPE = Maximum allowable post-manufacturing, expenses ED  = Excise duty. LEGAL REQUIREMENTS IN PRICING OF DRUGS FORMULATON AU COLLEGE OF PHARMACEUTICAL SCIENCES 7

8. A plant is a place where materials and equipment are brought together for manufacturing procedures. The basic requirement for setting up a pharmaceutical industry is the availability of appropriate site. IMPORTANCE OF PLANT LOCATION OR SITE : The selection of appropriate location is important due to the following reasons- Location of plant partially determines operating and capital cost. It determines the nature of investment costs to be incurred and also the levels of many operating costs. Location fixes some of the physical factors of the overall plant design example heating and ventilation requirements, storage capacity of raw material taking into consideration their local availability. Each prospective location implies a new allocation of capacity to respective market area. SELECTION OF SITE AU COLLEGE OF PHARMACEUTICAL SCIENCES 8

9. 4. Government some-times play an important role in the choice of the location keeping in view the national benefits. SPACE LAYOUT : Plant layout is a method of allocating machines and equipment, various production processes and other necessary services involved in transformation process of a product with the available space of the factory, so as to perform various operations in the most efficient and convenient manner providing output of high quality and minimum cost. Planning the layout of a plant is a continuous process as there are always chances of making improvements over the existing arrangements. LAYOUT AU COLLEGE OF PHARMACEUTICAL SCIENCES 9

10. OBJECTIVES OF AN IDEAL PLANT LAYOUT : Material handling and transportation is minimized and efficiently controlled. Work stations are designed suitable and properly. Suitable spaces are allocated to production centers and service centers. The movement made by workers is minimized. Waiting time of the semi furnished product is minimized. There are improved work methods and reduced production cycle means or times. There is increased flexibility for changes in product design and for the future expansions. A good layout permits materials to move through the plant at the desired speed with the lower cost. AU COLLEGE OF PHARMACEUTICAL SCIENCES 10

11. TYPES OF LAYOUT There are mainly following types of layout . Process Layout Product Layout Combination Layout AU COLLEGE OF PHARMACEUTICAL SCIENCES 11

12. PROCESS LAYOUT It is also known as functional layout and is characterized by keeping similar machines or similar operation at one location. The arrangement of machines of a particular class doing a particular type of work or process as a separate department e.g. cutting machines may be placed under cutting department. ADVANTAGES : Greater flexibility Better supervision which ultimately leads to better production. Better machine utilization. Less number of machines is needed involving reduced capital. DISAVANTAGES: Functional Layout type may not be possible in the pharmaceutical and chemical industries, because a number of unit operations should be performed in sequence. AU COLLEGE OF PHARMACEUTICAL SCIENCES 12

13. Functional Layout type may not be possible in the pharmaceutical and chemical industries, because a number of unit operations should be performed in sequence. Store Room Stock Room 1 2 3 4 5 6 7 8 Typical set up for Process Layout AU COLLEGE OF PHARMACEUTICAL SCIENCES 13

14. PRODUCT LAYOUT: It is also called as straight line layout and according to the product manufactured. This set up of product layout is standardized in beginning. The product can be manufactured in large quantity by repetitive operation. ADVANTAGES: Less space requirements for the same volume of production. Less in-process inventory . Smooth and continuous work  flow. Cost of material handling can be reduced by using conveyors. Manufacturing time is reduced and manufacturing cycle can be speeded up. Floor space can be properly utilized . This type of layout is more suitable for the Pharmaceutical Industries . AU COLLEGE OF PHARMACEUTICAL SCIENCES 14

15. Typical set up for Product Layout S T O C K R O O M S T O R E R O O M COMBINATION LAYOUT: A combination of process and product layout combines the advantages of both types of layout. The layout should be efficient by keeping material handling at a minimum level. Suitable layout planning is required to keep the cost of product minimum. AU COLLEGE OF PHARMACEUTICAL SCIENCES 15

