tag:blogger.com,1999:blog-48348872520301043412024-02-07T00:26:28.990-08:00Rx_InformaticsAnonymoushttp://www.blogger.com/profile/05546315774568750455noreply@blogger.comBlogger14125tag:blogger.com,1999:blog-4834887252030104341.post-5827495605907122912018-08-06T06:45:00.005-07:002018-08-06T06:45:44.670-07:00BlockChain: Bridging The Gap in Geriatric Continuum of Care.../.<div class="MsoNormal" style="mso-layout-grid-align: none; text-autospace: none;">
<span style="color: #262626; font-family: "Book Antiqua",serif; font-size: 16.0pt; mso-bidi-font-family: Arial;">BlockChain: Bridging The Gap in Geriatric Continuum of
Care…/.<o:p></o:p></span></div>
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<span style="color: #3c3e40; font-family: "Book Antiqua",serif; font-size: 16.0pt; mso-bidi-font-family: Helvetica;">As Baby boomers {people born between 1943 and 1965}
age and exit the work force, we are seeing more of them use primary healthcare
facilities around the country on a regular basis. In fairness to them, the vast
majority are rather healthy, and have well managed chronic medical conditions
such as diabetes, hypertension, secondary to improved access to better modern
healthcare system.<o:p></o:p></span></div>
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<span style="color: #3c3e40; font-family: "Book Antiqua",serif; font-size: 16.0pt; mso-bidi-font-family: Helvetica;">Occasionally these demographics might be admitted into
the hospital secondary to an acute medical condition or a complication of a
hitherto controlled chronic condition. When this happens, the hospital staff
usually gains insight into their prior medication history by contacting their
pharmacy {or PCP alike when known}. The requisition placed to the pharmacy is
often to provide a listing of medications {complete with dosage regimen and
strengths} the patient is currently taking. This initiative is laudable but may
not provide a holistic view of the patient’s history, as this effort is only as
successful as the patient’s memory permits, considering they are alert and
oriented. When patient cannot provide thus information, I believe the hospital
will triage and commence treatment as per protocol based on the chief clinical
complaint of the patient.<o:p></o:p></span></div>
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<span style="color: #3c3e40; font-family: "Book Antiqua",serif; font-size: 16.0pt; mso-bidi-font-family: Helvetica;">Assumptions<o:p></o:p></span></div>
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<span style="color: #3c3e40; font-family: "Book Antiqua",serif; font-size: 16.0pt; mso-bidi-font-family: Helvetica;">First, it is assumed the patient only uses one
pharmacy, when in actual fact the patient could well be a splitter {A splitter
is a pharmacy patron that uses multiple pharmacies for reasons ranging from
price differential, specific preferred generic manufacturer, to availability of
ethnic products}. As a result, the pharmacy contacted will only have a partial
view of the patient’s prescription history. Some of the pharmacy facilities may
have limited operating hours and may not be open at the time the information is
requested, in which case, treatment will commence without this information, as
opposed to the chain pharmacies that have a shared central database between
locations giving full visibility.<o:p></o:p></span></div>
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<span style="color: #3c3e40; font-family: "Book Antiqua",serif; font-size: 16.0pt; mso-bidi-font-family: Helvetica;">Secondly, the patient is always assumed to be
adherent. As the information often requested is limited to what medications the
patient is currently taking. This usually means the medications that were
dispensed in the last 1 month +/- 15 days.<o:p></o:p></span></div>
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<span style="color: #3c3e40; font-family: "Book Antiqua",serif; font-size: 16.0pt; mso-bidi-font-family: Helvetica;">BlockChain & “The Gap”<o:p></o:p></span></div>
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<span style="color: #3c3e40; font-family: "Book Antiqua",serif; font-size: 16.0pt; mso-bidi-font-family: Helvetica;">The Gap develops when this patient has been stabilized
by the admitting hospital and then discharged home with some medications or new
prescriptions with the advice to follow up with their PCP. The hospital staff
often goes a step further by providing the PCP with a comprehensive list of
medications the patient was discharged with, alongside the usual &
customary medical records. The patient presents same to the pharmacy where the
gap, and / or in some cases redundancies, are discovered. At this point the
patient will need to get the go - ahead from their PCP to either continue the
hospital regimen, or the prescription medications pre-admission. Oftentimes
when this decision is made the pharmacy is not always contacted to inactivate
the discontinued medications. The pharmacy staff is now faced with the
discrepancy when the patients are seeking refills on “all their medication” as
they often say. The patient is now torn between two seemingly out of synch
health systems. <o:p></o:p></span></div>
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<span style="color: #3c3e40; font-family: "Book Antiqua",serif; font-size: 16.0pt; mso-bidi-font-family: Helvetica;">Secondly, another source of the gap arises from transferring
scripts from other pharmacies. As 3rd party payers as constantly in the market shopping
for the best bank for their subscriber’s buck, it is usual for such payers to
terminate a contractual relationship with one pharmacy provider in favor of a
competitor. The problem here is that the patients present at the new pharmacy
wanting all their scripts transferred from their old pharmacy network. <o:p></o:p></span></div>
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<span style="color: #3c3e40; font-family: "Book Antiqua",serif; font-size: 16.0pt; mso-bidi-font-family: Helvetica;">BlockChain technology can be leveraged in this
situation where all decentralized trusted nodes in the network all have shared
ledger information. The 3<sup>rd</sup> party payers should be able to seamlessly
share the prescription information with the new participating pharmacy network
trusted nodes within the decentralized network. The solution could be to
migrate all the portable patient’s prescription records from the old pharmacy
network to the new. One of the many benefits is that all old and inactivated
prescriptions will not be carried over to the new pharmacy network. Currently,
we can only rely on the memory of the patient or the due diligence of the old
pharmacy network to disable all old and inactive prescriptions.<o:p></o:p></span></div>
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<span style="color: #3c3e40; font-family: "Book Antiqua",serif; font-size: 16.0pt; mso-bidi-font-family: Helvetica;">Thirdly, the gap may arise from the hospital having a
closed medical formulary system whereby a medication listed by the patient may
be substituted for a formulary equivalent without the patient’s knowledge. Upon
discharge they may end up taking both medication unknowingly.<o:p></o:p></span></div>
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<span style="color: #3c3e40; font-family: "Book Antiqua",serif; font-size: 16.0pt; mso-bidi-font-family: Helvetica;">The relevance of this piece is only to bubble up the
issue and bring to the forefront for consideration as obviously there is a
disconnect somewhere within the continuum of care for our seniors. <o:p></o:p></span></div>
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<span style="color: #3c3e40; font-family: "Book Antiqua",serif; font-size: 16.0pt; mso-bidi-font-family: Helvetica;">BlockChain, a seemingly new technology, will
definitely help bridge this gap. Once again, everyone can be on the same page.<o:p></o:p></span></div>
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<span style="color: #3c3e40; font-family: "Book Antiqua",serif; font-size: 16.0pt; mso-bidi-font-family: Helvetica;">Currently in situations like this, the pharmacy
contacts the PCP to reconcile the medications in an attempt to ensure there are
no duplications or inappropriate therapy in light of the recent hospital
admission. And sometimes, you hear, “this & that were discontinued when the
patient came into the office last month”<o:p></o:p></span></div>
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<span style="color: #4d4f51; font-family: "Book Antiqua",serif; font-size: 16.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Bridging
The Gap<o:p></o:p></span></div>
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<span style="color: #4d4f51; font-family: "Book Antiqua",serif; font-size: 16.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">There
are several recommendations that if implemented will drastically reduce this
wasteful use of healthcare resources and ensure our seniors are getting the
best care intended. <o:p></o:p></span></div>
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<br /></div>
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<span style="color: #3c3e40; font-family: "Book Antiqua",serif; font-size: 16.0pt; mso-bidi-font-family: Helvetica;">BlockChain technology can be leveraged in this
situation, where all decentralized trusted nodes in the network all have shared
ledger information. The 3<sup>rd</sup> party payers should be able to
seamlessly share the prescription information with the new participating
pharmacy network trusted nodes within the decentralized network. The solution
could be to migrate all the portable patient’s prescription records from the
old pharmacy network to the new. One of the many benefits is that all old and
inactivated prescriptions will not be carried over to the new pharmacy network.
Currently, we can only rely on the memory of the patient or the due diligence
of the old pharmacy network to disable all old and inactive prescriptions.<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<span style="color: #4d4f51; font-family: "Book Antiqua",serif; font-size: 16.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Primarily,
BlockChain will play a vital role in ensuring all decentralized systems have a
common view of the ledger information regarding the patient in question.
Although, this seemingly new technology need to be polished to deliver the
desired result. I have no doubt in my mind that this will facilitate the result
required.<o:p></o:p></span></div>
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<br /></div>
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<span style="color: #4d4f51; font-family: "Book Antiqua",serif; font-size: 16.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Secondly,
there was a proposal a while ago to host an online database such as “Google
Health” in collaboration with the NCPDP, National Council for Prescription Drug
Programs. This will be an online repository accessible by registered
practitioners using the VPN {Virtual Private Network} technology. The online
portal will be populated with relevant information gathered from the pharmacy
community. This can be accessed upon arrival at the hospital in real time.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="background: white; vertical-align: baseline;">
<span style="color: #4d4f51; font-family: "Book Antiqua",serif; font-size: 16.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Thirdly,
the State could host a similar database as described above that handles such
information. A lot of States now have a similar program to monitor the use of
controlled substances anyway. This could piggyback on the existing
infrastructure. And in the rare case a patient is admitted in an out of state
hospital, they will only have to look up one database to get this pertinent
information. I believe the subscription to this service should be voluntary and
local pharmacies should be encouraged to download information on a monthly
basis or other time frame agreed upon within the project charter, and the
information only kept for 6 month after which it ishould be purged to alleviate
concerns of storage.<o:p></o:p></span></div>
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<br /></div>
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<span style="color: #4d4f51; font-family: "Book Antiqua",serif; font-size: 16.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span>Pharmacies may be mandated to provide patients
with a monthly statement itemizing all their current medications. I know this
approach has its inherent flaws as the medication information may fall into the
wrong hands. If handy, the emergency responder may retrieve from patient during
an emergency evacuation.<o:p></o:p></span></div>
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<br /></div>
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<span style="color: #4d4f51; font-family: "Book Antiqua",serif; font-size: 16.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Third
party payers will have the prescription information and perhaps encouraged to
share this when contacted by the hospital to notify of the hospital admission.
One of the flaws here is that this option will not cater to cash paying
patients<o:p></o:p></span></div>
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<span style="color: #4d4f51; font-family: "Book Antiqua",serif; font-size: 16.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Whatever
approach we decide to use to fill this gap, I believe it will go a long way in
helping our senior citizens better reap the fruits of their labor and help them
on their paths to leading a youthful and productive life.../.<o:p></o:p></span></div>
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="page number"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="endnote reference"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="endnote text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="table of authorities"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="macro"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="toa heading"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 5"/>
<w:LsdException Locked="false" Priority="10" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Closing"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Signature"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="true"
UnhideWhenUsed="true" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Message Header"/>
<w:LsdException Locked="false" Priority="11" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Salutation"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Date"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Heading"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Block Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Hyperlink"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="FollowedHyperlink"/>
<w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Document Map"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Plain Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="E-mail Signature"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Top of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Bottom of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal (Web)"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Acronym"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Address"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Cite"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Code"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Definition"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Keyboard"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Preformatted"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Sample"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Typewriter"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Variable"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Table"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="No List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Contemporary"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Elegant"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Professional"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Balloon Text"/>
<w:LsdException Locked="false" Priority="39" Name="Table Grid"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" QFormat="true"
Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" QFormat="true"
Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" QFormat="true"
Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" QFormat="true"
Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" QFormat="true"
Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" QFormat="true"
Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" SemiHidden="true"
UnhideWhenUsed="true" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/>
<w:LsdException Locked="false" Priority="41" Name="Plain Table 1"/>
<w:LsdException Locked="false" Priority="42" Name="Plain Table 2"/>
<w:LsdException Locked="false" Priority="43" Name="Plain Table 3"/>
<w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/>
<w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/>
<w:LsdException Locked="false" Priority="40" Name="Grid Table Light"/>
<w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 5"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 5"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 5"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 5"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 5"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 6"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 6"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 6"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 6"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 6"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="52"
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Anonymoushttp://www.blogger.com/profile/05546315774568750455noreply@blogger.com0tag:blogger.com,1999:blog-4834887252030104341.post-46018541431318329422018-08-06T06:43:00.002-07:002018-08-06T06:43:44.445-07:00BlockChain: A Panacea for the National Opioids Crisis?!!<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: #0a0a0a; font-family: "times new roman" , serif; font-size: 20.0pt;">BlockChain: A Panacea for the National Opioids
Crisis?!!<o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
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</w:wrap></v:imagedata></v:shape><span style="color: #0a0a0a; font-family: "book antiqua" , serif; font-size: 16.0pt;">BlockChain is a decentralized systems of peer-to-peer trusted
entities, called Nodes, without a central regulatory body to control the
affairs {exchange}. Each node is an “Administrator” in a sense. Each node can
potentially be a mining node to win Bitcoins. To fully comprehend the concept
of<span style="mso-spacerun: yes;"> </span>BlockChain, it is better served to
explain the opposite and transpose therefrom. <o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: #0a0a0a; font-family: "book antiqua" , serif; font-size: 16.0pt;">Bitcoin
was initiated in 2008 as a response to the global financial engine disaster,
and therefore became the precursor of BlockChain. The thinking was to have an
alternative digital economy {devoid of the problems labeled against Banks at
the time} to run parallel to the existing physical economy. These are called
Bitcoins, Hullcoins, etc. The birth of Bitcoin did solve the problem to an
extent. The next logical question is “Who controls BlockChain” The answer is
simply nobody & everybody. BlockChain nodes are peer vetted, and the
decision within the infrastructure is managed by a consensus mechanism. <o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: #0a0a0a; font-family: "book antiqua" , serif; font-size: 16.0pt;">Consensus
mechanism decision making process usually involve all Nodes. The decision-making
process is an agreement of all to develop a procedure and abide by such process.
This different than in a democratic process where the majority wins the vote. <span style="mso-spacerun: yes;"> </span>Please note that the decision made by the
participating nodes may not the be the favorite of all, but all have decided to
put their weight behind it and agree to accept it. Such consensus mechanism
must have the following 4 components<o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: #0a0a0a; font-family: "book antiqua" , serif; font-size: 16.0pt;">1}
Agreement. There must be a principle agreement between all the nodes to float
the process in question<o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: #0a0a0a; font-family: "book antiqua" , serif; font-size: 16.0pt;">2}
Egalitarian, each and every node has a single vote that carry the same weight<o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: #0a0a0a; font-family: "book antiqua" , serif; font-size: 16.0pt;">3}Even
though you cannot force all nodes, it is important that all nodes are
encouraged to participate<o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: #0a0a0a; font-family: "book antiqua" , serif; font-size: 16.0pt;">4}Inclusive,
all nodes must agree to abide by the decision…/<o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: #0a0a0a; font-family: "book antiqua" , serif; font-size: 16.0pt;">In a
nutshell, ChainBlock is a network of nodes in a loosely connected network who
have universally agreed to be governed by a set of rules.<o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: #0a0a0a; font-family: "book antiqua" , serif; font-size: 16.0pt;">How are
Nodes vetted? Node are vetted by miners<o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b><span style="color: #0a0a0a; font-family: "book antiqua" , serif; font-size: 16.0pt;">How are
BlockChain transactions validated?<o:p></o:p></span></b></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: #0a0a0a; font-family: "book antiqua" , serif; font-size: 16.0pt;">Processing
transactions on BlockChain also comes with the issue of ensuring that the same
cryptocurrency coin isn't being spent twice. That's where transaction
validation comes into play.<o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: #0a0a0a; font-family: "book antiqua" , serif; font-size: 16.0pt;">There
are two primary ways that transactions on BlockChain are validated:
proof-of-work (PoW) and proof-of-stake (PoS).<o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: #0a0a0a; font-family: "book antiqua" , serif; font-size: 16.0pt;">Bitcoin
runs on the PoW model. What happens with PoW is that cryptocurrency miners (a
fancy term for people with really high-powered computers) compete against one
another to solve complex mathematical equations that are a result of the
encryption protecting transactions on a BlockChain network. The first miner to
solve these equations, and in the process validate a block of transactions,
receives what's known as a "block reward." For bitcoin, a block
reward is paid as a fraction of digital bitcoin.<o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: #0a0a0a; font-family: "book antiqua" , serif; font-size: 16.0pt;">The
other primary validation method is PoS. Rather than using a ton of electricity in
a competition to solve equations, the PoS method awards the owners of virtual
coins the opportunity to validate transactions in a deterministic fashion. In
even plainer terms, the more coins you own of a virtual currency operating on
the PoS model, the more likely you are to be chosen to validate blocks and add
to the BlockChain.<o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: #0a0a0a; font-family: "book antiqua" , serif; font-size: 16.0pt;">It's
worth pointing out that while the PoW method hands out block rewards as virtual
coins, the PoS model rewards its stakeholders with the transaction fees paid by
the users of the block that's being verified. <o:p></o:p></span></div>
<div class="MsoNormal">
<span style="color: #0a0a0a; font-family: "book antiqua" , serif; font-size: 16.0pt;">BlockChain is unique and similar in a way to bitcoin because it
was able to solve the problem of trust. BlockChain Thru the resources of the
Bitcoin Miners transactions are logged in a ledger and shared amongst all nodes,
so at any point in time all nodes will have the up to date ledge reading
thereby making it extremely difficult of any of the Nodes to perpetrate a
fraudulent activity. <o:p></o:p></span></div>
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<span style="color: #0a0a0a; font-family: "book antiqua" , serif; font-size: 16.0pt;">Let us imagine a peer-to-peer interaction between John and
Joseph. Joseph gives John a bitcoin, John trusts Joseph and vice versa, what
happens if one of the two entities happen to go rouge? John could easily claim
that he didn’t receive any Bitcoin from Joseph. In the world today as we know
it, we engage the services of Banks to back such exchange between John and
Joseph. But, as we all know Bankers can be compromised as evident in the 2008
global financial debacle. <o:p></o:p></span></div>
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<span style="color: #0a0a0a; font-family: "book antiqua" , serif; font-size: 16.0pt;">As a response to this,<span style="mso-spacerun: yes;">
</span>Satoshi Nakamoto introduced the bitcoin technology. Since there is a
limit 21M bitcoins everyone has access to the ledger. In the example above
neither John nor Joseph have access to the ledger held by Acme Bank. Bitcoin
was able to solution for that.<o:p></o:p></span></div>
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<span style="color: #0a0a0a; font-family: "book antiqua" , serif; font-size: 16.0pt;">Going back to the same scenario above. John and Joseph are nodes
in a BlockChain, whenever there is a transfer of Bitcoin from John or Joseph,
for example, this information is replicated to all he nodes for immediate
reconciliation. This is made possible by Bitcoin Miners. This is thought to be
fool proof and encouraged honesty rather that fraudulent practices. <o:p></o:p></span></div>
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<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: #0a0a0a; font-family: "book antiqua" , serif; font-size: 16.0pt;">According
to the words of Shahram Ebadollahi, of IBM Health, he stated BlockChain will
help solve at least 3 issues currently plaguing the Pharmaceutical industry as
a whole today. They are as follows<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="color: #0a0a0a; font-family: "book antiqua" , serif; font-size: 16.0pt;">1} Drug Quality & Security. This can help guarantee the
potency and accuracy of individual ingredients that end up in our drugs.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="color: #0a0a0a; font-family: "book antiqua" , serif; font-size: 16.0pt;">2}Cold Chain Monitoring. This is especially important with
Vaccines and other medication that require a cold chain end to end.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="color: #0a0a0a; font-family: "book antiqua" , serif; font-size: 16.0pt;">3} Controlled substance monitoring. This will be discussed later<o:p></o:p></span></div>
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<span style="color: #0a0a0a; font-family: "book antiqua" , serif; font-size: 20.0pt;">BlockChain in Pharmacy Supply Chain<o:p></o:p></span></div>
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<span style="color: #0a0a0a; font-family: "book antiqua" , serif; font-size: 16.0pt;">Currently all states within the United States have some sort of
controlled substance monitoring program. This database maintains all
prescription records of controlled substances and its open to all. I am particularly
familiar with the Florida database called <b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">Eforsce</i></b>. Every registered facility
and Pharmacist can access this database and gather information and history of
any individual requesting a controlled substance in pursuant to a prescription.
