SRJC Course Outlines

3/28/2024 3:05:09 PMPHARM 152 Course Outline as of Fall 2024

Changed Course
CATALOG INFORMATION

Discipline and Nbr:  PHARM 152Title:  AMBULATORY PHARM PRAC  
Full Title:  Ambulatory Pharmacy Practice
Last Reviewed:12/12/2023

UnitsCourse Hours per Week Nbr of WeeksCourse Hours Total
Maximum2.00Lecture Scheduled1.5017.5 max.Lecture Scheduled26.25
Minimum2.00Lab Scheduled2.5017.5 min.Lab Scheduled43.75
 Contact DHR0 Contact DHR0
 Contact Total4.00 Contact Total70.00
 
 Non-contact DHR0 Non-contact DHR Total0

 Total Out of Class Hours:  52.50Total Student Learning Hours: 122.50 

Title 5 Category:  AA Degree Applicable
Grading:  Grade Only
Repeatability:  00 - Two Repeats if Grade was D, F, NC, or NP
Also Listed As: 
Formerly: 

Catalog Description:
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The student will learn the skills needed to operate effectively in an ambulatory setting, emphasizing receiving and controlling inventory, computerized prescription processing, medical insurance billing, and customer relations.

Prerequisites/Corequisites:
Course Completion or Current Enrollment in PHARM 150


Recommended Preparation:

Limits on Enrollment:

Schedule of Classes Information
Description: Untitled document
The student will learn the skills needed to operate effectively in an ambulatory setting, emphasizing receiving and controlling inventory, computerized prescription processing, medical insurance billing, and customer relations.
(Grade Only)

Prerequisites:Course Completion or Current Enrollment in PHARM 150
Recommended:
Limits on Enrollment:
Transfer Credit:
Repeatability:00 - Two Repeats if Grade was D, F, NC, or NP

ARTICULATION, MAJOR, and CERTIFICATION INFORMATION

Associate Degree:Effective:Inactive:
 Area:
 
CSU GE:Transfer Area Effective:Inactive:
 
IGETC:Transfer Area Effective:Inactive:
 
CSU Transfer:Effective:Inactive:
 
UC Transfer:Effective:Inactive:
 
C-ID:

Certificate/Major Applicable: Both Certificate and Major Applicable



COURSE CONTENT

Student Learning Outcomes:
At the conclusion of this course, the student should be able to:
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1. Demonstrate correct utilization of specific computer software used in ambulatory pharmacies.
2. Accurately compute the charge for a prescription based on the price of the drug and demonstrate a working knowledge of insurance billing.
3. Accurately compound and prepare medication for distribution ambulatory care setting.
 

Objectives: Untitled document
At the conclusion of this course, the student should be able to:
1. Evaluate purchase invoices and assess them for error.
2. Electronically confirm third-party coverage for a prescription.
3. Verify and complete third-party claim forms for a prescription by phone.
4. Create patient paper and electronic profiles utilizing information obtained from the prescription and the patient.
5. Compound and prepare medication for distribution in the ambulatory care setting.