16. Such types of drug store have huge floor area ranging from 5000 to 10,000 with square design. The customer have access to all most all the area in the drug store and can inspect, handle and select article themselves . The design in on self service pattern except for the prescription department were self service is not possible. SUPER DRUG STORE AU COLLEGE OF PHARMACEUTICAL SCIENCES 16

17. ACCOUNTS &AUDITS International organization for standardization (ISO) defines the audits as "Systematic, independent and documented process for obtaining audit evidence and evaluating them objectively to determine the degree to which the verification criteria are met“ The word Audit is derived from the Latin word “ Audire ” which means to hear. Objectives of AUDITING SECONDARY OBJECTIVES 1.Detection and Prevention of Errors 2 . Detection and Prevention of Frauds PRIMARY OBJECTIVE 1.To examine the accuracy of books of Accounts 2. To express opinion on Financial Statements AU COLLEGE OF PHARMACEUTICAL SCIENCES 17

18. Evaluating conformity of requirements to ISO 9001. Evaluating conformity of documentation to ISO 9001. Judging conformity of implementation to documentation. Determining effectiveness in meeting requirements and objectives . Meeting any contractual or regulatory requirements for auditing . Providing an opportunity to improve the quality management system. Permitting registration and inclusion in a list ofregistered companies. Qualifying potential suppliers. To determine the conformity or non-conformity of the quality system in meeting the specified requirements . To determine the effectiveness of the implemented quality in meeting the specified Quality objectives . To provide the Audit team with an opportunity to improve the Quality system. To meet the regulatory requirement . To permit listing of the audited organizations Quality systems in a register. AU COLLEGE OF PHARMACEUTICAL SCIENCES 18

19. TYPES OF AUDITS: Quality audits are performed to verify the effectiveness of a quality management system. The quality audit system mainly classified in three different categories: 1.Internal Audits 2. External Audits 3.Regulatory Audits Regulatory authority for quality audits: ISO standards, Code of federal regulations [CFR], ICH Q10, USFDA,GMP AU COLLEGE OF PHARMACEUTICAL SCIENCES 19

20. INTERNAL AUDITS This type of audit is also known as First-Party Audit or self-audit. Those auditing and those being audited all belong to the same organization. Internal audit is a professional activity that consists of advising organizations on how to achieve their goals in a better way. The internal audit involves the use of a systematic methodology to analyze business processes or organizational problems and recommend solutions. AU COLLEGE OF PHARMACEUTICAL SCIENCES 20

21. EXTERNAL AUDITS: This type of audit is also known as Second-Party Audit. It refers to a customer conducting an audit on a supplier or contractor. Although there are no strict legal requirements for this control. It is always advisable to evaluate the competence of the contractors in which we produce our products or carry out the analysis of our products or any other activity according to GMP. AU COLLEGE OF PHARMACEUTICAL SCIENCES 21

22. REGULATORT AUDITS: This type of audit is also known as Third-Party Audit. Neither customer nor supplier conducts this type of audit. A regulatory agency or independent body conducts a third party audit for compliance or certification or registration purposes . International regulatory bodies such as (Medicine and healthcare products regulatory agency) MHRA,UK, USFDA, Therapeutic goods administration (TGA), Australia, Medicines control council (MCC), South Africa , etc. are responsible for carrying out these checks. There is a team to perform the audit, it must be composed of audit inspectors and multidisciplinary company team. AU COLLEGE OF PHARMACEUTICAL SCIENCES 22

23. ADMINISTRATION: The key stakeholders of internal audit are: 1.Chief Executive 2.Board of Directors 3.Audit Committee 4.Senior management 5.External auditor 6. Other reviewer AU COLLEGE OF PHARMACEUTICAL SCIENCES 23

24. STEPS TO PERFORMING A QUALITY AUDIT : AU COLLEGE OF PHARMACEUTICAL SCIENCES 24

25. DISPENSING: Dispensing refers to the process of preparing and supplying medicines to a named person together with clear instructions, advice and counselling where necessary on the use of those medicines. It involves the correct interpretation of the order for prescribed Good Dispensing Practice ensures that the right medicines of desired quality are delivered correctly to the right patient with the right dose, strength, frequency, dosage form and quantity, together with clear instructions, both written and verbal and with appropriate packaging suitable for maintaining the quality and efficacy of the medicine. GOOD DISPENSING PRACTICE AU COLLEGE OF PHARMACEUTICAL SCIENCES 25