This information helps the pharmacist make a professional judgement before the
script is filled. There are patients that shop doctors and such information may
not be available to the medical practitioners. This can help stem the influx of
legitimate controlled substances that end up on our streets. I believe the
solution may well be within the domain of BlockChain technology. <o:p></o:p></span></div>
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<span style="color: #0a0a0a; font-family: "book antiqua" , serif; font-size: 16.0pt;">Firstly, it should be possible that the complete pharmacy supply
chain can benefit from such a central, yet decentralized, system to further
curtail the amounts of controlled substances released into our communities. <o:p></o:p></span></div>
<div class="MsoNormal">
<span style="color: #0a0a0a; font-family: "book antiqua" , serif; font-size: 16.0pt;">Secondly, it provides visibility to red flags raised due to over
ordering by pharmacies. I know the DEA monitors and maintains a profile of each
pharmacy, any deviation from the norm can be spotted and investigated. A
further layer of accountability will be better. <o:p></o:p></span></div>
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<span style="color: #0a0a0a; font-family: "book antiqua" , serif; font-size: 16.0pt;">Thirdly, this network will be able to track the lot numbers of
these medications to the final pharmacy that received them. This is extremely
beneficial to Big Pharma because they can trace the entire route of their
products to the end consumer and target their advertising Dollars accordingly. The
only snag here is that oftentimes, the legitimate consumer isn’t the “real” end
user of these pharmaceuticals. <o:p></o:p></span></div>
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<span style="color: #0a0a0a; font-family: "book antiqua" , serif; font-size: 16.0pt;">Finally, this network proves to be a very important resource should
a class 1 recall become necessary & help with returns of Expired {or soon
to expire} medications.<o:p></o:p></span></div>
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<div class="MsoNormal">
<span style="color: #0a0a0a; font-family: "book antiqua" , serif; font-size: 16.0pt;">Author Dr. Leke Agbejule<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="color: #0a0a0a; font-family: "book antiqua" , serif; font-size: 16.0pt;">LeanGuistics Consulting Group<o:p></o:p></span></div>
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<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" Priority="35" SemiHidden="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" Priority="10" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" Priority="1" SemiHidden="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" Priority="11" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" Priority="39" Name="Table Grid"/>
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<w:LsdException Locked="false" Priority="61" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1"/>
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<w:LsdException Locked="false" Priority="65" Name="Medium List 1"/>
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<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1"/>
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<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3"/>
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<w:LsdException Locked="false" Priority="72" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 1"/>
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<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" QFormat="true"
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<w:LsdException Locked="false" Priority="29" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" QFormat="true"
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<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 1"/>
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<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 2"/>
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<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 3"/>
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<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 3"/>
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<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 4"/>
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<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 4"/>
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<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 4"/>
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<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 5"/>
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<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 5"/>
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<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 5"/>
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<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" QFormat="true"
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<w:LsdException Locked="false" Priority="21" QFormat="true"
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<w:LsdException Locked="false" Priority="31" QFormat="true"
Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" QFormat="true"
Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" SemiHidden="true"
UnhideWhenUsed="true" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/>
<w:LsdException Locked="false" Priority="41" Name="Plain Table 1"/>
<w:LsdException Locked="false" Priority="42" Name="Plain Table 2"/>
<w:LsdException Locked="false" Priority="43" Name="Plain Table 3"/>
<w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/>
<w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/>
<w:LsdException Locked="false" Priority="40" Name="Grid Table Light"/>
<w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4"/>
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Anonymoushttp://www.blogger.com/profile/05546315774568750455noreply@blogger.com0tag:blogger.com,1999:blog-4834887252030104341.post-18543892515826124712018-08-06T06:40:00.004-07:002018-08-06T06:41:03.562-07:00StatDrop! Delivery of Acute Rx <div class="MsoNormal">
<span style="color: black; font-family: "book antiqua" , serif; font-size: 16.0pt;">Stat</span><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "book antiqua" , serif; font-size: 18.0pt;">Drop</span></i><span style="color: black; font-family: "book antiqua" , serif; font-size: 16.0pt;">! <o:p></o:p></span></div>
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<span style="color: black; font-family: "book antiqua" , serif; font-size: 16.0pt;">This is a brainchild of a LeanGuistics Consulting Group, Ft
Lauderdale, FL it is a tool {app} to analyze what percentage of acute
medications not picked up on time, or delivered to the final recipient, for the
much-needed therapy. It is estimated that 57% of all Acute/Stat medications are
not picked up {or delivered}, and 72% are not started as recommended by the
prescriber. Using some analytics and tools native to Lean Six Sigma, LeanGuistics
Consulting Group Consultants believe we have the solution. For the purposes of
this problem statement, any acute medication not delivered within 4 days was
considered late and non-adherent. We used 4 days because the average length of
antibiotic course is between 5 to 7 days. Based on the recommendation by the
prescriber, the patient should be at the tail end of {or the middle of therapy}
by the 4<sup>th</sup> day. <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="color: black; font-family: "book antiqua" , serif; font-size: 16.0pt;">Using the premise of “Vital Few Vs Useful Many, we believe identifying
& addressing the main factor will solution for 80% of the problem. In actual
fact, a +5% uptick will save the economy a great deal. Let’s put this into proper
perspective. It is estimated that prescription abandonment and lack of
adherence within the first 48 hours cost the nation in the region of US$ 200
billion and over 100,000 deaths per year, and when the patient is an infant,
this makes it worse since either both parents of one will have to miss work to
care for the patient and the cost of childcare for that/those days still need
to be paid. At LeanGuistics, we believe that if we can better manage this
segment of operation we will make a major dent to alleviate the nation of this
staggering ailment. There is no doubt the pharmacies today are smarter and more
efficient than in the last 2 decades. Several Lean Six Sigma tools have been
built into bespoke workflows to ensure these stat meds are ready on time. <o:p></o:p></span></div>
<div class="MsoNormal">
<span style="color: black; font-family: "book antiqua" , serif; font-size: 16.0pt;">At LeanGuistics, we have identified a few important factors, that
if improved upon will stem the tide. As alluded to above, most retail pharmacy
workflows have effectively removed waste and variation in their processes to
ensure a relatively high level of customer satisfaction is achieved.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="color: black; font-family: "book antiqua" , serif; font-size: 16.0pt;">It is believed by our consultants that the main factor here is the
<i style="mso-bidi-font-style: normal;"><u>Accessibility to the medication on
time</u></i>. Several factors are responsible here, but the main culprit is
getting the medications into the hands of the patients promptly.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal">
<br /></div>
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<br /></div>
<div class="MsoNormal">
<span style="color: black; font-family: "book antiqua" , serif; font-size: 16.0pt;"><span style="mso-spacerun: yes;"> </span>Other Factors<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><span style="color: black; font-family: "book antiqua" , serif; font-size: 16.0pt;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="color: black; font-family: "book antiqua" , serif; font-size: 16.0pt;">Drug not covered or prior authorization required. Oftentimes
when medications require P/A or are not covered the pharmacists are reluctant
to reach out to the ER to facilitate a change. <o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l0 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: -.25in;">
<!--[if !supportLists]--><span style="color: black; font-family: "book antiqua" , serif; font-size: 16.0pt;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="color: black; font-family: "book antiqua" , serif; font-size: 16.0pt;">Out of pocket Cost of drugs: <span style="mso-spacerun: yes;"> </span>In some cases, the patients get sticker
shocked when they discover the out of pocket cost of the medications. Rather
than work with the pharmacy team members to leverage other cost reduction
measures, such as leveraging manufacturers coupons to further lower the co-pay,
they, the patient, just don’t pick up the medication<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="color: black; font-family: "book antiqua" , serif; font-size: 16.0pt;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="color: black; font-family: "book antiqua" , serif; font-size: 16.0pt;"><o:p> </o:p></span></div>
<div class="MsoNormal" style="margin-left: .5in; mso-list: l0 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: -.25in;">
<!--[if !supportLists]--><span style="color: black; font-family: "book antiqua" , serif; font-size: 16.0pt;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="color: black; font-family: "book antiqua" , serif; font-size: 16.0pt;">Availability of insurance coverage: Whether or not the patient is
covered by a plan is a key contributing factor. It’s discovered that
subscribers of ObamaCare are always reluctant to pick up medications that are
outside the lowest tier of coverage<o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "book antiqua" , serif; font-size: 16.0pt;">In the
final analysis, improving access to the medication through expanded delivery
service will reduce this financial burden on the country.<o:p></o:p></span></div>
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<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "book antiqua" , serif; font-size: 16.0pt;">Author:
Dr. Leke Agbejule<o:p></o:p></span></div>
Anonymoushttp://www.blogger.com/profile/05546315774568750455noreply@blogger.com0tag:blogger.com,1999:blog-4834887252030104341.post-5296070882729610892017-11-29T12:36:00.000-08:002017-11-29T12:36:50.690-08:00<div class="MsoNormal">
<span style="font-family: "Book Antiqua",serif; font-size: 24.0pt;">Workflow
Optimization: Takt Time Reduction Vs. Remote Script Processing + Local Fill
{RSP+LF} Vs Improved Digital Adoption<o:p></o:p></span></div>
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<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">With
the increased adoption of Electronic prescribing in the last 10 years, Value
Stream Mapping represents primarily the singular element that has thrown the
pharmacy workflow and dispensing systems alike a curve ball. It has changed the
access and behavioral pattern of many pharmacy patrons. The game changer has
essentially altered the retail pharmacy landscape. It has rendered hitherto
calculated workflow algorithms rather useless requiring major recalibration. <o:p></o:p></span></div>
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<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;"><span style="mso-spacerun: yes;"> </span>Electronic prescribing now accounts for 65 –
75% of new prescriptions filled in US pharmacies today. This is a complete
departure from the past where majority of new scripts came from patients who
walked into the pharmacy with a script in hand. Today, the interaction is often
limited, and when it does happen, it’s only at the Pick Up terminal. Nowadays,
the average patient only visits the pharmacy to pick up already filled
prescription, meaning you only one chance to make an impression. This is definitely
affecting the very dynamics of the retail pharmacy workflow as we know it. This
is definitely getting very interesting with Amazon.Com showing some interest in
the business space. Hence, in order to remain competitive and provide the
highest possible level of customer satisfaction, the pharmacy workflow will
benefit from some major adjustments in order to accommodate the changes of the
situation today. <o:p></o:p></span></div>
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<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">Workflow
is defined as the sequence of steps or stages a piece of work needs to
successfully traverse in order to become the finished/expected product. It’s
the way information/article is passed from one participant to another for
action according to some clearly established algorithm. Up until now, workflow
is essentially “ManFlow” characterized by the movement of employees between
stations rather than the digital information. When we talk about workflow it is
important to visualize the assembly floor within a car manufacturing company. It
is customary for the employees to man a certain station and are assigned
defined tasks within that workstation, there is rarely movement form their
assigned workstations. This is similar to what is expected in the pharmacy.
There should be unhindered digital flow of prescription information between
participants at various stations. <o:p></o:p></span></div>
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<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">.
<o:p></o:p></span></div>
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<span style="font-family: "Book Antiqua",serif; font-size: 24.0pt;">Deficiencies
of Current System<o:p></o:p></span></div>
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<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">1}
Pharmacist have less time to interface with patients and are often rushed thru consultation
sessions. The patients are thereby missing out on the extremely important Value-added
activity of consulting with the pharmacist especially in new to therapy
regimens. This is a State Board of Pharmacy requirement {in most States} and a
service recognized by Insurance payers<o:p></o:p></span></div>
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<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">2}
Studies have shown that 68% of patients end up waiting 20 – 43 additional minutes
upon arriving at the pharmacy to pick up their medication. This is definitely a
serious issue with patient satisfaction. The proposed system will allow
prescribers set {based on certain criteria} a more realistic pick up
expectation.<o:p></o:p></span></div>
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<span style="font-family: "Book Antiqua",serif; font-size: 24.0pt;">Optimization
Strategy<o:p></o:p></span></div>
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<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">Optimization
is a necessary too in order to meet the patients pick up expectation and render
the critical care necessary to remain compliant. Studies show that pharmacist
consultation increases the adherence rate and cuts down the therapy drop rate.
It is becoming a selling solution for insurance payers who are encouraging a 90
day fill as opposed to 30 in order to further improve adherence and lower the
chances of developing complications secondary to chronic ailments. <o:p></o:p></span></div>
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<span style="font-family: "Book Antiqua",serif; font-size: 24.0pt;">Strategy
1: <o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">This
involves trying to shave off seconds or minutes from the current takt time. Takt
time is the time allotted to accomplish a task {within a process} in order to
meets patients’ expectation. This is often known as the heartbeat of the
process. Contrary to popular believe, this is not a measure of the time to fill
a prescription {Cycle time}, rather it measures the time per task in order to
meet patients pick up expectations. This does not represent a major change and
hence has not been able to address the deficiencies above. <o:p></o:p></span></div>
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<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">In
the last decade pharmacists as a community have largely twigged existing
workflow and dispensing systems to accommodate electronic prescribing features
rather than a general overhaul. This is more so as more prescriber client
interfaces are now DEA & SureScript Certified to send electronic controlled
substances alongside legend drug prescriptions. There is no doubt the current
dispensation is riddled with a lot of Waste and re-do activities in order to
achieve the finished product, such wasteful activities have further widened the
time to fill prescriptions, and are affecting patient satisfaction. This will
also reduce the takt time to complete a prescription.<o:p></o:p></span></div>
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<span style="font-family: "Book Antiqua",serif; font-size: 24.0pt;">Strategy
2:<o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">A
rather more robust, scalable strategy is to remove some or all of the seemingly
unproductive activities that take place in the pharmacy prior to a successful
online 3<sup>rd</sup> party adjudication. This is referred to as Remote Script Processing
+ Local Fill {RSP+LF}<o:p></o:p></span></div>
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<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">This
is most likely the method Amazon.com will pursue if indeed they do venture into
the pharmacy world. The will leverage Wholefoods locations for delivery while
the prescriptions are proceeded remotely.<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal">
<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;"><span style="mso-spacerun: yes;"> </span></span><span style="font-family: "Book Antiqua",serif; font-size: 20.0pt;">Remote Script Processing + Local Fill.
{RSP+LF}<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">This
helps free up the pharmacists and technicians alike to allow central focus on the
patient as a Value Add Activity. It is customary for staff members to spend a
great deal of time addressing the various exceptions in the pharmacy before a
script gets filled. It is thought that only 25% of new prescriptions follow the
happy path where a successful adjudication is achieved immediately, which means
¾ of scripts will encounter some form of exception. This proposed solution will
aim to remove the heavy lifting associated with script processing from the in-house
pharmacy staff and leverage a remote team to accomplish this.<span style="mso-spacerun: yes;"> </span>The remote team will be able to interact with
the patient in the same manner the store teams do today. These include,
exceptions such as Prior Authorization, Patient not covered, Product not
covered where an interchange is necessary to continue, or for medications with exorbitant
co-pay.<o:p></o:p></span></div>
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<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">Script
processing is defined as all the preliminary steps associated with the prescription
fill prior to Quality Assurance Verification. <o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">Additionally,
telephone enquires will be handled by a call center. It is determined that an
average pharmacy with a daily volume of 400 scripts/day will entertain 60 to 80
calls per hours, with most of the enquiries based in the status of their
prescription. Fine tuning the work flow in such a way that such information can
be provided in a timelier and time saving manner will be helpful.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal">
<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">This
methodology will leverage the broadband technology to further enhance the
patients in store experience. All electronic scripts {via e-prescribing, voice,
fax,etc} will be shunted to a remote workstation. All 3<sup>rd</sup> party
adjudication exceptions will be resolved at this stage, except cases secondary
to inventory insufficiency. Upon successful adjudication, the pharmacy will be
notified by queuing the Read To Print {RTP} prescriptions in a queue based on
some predefined priority algorithm. This solution allows for on the fly
corrections requested by the QA Pharmacist. This can either be done in-house or
sent back to the remote team. New scripts being dropped off are scanned in and
triaged the same way. However, the pharmacist may request local processing in
some cases but will be limited to a sizeable number of scripts as Waiters
within a time slot, this is to prevent store team from been overwhelmed<o:p></o:p></span></div>
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<span style="font-family: "Book Antiqua",serif; font-size: 24.0pt;">Strategy:
3<o:p></o:p></span></div>
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<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">It
is no doubt that any pharmacy outfits will benefit from an expanded improved
digital presence available to the patients thru their app. Patients should have
the ability to access more medical information in real time, it only makes more
sense to improve technology to further facilitate access. <o:p></o:p></span></div>
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<span style="font-family: "Book Antiqua",serif; font-size: 24.0pt;">Ways
to improve Digital Adoption</span><span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">: <o:p></o:p></span></div>
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<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;"><span style="mso-tab-count: 1;"> </span>a} Patients should be able to access
relevant information regarding medications. It is perfectly appropriate to have
a dedicated text message service to help patients better understand their
therapy plan. I have a dedicated text message app for this immediate access to
information. Upon sending a request the patient will have the information on
their phone within 5 to 10 minutes. This will eventually be rolled into other
offerings within the app.<o:p></o:p></span></div>
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<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;"><span style="mso-tab-count: 1;"> </span>b} Patients should be able to have
access to their information upon entering the pharmacy. The pharmacy staff
should be alerted when a patient gets into the pharmacy. This will further improve
the changes of a positive experience for this patient. It will be a win-win
situation for all. Patients whose prescriptions are not ready can be informed
as soon as they approach the pharmacy. The pharmacy team can get into
expediting the patient’s needs.<o:p></o:p></span></div>
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<span style="font-family: "Book Antiqua",serif; font-size: 24.0pt;">Optimization
Benefits<o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">1}
The proposed optimization strategy will benefit both the staff in the pharmacy
and the patients alike. The elimination of some of the mundane activities will improve
the morale of staff and allow them to focus on specialized areas of the
pharmacy management such as Inventory, Just In Time {JIT} supplies mechanism,
etc. The pharmacy staff will not have the need to address all incoming
prescription to the detriment of valuable consultations with the patients. This
is a win-win situation for all parties concerned. <o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">2}
With immunization becoming a staple in the healthcare delivery system in
community pharmacy today, such a solution will afford the pharmacist enough
time to review a patient’s profile holistically to identify immunization
opportunities.<o:p></o:p></span></div>
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<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">3}.
