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Pharmacists of the past were considered more of a ____ than a ____ chemist, clinician The first type of pharmacy opened was an ____ apothecary shop in the 1640's Pharmacy grew to become more of a lab science in ____ 1950-1975 Today there are 2 common types of practice models, they are: independent pharmacies and chain pharmacies Independent models may be ____ or ____ traditional, progressive A traditional pharmacy is: volume based, has some OTC sales and other items such as greeting cards, ice cream, lunch counter, or novelty items A progressive pharmacy is: traditional plus other services including compounding, herbal therapies, MTM, DSM, or DME The earliest and longest standing pharmacy practice is ____ compounding Compounding is: the preparationg of custom medications to meet requests of prescribers and needs to patients; the medications must not be commercially available; demonstrates pharmaceutical elegance and the art of pharmacy Examples of compounds include: bio-identical hormones, pediatric doses, veterinary medicine, topical gels, troches, suppositories, suspensions, injections, capsules, and may be made to avoid allergens OTC traditional medicines include: a variety of categories including symptomatic care or relief aids, vitamins, herbals, and devices Durable Medical Equipment includes: ostomy supplies, special mobility equipment, nebulizers and supplies, diabetic testing supplies, etc Factors that effect community pharmacy include: workflow, automation, population changes, health care reform, and expanding cognitive and clinical services What are the two most common types of robotics? Parada and ScriptPro OBRA 90 Omnibus Budget Reconcilliaton Act (1990) MMA Medicare Modernization Act (2003) PPACA Patient Protection and Affordable Care Act (2010) HCERA Health Care Education Reconcilliation Act (2010) Community pharmacists may need to have the following certifications: immunization, MTM, board certified pharmacotherapy specialist (ambulatory care), certified diabetic educator (CDE), geriatrics, or pain management Community residencies are tied to ____ outcomes; they are immersed in patient care, not dispensing What is the 10 City Challenge? an attempt to educate and assist patients with chronic disease states in 10 cities across the country What are the goals of MTM? improve outcomes, decrease duplication of therapy, reduce errors and adverse effects, and help cut unnecessary costs Disease state management is geared toward those with: diabetes, hypertension, or lipid level issues; it is considered to be a form of disease specific MTM The goal of immunizations are to: protect the public health and safety and to prepare for the threat of pandemic illnesses by expanding access to vaccines Common immunizations given in pharmacies include: influenza (seasonal and H1N1), HPV, pneumonia, shingles, and rabies What is the vision of Project Destiny? to foster the embracing of community pharmacy's healthcare services beyond dispensing medication and to have pharmacists considered as primary care practitioners Pharmacists are among the _____ and are often ____ most trusted professionals, first healthcare point of contact PTCB stands for: Pharmacy Technician Certification Board