26. A safe, clean and organized working environment provides the basis for good dispensing practice. The dispensing environment includes : Qualified/trained staff Appropriate physical surroundings Adequate shelving and storage areas Proper work surfaces Suitable equipment Necessary packaging materials SCOPE : Medicines for human use only Applicable to public healthcare facilities. Applicable to the licensed private healthcare facilities (clinics, hospitals, community pharmacies, dental clinics ). AU COLLEGE OF PHARMACEUTICAL SCIENCES 26

27. DIFFERENT SOFTWARES USED IN COMMUNITY PHARMACISTS : 1.Go Frugal Software: Go Frugal is a comprehensive pharmacy software solution for managing pharmacy. billing, expiry management, and all other pharmacy activities in retail medical shops and multi-chain pharmacies. Some of the outstanding features of Go Frugal community. Pharmacy software include easy inventory tracking, medical store billing, and accounting audits for the retail pharmacy management system . Besides , it is worth noting that the founder of Go Frugal Technologies - has been a leader in providing pharma software for the past 15 years and has excellent expertise and experience to cater to all of the needs of pharmacy. Key Features of Go Frugal : Automatic refills Billing & Invoicing Commission management Cataloging Claims management Multi-store scaling , 24X7 customer support and Periodic training. AU COLLEGE OF PHARMACEUTICAL SCIENCES 27

28. 2.Medicin Software : Medicine is a top-rated ERP software that unifies business and clinical processes to drive efficiency. It is suitable for all sizes and types of pharmacies . Medicine has a range of innovative features that can help multi-site pharmacies manage operations better. It is highly user-friendly and has an intuitive, configurable, and navigable interface that makes it easy for quick adoption. Key Features : Cash management Stock management CRM and Sales dashboard Billing system Inventory management Point-of-Sale Barcode scanning AU COLLEGE OF PHARMACEUTICAL SCIENCES 28

29. 3.Redbook Pharmacy Software : Redbook is well-known business software for community pharmacy. The software has a plethora of awesome features that will significantly increase your performance and business. Moreover, Redbook software is suitable for almost all types and sizes of companies, including retail stores and pharmaceutical distribution businesses. One of the most impressive features of the Redbook pharmacy software is the GST functionality, which enables customers to fill their GST returns while also providing continuous access to their GST sales and purchase details, making it easier to file returns. Key Features of Redbook: User-friendly Interference Prompt alerts and reminder Compatible with online and offline modes Auto order feature 24X7 vigilant customer support Quick Inventory Update AU COLLEGE OF PHARMACEUTICAL SCIENCES 29

30. 4.Rx30 Pharmacy Software : Rx30 is a pharmacy-focused, solution-centric platform that goes beyond connecting pharmacy management and POS systems in order to combine business and clinical operations in a single software . This community pharmacy software is appropriate for pharmacies of all sizes. The Rx30 pharmacy software has some excellent features that will help you achieve your pharmacy goals, such as central site management for multiple locations to distribution applications for nursing homes and hospitals, among others . Key Features of Rx30: Automate and expedite prescription processing Customizable workflow to streamline your business Automatic Refills Integrated point-of-sale Claim Management Campaign Management Billing & Invoicing AU COLLEGE OF PHARMACEUTICAL SCIENCES 30

31. 5.Liberty Pharmacy Management Software : Liberty community pharmacy management software is one of the most user-friendly and innovative community pharmacy platforms available in the market, built on Microsoft's cutting-edge technology framework. The Liberty software aims to fill prescriptions efficiently and effectively while ensuring the safety of the patients. Its intuitive and user-friendly interface means that new employees quickly become acquainted with the program and can begin filling scripts with little to no preparation. As a result , this software is suitable for independent, outpatient, and chain pharmacies. AU COLLEGE OF PHARMACEUTICAL SCIENCES 31