The free time will allow pharmacist to engage with patients to address gap in
care that will improve their journey to a sound health.<o:p></o:p></span></div>
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<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">4}
Allows pharmacist to have more effective face time with patients during pick
up, also allows other support staff advocates to help the patients.<o:p></o:p></span></div>
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<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;"><span style="mso-tab-count: 1;"> </span>a} Adherence Outreach initiatives will
have a much more personal touch to it, the pharmacist will be able to
comprehensively review the patients profile during such interaction. It is a
known fact that patients tend to be more adherent in cases where there is a consultation
with the pharmacist, additionally, caregivers will be able to ask any questions
they may have<o:p></o:p></span></div>
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<div class="MsoNormal" style="text-indent: .5in;">
<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">b} Expanded Immunization Uptake. This will
free up the pharmacist to perform a more thorough comprehensive review of the
immunization status of the patient and make appropriate recommendations<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="text-indent: .5in;">
<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">c} In store OTC Consultations will improve.<o:p></o:p></span></div>
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<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">5}
<span style="mso-spacerun: yes;"> </span>Prescriber Relations. The pharmacist will
be able to focus in educating the prescriber community regarding formulary
changes, prescribing guidelines, etc.<o:p></o:p></span></div>
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<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">6}
New to Therapy Genuine Mandatory Consultations performed with a renewed purpose
rather than just rush thru as it is done today<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">7}
This will encourage further education of pharmacists to certify as disease
medical conditions specialist, like Diabetes Certified Educator, HIV
specialist, and render assistance to other practitioners and further help the
patients on their way to better understand their medical conditions and make
informed choices regarding exercises, nutrition, life style modifications,<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">8}
Optimization in this case will better address missed pick up expectations,
prescribers can append expected pick up time to new prescriptions. This is to
be determined by certain criteria. Currently, more than 60% of electronic
scripts are not ready by the time the patient arrives in the pharmacy. Remote Script
Processing will help address this. Pharmacy staff will have real-time access to
status and be able to coordinate pick up with patients. <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">9}
Increased Expanded Delivery options. This is fast becoming a service differentiating
solution as we have more baby boomers retiring in great numbers and some of
whom are often plagued with reduced mobility. This option will be extremely
helpful and offer them the similar access to our pharmacists<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">4}
As more pharmacy operators deploy more sophisticated applications online or mobile
app, it is definitely the way forward to leverage current computer platform to
deliver more services to the patient.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">The
21<sup>st</sup> century retail pharmacy platform is one that is primarily
designed to take advantage of the current increases in electronic prescribing,
this is expected to exceed 80% by the year 2020. The Graphical User Interfaces
{GUI} of such systems are more user friendly and much more capable of delivering
superior quality services Insurance Payers and patients find attractive and
willing to pay for. The proposed workflow is patient centric and aware of the
fact that the only interaction with the pharmacy may only be at POS, as a
result, all efforts are being deployed to ensure the dispensing system is more
clinically robust to address the deficiencies and plan for the further.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">Besides
the much-needed system enhancements, other areas contribute greatly towards
improving thru put & takt time in the pharmacy<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">.
<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">Such
areas are as follows:<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 1.0in; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 16.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">Enhanced Inventory Management<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 1.0in; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 16.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">Improved Resources Deployment<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 1.0in; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 16.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">Waste & Variation
Reduction<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: .75in;">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Book Antiqua",serif; font-size: 24.0pt;">Improved
Resource Deployment<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: .75in;">
<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">Here we are looking at staffing the pharmacy
with experienced pharmacy technicians in order to allow the pharmacist to be
more readily available for value added services such as;<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 1.0in; mso-add-space: auto; mso-list: l3 level1 lfo2; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 16.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">Patient Consultations<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 1.0in; mso-add-space: auto; mso-list: l3 level1 lfo2; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 16.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">Prescriber Relations<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 1.5in; mso-add-space: auto; mso-list: l3 level2 lfo2; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: "Courier New",serif; font-size: 16.0pt; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">Assisting
prescribing community<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 1.0in; mso-add-space: auto; mso-list: l3 level1 lfo2; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 16.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">Immunization
Practices<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 1.0in; mso-add-space: auto; mso-list: l3 level1 lfo2; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 16.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">Addressing other
potential sources of prescriptions<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 1.0in; mso-add-space: auto; mso-list: l3 level1 lfo2; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 16.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">Patient adherence
initiatives<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Book Antiqua",serif; font-size: 24.0pt;">WASTE
& Variation Reduction Strategy<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">WASTE
is defined colloquially as <o:p></o:p></span></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">W</span></b><span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">orthless <b style="mso-bidi-font-weight: normal;">A</b>ctivities, that <b style="mso-bidi-font-weight: normal;">S</b>teal <b style="mso-bidi-font-weight: normal;">T</b>ime & <b style="mso-bidi-font-weight: normal;">E</b>nergy<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">Waste
is formally defined as that extra activity that is performed over and above
what is needed. There are 3 main attributes of activities that must be present
for a task not to be qualified as Waste<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 1.0in; mso-add-space: auto; mso-list: l2 level1 lfo3; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 16.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">The customer must be
willing to pay for it<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 1.0in; mso-add-space: auto; mso-list: l2 level1 lfo3; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 16.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">It must involve a
transformation or change of material and or information, and lastly,<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 1.0in; mso-add-space: auto; mso-list: l2 level1 lfo3; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 16.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">It must be done right
the first time. Customers never pay for re-dos.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">Common
examples of waste are,<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 1.0in; mso-add-space: auto; mso-list: l1 level1 lfo4; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 16.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">Over-producing<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 1.0in; mso-add-space: auto; mso-list: l1 level1 lfo4; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 16.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">Waiting: Do you have
staff or information queued up waiting unnecessarily?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 1.0in; mso-add-space: auto; mso-list: l1 level1 lfo4; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 16.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">Staff Movement: This
limited when you have people assigned to stations and assigned tasks within
their reach<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 1.0in; mso-add-space: auto; mso-list: l1 level1 lfo4; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 16.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">Variations in
processes<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 1.0in; mso-add-space: auto; mso-list: l1 level1 lfo4; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 16.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">Variations in
Measurement Parameters<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">Implementing
any one of the strategies above or some hybrid thereof will help in the
following areas;<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">1}
Identify your bottleneck: It’s not always beneficial to throw resources at a
process without identifying the critical step that causes delay. Upon isolating
this step, you can deploy measured resources in order to bring production up to
a level where the patients pick up expectations can be achieved<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">2}
What tasks can be done simultaneously in order to reduce time to produce. What
2 tasks can be handled by the same station, and what 2 tasks cannot be managed,
for example you cannot be responsible for taking the order in the restaurant
& simultaneously be involved in the actual food preparation of the meal. However,
you can combine handing out the check after meals with taking in the order.
Some tasks are just diametrically opposed<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">3}
Workflow layout Improvement: U shaped process flow is always preferable, as it
is easier to accomplish a task by making a body left turn rather than right
turn since most people are right handed<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">4}
Enhanced capability at POS. This should be managed by skilled tech and not
pharmacist, with the patients challenged if their need to consult with a
pharmacist regarding the medication in question or other medications of
importance to them<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">In
the final analysis, it is obvious that strategy 2 will deliver a more benefit.
Workflow optimization is a low hanging fruit that can be improved upon.
Needless to say, this is not a panacea in itself but definitely a move in the
right direction…/.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Book Antiqua",serif; font-size: 16.0pt;">Dr.
Leke Agbejule<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: Book Antiqua, serif;"><span style="font-size: 21.33333396911621px;">Principal Partner, LeanGuistics Consulting Group, LLC</span></span></div>
<div class="MsoNormal">
<br /></div>
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index heading"/>
<w:LsdException Locked="false" Priority="35" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="table of figures"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="envelope address"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="envelope return"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="footnote reference"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation reference"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="line number"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="page number"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="endnote reference"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="endnote text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="table of authorities"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="macro"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="toa heading"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 5"/>
<w:LsdException Locked="false" Priority="10" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Closing"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Signature"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="true"
UnhideWhenUsed="true" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Message Header"/>
<w:LsdException Locked="false" Priority="11" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Salutation"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Date"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Heading"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Block Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Hyperlink"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="FollowedHyperlink"/>
<w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Document Map"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Plain Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="E-mail Signature"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Top of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Bottom of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal (Web)"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Acronym"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Address"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Cite"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Code"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Definition"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Keyboard"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Preformatted"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Sample"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Typewriter"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Variable"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Table"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation subject"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="No List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Contemporary"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Elegant"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Professional"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Balloon Text"/>
<w:LsdException Locked="false" Priority="39" Name="Table Grid"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 9"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" QFormat="true"
Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" QFormat="true"
Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" QFormat="true"
Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" QFormat="true"
Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" QFormat="true"
Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" QFormat="true"
Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" SemiHidden="true"
UnhideWhenUsed="true" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/>
<w:LsdException Locked="false" Priority="41" Name="Plain Table 1"/>
<w:LsdException Locked="false" Priority="42" Name="Plain Table 2"/>
<w:LsdException Locked="false" Priority="43" Name="Plain Table 3"/>
<w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/>
<w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/>
<w:LsdException Locked="false" Priority="40" Name="Grid Table Light"/>
<w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 3"/>
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Anonymoushttp://www.blogger.com/profile/05546315774568750455noreply@blogger.com0tag:blogger.com,1999:blog-4834887252030104341.post-53729790327583478872017-03-03T18:57:00.000-08:002017-03-03T19:00:37.387-08:00Improving Expanded Immunization Uptake Using SHARPS methodology<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhGY7Mxphp1z0J8E3k4peH7CAilBaOI7p7CnjOqZexU3EUMYm82avwKKcK1ztti8RXv2n6dpEahYBijjSkYXfky9-DaVBYxMwlAsfbAL-1p3oxw6oFlZOw46FL-6y4QjVmDVcr629SVSztR/s1600/Move-The-Needle-v2.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="180" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhGY7Mxphp1z0J8E3k4peH7CAilBaOI7p7CnjOqZexU3EUMYm82avwKKcK1ztti8RXv2n6dpEahYBijjSkYXfky9-DaVBYxMwlAsfbAL-1p3oxw6oFlZOw46FL-6y4QjVmDVcr629SVSztR/s320/Move-The-Needle-v2.jpg" width="320" /></a></div>
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<span style="font-size: 16.0pt; line-height: 107%;">It is a fact of life that people will oppose immunization
because of several reasons, some of which are borne out of hearsay, which are
of course baseless in themselves, and other concerns are firmly rooted in
religious beliefs, cultural background, together with personal experiences, and
of those of friends or family members. For the most part, the general
population has limited knowledge and information regarding immunization and
vaccines. They are in need of good old education. It’s not only fair, but it’s
the right thing to do. Patients need information and who else to come to their
aid other than their trusted community Pharmacists. As Pharmacists, we are uniquely positioned to help address concerns
of patients in our immediate sphere of influence regarding healthcare matters. We
are currently in uncharted territory where immunization is common place and the
access to which is largely unhindered. They are trying to make sense of the
disease states we are trying to protect them from in the first place. In order
to address these disparities and barriers certain concepts must be understood
first. <o:p></o:p></span></div>
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<span style="font-size: 16.0pt; line-height: 107%;">Pharmacists need to acquire an unparalleled level of
information regarding immunization and their disease states. For example, we
need to be able to articulate to our patients what Shingles is and how it can
present and be contracted, why pneumonia shots are recommended for a certain
age group, etc.<o:p></o:p></span></div>
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<br /></div>
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<span style="font-size: 16.0pt; line-height: 107%;">Firstly, we need to ask ourselves the question; <i>What do Adult patients want to know when it
comes to immunization? Examples of such are:</i><o:p></o:p></span></div>
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<span style="font-size: 16.0pt; line-height: 107%;"> <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="mso-list: l2 level1 lfo1; tab-stops: 105.75pt; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-size: 16.0pt; line-height: 107%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">1)<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-size: 16.0pt; line-height: 107%;">How
likely am I to get this disease?<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo1; tab-stops: 105.75pt; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-size: 16.0pt; line-height: 107%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">2)<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-size: 16.0pt; line-height: 107%;">How
serious could this disease be for me?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-size: 16.0pt; line-height: 107%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">3)<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-size: 16.0pt; line-height: 107%;">What
are the side effects?<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-size: 16.0pt; line-height: 107%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">4)<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-size: 16.0pt; line-height: 107%;">How
much will it cost me?<o:p></o:p></span></div>
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<span style="font-size: 16.0pt; line-height: 107%;"> <o:p></o:p></span></div>
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<span style="font-size: 16.0pt; line-height: 107%;">Since adults are rational patients and of course more curious
than their younger counterparts, effective communication is key! It is imperative
to deploy the most effective communication tool to address their concerns,
questions, and comments. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="mso-list: l0 level1 lfo3; tab-stops: 105.75pt; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-size: 16.0pt; line-height: 107%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">a)<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-size: 16.0pt; line-height: 107%;">Stress
the importance of timely immunization;<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: .75in; mso-add-space: auto; mso-list: l1 level1 lfo2; tab-stops: 105.75pt; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-size: 16.0pt; line-height: 107%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">1)<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-size: 16.0pt; line-height: 107%;">Highlight susceptibilities<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: .75in; mso-add-space: auto; mso-list: l1 level1 lfo2; tab-stops: 105.75pt; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-size: 16.0pt; line-height: 107%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">2)<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-size: 16.0pt; line-height: 107%;">Explain severity and potential cost
of getting the disease<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: .75in; mso-add-space: auto; mso-list: l1 level1 lfo2; tab-stops: 105.75pt; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-size: 16.0pt; line-height: 107%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">3)<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-size: 16.0pt; line-height: 107%;">Use empowering messages and highlight
the benefits of vaccination. Getting vaccinated is part of staying healthy<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: .75in; mso-add-space: auto; mso-list: l1 level1 lfo2; tab-stops: 105.75pt; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-size: 16.0pt; line-height: 107%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">4)<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-size: 16.0pt; line-height: 107%;">Provide transparent and plain
language information on the disease states and the immunization protocols
available.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: .75in; mso-add-space: auto; mso-list: l1 level1 lfo2; tab-stops: 105.75pt; text-indent: -.25in;">
<!--[if !supportLists]--><span style="font-size: 16.0pt; line-height: 107%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">5)<span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-size: 16.0pt; line-height: 107%;">Finally, tailor information to your
audience. Ensure your messages highlight the benefits that support your efforts <o:p></o:p></span></div>
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<br /></div>
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<b><span style="font-size: 20.0pt; line-height: 107%;">S</span></b><span style="font-size: 16.0pt; line-height: 107%;"> Share: The information shared here
should be tailored to your audience, highlight why vaccination is right for the
patient given age, health status, lifestyle, job or other risk factors. We need
to ensure we share this information at a level where the majority of our
captive audience can understand and relate. <o:p></o:p></span></div>
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<b><span style="font-size: 20.0pt; line-height: 107%;">H</span></b><span style="font-size: 16.0pt; line-height: 107%;"> Highlight positive experiences with
vaccines to reinforce benefits and strengthen confidence in vaccination.
Sometimes you may want to call on own experiences with immunization or share
some of the experiences that have been shared with you. Sometimes you may have
a patient nearby trying to shed negative light on the act of immunization. It’s
not your job to try to make this person understand. The best you can do is to step back and don’t engage in a conversation,
approach your target patient at a later time<o:p></o:p></span></div>
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<b><span style="font-size: 20.0pt; line-height: 107%;">A</span></b><span style="font-size: 16.0pt; line-height: 107%;"> Acknowledge & address the
patients questions and any key concerns about vaccine generally and side
effects in plain language that can understood. Be that as it may, many a
patient have several questions and concerns about immunization period. Your
best ally here is sound education. With the advent of the internet, a lot of pharmacy
patrons use the internet tools such as Google as a resource. Ensure the
information you are providing is true. Patients
are always in search of unadulterated pure information to help them make
an informed decision regarding this and other healthcare decisions<o:p></o:p></span></div>
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<b><span style="font-size: 20.0pt; line-height: 107%;">R</span></b><span style="font-size: 16.0pt; line-height: 107%;">. Patients need to often be reminded
that vaccination is not only to protect them from diseases, but to protect
their loved ones who will be affected if the patient becomes infected. With
this in mind, adult patients are more
likely to buy into the idea of getting vaccinated to protect their
grandchildren and other family members<o:p></o:p></span></div>
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<b><span style="font-size: 20.0pt; line-height: 107%;">P</span></b><span style="font-size: 16.0pt; line-height: 107%;"> Price: Explain the potential cost of
getting the vaccine and the cost of not getting it. Since most seniors are on a
fixed limited income, cost of immunization will arise, such as;<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 16.0pt; line-height: 107%;"> 1} Is this covered by Medicare
Part B or D? <o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 16.0pt; line-height: 107%;">2} What will my copay be?<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 16.0pt; line-height: 107%;">3} Are there
manufacturers coupon that can be leveraged to further lower my copay?<o:p></o:p></span></div>
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<b><span style="font-size: 20.0pt; line-height: 107%;">S </span></b><span style="font-size: 16.0pt; line-height: 107%;">Support after immunization is key to
building a lasting relationship with our patients beyond the pharmacy counter.
