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Biomedical subjects

K H Fish

Publications and source records attributed to K H Fish.

6 recordsLinked to original sources
PubMed1979

Charging for hospital pharmaceutical services: computerized system using a markup and a dose fee.

The methods used to determine pharmacy charges for a pricing program in a 940-bed hospital using a computerized on-line pharmacy pricing and inventory control system are described. The program requires input of only four pieces of information: (1) patient number; (2) drug identification number; (3) dose factor; and (4) total number of doses dispensed. In the pricing formula, the charge to the patient is calculated by adding the product of the total cost of medication and the markup factor to the product of the dose fee and the total number of doses received. Advantages of the system are: (1) the patient or third-party payer can be given an itemized bill for all pharmaceutical charges; (2) the system accounts for all medication costs, whether they are charged to the patient or not; (3) the revenue for the department can be projected and adjusted accurately; (4) the charges are fair and equitable; (5) the patient is charged for medication administered only; and (6) the system produces accurate statistical reports for both the pharmacy and the financial services department. The disadvantages is the number of man-hours needed for the pricing function.

Computers↗
PubMed1978

Training staff pharmacists for clinical positions.

A five-phase education and training program for establishing and maintaining the clinical competency of pharmacists in a 940-bed private, nonprofit hospital is described. In Phase 1 of the program, pharmacists are given selected textbook and journal materials in 15 study sections, each requiring 20--30 hours of the pharmacist's own time to complete. Phase 2 consists of two months of instruction in the daily clinical routine with emphasis on applying knowledge by investigating clinical problems through case presentation and by answering questions of health professionals. During Phase 3, the pharmacist is assigned to a patient-care area for two months to perform the duties of a clinical pharmacist. The pharmacist is assigned to the drug information center for two months during Phase 4. Phase 5, the year-round continuing education component of the program, consists of regularly scheduled clinical rounds, meetings and conferences. Upon completion of Phases 1--4, pharmacists selected for clinical positions provide clinical services for eight to 10 months and rotate to the pharmacy distribution area during the remaining two to four months per year. The education and training program described is important to the development and expansion of clinical services in this hospital.

Curriculum↗