Topics and Scope
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Lecture-Related Topics and Scope:
I. Prescription Pricing in the Retail Setting
    A. Medication cost
    B. Professional/dispensing fee
    C. Mark-up pricing     
     D. Overhead
    E. Turnover
    F. Depreciation
II. Understanding the National Drug Code
III. Purchase Orders and the Invoices for Pharmaceuticals, Devices, and Supplies
    A. Procedures for purchasing
    B. The "Want Book", shelf stickers and product list
    C. Suppliers
    D. Receiving and verifying goods
    E. Maintenance of inventory
IV. Discounts
    A. Cash discounts
    B. Trade discounts
V. Returns, Policies and Procedures for Outdates, Recalls, Damaged Goods
    A. Adulterated drugs and devices
    B. Misbranded drugs and devices
VI. Safety Data Sheets
VII. Transfer of Schedule II Controlled Substances Among Registrants
    A. Registrants
    B. Drug Enforcement Agency (DEA) Form 222 - execution and record keeping
VIII. Transfer of Schedule III, IV, and V Controlled Substances
IX. Patient Information and Patient Package Inserts
X. Omnibus Budget Reconciliation Act of 1990 (OBRA '90)
XI. Special Procedures and Documentation for Investigational Drugs
XII. Third Party Billing and Insurance
    A. Definitions and terminology
    B. Information required for third party billing
         1. Coverage
         2. Co-pay procedures and record keeping
         3. Handling rejects
         4. Eligibility
    C. Cost control methods
         1. Brand vs. generic
         2. Dispense-as-written codes
         3. Quantity limits
         4. Refill intervals
         5. Age restrictions
         6. Dollar amounts
         7. Formulary vs. non-formulary
         8. Point of sale
    D. Third party payers
         1. Blue Cross-Blue Shield
         2. other common providers
         3. Workers' Compensation
         4. discount card programs
     E. Government programs
         1. MediCAL/Medicaid
         2. TRICARE/CHAMPVA
         3. Medicare
XIII. Computerized Dispensing Software and Hardware
    A. General computer functions
    B. Computer codes unique to pharmacies
    C. Entering and retrieving data
    D. Verifying third party coverage
XIV. Technician Functions in Assisting Pharmacist Toward Improving Pharmaceutical Care
    A. Customer service
    B. Ethics
    C. Communicating clearly, orally and in writing
    D. Compassion
    E. Confidentiality: Health Insurance Portability and Accountability Act (HIPAA)
    F. Dependability
    G. Problem solving skills
    H. Role-playing with customer service and problem solving
XV. Medicolegal Issues and the Pharmacy
 
Lab Activities and Content
I. Preparing Purchase Orders and Invoices
II. Receiving and Handling Procedures
III. Stocking Goods
IV. Record Keeping for Controlled Substances Records
V. Maintaining Controlled Substances Records
VI. Prescription Filling
VII. Third Party Insurance Claims and Forms.
    A. Formulary usage
    B. Recording sales
    C. Treatment Authorization Requests (TARs)
    D. Charge-back and reject summary reports
    E. Patient profiles
VIII. Utilize Pharmacy Computer Database System to Enter and Retrieve Accurate Data, Generate Labels and Patient Information.

Assignments:
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Lecture-Related Assignments:
1. Weekly reading (10-20 pages)
2. Create patient profiles manually and electronically
3. Practice customer communication skills utilizing handouts for:
    A. Sales
    B. Sample purchase orders
    C. Private medical, state, and federal medical billing forms
    D. Third party claim forms
4. Learn brand/generic drug names and their usage (10-20 per week)
5. Weekly quizzes, exam(s) (1-2), and final exam
6. Written homework
 
Lab-Related Assignments:
1. Skill demonstrations of lab activities including:
    A. Customer service
    B. Ethics
    C. Communicating clearly, orally and in writing
    D. Compassion
    E. Confidentiality: Health Insurance Portability and Accountability Act (HIPAA)
    F. Dependability
    G. Problem solving skills
    H. Role-playing with customer service and problem solving

Methods of Evaluation/Basis of Grade.
Writing: Assessment tools that demonstrate writing skill and/or require students to select, organize and explain ideas in writing.Writing
30 - 40%
Patient profiles; drug names
Problem solving: Assessment tools, other than exams, that demonstrate competence in computational or non-computational problem solving skills.Problem Solving
0 - 0%
None
Skill Demonstrations: All skill-based and physical demonstrations used for assessment purposes including skill performance exams.Skill Demonstrations
30 - 40%
Customer communication skills; lab activities
Exams: All forms of formal testing, other than skill performance exams.Exams
30 - 40%
Quizzes, exam(s), and final exam
Other: Includes any assessment tools that do not logically fit into the above categories.Other Category
0 - 0%
None


Representative Textbooks and Materials:
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Pharmacy Practice for Technicians. 7th ed. Ballington, Don and Anderson, Robert. Paradigm Publishing. 2021.
Law and Ethics for Pharmacy Technicians. 3rd ed. Moini, Jahangir. Cengage Learning, Inc. 2020.
HIPAA for Health Care Professionals. 2nd ed. Krager, Dan and Krager, Carole H. Cengage Learning, Inc. 2018.
Understanding Health Insurance: A Guide to Billing and Reimbursement. 18th ed. Green, Michelle A. Cengage Learning, Inc. 2023.
Pharmacy Labs for Technicians. 4th ed. Sparks, Jason and McCartney, Lisa and Barriera, Nichole and Lubin, Wendy. Paradigm Education Solutions. 2021.
Instructor prepared materials

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