This level of support is integral to showing empathy and be tailored to each
patient. It is customary for a follow up phone calls to patients after
immunization to address any concerns/questions they may have. It is vitally important
for your patients to know you care and are always available. <o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 16.0pt; line-height: 107%;">As pharmacist, its incumbent upon us to search the internet
and use our relationships to help lower the out of pocket cost for our
patients. This will definitely help improve the uptake in adult immunization.<o:p></o:p></span></div>
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<br /></div>
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<span style="font-size: 16.0pt; line-height: 107%;"> <i><u>Efforts To Improve Uptake<o:p></o:p></u></i></span></div>
<div class="MsoNormal">
<span style="font-size: 16.0pt; line-height: 107%;">1} To further get patients and staff engaged, you could
provide novelty gift items to patient and the support staff that has the
highest number of referrals. The intra-team rivalry is very healthy to ensuring
team members are truly committed to this cause. Try to figure out what your
patients will like and present as a gift for immunization, examples include
pens, stress balls, etc.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 16.0pt; line-height: 107%;">2} Partner with the local practitioners in your neighborhood
to help spread the word and provide support. <o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 16.0pt; line-height: 107%;">3} Provide pictorial printed materials they can peruse even
after leaving the pharmacy. Invest in some brochures that address concerns the
patients may have. It is always valuable to address concerns upfront before
they are asked<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 16.0pt; line-height: 107%;">4} Ensure to have a space that is convenient to facilitate
immunization, it’s important to have an area in the pharmacy that is carved out
for immunization to provide some level of privacy. Patients don’t appreciate
other people looking at them as they get vaccinated, or as they solicit further
information regarding immunization.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 16.0pt; line-height: 107%;">5} Leverage your relationship with manufacturers of vaccines
to help with outreach programs. Work with the neighborhood nursing homes, medical
facilities to organize a rally that will bring seniors together where you can
share vital information. <o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-size: 16.0pt; line-height: 107%;">These are proven efforts that will help you improve expanded
immunization in your sphere of practice…./.<o:p></o:p></span></div>
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<div class="MsoNormal">
<span style="font-size: 16.0pt; line-height: 107%;">Author: Dr. Leke Agbejule<o:p></o:p></span></div>
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Anonymoushttp://www.blogger.com/profile/05546315774568750455noreply@blogger.com0tag:blogger.com,1999:blog-4834887252030104341.post-16726700583656689332014-10-03T17:34:00.000-07:002014-10-03T17:34:09.186-07:00#Ebola...The 411.../.<!--[if !mso]>
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<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhvXe0u4rLKsjydkzncaBOnqX6f5bwobmLgiFBa71yzFND6JNm2gBa6fw9RSd6pUY0QmdLavqVdWibtYgpT6k6QO2Typp9e_mCDSvkkRcX-H9mAimTnBoXB3weyykWp05k5Mt9ZyOuw0-yb/s1600/ebola-new.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhvXe0u4rLKsjydkzncaBOnqX6f5bwobmLgiFBa71yzFND6JNm2gBa6fw9RSd6pUY0QmdLavqVdWibtYgpT6k6QO2Typp9e_mCDSvkkRcX-H9mAimTnBoXB3weyykWp05k5Mt9ZyOuw0-yb/s1600/ebola-new.jpg" height="199" width="200" /></a></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-size: large;"><span style="font-family: "Calibri Light","sans-serif";">Ebola, previously known as Ebola hemorrhagic fever
is a rare but deadly disease caused by the virus of the family <i>Filoviridae</i>. Ebola has manifested
fatally in humans and nonhuman primates {such as monkeys, gorillas} alike.
There are 5 different strains of the virus primarily and they have caused
devastation in different countries at different times The first identified
strain of Ebola was discovered near the river Ebola in Zaire, now the
Democratic Republic of Congo in 1976, hence the name Ebola. Since then, there have
been sporadic outbursts here and there, but the current outbreak is the
deadliest ever. The natural reservoir host of the virus remains largely unknown.
However, based on available evidence, it is thought the host is animal, while
the bat is the most likely culprit. Because of the usual sketchy information surrounding
the first case in an outbreak, it is often very difficult to determine how the
first infected human came in contact with the virus. The general consensus is
through contact with an infected animal</span></span></div>
<span style="font-size: large;">
</span><div class="MsoNormal">
<br /></div>
<span style="font-size: large;">
</span><div class="MsoNormal">
<span style="font-size: large;"><span style="font-family: "Calibri Light","sans-serif";">Transmission…/.</span></span></div>
<span style="font-size: large;">
</span><div class="MsoNormal">
<span style="font-size: large;"><span style="font-family: "Calibri Light","sans-serif";">When an
infection does occur in humans, there are several ways to spread the virus
during an outbreak</span></span></div>
<span style="font-size: large;">
</span><div class="MsoListParagraphCxSpFirst" style="text-indent: -0.25in;">
<span style="font-size: large;"><span style="font-family: "Calibri Light","sans-serif";"><span>1)<span style="-moz-font-feature-settings: normal; -moz-font-language-override: normal; font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><span style="font-family: "Calibri Light","sans-serif";">Direct contact with blood or body fluids
(including but not limited to feces, saliva, urine, vomit and semen of persons
sick with Ebola</span></span></div>
<span style="font-size: large;">
</span><div class="MsoListParagraphCxSpLast" style="text-indent: -0.25in;">
<span style="font-size: large;"><span style="font-family: "Calibri Light","sans-serif";"><span>2)<span style="-moz-font-feature-settings: normal; -moz-font-language-override: normal; font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><span style="font-family: "Calibri Light","sans-serif";">Contact with objects like needles and
syringes that have been contaminated with the blood or body fluids of a person
sick with Ebola</span></span></div>
<span style="font-size: large;">
</span><div class="MsoNormal">
<span style="font-size: large;"><span style="font-family: "Calibri Light","sans-serif";">During an
outbreak this can spread fairly rapidly within the healthcare setting
especially those where proper precautionary protocols are not in place, or not
adhered to as a standard practice. Secondly, family members of the persons sick
with Ebola as they are mostly likely to come into contact with the body fluids
of Ebola patients</span></span></div>
<span style="font-size: large;">
</span><div class="MsoNormal">
<span style="font-size: large;"><span style="font-family: "Calibri Light","sans-serif";">Dedicated medical
equipment, preferably disposable where possible, should be used by healthcare
personnel providing care to persons sick with Ebola. Where disposable items are
not possible, proper sterilization techniques have been known to help. In fact,
the deadly nature of this outbreak is secondary to the ease with which it can
be transmitted.</span></span></div>
<span style="font-size: large;">
</span><div class="MsoNormal">
<br /></div>
<span style="font-size: large;">
</span><div class="MsoNormal">
<span style="font-size: large;"><span style="font-family: "Calibri Light","sans-serif";">Signs and
Symptoms…/.</span></span></div>
<span style="font-size: large;">
</span><div class="MsoNormal">
<span style="font-size: large;"><span style="font-family: "Calibri Light","sans-serif";">A person
infected with the Ebola virus is <b><u>NOT</u></b>
contagious until symptoms appear. Such symptoms include</span></span></div>
<span style="font-size: large;">
</span><div class="MsoListParagraphCxSpFirst" style="text-indent: -0.25in;">
<span style="font-size: large;"><span style="font-family: "Calibri Light","sans-serif";"><span>1)<span style="-moz-font-feature-settings: normal; -moz-font-language-override: normal; font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><span style="font-family: "Calibri Light","sans-serif";">Inexplicable fever in the region of 101.5<sup>o</sup>
F</span></span></div>
<span style="font-size: large;">
</span><div class="MsoListParagraphCxSpMiddle" style="text-indent: -0.25in;">
<span style="font-size: large;"><span style="font-family: "Calibri Light","sans-serif";"><span>2)<span style="-moz-font-feature-settings: normal; -moz-font-language-override: normal; font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><span style="font-family: "Calibri Light","sans-serif";">Severe headache</span></span></div>
<span style="font-size: large;">
</span><div class="MsoListParagraphCxSpMiddle" style="text-indent: -0.25in;">
<span style="font-size: large;"><span style="font-family: "Calibri Light","sans-serif";"><span>3)<span style="-moz-font-feature-settings: normal; -moz-font-language-override: normal; font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><span style="font-family: "Calibri Light","sans-serif";">Muscle pain</span></span></div>
<span style="font-size: large;">
</span><div class="MsoListParagraphCxSpMiddle" style="text-indent: -0.25in;">
<span style="font-size: large;"><span style="font-family: "Calibri Light","sans-serif";"><span>4)<span style="-moz-font-feature-settings: normal; -moz-font-language-override: normal; font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><span style="font-family: "Calibri Light","sans-serif";">Vomiting</span></span></div>
<span style="font-size: large;">
</span><div class="MsoListParagraphCxSpMiddle" style="text-indent: -0.25in;">
<span style="font-size: large;"><span style="font-family: "Calibri Light","sans-serif";"><span>5)<span style="-moz-font-feature-settings: normal; -moz-font-language-override: normal; font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><span style="font-family: "Calibri Light","sans-serif";">Diarrhea</span></span></div>
<span style="font-size: large;">
</span><div class="MsoListParagraphCxSpMiddle" style="text-indent: -0.25in;">
<span style="font-size: large;"><span style="font-family: "Calibri Light","sans-serif";"><span>6)<span style="-moz-font-feature-settings: normal; -moz-font-language-override: normal; font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><span style="font-family: "Calibri Light","sans-serif";">Stomach pain</span></span></div>
<span style="font-size: large;">
</span><div class="MsoListParagraphCxSpLast" style="text-indent: -0.25in;">
<span style="font-size: large;"><span style="font-family: "Calibri Light","sans-serif";"><span>7)<span style="-moz-font-feature-settings: normal; -moz-font-language-override: normal; font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><span style="font-family: "Calibri Light","sans-serif";">Inexplicable bleed or bruising</span></span></div>
<span style="font-size: large;">
</span><div class="MsoNormal">
<span style="font-size: large;"><span style="font-family: "Calibri Light","sans-serif";">Symptoms can
develop between 2 – 21 days post exposure to the Ebola virus, but the average
is 8 – 10 days. Recovery from Ebola depends on the patient’s immune response.
Persons who recover from Ebola go on to develop antibodies that last for at
least 10 years</span></span></div>
<span style="font-size: large;">
</span><div class="MsoNormal">
<br /></div>
<span style="font-size: large;">
</span><div class="MsoNormal">
<span style="font-size: large;"><span style="font-family: "Calibri Light","sans-serif";">Diagnosis…/.</span></span></div>
<span style="font-size: large;">
</span><div class="MsoNormal">
<span style="font-size: large;"><span style="font-family: "Calibri Light","sans-serif";">Diagnosing Ebola
in a person who has been infected for only a few days is difficult because the
early symptoms exhibited such as fever are no specific to Ebola virus
infection. Several infections show similar early symptoms such as malaria
fever, and typhoid fever. However, if a person has symptoms of Ebola and have
had contact with blood or body fluids of a person sick with Ebola, or come into
contact with objects that have been contaminated with blood or body fluids of
persons sick with Ebola, the person should be isolated and public health
officials notified at once, while awaiting results of test on samples from the
person.</span></span></div>
<span style="font-size: large;">
</span><div class="MsoNormal">
<span style="font-size: large;"><span style="font-family: "Calibri Light","sans-serif";">Treatment…/.</span></span></div>
<span style="font-size: large;">
</span><div class="MsoNormal">
<span style="font-size: large;"><span style="font-family: "Calibri Light","sans-serif";">Currently there
are no vaccines or medicines such as antivirals available in the market to treat
Ebola. However, there have been successful cocktail of medicines used to manage
the signs and symptoms of Ebola. The symptoms are treated as they occur. The
following basic interventions when instituted in a timely manner will help
reduce the mortality associated with Ebola outbreak. They are</span></span></div>
<span style="font-size: large;">
</span><div class="MsoListParagraphCxSpFirst" style="text-indent: -0.25in;">
<span style="font-size: large;"><span style="font-family: "Calibri Light","sans-serif";"><span>1)<span style="-moz-font-feature-settings: normal; -moz-font-language-override: normal; font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><span style="font-family: "Calibri Light","sans-serif";">Providing IV fluid and balancing electrolyte
{salts}</span></span></div>
<span style="font-size: large;">
</span><div class="MsoListParagraphCxSpMiddle" style="text-indent: -0.25in;">
<span style="font-size: large;"><span style="font-family: "Calibri Light","sans-serif";"><span>2)<span style="-moz-font-feature-settings: normal; -moz-font-language-override: normal; font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><span style="font-family: "Calibri Light","sans-serif";">Maintaining oxygen status and blood pressure</span></span></div>
<span style="font-size: large;">
</span><div class="MsoListParagraphCxSpLast" style="text-indent: -0.25in;">
<span style="font-size: large;"><span style="font-family: "Calibri Light","sans-serif";"><span>3)<span style="-moz-font-feature-settings: normal; -moz-font-language-override: normal; font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><span style="font-family: "Calibri Light","sans-serif";">Treating other infections if they occur</span></span></div>
<span style="font-size: large;">
</span><div class="MsoNormal">
<span style="font-size: large;"><span style="font-family: "Calibri Light","sans-serif";">Prevention…/.</span></span></div>
<span style="font-size: large;">
</span><div class="MsoNormal">
<span style="font-size: large;"><span style="font-family: "Calibri Light","sans-serif";">A stitch in
time they say, saves nine. Whenever there is an outbreak of Ebola as we have on
our hands now, healthcare workers are often at risk, as well as family members
that are in close proximity to the Ebola patient. Measures include, but not
limited to;</span></span></div>
<span style="font-size: large;">
</span><div class="MsoListParagraphCxSpFirst" style="text-indent: -0.25in;">
<span style="font-size: large;"><span style="font-family: "Calibri Light","sans-serif";"><span>1)<span style="-moz-font-feature-settings: normal; -moz-font-language-override: normal; font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><span style="font-family: "Calibri Light","sans-serif";">Isolate all Ebola patients as well as those
with common symptoms and have come into contact with persons sick with Ebola</span></span></div>
<span style="font-size: large;">
</span><div class="MsoListParagraphCxSpMiddle" style="text-indent: -0.25in;">
<span style="font-size: large;"><span style="font-family: "Calibri Light","sans-serif";"><span>2)<span style="-moz-font-feature-settings: normal; -moz-font-language-override: normal; font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><span style="font-family: "Calibri Light","sans-serif";">Don protective garment when caring for
persons sick with Ebola</span></span></div>
<span style="font-size: large;">
</span><div class="MsoListParagraphCxSpMiddle" style="text-indent: -0.25in;">
<span style="font-size: large;"><span style="font-family: "Calibri Light","sans-serif";"><span>3)<span style="-moz-font-feature-settings: normal; -moz-font-language-override: normal; font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><span style="font-family: "Calibri Light","sans-serif";">Observe other universally acceptable protective
measures as deemed necessary</span></span></div>
<span style="font-size: large;">
</span><div class="MsoListParagraphCxSpMiddle" style="text-indent: -0.25in;">
<span style="font-size: large;"><span style="font-family: "Calibri Light","sans-serif";"><span>4)<span style="-moz-font-feature-settings: normal; -moz-font-language-override: normal; font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><span style="font-family: "Calibri Light","sans-serif";">Avoid<span>
</span>touching the bodies of persons who have died from Ebola</span></span></div>
<span style="font-size: large;">
</span><div class="MsoListParagraphCxSpLast" style="text-indent: -0.25in;">
<span style="font-size: large;"><span style="font-family: "Calibri Light","sans-serif";"><span>5)<span style="-moz-font-feature-settings: normal; -moz-font-language-override: normal; font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><span style="font-family: "Calibri Light","sans-serif";">Contact tracing: Finding everyone who has
come into direct contact with sick Ebola patients. These contacts are watched
for 21 days from the contact date. If they develop fever or other cardinal symptoms
consistent with Ebola infection, they are in turn isolated or quarantined, tested
and provided corresponding care.</span></span></div>
<span style="font-size: large;">
</span><div class="MsoNormal">
<span style="font-size: large;"><span style="font-family: "Calibri Light","sans-serif";">Every
outbreak of the Ebola virus since 1967 has been a major threat to our
healthcare delivery systems worldwide, especially the African countries. It is
a constant test of our resiliency and ability to contain the outbreak. It seems
like it is mother-nature’s “drill” to ensure we don’t rest on our oars, and we
are always prepared to handle disasters. It’s obvious the best measure to
counter this is prevention and early detection. The international community in
partnership with organizations as WHO & CDC are harnessing their resources
to addressing this and perhaps come up with a vaccine in the next couple of
months. With the ever expanding role of the pharmacists in the community
coupled with the immunization responsibilities, the pharmacy may be the first
port of call for patients exhibiting early symptoms. We should be cognizant of
the fact that the patient’s social history is equally important, such as recent
travel history. All hands need to be on deck here as we deal squarely with this
outbreak…/.</span></span></div>
Anonymoushttp://www.blogger.com/profile/05546315774568750455noreply@blogger.com0tag:blogger.com,1999:blog-4834887252030104341.post-34481691602254543002014-09-28T11:46:00.002-07:002014-09-28T11:52:04.581-07:00Mind The Gap..within existing Geriatric Continuuum of Care.../.<h1 class="article-title" style="-webkit-text-stroke-width: 0px; background-color: white; border: 0px; box-sizing: border-box; color: #333333; font-family: Helvetica, Arial, sans-serif; font-size: 36px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 40px; margin: 0px; orphans: auto; outline: 0px; padding: 0px 0px 10px; text-align: center; text-indent: 0px; text-transform: none; vertical-align: baseline; white-space: normal; widows: auto; word-spacing: 0px;">
</h1>
