Transcript the Presentation - Surgery Center Coalition

Medication Management
John Karwoski, RPh, MBA
JDJ Consulting, LLC
[email protected]
June 11, 2014
New Administrative Director
Brittney Cammarota, MPH
(609) 384-5620
[email protected]
Medication News
• Ofirmev price will increase due to sale of Cadence
Pharmaceuticals to Mallinckrodt
• Price increase could be 300%
• $11 per vial to $36 per vial
• Phenylephrine Ophthalmic no longer available
through AKORN
• Dexamethasone Shortage
Product Availability
JCB Laboratories
• Phenylephrine Ophthalmic 2.5% in combo eye drops
• Omnipaque Re-packaging
• Dexamethasone
• Dexamethasone Sodium Phosphate Solution for
Injection 10mg/ml Preservative Free 2-ml Single Dose
Vial
Dexamethasone Sodium Phosphate Solution for
Injection 4mg/ml Preservative Free 2-ml Single Dose
Vial
NJ Prescription Pads
Change in Regulations
Changes Include
•
Color Changing Ink
•
0.5-point micro-printing
•
Hollow “VOID” hidden word
feature
•
Unique 15-digit ID number
•
A Barcode
•
List of security features will be
printed on back of prescription
blank
•
Green on front, blue on back
When?
• May 18, 2014: State
approved endors must stop
selling, printing, or
delivering old form
• August 18, 2014: All statelicensed prescribers must
stop using old forms
Compounding Pharmacies
503A vs. 503 B
503A
• Compounders not
registered as outsourcing
facilities
• Only exempt from certain
aspects of 503B
• Still must meet all
applicable conditions of the
FDCA
503B
•
Compounding entity that may
register as an outsourcing facility
•
Must compound in compliance
with CGMP or under direct
supervision of a licensed
pharmacist in a registered facility
•
Must also report information to
the FDA about compounded
drugs such as source of
ingredients
•
Must adhere to new quality
standards
Tighten Up!
(On Medical Record Documentation)
Current Focus of Medical Record Audit:
• Documentation of Allergies and Reactions
• Completion of Medication Reconciliation, if applicable
• Physician order to accompany all administered meds
• Use of unapproved abbreviations
Medical Record Audit
Early Findings
• Unapproved abbreviations most commonly used:
• “cc” is being used instead of “ml”
• “qd” being used
• Continued use of AM/PM rather than 2400
• Documentation of allergies, but no documentation
of sensitivities
Unapproved Abbreviations
http://med.stanford.edu/shs/update/archives/JAN2006/abbreviations.pdf
Syringe labeling
Vial Labeling
JDJ Launches New Website
• Same web address:
www.jdjconsulting.net
• Features:
• “About” page with employee information
• “JDJ News” page with up-to-date information on
medication management news
• “Services” page
• “Trusted Associates” page
• “Contact” page
For More Information
John Karwoski, RPh, MBA
(609) 313-7572
[email protected]
[email protected]
Brittney Cammarota, MPH
(609) 384-5620
[email protected]
[email protected]