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Inpatient Pharmacy Medicare Issues


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Inpatient Pharmacy Medicare Issues

  1. 1. Inpatient PharmacyMedicare Issues<br />
  2. 2. Hospitalswill ensure qualified & competent staff. <br />Staff Defined: Paid employees, leased/contracted persons, students & volunteers.<br />Qualified Defined: Person who has met the requirements for a specific position by education, training, experience, licensure, or certification.<br />Qualified Competent Pharmacy Staff <br />
  3. 3. Evidenced By<br />Processof on-going skill/competency assessment.<br />Opportunitiesfor education and development.<br />Periodicperformance review.<br />Provisionof specialized training, education, and skill development for specific tasks or positions.<br />Orientation on general and department measures.<br />
  4. 4. Citations Reflect<br />Failure to establish staff competency standards.<br />Failureto ensure that licensed, certified or registered staff practice only within their scope practice. <br />Failureby a hospital to provide and document staff competency for duties. <br />
  5. 5. Pharmacy: Prepare, Dispense, Administration<br />Requirement that hospitals assure that patient pharmaceutical needs are met in a planned and organized manner.<br />Hospitalscomply with the Board of Pharmacy regulations for a hospital pharmacy license.<br />
  6. 6. Citations Reflect <br />Failureto have an organized, systematic pharmacy service. <br />Failureto have clear orders for medications. <br />Failureto monitor medication effectiveness or therapeutic levels.<br />Failureto review and assure pharmacy approval of medication protocols. <br />
  7. 7. Failure to authenticate medication orders according to policy.<br />Failure to monitor for, remove outdated medications.<br />Failure to label medications in syringes.<br />Failure to keep medications secure according to hospital policy.<br />