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<img alt="" class="left" data-loading-tracked="true" src="https://media.licdn.com/mpr/mpr/p/7/005/08b/35f/265a2cb.jpg" style="border: 0px; box-sizing: border-box; float: left; font-family: inherit; font-size: 15.5555562973022px; font-style: inherit; font-variant: inherit; font-weight: inherit; height: auto; line-height: inherit; margin: 0px 30px 15px 0px; max-width: 100%; outline: 0px; padding: 0px; text-align: left; vertical-align: baseline;" />As Baby boomers {people born between 1943 and 1960} age and exit the work force, we are seeing more of them use pharmacy facilities around the country on a regular basis. In fairness to them, the vast majority are rather healthy, and have well managed chronic medical conditions such as diabetes, hypertension, etc. when compared to the generations before them due to access to better modern healthcare system.</div>
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Occasionally these demographic might be admitted into the hospital secondary to an acute medical condition or a complication of a hitherto controlled chronic condition. When this happens, the hospital staff usually gains insight into their prior medication history by contacting their pharmacy or PCP alike when known. The requisition placed to the pharmacy is often to provide a listing of medications {complete with dosage regimen and strengths} the patient is currently taking. This initiative is laudable but may not provide a holistic view of the patient’s history, as this effort is only as successful as the patient’s memory permits, if they are alert and oriented. When patient cannot provide thus information, I believe the hospital will triage and commence treatment as per protocol based on the chief clinical complaint of the patient.</div>
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Assumptions../.</div>
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1 First, it is assumed the patient only uses one pharmacy, when in actual fact the patient could well be a splitter {A splitter is a pharmacy patron that uses multiple pharmacies for reasons ranging from price differential, specific preferred generic manufacturer, to availability of ethnic products}. As a result, the pharmacy contacted will only have a partial view of the patient’s prescription history. Some of the pharmacy facilities may have limited operating hours and may not be open at the time the information is requested, in which case, treatment will commence without this information, as opposed to the chain pharmacies that have a shared central database between locations giving full visibility.</div>
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2 The patient is always assumed to be adherent. As the information often requested is limited to what medications the patient is currently taking. This usually means the medications that were dispensed in the last 1 month +/- 15 days.</div>
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The Gap../..</div>
<div class="Body" style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: 15.5555562973022px; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px 0px 30px; outline: 0px; padding: 0px; vertical-align: baseline;">
<img alt="" class="center" data-loading-tracked="true" src="https://media.licdn.com/mpr/mpr/p/5/005/08b/35f/37b01bb.jpg" style="border: 0px; box-sizing: border-box; display: block; font-family: inherit; font-size: 15.5555562973022px; font-style: inherit; font-variant: inherit; font-weight: inherit; height: auto; line-height: inherit; margin: 0px auto 15px; max-width: 100%; outline: 0px; padding: 0px; text-align: center; vertical-align: baseline;" />The Gap develops when this patient has been stabilized by the admitting hospital and then discharged home with medications or new prescriptions with the advice to follow up with their PCP. The hospital staff often goes a step further by providing the PCP with a comprehensive list of medications the patient was discharged with alongside the usual medical records. The patient presents same to the pharmacy where the gap, and / or in some cases redundancies, are discovered. At this point the patient will need to get the go - ahead from their PCP to either continue the hospital regimen, or the prescription medications pre admission. Oftentimes when this decision is made the pharmacy is not always contacted to inactivate the discontinued medications. The pharmacy staff is now faced with the discrepancy when the patients are seeking<span class="Apple-converted-space"> </span><span style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: 15.5555562973022px; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">refills on “all their medication” as they often say. The patient is now torn between two seemingly out of synch health systems.</span></div>
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Secondly, the gap may arise from the hospital having a closed formulary whereby a medication listed by the patient may be substituted for a formulary equivalent without the patient’s knowledge. When they get home they may end up taking both unknowingly.</div>
<div class="Body" style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: 15.5555562973022px; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px 0px 30px; outline: 0px; padding: 0px; vertical-align: baseline;">
T<span style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: 15.5555562973022px; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">he relevance of this piece is only to bubble up the issue and bring to the forefront for consideration as obviously there is a disconnect somewhere within the continuum of care for our seniors</span></div>
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The Current State.</div>
<div class="Body" style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: 15.5555562973022px; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px 0px 30px; outline: 0px; padding: 0px; vertical-align: baseline;">
<span style="border: 0px; box-sizing: border-box; font-family: inherit; font-size: 15.5555562973022px; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Currently in situations like this, the pharmacy contacts the PCP to reconcile the medications in an attempt to ensure the there are no duplications or inappropriate therapy in light of the recent hospital admission. And sometimes, you hear, “this & that were discontinued when the patient came into the office last month”</span></div>
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Bridging The Gap..…</div>
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There are several recommendations that if implemented will drastically reduce this wasteful use of healthcare resources and ensure our seniors are getting the best care intended.</div>
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1) There was a proposal a while ago to host an online database such as “Google Health” in collaboration with the NCPDP, National Council for Prescription Drug Programs.This will be an online repository accessible by registered practitioners using the VPN {Virtual Private Network} technology. The online portal will be populated with relevant information gathered from the pharmacy community. This can be accessed upon arrival at the hospital in real time.</div>
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2) The State could host a similar database as described above that handles such information. A lot of States now have a similar program to monitor the use of controlled substances anyway. This could piggyback on the existing infrastructure. And in the rare case a patient is admitted in an out of state hospital, they will only have to look up one database to get this pertinent information. I believe the subscription to this service should be voluntary and local pharmacies should be encouraged to download information on a monthly basis or other time frame agreed upon within the project charter, and the information only kept for 6 month after which it ishould be purged to alleviate concerns of storage.</div>
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3) Pharmacies may be mandated to provide patients with a monthly statement itemizing all their current medications. I know this approach has its inherent flaws as the medication information may fall into the wrong hands. If handy, the emergency responder may retrieve from patient during an emergency evacuation.</div>
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4) Third party payers will have the prescription information and perhaps encouraged to share this when contacted by the hospital to notify of the hospital admission. One of the flaws here is that this option will not cater to cash paying patients</div>
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Whatever approach we decide to use to fill this gap, I believe it will go a long way in helping our senior citizens better reap the fruits of their labor and help them on their paths to leading a youthful and productive life.../.</div>
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Anonymoushttp://www.blogger.com/profile/05546315774568750455noreply@blogger.com0tag:blogger.com,1999:blog-4834887252030104341.post-31408509119661458132014-09-10T12:17:00.006-07:002014-09-28T11:52:24.806-07:00Waste Management: Removing The "Re" in Rework..../.<br />
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<div class="MsoNormal">
<span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%;">Oftentimes, Waste is defined as that “extra” we engage
in over what is actually required. My take WASTE: Worthless Activities That
Steal Time & Energy. </span></div>
<div class="MsoNormal">
<span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%;">For an activity to be regarded as value add, it must meet
all the 3 criteria below,</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="mso-list: l1 level1 lfo1; text-indent: -.25in;">
<span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%; mso-bidi-font-family: "Book Antiqua"; mso-fareast-font-family: "Book Antiqua";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%;">The customer must be willing to pay for it.
If the customer is unaware (and not willing) of this extra activity, then it
represents waste to them regardless of the cost to your business. For example,
a company spending tons of money on internet exposure when there are so many
defects in the finished product yet to be fixed, You probably want to perfect
your “hustle” before going online</span></div>
<div class="MsoListParagraphCxSpMiddle">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l1 level1 lfo1; text-indent: -.25in;">
<span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%; mso-bidi-font-family: "Book Antiqua"; mso-fareast-font-family: "Book Antiqua";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%;">There must be some transformational changes
to the article in question, for example, a patient walks into the pharmacy with
a prescription in hand. She is willing to exchange such for a physical
medication. The internal processes within the pharmacy will cause a
transformational change of the physical paper to physical medication which the
patient will gladly want to pay for.</span></div>
<div class="MsoListParagraphCxSpMiddle">
<br /></div>
<div class="MsoListParagraphCxSpMiddle">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="mso-list: l1 level1 lfo1; text-indent: -.25in;">
<span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%; mso-bidi-font-family: "Book Antiqua"; mso-fareast-font-family: "Book Antiqua";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%;">Finally, it must be done right the first
time all the time</span></div>
<div class="MsoNormal">
<span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%;">This piece is devoted to addressing the 3<sup>rd</sup>
element above. It is unfortunate that a lot of processes have built in layers
of rework in them all in the name of redundancy. I am of course aware of the
need to have redundancy built into some mission critical processes, but when
used to address something that was not done right in the first place, it
qualifies to be called WASTE. </span></div>
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<span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%;">What is rework?</span></div>
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<span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%;">This is a conscious action taken to correct what wasn’t
done right the first time. I am sure we can all relate to this within our
various environments. How frustrating can it be if after picking up your car
from the garage for a tune up, the attendant notifies you that he forgot to
install the correct air filter and he wants you to bring it back to be
replaced, and perhaps wants to charge you for the extra time. Needless, to say,
I can assume what you are saying right now, yes, that’s what I will say. <span style="mso-spacerun: yes;"> </span>This extra, totally avoidable trip back is
called waste. It is not a value added step and hence needs to be eliminated.
This would have been eliminated (and avoided) if the technician was diligent in
the first place. <span style="mso-spacerun: yes;"> </span>I urge us all to look
around and see what we are spending extra time and money on. The example above
is a very easy one. I dear say most the re-do’s are very subtle and you may not
get to them until several questions are asked. Plan to do a detailed root cause
analysis by asking several question until you get to the granular level. What I
call “Follow the Whys”</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%;">Causes of Rework;</span></div>
<div class="MsoListParagraphCxSpFirst" style="mso-list: l0 level1 lfo2; text-indent: -.25in;">
<span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%; mso-bidi-font-family: "Book Antiqua"; mso-fareast-font-family: "Book Antiqua";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%;">Poor communication. When the expected
outcome is not communicated well to the operator. Perhaps, its poor verbal
skills or poor reading skills. The expected output is not consistent with the
expectations of the payer, the customer.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo2; text-indent: -.25in;">
<span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%; mso-bidi-font-family: "Book Antiqua"; mso-fareast-font-family: "Book Antiqua";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%;">Lack Of proper training. When the training
provided is inadequate or totally lacking. Most times the former is the case.
The level of training provided must be continually reviewed to ensure they can
deliver the stellar service expected by the customers</span></div>
<div class="MsoListParagraphCxSpLast" style="mso-list: l0 level1 lfo2; text-indent: -.25in;">
<span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%; mso-bidi-font-family: "Book Antiqua"; mso-fareast-font-family: "Book Antiqua";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%;">Mid-stream changes made by the customer. I
have included this because some of the changes should have been anticipated and
of course discussed with the customer up front. A lot of our customers have an
idea of what they want but sometimes want to rely on our expertise to help
shape the final product</span></div>
<div class="MsoNormal">
<span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%;">.</span></div>
<div class="MsoNormal">
<span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%;">Impact of rework on your organization</span></div>
<div class="MsoListParagraphCxSpFirst" style="mso-list: l2 level1 lfo3; text-indent: -.25in;">
<span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%; mso-bidi-font-family: "Book Antiqua"; mso-fareast-font-family: "Book Antiqua";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%;">Extra expense. No matter why rework occurs,
its impact on an organization is always the same—wasted time and money. And
while no one wants to admit it, these expenses add up quickly and negatively
impact the bottom line. And Since the customer is not willing to pay for
this,<span style="mso-spacerun: yes;"> </span>it represents an extra expense to
your organization</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo3; text-indent: -.25in;">
<span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%; mso-bidi-font-family: "Book Antiqua"; mso-fareast-font-family: "Book Antiqua";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%;">Leads to Poor<span style="mso-spacerun: yes;"> </span>customer service experience</span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l2 level1 lfo3; text-indent: -.25in;">
<span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%; mso-bidi-font-family: "Book Antiqua"; mso-fareast-font-family: "Book Antiqua";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%;">Loss of reputation. This can further have a
negative impact if the patrons take to social networking sites</span></div>
<div class="MsoListParagraphCxSpLast" style="mso-list: l2 level1 lfo3; text-indent: -.25in;">
<span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%; mso-bidi-font-family: "Book Antiqua"; mso-fareast-font-family: "Book Antiqua";"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%;">Undue extension of the delivery time frame.
We have to bear in mind the extra time takes for the rework activity.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%;">How to eliminate rework</span></div>
<div class="MsoNormal">
<span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%;">Although it is near-impossible to eliminate rework
completely, but can be reduced by optimizing the way we document data, review
processes and communicate changes throughout our organization. If priority is
given to evaluating and improving processes, it becomes much easier to reduce
the amount of rework. With less rework productivity increases and efficiency improves../.</span></div>
Anonymoushttp://www.blogger.com/profile/05546315774568750455noreply@blogger.com1tag:blogger.com,1999:blog-4834887252030104341.post-64080027168441078842014-09-06T18:54:00.004-07:002014-09-06T18:54:50.173-07:00Applying Pareto Principle To Barrier Removal In Flu Shot Administration..../.<br />
<br /><br />
<div class="MsoNormal">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhDOmPz8LbTovbMXpDLL8OoAztUByk2DJXBT-QDppcMaYh6psvHQUceSj37ptuECJMXl_DqITkam_4gkl3llh_pXE5tdNkL3wDxyHZggMvAEnuw69my-0s9LXicasOoOwEJMj3McLNng6ac/s1600/flu.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhDOmPz8LbTovbMXpDLL8OoAztUByk2DJXBT-QDppcMaYh6psvHQUceSj37ptuECJMXl_DqITkam_4gkl3llh_pXE5tdNkL3wDxyHZggMvAEnuw69my-0s9LXicasOoOwEJMj3McLNng6ac/s1600/flu.jpg" height="320" width="302" /></a><span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%;">According
to the CDC, it is estimated that 90% of mortalities associated with the Flu this
season will be recorded in patients 65 years and older. As community Pharmacists
we have an advantage in the sense that we can leverage our trust relationships to
bolster our immunization schemes. As the Pharmacist immunization protocol
continues to expand, we will be engaging more patients in conversations on the
need for these shots going forward, and of course with that comes various
barriers to accepting the need for the shot. Some of the barriers will be
cultural, some are “learned” and some are just based on sheer fear of the needle.<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>Even
though the Flu vaccination only accounts for a portion of our immunization
offerings, there are many other vaccines available at the retail pharmacy
today. Recognizing & addressing these barriers with correct, current information
will go a long way in helping us remove them and increase our immunization rate.
The lessons learnt here in the Flu arena can be extrapolated to other areas. <span style="mso-spacerun: yes;"> </span>As pharmacists, the onus is on us to provide
our patients with vital facts to help drive holistic well-being & partner
with them on their paths to leading a better healthier life. There is
definitely more awareness in the community now and its only getting bigger
& stronger. As we encounter these barriers it is very important for us to
collate them, tally them up, and rank them in some logical order of occurrences.
