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URAC PACKAGE DEAL|GRADED A|GUARANTEED SUCCESS
URAC PACKAGE DEAL|GRADED A|GUARANTEED SUCCESS
[Show more]URAC PACKAGE DEAL|GRADED A|GUARANTEED SUCCESS
[Show more]Accredits 
• Hospitals 
• Health Plans 
• Pharmacies 
• Provider Orgs 
• Medical Management Orgs 
• Case Management 
• Health Centers 
• Independent Review Orgs 
• Health Websites 
 
 
 
6 Aims of Quality 
o Safe 
o Effective 
o Patient-Centered 
o Timely 
o Efficient 
o Equitable ...
Preview 2 out of 6 pages
Add to cartAccredits 
• Hospitals 
• Health Plans 
• Pharmacies 
• Provider Orgs 
• Medical Management Orgs 
• Case Management 
• Health Centers 
• Independent Review Orgs 
• Health Websites 
 
 
 
6 Aims of Quality 
o Safe 
o Effective 
o Patient-Centered 
o Timely 
o Efficient 
o Equitable ...
Credentialing Program 
covers all practitioners who are participating providers and are providing health care services 
 
 
 
Credentialing may be delegated to 
1. a contracted network 
2. a group 
3. a clinic 
Delegation oversight is required and delegated entity must be performing credentialing ac...
Preview 2 out of 10 pages
Add to cartCredentialing Program 
covers all practitioners who are participating providers and are providing health care services 
 
 
 
Credentialing may be delegated to 
1. a contracted network 
2. a group 
3. a clinic 
Delegation oversight is required and delegated entity must be performing credentialing ac...
What is URAC? 
It is a non profit organization that helps to promote healthcare quality through the accreditation of organizations involved in medical care services. 
 
 
 
URAC, how many years before the next credentialing? 
URAC gives up to three years 
 
 
 
 
 
 
00:26 
 
01:22 
What happens aft...
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Add to cartWhat is URAC? 
It is a non profit organization that helps to promote healthcare quality through the accreditation of organizations involved in medical care services. 
 
 
 
URAC, how many years before the next credentialing? 
URAC gives up to three years 
 
 
 
 
 
 
00:26 
 
01:22 
What happens aft...
What do you do if a temperature is out of range? 
Notify my manager. 
 
 
 
What is your service area? 
Describe the areas serviced 
 
 
 
 
 
 
00:04 
 
01:23 
What is the process of out of stock or back order products? 
We notify the patient and prescriber, as needed, based on the clinical signifi...
Preview 1 out of 3 pages
Add to cartWhat do you do if a temperature is out of range? 
Notify my manager. 
 
 
 
What is your service area? 
Describe the areas serviced 
 
 
 
 
 
 
00:04 
 
01:23 
What is the process of out of stock or back order products? 
We notify the patient and prescriber, as needed, based on the clinical signifi...
Tell me about how your site will function if the facility is affected by a disaster? 
Business Continuity Management (BCM) document that addresses disasters across all sites. 
 
Tabletop tests done annually 
 
We can redirect shipments and shift tasks, as needed, to other facilities 
 
Generators ar...
Preview 3 out of 28 pages
Add to cartTell me about how your site will function if the facility is affected by a disaster? 
Business Continuity Management (BCM) document that addresses disasters across all sites. 
 
Tabletop tests done annually 
 
We can redirect shipments and shift tasks, as needed, to other facilities 
 
Generators ar...
How do you (or the organization) provide oversight to ensure the company is compliant with applicable laws and regulations? 
1) Review the policies and procedures to confirm that we are accurately following the standard regulations. 
2)The Compliance team conducts internal audits and reviews all POP...
Preview 4 out of 37 pages
Add to cartHow do you (or the organization) provide oversight to ensure the company is compliant with applicable laws and regulations? 
1) Review the policies and procedures to confirm that we are accurately following the standard regulations. 
2)The Compliance team conducts internal audits and reviews all POP...
What is your involvement in patient management? 
Involves prescription dispensing, reimbursement, counseling, and patient clinical care activities we do. My involvement depends on the role I am assigned for the day. 
 
 
 
How do we promote drug adherence? 
Initial counseling on the importance of co...
Preview 4 out of 35 pages
Add to cartWhat is your involvement in patient management? 
Involves prescription dispensing, reimbursement, counseling, and patient clinical care activities we do. My involvement depends on the role I am assigned for the day. 
 
 
 
How do we promote drug adherence? 
Initial counseling on the importance of co...
Patient Care: What is your involvement in Patient Management? 
Patient management involves prescription dispensing, reimbursement, counseling, and patient clinical care activities we do. My involvement depends on the role I am assigned for the day. 
 
 
 
Patient Care: How do we promote drug adheren...
Preview 3 out of 29 pages
Add to cartPatient Care: What is your involvement in Patient Management? 
Patient management involves prescription dispensing, reimbursement, counseling, and patient clinical care activities we do. My involvement depends on the role I am assigned for the day. 
 
 
 
Patient Care: How do we promote drug adheren...
What is your involvement in Patient Management? 
Patient management involves prescription dispensing, reimbursement, counseling, and patient clinical care activities we do. My involvement depends on the role I am assigned for the day. 
 
