What Is a Pharmacy Reimbursement?

The hospital pharmacy is a comprehensive department integrating management, technology, operation and service. Pharmacies must not only ensure that accurate and qualified medicines are provided to patients, but also ensure that patients use medicines safely and effectively, and ensure that medical expenses are more economical and reasonable.

company name: Shenzhen Zhonglian Pharmacy Holdings Co., Ltd.
headquarter address: Shenzhen
Established: May 1995

Company slogan: Service first, quality first
Annual turnover: 10 million
employee count: 100
Shenzhen time-honored: China United Pharmacy

Basic introduction to pharmacy

pharmacy

The pharmacy mainly sells various medicines such as western medicine, proprietary Chinese medicines, and herbal medicines, in order to facilitate the people to buy medicines, and to benefit the people's health. The pharmacy is also responsible for the planning and budgeting of medicines, the inspection of the income pool, the receipt and storage of medicines, statistical reimbursement, etc. For the staff of the pharmacy, the state and the medical and health departments have clear regulations, and formulated relevant rules and regulations and professional requirements.

Western medicine pharmacies , also known as pharmacies , are stores that sell western medicines. Compared to traditional Chinese medicine stores and herbal medicine shops, the latter are run by Chinese medicine practitioners or traditional Chinese medicine pharmacies, while western medicine stores are run by pharmacists. In Hong Kong, only those pharmacies with a pharmacist's presence and a pharmacy licence can be called pharmacies.

The laws of many countries or regions stipulate that when selling certain drugs in western pharmacies, they must be supervised by a registered pharmacist, such as prescription drugs that require a doctor's prescription, because some western medicines may be dangerous to users if they are not used properly. The professional judgment of the pharmacist to determine whether it is suitable for sale to the customer, and the use of pharmacist guidance. The pharmacy cannot sell those medicines if the pharmacist is on vacation or off work.

Hong Kong law requires that only pharmacies use a red cross-like sign. Without a pharmacist on duty or not in a pharmacy, pharmacies can still sell other drugs permitted by law, as well as other grocery items such as shampoo, toilet paper, milk powder, and the like.

Chinese pharmacy Chinese pharmacy

Chinese pharmacy (zhong yao fang)

Chinese medicine, the medicine used in Chinese medicine, among which plants are the most, but also animals and minerals.

Traditional Chinese medicine pharmacy is a necessary department in every hospital. There is a medicine cabinet in the traditional Chinese medicine pharmacy. According to the nature and type of traditional Chinese medicine, it is divided into different categories. There are also places where traditional Chinese medicine is made and processed. There is a traditional Chinese medicine storehouse, which is responsible for the procurement and supply of traditional Chinese medicine in the various departments of the hospital; there is a decoction room, which is responsible for the traditional Chinese medicine decoction and delivery of outpatients and inpatients in the hospital; Processing work.

Basic pharmacy work

Pharmacy transfer room work

1. After receiving, the prescription content, patient name, age, drug name, dosage form, taking method,

Pharmacy dispensing Taboos can be deployed only after detailed review.

2. Prescription matters in the formulation should be implemented in accordance with the provisions of the "prescription system". Care should be taken when formulating.

3. The weight difference limit and inspection method of powders and capsules shall be handled in accordance with relevant regulations.

4, prescriptions containing poisons, drama drugs and narcotic drugs are formulated according to the "drug and drama drugs management system" and related national management of narcotics. Drilling regulations.

5. The formula must use raw materials and auxiliary materials that conform to the medicinal specifications. In the case of drugs that have deteriorated or the label is ambiguous, they must be clarified or qualified after adjustment.

6. The traditional Chinese medicine prescriptions need to be fried, washed down, and washed, and processed according to medical requirements to ensure the quality of traditional Chinese medicine decoctions.

7. The prescription should be written on the bottle label or medicine bag in detail. For emulsions, suspensions, and liquid formulas that cause precipitation, the words "shake well before taking" must be indicated, and the words "shake well before use" and "do not take orally" must be indicated for external use. Patients should be patiently explained when taking the medicine, taking method and precautions.