The theory of “Vital Few Versus the Useful Many” will come in handy here </span><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 107%; mso-ascii-font-family: "Book Antiqua"; mso-char-type: symbol; mso-hansi-font-family: "Book Antiqua"; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">è</span></span><span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%;"> referred to as the Pareto Principle.</span>
</div>
<div class="MsoNormal">
<span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>Vilfredo Pareto, in 1906 Italy discovered that
80% of the land was controlled by 20 % of the population. This gave birth to
the 80/20 rule. This is as true in business as it is in many
"Verticals", including manufacturing, financials, Information Technology,
and even immunization. The rationale is that if we can identify & focus on
addressing the top 20% of these concerns; we will be able to influence 80% of
our audience. I have been able to achieve over 300% acceptance and
administration rate over same time LY by using this simple strategy. <span style="mso-spacerun: yes;"> </span>Some of the concerns encountered in my
practice include the following; </span></div>
<div class="MsoListParagraphCxSpFirst" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%; mso-bidi-font-family: "Book Antiqua"; mso-fareast-font-family: "Book Antiqua";"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span></i><i style="mso-bidi-font-style: normal;"><span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%;">I don’t believe in Flu shots, they
actually make me sick</span></i></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%; mso-bidi-font-family: "Book Antiqua"; mso-fareast-font-family: "Book Antiqua";"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span></i><i style="mso-bidi-font-style: normal;"><span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%;">Flu shots don’t work for me. Got it
sometime ago and still got the Flu</span></i></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%; mso-bidi-font-family: "Book Antiqua"; mso-fareast-font-family: "Book Antiqua";"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";"> </span></span></span></i><i style="mso-bidi-font-style: normal;"><span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%;">I will have to contact my Primary Care
Practitioner, PCP first before I decide</span></i></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%; mso-bidi-font-family: "Book Antiqua"; mso-fareast-font-family: "Book Antiqua";"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";"> </span></span></span></i><i style="mso-bidi-font-style: normal;"><span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%;">Co Pay & other Third Party
Concerns</span></i></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%; mso-bidi-font-family: "Book Antiqua"; mso-fareast-font-family: "Book Antiqua";"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt "Times New Roman";"> </span></span></span></i><i style="mso-bidi-font-style: normal;"><span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%;">I got it already this year</span></i></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%; mso-bidi-font-family: "Book Antiqua"; mso-fareast-font-family: "Book Antiqua";"><span style="mso-list: Ignore;">f)<span style="font: 7.0pt "Times New Roman";">
</span></span></span></i><i style="mso-bidi-font-style: normal;"><span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%;">I
am a caregiver, I don’t need it</span></i></div>
<div class="MsoListParagraphCxSpLast" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%; mso-bidi-font-family: "Book Antiqua"; mso-fareast-font-family: "Book Antiqua";"><span style="mso-list: Ignore;">g)<span style="font: 7.0pt "Times New Roman";"> </span></span></span></i><i style="mso-bidi-font-style: normal;"><span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%;">Next time I come I will get it</span></i></div>
<div class="MsoNormal">
<span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%;">As pharmacists we should not just dismiss these
legitimate concerns, our responsibility is to educate these patients on the
benefits of the shot over actually getting the Flu. We should be creative in our
approach to solving this problem. To ensure success prepare your answers to
these comments before hand and be able to back up your claims with easy to
understand unbiased data. Leverage the ton of information on the CDC website to
assist you. In fact, I recommend role paying with your pharmacy technicians and
other support staff to perfect your responses. </span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%;">Please visit and explore the CDC website, there are
useful resources to assist you in addressing these concerns. </span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Book Antiqua","serif"; font-size: 12.0pt; line-height: 107%;">References</span></div>
<div class="MsoNormal">
<a href="http://www.cdc.gov/flu/protect/keyfacts.htm" target="_blank">http://www.cdc.gov/flu/protect/keyfacts.htm</a></div>
Anonymoushttp://www.blogger.com/profile/05546315774568750455noreply@blogger.com0tag:blogger.com,1999:blog-4834887252030104341.post-63299944381459800682014-08-24T14:33:00.000-07:002014-08-24T14:33:04.133-07:00Pharmacists: Fostering & Building Relationships Beyond The Counter…/.<!--[if !mso]>
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Signature"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="true"
UnhideWhenUsed="true" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Message Header"/>
<w:LsdException Locked="false" Priority="11" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Salutation"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Date"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Heading"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Block Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Hyperlink"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="FollowedHyperlink"/>
<w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Document Map"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Plain Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="E-mail Signature"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Top of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Bottom of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal (Web)"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Acronym"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Address"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Cite"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Code"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Definition"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Keyboard"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Preformatted"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Sample"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Typewriter"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Variable"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Table"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation subject"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="No List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Contemporary"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Elegant"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Professional"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Balloon Text"/>
<w:LsdException Locked="false" Priority="39" Name="Table Grid"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Theme"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" QFormat="true"
Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" QFormat="true"
Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" QFormat="true"
Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" QFormat="true"
Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" QFormat="true"
Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" QFormat="true"
Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" SemiHidden="true"
UnhideWhenUsed="true" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/>
<w:LsdException Locked="false" Priority="41" Name="Plain Table 1"/>
<w:LsdException Locked="false" Priority="42" Name="Plain Table 2"/>
<w:LsdException Locked="false" Priority="43" Name="Plain Table 3"/>
<w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/>
<w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/>
<w:LsdException Locked="false" Priority="40" Name="Grid Table Light"/>
<w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 5"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 5"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 5"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 5"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 5"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 6"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 6"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 6"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 6"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 6"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="46" Name="List Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="List Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="List Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 3"/>
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<span style="font-family: "Book Antiqua","serif"; font-size: 16.0pt; line-height: 107%;">Pharmacists: Fostering
& Building Relationships Beyond The Counter…/.</span></div>
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<br /></div>
<div class="MsoNormal" style="text-align: justify;">
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" />The proverbial counter delineates the
professional jurisdiction of pharmacists & Pharmacy technicians alike. It
encapsulates the body of knowledge of pharmaceuticals & how they interact
with the general society. The knowledge contained within this physical
boundaries is shared with patrons via formal consultation sessions, telephonic
interaction with other healthcare practitioners, and through serving as
preceptors to pharmacy students, to mention but a few. With the incursion of
technology into many a discipline in the 21<sup>st</sup> century, the practice
of pharmacy is not spared. Our patients are much smarter than in previous
decades. With technology, some patients are already harmed with the rudimentary
knowledge of their disease state conditions and the pharmaceutical care plan
available. The onus, of course, lies on the pharmacists’ shoulder to ensure
these patients receive the right information regarding their medication
regimen. The local community pharmacist is the most accessible member of the
healthcare delivery team, hence, we sometimes are in the frontline to observe
medical conditions where these patients are either recommended OTC products or
referred to their PCP, Primary Care Provider, as deemed necessary. On the other
hand, the same pharmacist may be the last frontier the patient encounters just
before exiting the healthcare system with their prescribed medications. The
pharmacist is uniquely placed within the continuum of care spectrum to impact
the patients../</span><span style="font-family: "Book Antiqua","serif"; font-size: 16.0pt; line-height: 107%;"></span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Book Antiqua","serif"; font-size: 14.0pt; line-height: 107%;">With this said, it is
important to ensure as pharmacists we are continually relevant in our practice
environments. This piece of work will focus on the position of a community
pharmacist, I will highlight several ways to foster & build relationship
with our patients</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Book Antiqua","serif"; font-size: 14.0pt; line-height: 107%;">Courteous &
Professional</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Book Antiqua","serif"; font-size: 14.0pt; line-height: 107%;">It is a little known fact
a Pharmacist is the authority & custodial on information regarding medication
safe use. But that does not preclude us from treating our patients with utmost courtesy
& dignity. We don’t want to communicate with our patients from a position
of authority that makes them feel unimportant. The moment a patient walks
through your door, they have effectively exercised a choice in your favor to do
business with you. These patients have needs and requirements that need to be
met in order to continue to enjoy their patronage. The need they have is the
need for pharmaceutical care, while one of the major requirements is to be
treated with dignity & respect. Being courteous is a giving in many a business
environment in today’s world. You want to make your patients feel comfortable
talking to you by ensuring to use appropriate language. You don’t want to use
technical jargons that will leave the patient more confused. It is very
important for us as pharmacist to see the opportunity to serve our community as
a privilege. We need the patients more than they need us.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Book Antiqua","serif"; font-size: 14.0pt; line-height: 107%;">Show Empathy</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Book Antiqua","serif"; font-size: 14.0pt; line-height: 107%;">Empathy is the ability to
mutually experience the thoughts, emotions, and direct experience of others. It
is easy to sympathize with patients, which is nothing more than a feeling of
care and understanding, but when we can put ourselves in their shoes and feel
their feelings, then we connect with them on a higher level. <span style="mso-spacerun: yes;"> </span>Why is this important you ask? A published article
in the Canadian Medical Association Journal states, it is proven that showing
clinical empathy to patients <span style="mso-spacerun: yes;"> </span>can improve
their satisfaction of care, motivate them to stick to regimen, and lower
drastically the number of customer dissatisfaction. </span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Book Antiqua","serif"; font-size: 14.0pt; line-height: 107%;">Expanded Immunization
Initiative</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Book Antiqua","serif"; font-size: 14.0pt; line-height: 107%;">The expanded role of
pharmacists with respect to immunization is a very vital tool with which we
bond further with our communities. Our patients are beginning to see the value-add
this initiative provides. Pharmacists are now seen to be in the vanguard of
efforts to bring about improved access to healthcare and driving down the cost
of healthcare for our patients. In the past you had to make an appointment at
you doctor’s office to get vaccinated against the flu virus. Now, you have
expanded access to this without an appointment. With years behind us as
immunizers, it further solidifies our relationship with the communities we
serve. This relationship will go a long way in helping us remove barriers
naturally inherent in immunization programs Once again it’s a privilege that
should be honored & cherished and not taken for granted.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Book Antiqua","serif"; font-size: 14.0pt; line-height: 107%;">Bending Over Backwards</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Book Antiqua","serif"; font-size: 14.0pt; line-height: 107%;">I had a pleasure of
serving a young sophomore lady with a prescription for a branded acne
medication recently, she looked dejected and despondent as she walked into my
store. Apparently, she wasn’t happy with the news she got from my competitor
across the road {literarily speaking, I have a competitor across the road}. The
pharmacist had told her the copay of the medication in question was going to be
$169 following 3<sup>rd</sup> party adjudication. Needless to say, she
recovered her script and crossed the road. She came into my store to enquire
how much it would cost. Lo and behold, the copay was the same. But the
differentiating factor was the service she got. Not only did I adjudicate the
claim the same way the other pharmacist did, I reached out for my smart phone
and logged onto the pharmaceutical company’s website. I was able to download an
electronic coupon {in real time} for the medication, the copayment was reduced
to $35. She was obviously excited and didn’t know accessing the internet could
provide such assistance! She transferred all her scripts to my store by the
conclusion of the visit. I am sure a lot of pharmacists do this on a daily
basis but don’t get thanked for it because the patients did not know. I know
how many times I have had to call a doctor back to get an alternate &
similarly effective medicine because the copay on the medication prescribed is
$50. Most times these efforts go unnoticed and unappreciated. It is high time
we allowed our patients to recognize all our efforts to ensure they stay
adherent and compliant.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Book Antiqua","serif"; font-size: 14.0pt; line-height: 107%;">Respect for Patients Time</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Book Antiqua","serif"; font-size: 14.0pt; line-height: 107%;">A lot of our patients need
to squeeze a visit to the pharmacy within their already busy schedule, so that
extra 10 minute wait might not augur well for them. It is imperative to set
appropriate pick up time expectation with our customers. Patients always
appreciate it when they can drop off and pick up within the same single visit.
On occasions where this is not possible, we need to strive to ensure we
function within the confines of our patient’s schedule. It is not always okay
for them to come back tomorrow. Abiding by these guidelines will ensure we
develop a heathy relationship with our patients </span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Book Antiqua","serif"; font-size: 14.0pt; line-height: 107%;">Community outreach
initiatives.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Book Antiqua","serif"; font-size: 14.0pt; line-height: 107%;"><span style="mso-spacerun: yes;"> </span>We have organized several programs to teach
and help patients on their path to achieving better healthcare outcome. Such
programs include Smoking Cessation Assistance (CSA), brown bag review,
community immunization campaigns, free diabetes meeting to teach patients on
how to use blood sugar monitors and correct insulin dosing techniques. These
programs will no doubt help us to better connect with our patients and foster
building a relationship beyond the counter with the communities we serve…./.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Book Antiqua","serif"; font-size: 14.0pt; line-height: 107%;">Dr. Leke Agbejule </span></div>
Anonymoushttp://www.blogger.com/profile/05546315774568750455noreply@blogger.com0tag:blogger.com,1999:blog-4834887252030104341.post-73634913968057847322014-05-25T18:34:00.001-07:002014-05-25T18:38:09.492-07:00<div class="MsoNormal">
<span style="font-size: 14.0pt; line-height: 107%;">Customers Feel Variations Not Averages.../.<o:p></o:p></span><br />
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</v:shape><![endif]--><!--[if !vml]--><span style="font-size: 12.0pt; line-height: 107%;">Business units oftentimes rate their
performances in the market place based on averages, you see statements like “<i>Our company has 97% customer approval rating</i>"
This is very impressive if you are an insider. To the customers on the other
hand, the statement means next to nothing. Consider the follow;<o:p></o:p></span></div>
<div class="MsoNormal">
<i><span style="font-size: 12.0pt; line-height: 107%;">"Sally visits her regular coffee
store on her way to work {Monday thru Friday} on a daily basis, Monday; Sally
was in line for 10 minutes at the drive thru to pick up her favorite Frappuccino.<o:p></o:p></span></i></div>
<div class="MsoNormal">
<i><span style="font-size: 12.0pt; line-height: 107%;">Tuesday, at the same time, she spent
12 minutes in line. Wednesday and Thursday, she spent 18 & 22 minutes respectively,
and finally Friday, she spent 10 minutes in line again”<o:p></o:p></span></i></div>
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<i><span style="font-size: 12.0pt; line-height: 107%;">On average this coffee shop can brag
of an average serving time of 14.4 minutes, rightfully so. However, Sally did not
feel the same secondary to the variations she experienced over the 5 day period.
<o:p></o:p></span></i></div>
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<br /></div>
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<span style="font-size: 12.0pt; line-height: 107%;">Unfortunately,
Sally’s experience typifies what customers go through in our establishments. As
a business operator, I am sure you will want to ensure all your processes run
smoothly and align within the upper & lower limits of customer
specifications. This brings into focus “Operational Definition”: a mutually
agreed upon set of expectations between customers & business establishments.
Consider the follow; </span><o:p></o:p></div>
<div class="MsoNormal">
<i><span style="font-size: 12.0pt; line-height: 107%;">“The airline industry will define departure
time as the time the aircraft is pushed away from the jet way, while, as
customers we measure departure time as when the wheels are off & stowed and
the aircraft is airborne” There is definitely variations in both definitions,
the gap could stretch into hours.</span></i><span style="font-size: 12.0pt; line-height: 107%;"> <o:p></o:p></span></div>
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<br /></div>
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<span style="font-size: 12.0pt; line-height: 107%;">The airlines
definition makes sense within the industry, but not in the eyes of the
customers at the end of the stick. Variations in our processes and the
resultant customer experiences may be attributed to one (or more) influences of
the 6 M’s of variations. Namely, <o:p></o:p></span></div>
<div class="MsoNormal">
<b><i><span style="font-size: 12.0pt; line-height: 107%;">M</span></i></b><i><span style="font-size: 12.0pt; line-height: 107%;">ethod, <b>M</b>achine, <b>M</b>easurements, <b>M</b>other nature, <b>M</b>aterials,
& <b>M</b>an (generic sense of the
word)<o:p></o:p></span></i></div>
<div class="MsoNormal">
<span style="font-size: 12.0pt; line-height: 107%;">In most
organizations, the first element to blame when processes are out of synch is
Man (people), but experienced business operators know better. Depending on the
shape of the variation curve, we may be able to isolate the responsible M.
Additionally, sometimes, there may be more than one M to blame<o:p></o:p></span></div>
<br />
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<br /></div>
Anonymoushttp://www.blogger.com/profile/05546315774568750455noreply@blogger.com0tag:blogger.com,1999:blog-4834887252030104341.post-22043211842752647072014-04-23T17:06:00.001-07:002014-04-23T17:07:13.519-07:00<div class="MsoNormal">
<span style="font-family: "Book Antiqua","serif"; font-size: 14.0pt; line-height: 107%;">Capturing The Voice of The Customer…/.<o:p></o:p></span></div>
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As business operators, the relationships we build with the
ultimate consumers of our services/products, our customers, are very delicately
complex. Often times, the customers are very vocal in sharing their desires and
wants with us, but, more often than not, we may be engrossed in perfecting that
service or product without addressing the must have requirements of these
customers. It is extremely crucial to our continued success in the marketplace
to listen to, and correctly analyze the needs & requirements of our customers.
Customers may be internal or external in nature. Employees in an organization
are internal customer in relation to the training department. On the other hand,
customers outside of our organization are considered external. Customers are
often segmented based on their impact on our business, geography, or customer
loyalty. Hear what the customers are saying, and more importantly what they are
not saying.<o:p></o:p></div>
<div class="MsoNormal">
<u>Needs & Requirements</u>:<o:p></o:p></div>
<div class="MsoNormal">
Needs of the
customers are the core elements that establishes a relationship between them
and your organization in the first place. These are products or services that
fill a void. Requirements, on the other hand, are those specifications that
delight the customer. These are specifications that fulfil a need, they
determine if the customer is happy or not <o:p></o:p></div>
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<u>Target &
Specification</u>: <o:p></o:p></div>
<div class="MsoNormal">
Target represents a
Customer’s ideal performance against some requirements. For example, in an ideal
world, customers would like to walk into a pharmacy and have their
prescription(s) filled as soon as possible, almost instantaneously if you will,
unfortunately, this process will take some time. The target represents the customer’s ideal
situation. While many organizations try to satisfy a customer’s target, we need
to acknowledge that the target may be impossible to meet, but as close to it as
possible will suffice. This brings up the idea of specifications. These are the
least acceptable product or service a customer is willing to put up with before
registering some form of displeasure. The customer’s target may be to fill a
prescription immediately, but waiting 15 minutes for the process may be
acceptable. It represents the threshold beyond which the customer is no longer
happy. In this case the target is filling a prescription ASAP, while the
specification is 15 minutes<o:p></o:p></div>
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It is very important to understand and address these 4
elements to ensure we keep our customers satisfied at all times <o:p></o:p></div>
<div class="MsoNormal">
Six major ways a team may acquire knowledge of the customers’
desire<o:p></o:p></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: .75in; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->1)<span style="font-size: 7pt;">
</span><!--[endif]-->Focus Group: This can be expensive but it allows
for thorough brainstorming when it is managed by a seasoned facilitator. Often
times, the group will comprise of representatives of all stakeholders<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: .75in; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: .75in; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->2)<span style="font-size: 7pt;">
</span><!--[endif]-->Customer Observations: Involves watching the
interaction between the customer and the product, or the interaction with the
intended service. This provides rich and relevant data<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: .75in; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: .75in; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->3)<span style="font-size: 7pt;">
</span><!--[endif]-->Face to face Interviews: Very effective tool,
but there is only so many interviews you can conduct before losing enthusiasm. Are
you likely to be as effective in the 20<sup>th</sup> interview as you did in
the 2<sup>nd</sup> interview, time consuming.<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: .75in; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->4)<span style="font-size: 7pt;">
</span><!--[endif]-->Market Research : A third party consultancy firm
is contracted to gather and analyze data to be funneled into a process improvement
initiative<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: .75in; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: .75in; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->5)<span style="font-size: 7pt;">
</span><!--[endif]-->Surveys: A series of Likert Scale questions to
gather customers feedback<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: .75in; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: .75in; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->6)<span style="font-size: 7pt;">
</span><!--[endif]-->Complaints: This creates a unique opportunity to
rectify what the customers consider to be frustrating, or a defect.<o:p></o:p></div>
<div class="MsoNormal">
<u>Prioritizing customers’ Needs & Requirements using Kano
Model<o:p></o:p></u></div>
<div class="MsoNormal">
The Kano model uses certain markers to identify how important
certain requirements are to our customers. A well thought through information
gathering process will help your organization categorize these requirements,
which will in turn enable an informed decision should you attempt to embark on
a process improvement initiative be considered<o:p></o:p></div>
<div class="MsoListParagraphCxSpFirst" style="mso-list: l1 level1 lfo2; text-indent: -.25in;">
<!--[if !supportLists]-->1)<span style="font-size: 7pt;">
</span><!--[endif]-->Must Haves: The presence of these requirements will
not get the customer excited, but the absence of these qualities will be noticed
and thereby make the customer unhappy. You don’t get a pat in the back for
opening on time, as this is expected. These are sometimes referred to as
satisfiers. Examples include, Courteous & professional frontline staff
members, Knowledgeable staff members on
hand to triage customers’ requests at all times, prompt access to the
Pharmacist in the pharmacy when required, etc.<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l1 level1 lfo2; text-indent: -.25in;">
<!--[if !supportLists]-->2)<span style="font-size: 7pt;">
</span><!--[endif]-->Nice to Haves: These are requirements that are
not expected by the customers, but are appreciated when they are present
nonetheless, the more of these qualities there are, the happier the customers
become. They are variables and not static. As the industry evolves, these Nice
to Have requirements will soon become “Must Haves”. Examples include greeting a
repeat customer by name and knowing their preferences. Sometimes called
exciters<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l1 level1 lfo2; text-indent: -.25in;">
<!--[if !supportLists]-->3)<span style="font-size: 7pt;">
</span><!--[endif]-->Delighters: These are differentiator
requirements between you and your competition. They are not expected but when
present they make the customers extremely happy. These represent some value add
service you are providing that your competition isn’t. Going the extra mile to
further solidify the customers chose. Example – calling a prescriber to change
a medication order because the prescribed one has a higher copayment. When this
happens, customers are generally delighted and will remain a loyal customer to
your brand<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle">
<br /></div>
<div class="MsoListParagraphCxSpMiddle">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="mso-list: l1 level1 lfo2; text-indent: -.25in;">
<!--[if !supportLists]-->4)<span style="font-size: 7pt;">
</span><!--[endif]-->Frustrators: Attributes that when present make
the customers frustrated and unhappy. These are features that may have been
wrongly classified requirements by your organization, but actually a source of
pain to the customers. Example, the blinking light in the hotel room telephone.