32. Key Features: Customizable workflow that fits your requirements Text and email alerts• Auto refills Customizable prescription labels Extensive reports Rx Image Scanning Advanced bin management 6.PrimeRx Pharmacy Software : PrimeRx software community pharmacy platform is a hybrid pharmacy management solution for independent retail pharmacies, drug store chains, and other businesses. The software can be deployed on- premises or on the cloud. In addition, retail pharmacies and outpatient hospital pharmacies may also use this software to manage workflow and accelerate refill processes . AU COLLEGE OF PHARMACEUTICAL SCIENCES 32

33. Key Features: Customizable workflows to optimize pharmacy operations. Medication synchronization, clinical reviews, and patient commutation tools. Every day's scheduled refills are automatically queued . AU COLLEGE OF PHARMACEUTICAL SCIENCES 33

34. ENTREPENEURSHIP IN COMMUNITY PHARMACY Entrepreneurship is the process of designing, launching and running a new business which often initially a small business. QUALITIES OF COMMUNITY PHARMACIST AS ENTERPRENEUR Get involved with your community As an independent community pharmacy, it's important to get outside of your pharmacy and give back to your community. Whether you decide to offer a free educational class or give a speech at a local school, giving back creates opportunities for your business by getting your pharmacy's name out there and building credibility. Continue your education Pharmacy is a continually evolving industry. Although running your business may take up most of your time, it's important to remain a student. Stay informed on current trends in health care by attending industry events, or joining your national and local pharmacy associations. Don't forget to keep your certifications and licenses up-to-e, too. AU COLLEGE OF PHARMACEUTICAL SCIENCES 34

35. Network You never know what business opportunities can come out of new connections. Maintain professional reasonships with other independent pharmacy owners and industry experts by attending events and conferences or taking part in your local associations Focus on the patient experience Keep current patients happy and returning to your pharmacy by continuously working to master the customer experience. Hire friendly employees and make customer service an emphasis to gain loyal patients who refer your pharmacy to their friends and family Invest Invest in necessary assets. Don't be afraid to hire more employees purchase new equipment or spend additional money on marketing k of the future of your pharmacy when making financial investment AU COLLEGE OF PHARMACEUTICAL SCIENCES 35

36. Get your rest Owning your own independent community pharmacy is a difficult task Don't forget to take time for yourself and get rest. Taking a break will help you refocus and reenergize. Your next big idea may happen when you least expect it. Invest in your brand Think of what makes your pharmacy unique from others. Entrepreneurs understand the importance of building a brand; it's what keeps customers returning. Whether you choose to finance more marketing efforts to promote your pharmacy or decide to specialize in a certain condition, taking the time to invest in your brand will help you create a theving patient base and an excellent reputation. AU COLLEGE OF PHARMACEUTICAL SCIENCES 36

37. ENTREPRENEURIAL BARRIERS: Economic Barriers -Lack of Capital -Labor -Raw material Non-Economic Barriers -Social -Personal -Lack of Marketing Knowledge -Lack of Technical skills and motivation FUNCTIONS OF AN ENTREPRENEUR: Idea Generation Undertaking Risk and Uncertainty Arranging Finance Staffing AU COLLEGE OF PHARMACEUTICAL SCIENCES 37

38. CHARECTERSTICS OF ENTREPRENEUR: Creative Innovative Perfect leadership style Technical Knowledge of computer Coordinating and Management Quality Risk taking ability AU COLLEGE OF PHARMACEUTICAL SCIENCES 38

39. REFERENCE : A Text Book of Community Pharmacy Practice by- Ramesh adepu . BSP Publishers, Hyderabad. Guide to Good Dispensing Practice 1 st Edition 2016 . http://www.software suggest.com AU COLLEGE OF PHARMACEUTICAL SCIENCES 39

40. T H A NK Y O U AU COLLEGE OF PHARMACEUTICAL SCIENCES 40