8. Emergency prescriptions must be distributed on-the-fly, and the rest will be issued in sequence.

9. When replenishing medicines in the medicine storage bottle in the dispensing room, you must check carefully. The transfer table and storage bottle should be kept clean and placed in a fixed place. Wash the utensils immediately after use and put them back in place.

Pharmacy preparation room work

1. The preparation room must have the necessary equipment for preparing the preparation, and the person preparing the injection should also have the equipment conditions for each aseptic operation.

2. The preparation of the preparation should be in accordance with the pharmaceutical standards issued by the Chinese Pharmacopoeia, the Ministry of Health (provincial, municipal, and district health bureaus) or other pharmaceutical books. Preparation by approval of the director.

3. In order to ensure the quality, the quality of the raw materials, solvents and other additives used in the preparation should meet the medical standards.

4. Fill in the preparation list before and after the preparation for inspection and for the basis of consumption and accounting, the preparation should be signed.

5. For each preparation, the required medicine should be concentrated on the preparation soil, and carefully checked when weighing.

6. When using poisonous, restricted and narcotic drugs, it is necessary to follow the "toxic, restricted, and acute drug management system" and the state's regulations on the management of narcotic drugs. You must wear a mask, hat, and work clothes.

7. The preparations prepared in the preparation room should be analyzed and tested (heat source test must be performed for large infusions) to ensure the quality. The well name should be written with the name of the preparation, its use, usage, precautions and the date of the preparation.

8. The pharmacy department should collect and register the various preparations that are often dispensed, and specify the preparation method and test experience in detail, so as to provide accurate production technical information in the future.

Pharmacy drug supply storage

1. Planned budget

(1) The supply plan of medicines shall be based on the scope of work of the hospital's business, the purchase plan of each department, the incidence rate in different seasons, historical data in the past, and the reserve quota.

(2) After approval of the plan budget, make two copies. One copy will be sent to the pharmaceutical company as a contract supply plan and one will be kept in the pharmacy section for future reference.

2.Inspection income pool

Pharmacy (1) Medicines purchased, transferred to or withdrawn from the warehouse shall be filled in by the purchasing agent based on the original documents.

(2) The acceptor is responsible for checking the specifications and quality performance of the drug, and if necessary, performing analysis or inspection.

3. Drug storage ^[1]

(1) The drug store should be kept in categories according to the nature of the drug, paying attention to conditions such as temperature, humidity, ventilation, and light to prevent the drug from expired, prematurely eroded, and moldy.

(2) Medicines classified by nature should be kept separately, numbered and managed, and a bank should be set up to register at any time with the card to ensure that the accounts and goods are consistent.

(3) The secrecy of drugs and restricted drugs shall be implemented in accordance with the "drug and restricted drugs management system. ^[1]

4, receive

(1) Each department receives medicines from a drug store, except in special cases, it should generally receive them regularly. You should fill out a formal picking list when you pick it up.

(2) When the medicines are distributed, if there is not enough stock, you must first contact the user unit to reduce the amount and reissue it after purchase.

(3) The medicines should be registered in the account card in time. The receipt unit shall be filled in duplicate, one for the vault registration voucher, and one for the inventory unit to check.

5, statistical reimbursement

(1) Drug statistical reports should be accurate and timely and submitted to the prescribed units on schedule.

Pharmacy drug storage (2) Scope of drug statistics: The narcotic drug poisons, limited drugs and valuable drugs directly or indirectly held by the Pharmacy Department should be inventoryed at the end of the month, and the actual consumption of the prescription is the monthly consumption.

(3) The statistical reimbursement of poisons and severely restricted drugs shall be carried out in accordance with the relevant provisions of the "drug and severely restricted drugs management system. The statistical reimbursement of related narcotic drugs shall be carried out in accordance with the relevant national regulations governing anesthetic drugs.

(4) The pharmaceutical workers who are responsible for the storage of materials must go through the transfer procedures when transferring work.

Pharmacy system management

Quality management of pharmacy staff

The efficiency of pharmacy work directly affects the success of pharmacy management. Pharmacy work is an important part of hospital management.