It is to indicate a message or a missed call, but often, it is a general message
form the hotel management welcoming you to their facility., secondly, a long
protracted telephone menu that leaves customers more confused<o:p></o:p></div>
<br />
<div class="MsoNormal">
Based on these 4 categories, I urge you to look inward to
assess them as they affect you particular facility. Understanding &
properly segmenting customers’ needs is extremely crucial to being the leader
in your market. Failure to continue to delight the customers may spell disaster
as your competition may fill in the gap…./.<o:p></o:p></div>
Anonymoushttp://www.blogger.com/profile/05546315774568750455noreply@blogger.com0tag:blogger.com,1999:blog-4834887252030104341.post-6659344944799633172012-12-30T18:38:00.000-08:002013-01-20T12:08:18.979-08:00Pharmacists' Use of Social Media (Web 2.0 Applications)..<div style="text-align: justify;">
<br /></div>
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<span style="font-family: "Arial Narrow","sans-serif"; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"></span> </div>
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="font-family: "Arial Narrow","sans-serif"; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"></span> </div>
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; margin-right: 1em; text-align: left;"><tbody>
<tr><td style="text-align: center;"><img alt="Social Media photo SocialMedia.jpg" data-link="src{:thumbUrl} alt{:alt}" src="http://i710.photobucket.com/albums/ww102/rosgreen100/bth_SocialMedia.jpg" height="150" style="margin-left: auto; margin-right: auto;" title="Social Networking...!" width="200" /></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Social Networking</td></tr>
</tbody></table>
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<span style="font-family: "Arial Narrow","sans-serif"; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Since the advent of the internet in the early 1990, access and use
of this electronic arena had largely been a one way affair, author to audience. The contents of the
internet pages were static and primarily constructed using the HTML languages.
This software language did not lend itself well to graphics neither was the
Graphical User Interface (GUI) user friendly. Finally, it was mainly in the
domain of the academia and other such institutions. However, the new millennium
ushered in a brand new form of the internet. This flavor of the internet
afforded itself to much iteration between the content author on the one side, and
the general public on the other hand. These set of new tools are dubbed web
2.0. Web 2.0 represents a new platform of applications that allows some level
of interaction between the web site and the user. More than before, the users
are now able to edit and add content to the internet without any technical
skills required.<span style="mso-spacerun: yes;"> </span>These applications are
more social in nature and of course caught the attention of primarily the young
adults. Although developed primarily for entertainment and social communication
within the general population,<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="font-family: "Arial Narrow","sans-serif"; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-spacerun: yes;"> </span>Applications such as Wikis,
Blogs, PharmQD.com, Facebook, Twitter, & LinkedIn are currently being
employed by many a professional community to share ideas and disseminate
information. Primarily worthy of note here is the way almost every company
worth its salt has a Facebook page to interact with consumers (and potential clients)
of their products and services. The Pharmacy profession is no exception. This
paper will attempt, via a survey, to assess the way practicing retail &
hospital pharmacists use these web 2.0 applications on a professional level. These
newer applications differ from standard Web sites in that they involve the
users in creating and distributing information, hence effectively changing how
the Web is used for knowledge generation and dispersion<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt;">
<u><span style="font-size: 16pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="font-family: Calibri;">Abstract<o:p></o:p></span></span></u></div>
<br />
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt;">
<span style="color: black; font-family: "Arial Narrow","sans-serif"; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Web
2.0 applications sites present a unique opportunity to connect with consumers,
hold virtual meetings, manage projects, offer value-added services for current
clients, and market to potential clients. Many Pharmacists have joined these
online communities and use them regularly, albeit, on a personal level. At the
same time, some pharmacists are hesitant to use these sites because they don't
understand them, are worried about privacy or other issues, or they just feel
they don't need them. Social networking sites like Twitter, Facebook &
LinkedIn attract millions of user on a daily basis. The users span various
facets of the society and the phenomenon is only getting bigger.</span><span style="font-family: "Arial Narrow","sans-serif"; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt;">
<u><span style="font-family: "Arial Narrow","sans-serif"; font-size: 16pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Web 2.0 Applications<o:p></o:p></span></u></div>
<br />
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt;">
<span style="font-family: "Arial Narrow","sans-serif"; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Web 2.0
applications differ from web 1.0 technologies in the sense that they provide a
community of users administrative rights to continually add content to further
enrich a <span style="mso-spacerun: yes;"> </span>topic, edit content to correct,
or <span style="mso-spacerun: yes;"> </span>to reflect their understanding, etc. <span style="mso-spacerun: yes;"> </span>It follows the saying “the more the merrier”
Through the use of RSS, members of the community are notified once there is an
update to the communal page. There are various types of web 2.0 applications.
While most of them are delineated along functionality lines, others are
boundless and straddle more than one classification categories. Example include
Blogs, Wiki’s and Social Networking Sites (SNS), Examples of social networking
sites include, but not limited to, Facebook, Twitter, PharmQD, LinkedIn, etc.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt;">
<u><span style="font-size: 16pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="font-family: Calibri;">Wiki’s:<o:p></o:p></span></span></u></div>
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<span style="font-family: Calibri;">In practice, the term <i style="mso-bidi-font-style: normal;">wiki </i>(derived from the Hawaiian word for
“quick”) is applied to a diverse set of interactive systems to which users can
contribute. Using a web browser any user can add entirely new pages, or new
content to existing pages, as well as change or entirely delete any existing
information. Just like blogs, the use of a wiki does not require any HTML or
web design skill since the web-based forms provide a simple editing interface.
Wikis are hosted on a “wiki engine” and to date there are many such engines
available. Examples include MediaWiki & Seedwiki. This application is fast
finding favors with corporations as it affords different users (regardless of
geography) to work collaboratively on a single project without the hassle of
the chronology of emails. <o:p></o:p></span></div>
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<o:p><span style="font-family: Calibri;"> </span></o:p></div>
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<u><span style="font-size: 16pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";"><span style="font-family: Calibri;">Blogs:<o:p></o:p></span></span></u></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="font-family: Calibri;">Blog is a word coined from two words
We<span style="color: red;">b</span> & <span style="color: red;">Log</span>.
Blogs are simply journals that are available on the web. Blogs are typically
updated on a daily basis and no real technical expertise is required to either
create a blog (the author) or post comments regarding a subject matter (the
subscribers). The act surrounding creating and updating a blog is often
referred to as blogging. The latest posting are in front while the older ones
are underneath and if you want to see what peoples comments have been so far
you drill further down. You could comment on a blog, link to it as a reference
in a separate write up or email the author your comments instead of posting
them making them viewable by all subscribers. To be able to post comments you
will have to be a subscriber to the site. The author holds the administrative privileges
to modify the blog. Finally, a blog must be free, viewable by all subscribers
as a webpage. Only the author should have administrative privileges. You could
create a blog by visiting </span></span><a href="http://www.blogger.com/"><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="color: blue; font-family: Calibri;">www.blogger.com</span></span></a><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><o:p></o:p></span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
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<u><span style="font-size: 16pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="font-family: Calibri;">Social Networking Site<o:p></o:p></span></span></u></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="font-family: Calibri;">Since the introduction of social network sites (SNS) namely Facebook,
LinkedIn, and Twitter, millions of users have adopted its use worldwide. Users
are now incorporating the use of the various social networks into their day to
day practices. These are web-based services that allow users to create a
profile articulating a list of attributes about them accessible to other users
via the web. These sites afford the users the ability to choose other users
they want to have some (social) association with and finally afford them the
ability to view and access the association(s) built by other users to whom they
are connected. Hence the use of social network sites to describe this
phenomenon. After joining a SNS, an individual is asked to fill out forms containing
a series of questions. A profile is generated using the answers to these
questions, which typically include attributes such as age, location, interests,
and an "about me" section. Most sites also encourage users to upload profile
photos, which are continually being updated. Some sites allow users to enhance
their profiles by adding multimedia content or modifying their profile's look
and feel. Others, such as Facebook, allow users to add modules
("Applications") that enhance their profile. Examples of these sites
include Facebook (</span></span><a href="http://www.facebook.com/"><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="color: blue; font-family: Calibri;">www.Facebook.com</span></span></a><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="font-family: Calibri;">), Twitter
(</span></span><a href="http://www.twitter.com/"><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="color: blue; font-family: Calibri;">www.Twitter.com</span></span></a><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="font-family: Calibri;">),
LinkedIn (</span></span><a href="http://www.linkedin.com/"><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="color: blue; font-family: Calibri;">www.Linkedin.com</span></span></a><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="font-family: Calibri;">), etc.<o:p></o:p></span></span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
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<u><span style="font-size: 16pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="font-family: Calibri;">Facebook:</span></span></u><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-spacerun: yes;"><span style="font-family: Calibri;"> </span></span><span style="mso-no-proof: yes;"><v:shapetype coordsize="21600,21600" filled="f" id="_x0000_t75" o:preferrelative="t" o:spt="75" path="m@4@5l@4@11@9@11@9@5xe" stroked="f"><span style="font-family: Calibri;">
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<span style="font-family: Calibri;"><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-spacerun: yes;"> </span>Originally founded to link students at Harvard
University, the social networking site, Facebook, has evolved into the most
visited social networking site in the world with over 800 million active users,
200 million users in the USA representing roughly 2/3 of population of the
United States. Created in 2004, Facebook grew from being a quirky site for
college students into a popular platform that is used to sell cars and movies,
win over voters in presidential elections and organize protest movements as
seen with the recent “Arab Spring” last year. </span><span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">According to comscore, social networking is the most popular online
activity, reaching some 1.2 billion users worldwide (200 million more than
email). Nearly one in 5 minutes online is spent on social networking, and 75%
of that is on Facebook<span style="color: #333333;">.</span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><o:p></o:p></span></span></div>
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<u><span style="font-family: "Calibri","sans-serif"; font-size: 16pt; line-height: 150%; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"><span style="color: #404117;">Twitter:</span></span></u><span style="color: windowtext; font-family: "Calibri","sans-serif"; font-size: 11pt; line-height: 150%; mso-ansi-language: EN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"> <span lang="EN"><span style="mso-spacerun: yes;"> </span></span></span><span style="color: windowtext; font-family: "Calibri","sans-serif"; font-size: 11pt; line-height: 150%; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin; mso-no-proof: yes;"><v:shape id="Picture_x0020_4" o:spid="_x0000_i1025" style="height: 54pt; mso-wrap-style: square; visibility: visible; width: 54pt;" type="#_x0000_t75">
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</v:imagedata></v:shape></span><span lang="EN" style="color: windowtext; font-family: "Calibri","sans-serif"; font-size: 11pt; line-height: 150%; mso-ansi-language: EN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"><o:p></o:p></span></div>
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<div class="articlecontent" style="line-height: 150%; margin: 1em 0in;">
<span style="font-family: "Calibri","sans-serif"; font-size: 11pt; line-height: 150%; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"><span style="color: #404117;">Twitter is an information network made up of 140-character
messages called Tweets. It's a new and easy way to discover the latest news
(“what’s happening”) related to subjects of interest to you. Twitter contains
information you will find valuable. Messages from users you choose to follow
will show up on your home page for you to read. It’s like being delivered a
newspaper whose headlines you’ll always find interesting – you can discover
news as it is happening, learn more about topics that are important to you, and
get the inside scoop in real time. </span></span><span lang="EN" style="color: windowtext; font-family: "Calibri","sans-serif"; font-size: 11pt; line-height: 150%; mso-ansi-language: EN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;">It was created in March 2006. The
service rapidly gained worldwide popularity, with over 300 million users as of
2011,</span><u><sup><span lang="EN" style="color: blue; font-family: "Calibri","sans-serif"; font-size: 11pt; line-height: 150%; mso-ansi-language: EN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"> </span></sup></u><span lang="EN" style="color: windowtext; font-family: "Calibri","sans-serif"; font-size: 11pt; line-height: 150%; mso-ansi-language: EN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;">generating over 300 million tweets and
handling over 1.6 billion </span><a href="http://en.wikipedia.org/wiki/Web_search_query" title="Web search query"><span lang="EN" style="color: windowtext; font-family: "Calibri","sans-serif"; font-size: 11pt; line-height: 150%; mso-ansi-language: EN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin; text-decoration: none; text-underline: none;">search queries</span></a><span lang="EN" style="color: windowtext; font-family: "Calibri","sans-serif"; font-size: 11pt; line-height: 150%; mso-ansi-language: EN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"> per
day. It has been described as "the </span><a href="http://en.wikipedia.org/wiki/SMS" title="SMS"><span lang="EN" style="color: windowtext; font-family: "Calibri","sans-serif"; font-size: 11pt; line-height: 150%; mso-ansi-language: EN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin; text-decoration: none; text-underline: none;">SMS</span></a><span lang="EN" style="color: windowtext; font-family: "Calibri","sans-serif"; font-size: 11pt; line-height: 150%; mso-ansi-language: EN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"> of the
Internet. </span><span style="font-family: "Calibri","sans-serif"; font-size: 11pt; line-height: 150%; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"><span style="color: #404117;">The #
symbol, called a hashtag, is used to mark keywords or topics in a Tweet. Users
use the hashtag symbol “#” before relevant keywords (no spaces) in their Tweets
to categorize those Tweets and help them show more easily in Tweeter Search. By
clicking on a hashtagged word in any message shows you all other Tweets in that
category. Hashtags can occur anywhere in the Tweet – at the beginning, middle,
or end. Hashtagged words that become very popular are often Trending Topics<o:p></o:p></span></span></div>
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<div class="articlecontent" style="line-height: 150%; margin: 1em 0in;">
<span style="font-family: "Calibri","sans-serif"; font-size: 11pt; line-height: 150%; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"><o:p><span style="color: #404117;"> </span></o:p></span></div>
<br />
<div class="articlecontent" style="line-height: 150%; margin: 1em 0in;">
<u><span style="font-family: "Calibri","sans-serif"; font-size: 16pt; line-height: 150%; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"><span style="color: #404117;">Linked In:<o:p></o:p></span></span></u></div>
<br />
<div class="articlecontent" style="line-height: 150%; margin: 1em 0in;">
<span lang="EN" style="color: windowtext; font-family: "Calibri","sans-serif"; font-size: 11pt; line-height: 150%; mso-ansi-language: EN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;">LinkedIn i</span><span lang="EN" style="color: windowtext; font-family: "Calibri","sans-serif"; font-size: 11pt; line-height: 150%; mso-ansi-language: EN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;">s a business-related </span><a href="http://en.wikipedia.org/wiki/Social_network_service" title="Social network service"><span lang="EN" style="color: windowtext; font-family: "Calibri","sans-serif"; font-size: 11pt; line-height: 150%; mso-ansi-language: EN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin; text-decoration: none; text-underline: none;">social
networking site</span></a><span lang="EN" style="color: windowtext; font-family: "Calibri","sans-serif"; font-size: 11pt; line-height: 150%; mso-ansi-language: EN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;">. Founded in December 2002 and launched
in May 2003, its main focus is a networking forum between professionals. As of
3 November 2011<span style="display: none; mso-hide: all;"> (2011 -11-03)</span></span><a href="http://en.wikipedia.org/w/index.php?title=LinkedIn&action=edit"><sup><span lang="EN" style="color: blue; display: none; font-family: "Calibri","sans-serif"; font-size: 11pt; line-height: 150%; mso-ansi-language: EN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin; mso-hide: all;">[update]</span></sup></a><span lang="EN" style="color: windowtext; font-family: "Calibri","sans-serif"; font-size: 11pt; line-height: 150%; mso-ansi-language: EN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;">, LinkedIn reports more than
135 million registered users in more than 200 countries and territories. The
site is available in English, French, German, Italian, Portuguese, Spanish,
Swedish, Romanian, Russian, Turkish, Japanese, Czech and Polish. </span><a href="http://en.wikipedia.org/wiki/Quantcast" title="Quantcast"><span lang="EN" style="color: blue; font-family: "Calibri","sans-serif"; font-size: 11pt; line-height: 150%; mso-ansi-language: EN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin; text-decoration: none; text-underline: none;">Quantcast</span></a><span lang="EN" style="color: windowtext; font-family: "Calibri","sans-serif"; font-size: 11pt; line-height: 150%; mso-ansi-language: EN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"> reports LinkedIn has 21.4
million monthly unique U.S. visitors and 47.6 million globally. In June 2011,
LinkedIn had 33.9 million unique visitors, up 63 percent from a year earlier. </span><span lang="EN" style="font-family: "Calibri","sans-serif"; font-size: 11pt; line-height: 150%; mso-ansi-language: EN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"><span style="color: #404117;">One purpose of
the site is to allow registered users to maintain a list of contact details of
people with whom they have some level of relationship, called <i>Connections</i>.
Users can invite anyone (whether a site user or not) to become a connection.
However, if the invitee selects "I don't know" or "Spam",
this counts against the inviter. If the inviter gets too many of such
responses, the account may be restricted or closed.</span></span><a href="http://en.wikipedia.org/wiki/LinkedIn#cite_note-37"></a><span style="font-family: "Calibri","sans-serif"; font-size: 11pt; line-height: 150%; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"><o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";"><span style="font-family: Calibri;">This list of connections can then be used in a number of ways:<o:p></o:p></span></span></div>
<br />
<ul type="disc">
<li class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt; mso-list: l1 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in;"><span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";"><span style="font-family: Calibri;">A contact
network is built up consisting of their direct connections, the
connections of each of their connections (termed <i>second-degree
connections</i>) and also the connections of second-degree connections
(termed <i>third-degree connections</i>). This can be used to gain an
introduction to someone a person wishes to know through a mutual contact.<o:p></o:p></span></span></li>
<li class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt; mso-list: l1 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in;"><span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";"><span style="font-family: Calibri;">It can then
be used to find jobs, people and business opportunities recommended by
someone in one's contact network.<o:p></o:p></span></span></li>
<li class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt; mso-list: l1 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in;"><span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";"><span style="font-family: Calibri;">Employers
can list jobs and search for potential candidates.<o:p></o:p></span></span></li>
<li class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt; mso-list: l1 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in;"><span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";"><span style="font-family: Calibri;">Job seekers
can review the profile of hiring managers and discover which of their
existing contacts can introduce them.<o:p></o:p></span></span></li>
<li class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt; mso-list: l1 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in;"><span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";"><span style="font-family: Calibri;">Users can
post their own photos and view photos of others to aid in identification.<o:p></o:p></span></span></li>
<li class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt; mso-list: l1 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in;"><span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";"><span style="font-family: Calibri;">Users can
now follow different companies and can get notification about the new
joining and offers available.<o:p></o:p></span></span></li>
<li class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt; mso-list: l1 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in;"><span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";"><span style="font-family: Calibri;">Users can
save (i.e. bookmark) jobs which they would like to apply for.<o:p></o:p></span></span></li>
</ul>
<br />
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 10pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span lang="EN" style="mso-ansi-language: EN; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";"><span style="font-family: Calibri;">The "gated-access approach" (where contact with any professional
requires either a pre-existing relationship, or the intervention of a contact
of theirs is intended to build trust among the service's users. <o:p></o:p></span></span></div>
<br />
<div class="articlecontent" style="line-height: 150%; margin: 1em 0in;">
<u><span style="font-family: "Calibri","sans-serif"; font-size: 16pt; line-height: 150%; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"><span style="color: #404117;">Methodology:<o:p></o:p></span></span></u></div>
<br />
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="font-family: Calibri;">Designed and distributed a survey to
119 practicing retail Pharmacist in the Miami Dade county area, & a few
Pharmacists within the Cleveland Clinic, FL campus. The population for this
study consisted of Staff Pharmacists and Pharmacy Managers (Pharmacist
–in-charge) within the employment of CVS/pharmacy & and a handful of
Hospital pharmacist to analyze the knowledge of, & use of the afore
mentioned Web 2.0 applications. 75% of the Pharmacists responded. (n=89).<o:p></o:p></span></span></div>
<br />
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="font-size: 16pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<u><span style="font-size: 16pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="font-family: Calibri;">Result:<o:p></o:p></span></span></u></div>
<br />
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="font-family: Calibri;">The study found age was a significant
factor in determining the use of Web 2.0 applications by surveyed Pharmacists.
The median age ranged being between 20 – 30 years old. One of the major concerns
expressed, vividly by the non-members of social networks, the older folk, is
privacy. However, almost all respondents have shopped online at least once in
the last year where certain financial information was provided! The privacy
concern stems from the fact that most of the posting can be stored for an
extended period of time. Almost half of the surveyed Pharmacists claim they
aren’t concerned about their boss or job reading their online profile. On the
flip side, only 10% of respondents admitted to having created an online dating
profile, and almost all respondents claimed they used a fictitious handle. The
firsts question asked was “what are web 2.0 applications”? <span style="mso-spacerun: yes;"> </span>Those that answered “Yes” were asked to list a
few of the web 2.0 applications they knew. Surprisingly based on the age group (again)
majority were only familiar with SNS (Social Network Sites). The second
question “Do you have a Facebook page” showed that 98% of the respondents knew
of Facebook as a social networking site only, and not aware of how it could be
used for information sharing beyond the social realm, <span style="mso-spacerun: yes;"> </span>but only 66 % actually have a page and only
used sparingly for personal purposes, not professional. Not surprising was the
fact that “wikis” and Blogs were not really known by Pharmacist, nor the
possible use of these tools professionally above the 30 year old threshold.
Similarly, active twitters were found in the 20 – 30 year old range. Most
Pharmacists (98%) said they would consider using social networking sites more
often now since most companies provide incentives to use them, by way of
coupons, discounts, etc.<o:p></o:p></span></span></div>
<br />
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<u><span style="font-size: 16pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="font-family: Calibri;">References:<o:p></o:p></span></span></u></div>
<br />
<div class="MsoListParagraphCxSpFirst" style="margin: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo2; text-indent: -0.25in;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">1)</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><span style="font-family: Calibri;">George, D. R. (2011) “Friending Facebook?” A
minicourse on the use of social media by health professionals. Journal of
Continuing Education in the Health Professions, 31: 215-219. Doi:
10.1002/chp.20129<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo2; text-indent: -0.25in;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">2)</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><span style="font-family: Calibri;">Joanne Kaldy.<span style="mso-spacerun: yes;">
</span>(2010) “The Social Pharmacist: tweeting and posting the way to success”.
American Society of Consultant Pharmacists, Medicine, Pharmacy, Geriatrics and
Aging, aging, geriatrics and Healthcare ISSN: 0888-5109.
Doi:10.4140/TCP.n.2010.26, pages 26-34<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo2; text-indent: -0.25in;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">3)</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><span style="font-family: Calibri;">Alkhateeb, F. M., Clauson, K. A. and Latif, D.
A. (2011), Pharmacist use of social media. International Journal of Pharmacy
Practise, 19: 140-142. Doi: 10.1111/j.2042-7174.2010.00087x<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo2; text-indent: -0.25in;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">4)</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><span style="font-family: Calibri;">Jeff Cain, Frank Romanelli, Brent Fox.
“Pharmacy, social media, and health: Opportunity for impact”. Journal of the American
Pharmacists Association<span style="mso-spacerun: yes;"> </span>Vol 50, number
6/ Nov- Dec 2010, pages 745-751<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo2; text-indent: -0.25in;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">5)</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><span style="font-family: Calibri;">Bill G. Felkey, MS, Brent I. Fox, PharmD, PhD.
“How Web 2.0 Literate Are You?”<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo2; text-indent: -0.25in;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">6)</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><span style="font-family: Calibri;">Kell A. Grindrod, BScPharm, ACPR, PharmD, MSc,
Scott Gavura, BSCPharm, ACPR, MBA. Pharmacy 2.0 CPJ/RPC<span style="mso-spacerun: yes;"> </span>May/June 2010 Col. 143, No 3<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin: 0in 0in 0pt 0.5in; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l0 level1 lfo2; text-indent: -0.25in;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">7)</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="font-family: Calibri;">Temple University, Florida<o:p></o:p></span></span></div>
<br />
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0pt; mso-layout-grid-align: none; text-indent: 0.5in;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="font-family: Calibri;">Gerry
McGovern, Web content management author and consultant<o:p></o:p></span></span></div>
<br />
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0pt; mso-layout-grid-align: none; text-indent: 0.5in;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="font-family: Calibri;">Blogs in
Education<o:p></o:p></span></span></div>
<br />
<div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0pt 0.5in; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l0 level1 lfo2; text-indent: -0.25in;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">8)</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="font-family: Calibri;">Facebook.com. Facebook statistics [Internet].
Palo Alto,<o:p></o:p></span></span></div>
<br />
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0pt 0.5in; mso-layout-grid-align: none;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="font-family: Calibri;">CA: Facebook [rev. 2008; cited 5 Aug 2008]. ,http://www.facebook.com/press/info.php?statistics..<o:p></o:p></span></span></div>
<br />
<div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0pt 0.5in; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l0 level1 lfo2; text-indent: -0.25in;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">9)</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="font-family: Calibri;">ComScore.com. http://www.comscore.com/press/<o:p></o:p></span></span></div>
<br />
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0pt; mso-layout-grid-align: none; text-indent: 0.5in;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="font-family: Calibri;">release.asp?id51019.
Accessed April 10th, 2012.<o:p></o:p></span></span></div>
<br />
<div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0pt 0.5in; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l0 level1 lfo2; text-indent: -0.25in;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">10)</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="font-family: Calibri;">Hodge MJ. The fourth amendment and privacy
issues on the<o:p></o:p></span></span></div>
<br />
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0pt; mso-layout-grid-align: none; text-indent: 0.5in;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="font-family: Calibri;">‘‘new’’
Internet: Facebook.com and MySpace.com. South Ill<o:p></o:p></span></span></div>
<br />
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0pt; mso-layout-grid-align: none; text-indent: 0.5in;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="font-family: Calibri;">University
Law J. 2006;31:95-123.<o:p></o:p></span></span></div>
<br />
<div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0pt 0.5in; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l0 level1 lfo2; text-indent: -0.25in;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">11)</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="font-family: Calibri;">Frumkin, J. (2005). The wiki and the digital
library. OCLC Systems & Services, 21(1), 18-22.<o:p></o:p></span></span></div>
<br />
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0pt; mso-layout-grid-align: none; text-indent: 0.5in;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="font-family: Calibri;">Retrieved<span style="mso-spacerun: yes;"> </span>December 10th, 2011.<o:p></o:p></span></span></div>
<br />
<div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0pt 0.5in; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l0 level1 lfo2; text-indent: -0.25in;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">12)</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="font-family: Calibri;">Gandhi, S. (2004). Knowledge management and
reference services. The Journal of Academic<o:p></o:p></span></span></div>
<br />
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0pt; mso-layout-grid-align: none; text-indent: 0.5in;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="font-family: Calibri;">Librarianship,
30(5), 368-381. Retrieved January 12<sup><span style="font-size: x-small;">th</span></sup>, 2012.<o:p></o:p></span></span></div>
<br />
<div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0pt; mso-layout-grid-align: none;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
Anonymoushttp://www.blogger.com/profile/05546315774568750455noreply@blogger.com0tag:blogger.com,1999:blog-4834887252030104341.post-37286257701070269122012-11-25T06:42:00.001-08:002012-11-25T06:42:53.848-08:00Drug Abuse and Diversion from a Retail Pharmacists Perspective
<br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-family: Calibri;">There has been a lot of chatter surrrounding the abnormal use of pharmaceutical agents by the very custodians. The society, by virtue of our training as Pharmacists, charged us with the safe keeping of pharmaceuticals with a relatively high level of accountability.</span></div>
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-family: Calibri;"> Below is a summary of my findings.</span></div>
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-family: Calibri;">In 2010, there were 7 million Americans aged 12 years and
older who abused prescription drugs for non-medical purposes, up from 6.2
million in 2009. This represents a 13 percent increase in just one year.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-family: Calibri;"><span style="mso-spacerun: yes;"> </span>In 2010, on average,
6,027 persons per day abused prescription pain relievers for the first time.
The total number of individuals that initiated drug use with prescription drugs
exceeds the number of individuals that initiated drug use with marijuana.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-family: Calibri;">Every day, on average, 2,500 teens use prescription drugs to
get high for the first time.<span style="font-size: 14pt; line-height: 115%;"><o:p></o:p></span></span></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-family: Calibri;">Drug Abuse: <span style="mso-spacerun: yes;"> </span>“<span style="color: red;">Ab</span>normal <span style="color: red;">use</span> of
pharmaceutical agents”<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-family: Calibri;">As community Pharmacists we interface between 2 totally
divergent worlds, the world within the pharmacy (with fellow Pharmacists, Pharmacy
technicians & other store personnel); and on the other hand, we have the
larger community that rely on us as the ‘know all” regarding medications. <o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-family: Calibri;">Drug abuse, simply put, represents the “abnormal use of a
pharmaceutical agent”. This involves uses of a product for purposes outside the
intended purpose of a prescriber and/or of the manufacturer. <o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-family: Calibri;">Within the confines of the retail pharmacy “the abnormal use”
(drug abuse) of drugs may not be apparent (easily noticed) simply because
people seldom bring “drugs” to work; but it happens. Hence some employers often
conduct random drug tests to discourage the use of illicit drugs. Drug abuse is
not only limited to teenagers or adolescents, the older folks are equally
guilty. Oftentimes people come into the pharmacy asking if they could use “this
medication” provided by a friend who had similar symptoms a while back. This in
itself may not be a sign of drug abuse but it is a form of abnormal use of
medicinal agents.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-family: Calibri;">Factors contributing to Drug Abuse<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpFirst" style="margin: 0in 0in 0pt 0.5in; mso-list: l4 level1 lfo1; text-indent: -0.25in;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">1)</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><span style="font-family: Calibri;">Easy access to prescription medications at home<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in; mso-list: l4 level1 lfo1; text-indent: -0.25in;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">2)</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><span style="font-family: Calibri;">Lack of a regulated disposal channel known to
customers<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpLast" style="margin: 0in 0in 10pt 0.5in; mso-list: l4 level1 lfo1; text-indent: -0.25in;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">3)</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><span style="font-family: Calibri;">Ease of Doctor shopping<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-family: Calibri;">Drug diversion: "Any criminal act involving a
prescription drug"<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-family: Calibri;">Drug diversion can best be defined as the diversion of legal
prescription products for illicit purposes. Pharmaceutical diversion often
spells profits or pleasure for the traffickers, while devastation is often the
end result for the abusers which eventually affects their friends, families, and
their workplace. The diversion of pharmaceutical drugs can be perpetrated by
obtaining prescription drugs illegally by a variety of methods including;<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpFirst" style="margin: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo5; text-indent: -0.25in;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">1)</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><span style="font-family: Calibri;">Deception <o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo5; text-indent: -0.25in;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">2)</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><span style="font-family: Calibri;"><span style="mso-spacerun: yes;"> </span>Outright
theft.<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpLast" style="margin: 0in 0in 10pt 0.5in;">
<span style="font-family: Calibri;"><span style="mso-spacerun: yes;"> </span>Another aspect of diversion we are beginning
to see often times involves patients that are on life preserving medications,
such as those to manage the signs and symptoms associated with HIV/AIDS who
would rather sell the drugs on the streets and use the proceeds to support
their social habits, than follow their regimen. These patients will often engage
the technician or pharmacist pleading with them not to deface the outside
packaging while placing the pharmacy label on the medication. This is usually
seen with beneficiaries of federally funded insurance drug programs. Suspicion
is that these medications are purchased by some independent pharmacies (at a
fraction of the cost of acquisition) and later retailed at AWP. <o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-family: Calibri;">Purposes of Diversion: <o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpFirst" style="margin: 0in 0in 0pt 0.5in; mso-list: l3 level1 lfo2; text-indent: -0.25in;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">1)</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><span style="font-family: Calibri;">Personal use: this often represents traffickers
that obtain their illegitimate prescriptions for personal gratification. Such
drugs include life-style medications such as Viagra, Cialis,<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpLast" style="margin: 0in 0in 10pt 0.5in; mso-list: l3 level1 lfo2; text-indent: -0.25in;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">2)</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><span style="font-family: Calibri;">Personal gain: the forgers here obtain &
dispose of these prescription items for financial gain; examples include
Oxycontin<sup><span style="font-size: x-small;">R</span></sup>, Percocet<sup><span style="font-size: x-small;">R</span></sup>, etc<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-family: Calibri;">As pharmacists we see these sets of people on a daily basis,
some of whom are easy to recognize while other are so sophisticated in their
craft that makes them evade our ever vigilant eyes. They often befriend
healthcare professionals to support their illicit “trade”<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-family: Calibri;">Methods of diversion<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpFirst" style="margin: 0in 0in 0pt 0.5in; mso-list: l2 level1 lfo3; text-indent: -0.25in;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">1)</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><span style="font-family: Calibri;">Doctor Shopping<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in; mso-list: l2 level1 lfo3; text-indent: -0.25in;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">2)</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><span style="font-family: Calibri;">Illegal Internet Pharmacies<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in; mso-list: l2 level1 lfo3; text-indent: -0.25in;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">3)</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><span style="font-family: Calibri;">Drug theft<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in; mso-list: l2 level1 lfo3; text-indent: -0.25in;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">4)</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><span style="font-family: Calibri;">Prescription forgery<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in; mso-list: l2 level1 lfo3; text-indent: -0.25in;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">5)</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><span style="font-family: Calibri;">Illicit Prescription by Physicians<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpLast" style="margin: 0in 0in 10pt 0.5in; mso-list: l2 level1 lfo3; text-indent: -0.25in;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">6)</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><span style="font-family: Calibri;">Personal visits to Mexico, South America and the
Caribbean<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-family: Calibri;">Strategic Measures to counter drug diversion:<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-family: Calibri;">Retail pharmacists, being the ultimate custodian of
pharmaceutical products, the onus lies on our shoulders to continue to protect
our communities by ensuring all possible loop holes for diversion (within our
reach) are plugged. We should be in the vanguard of the current move to curb
this societal nuisance. As a result there have been various alliances developed
between Pharmacists, manufacturers, and the DEA to address this issue. Methods
used so far include, but not limited to, the following: <o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<o:p><span style="font-family: Calibri;"> </span></o:p></div>
<br />
<div class="MsoListParagraphCxSpFirst" style="margin: 0in 0in 0pt 0.5in; mso-list: l1 level1 lfo4; text-indent: -0.25in;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">1)</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><span style="font-family: Calibri;">Prescription Drug Monitoring Program:<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in;">
<o:p><span style="font-family: Calibri;"> </span></o:p></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 1in; mso-add-space: auto; mso-list: l1 level2 lfo4; text-indent: -0.25in;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">a.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><span style="font-family: Calibri;">The Electronic - Florida Online Reporting of
Controlled Substances Evaluation program (E-FORCSE) is Florida's Prescription
Drug Monitoring Program (PDMP). The PDMP was created by the 2009 legislature in
an initiative to encourage safer prescribing of controlled substances and to
reduce drug abuse and diversion within the state of Florida. <o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 1in; mso-add-space: auto; mso-list: l1 level2 lfo4; text-indent: -0.25in;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">b.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><span style="font-family: Calibri;">Kentucky’s Prescription Monitoring Program
(PMP). Responsibility for KASPER is with the Cabinet for Health and Family
Services, Office of Inspector General. KASPER tracks most Schedule II – V
controlled substance prescription data dispensed in Kentucky.<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in;">
<o:p><span style="font-family: Calibri;"> </span></o:p></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in; mso-list: l1 level1 lfo4; text-indent: -0.25in;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">2)</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><span style="font-family: Calibri;">Several States that have addressed PSE
availability have opted for e-tracking—the creation of electronic logbooks
accessible in real-time to local law enforcement to better track those
criminals attempting to exceed their legal limits in PSE purchases. These
states have adopted the National Precursor Log Exchange system, an interstate
electronic tracking system funded by manufacturers of PSE products. The
advantage to the NPLEx system is that it helps block sales across state lines,
as well.<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in;">
<o:p><span style="font-family: Calibri;"> </span></o:p></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in; mso-list: l1 level1 lfo4; text-indent: -0.25in;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">3)</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><span style="font-family: Calibri;">Restricted access to Plan-B contraceptive by
retailing such exclusively through the Pharmacy counter and not available to
persons under the age of 17. This in itself perhaps need general overhauling as
there have been several reported cases of minors having access through their
older friends.<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in;">
<o:p><span style="font-family: Calibri;"> </span></o:p></div>
<br />
<div class="MsoListParagraphCxSpLast" style="margin: 0in 0in 10pt 0.5in; mso-list: l1 level1 lfo4; text-indent: -0.25in;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">4)</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><span style="font-family: Calibri;">Drug education for healthcare providers<o:p></o:p></span></div>
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