The responsibilities of pharmacy personnel in the development of future hospitals should be clearly defined in the work process. The pharmacy personnel's responsibilities in the development of future hospitals are not only to formulate drugs, but also to provide patients with a variety of high value-added professional services. Therefore, Hospital leaders at all levels should attach great importance to the continuing education and knowledge updating of pharmacists.

At the same time, the professional ability of pharmacy personnel should be improved: high-quality professional ability of pharmacy personnel is the prerequisite and foundation for doing pharmacy work well. Therefore, pharmacy personnel must be familiar with national drug management laws and regulations, and proficient in business. This requires paying attention to the business study and training of pharmacy personnel, learning new knowledge, mastering new technologies, promoting the transformation of pharmacist team from diploma to lifelong education, and improving the quality of pharmacist team. Encourage existing pharmacists to take the licensed pharmacist qualification examination to guide the improvement of the pharmacist's business knowledge structure, promote the accumulation of knowledge and improve the level of business, and also strengthen the pharmacist's own self-continuation through methods such as pharmacy training, active academic atmosphere, and special lectures Education, update knowledge.

In addition, the ideological quality of pharmacy personnel should be improved. The ideological quality of pharmacy personnel is an important part of making a good hospital pharmacy window. The pharmacy staff serves patients through the window, and through the delivery of drugs, patients can feel that they are at the hospital like they are at their home. This will not only bring spiritual comfort to patients and the confidence to overcome the disease, but also enable patients to see the overall image of the hospital through the window and spread widely in society. In this way, it is necessary to strengthen the ideological education of pharmacy staff, improve their ideological quality, and set up their purpose of serving patients wholeheartedly.

Pharmacy work system management

(1) Unified management: All medicines and medical staff in the hospital are included in the management of the pharmacy department to ensure the full implementation of the standardized pharmacy system in the hospital, so that the pharmacy work can fully cooperate with the overall work of the hospital and fully reflect the work of the pharmacy in the entire hospital Importance.

(2) Responsible person: Although the drug affairs management committee should be fully responsible, the person in charge of drug quality management should still be clearly identified and the duties of various personnel should be established. The main members are: the director of the pharmacy department, the leader of the pharmacy, the purchaser of the drug store, Drug store

Serious pharmacy staff Responsibilities of custodians and drug transfer personnel, so that all personnel in the pharmacy should clarify their responsibilities and ensure the smooth development of various tasks.

(3) Standardize quality management system: mainly include: drug purchase inspection, storage and maintenance, out-of-house review system; special drug and valuable drug management system; service quality management system, quality accident and error handling and reporting system, drug quality Information collection system, prescription management system, returned drug management system, substandard drug management system, pharmacy reward and punishment system, etc. Institutionally guarantee the standardization of hospital pharmacies and the safety and effectiveness of patients' medications, and conduct regular spot checks and assessments on the standardization of operations and records.

Pharmacy Network Management

Advantages of pharmacy computer network management:

Network management has made the quantity, specifications, units, and prices of each drug inventory in the pharmacy consistent with the computer records, and strengthened drug management and economic accounting.

Enter drug information according to computer programs, implement two lines of operations of accounts and materials, and move the accounts and materials in parallel, which facilitates drug management and medical staff in the hospital, eliminates the waste and loss of medicines, and avoids the abnormalities of inconsistent accounts and materials phenomenon.

Computer networked management has fully utilized its simple, fast, and easy-to-operate features in the pricing of outpatient clinics and the operation of pharmacies, effectively solving the information dredging of outpatient pharmacies and fees.

The scientific, simple and standardized work mode not only ensures the use of outpatient medicine, but also improves work efficiency.

Therefore, for network information management, computer professional and technical training is required for staff to institutionalize and standardize computer operations. The proper use of high technology in the pharmacy management process has fundamentally realized the transformation of pharmacist functions. The computer network provides a drug consultation system, equipped with software such as drug manuals, new drug introductions, drug interactions, adverse drug reactions, clinical and drug software, not only to assist physicians in selecting the correct drug and dosage, but also to answer patients' questions in a timely manner. advisory.