 
 
How do we promote drug adherence? 
During initial counseli...
Preview 4 out of 50 pages
Add to cartWhat is your involvement in Patient Management? 
Patient management involves prescription dispensing, reimbursement, counseling, and patient clinical care activities we do. My involvement depends on the role I am assigned for the day. 
 
 
 
How do we promote drug adherence? 
During initial counseli...
Patient Care: What is your involvement in Patient Management? 
Patient Management involves prescription dispensing, reimbursement, counseling and patient clinical care activities we do. My involvement depends on the role I am assigned for the day. 
 
 
 
Patient Care: How do we promote drug adherenc...
Preview 4 out of 40 pages
Add to cartPatient Care: What is your involvement in Patient Management? 
Patient Management involves prescription dispensing, reimbursement, counseling and patient clinical care activities we do. My involvement depends on the role I am assigned for the day. 
 
 
 
Patient Care: How do we promote drug adherenc...
Who has access to the controlled substances? 
Only pharmacists 
 
 
 
Who has access to the pharmacy? 
Access is limited to pharmacists and technicians. 
 
 
 
 
 
 
00:20 
 
01:23 
How do you know if a recalled drug is currently being processed for an order and is still in the pharmacy in a tote or...
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Add to cartWho has access to the controlled substances? 
Only pharmacists 
 
 
 
Who has access to the pharmacy? 
Access is limited to pharmacists and technicians. 
 
 
 
 
 
 
00:20 
 
01:23 
How do you know if a recalled drug is currently being processed for an order and is still in the pharmacy in a tote or...
Core 32- Senior Clinical Staff Responsiblities 
1. Provide guidance for clinical operations . 
2. Responsible for oversight of clinical decision-making aspect of program 
3. Periodic consultaiton with practitioners in field 
 
 
 
Core 31- Senior Clinical Staff requirements 
1. Current unrestricted ...
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Add to cartCore 32- Senior Clinical Staff Responsiblities 
1. Provide guidance for clinical operations . 
2. Responsible for oversight of clinical decision-making aspect of program 
3. Periodic consultaiton with practitioners in field 
 
 
 
Core 31- Senior Clinical Staff requirements 
1. Current unrestricted ...
• When were you hired? 
X 
 
 
 
• What is your background? (mini resume) 
X 
 
 
 
 
 
 
00:26 
 
01:23 
• How many years have you been working here? 
X 
 
 
 
• What are your job functions/tasks? 
o No patient counseling, only Order Entry, Filling and Packaging. 
 
 
 
• Do you know what...
Preview 4 out of 33 pages
Add to cart• When were you hired? 
X 
 
 
 
• What is your background? (mini resume) 
X 
 
 
 
 
 
 
00:26 
 
01:23 
• How many years have you been working here? 
X 
 
 
 
• What are your job functions/tasks? 
o No patient counseling, only Order Entry, Filling and Packaging. 
 
 
 
• Do you know what...
What do you do if a temperature is out of range? 
Notify my manager. 
 
 
 
What is your service area? 
Describe the areas serviced and state licenses held by your pharmacy. 
 
 
 
 
 
 
00:25 
 
01:23 
What happens if you obtain a prescription outside your services area? 
We will utilize our other ...
Preview 4 out of 75 pages
Add to cartWhat do you do if a temperature is out of range? 
Notify my manager. 
 
 
 
What is your service area? 
Describe the areas serviced and state licenses held by your pharmacy. 
 
 
 
 
 
 
00:25 
 
01:23 
What happens if you obtain a prescription outside your services area? 
We will utilize our other ...
What do you do if a temperature is out of range? 
Notify my manager. 
 
 
 
What is your service area? 
Describe the areas serviced and state licenses held by your pharmacy. 
 
 
 
 
 
 
00:25 
 
01:23 
What happens if you obtain a prescription outside your services area? 
We will utilize our other ...
Preview 4 out of 75 pages
Add to cartWhat do you do if a temperature is out of range? 
Notify my manager. 
 
 
 
What is your service area? 
Describe the areas serviced and state licenses held by your pharmacy. 
 
 
 
 
 
 
00:25 
 
01:23 
What happens if you obtain a prescription outside your services area? 
We will utilize our other ...
Can you explain how we facilitate transition of care for patients? 
A medication profile is made available to the patient or healthcare entity the patient is transferring to. 
 
 
 
Which types of patients do you consider high risk when taking specialty medications? 
Our high risk populations consis...
Preview 3 out of 20 pages
Add to cartCan you explain how we facilitate transition of care for patients? 
A medication profile is made available to the patient or healthcare entity the patient is transferring to. 
 
 
 
Which types of patients do you consider high risk when taking specialty medications? 
Our high risk populations consis...
PATIENT CARE 
Have the intake technician explain the electronic prescribing prescription intake process. 
Practice touring the pharmacy, explain each work station, introduce team members and what their primary responsibility is during prescription intake. 
 
 
 
PATIENT CARE 
Have a Pharmacist descr...
Preview 4 out of 52 pages
Add to cartPATIENT CARE 
Have the intake technician explain the electronic prescribing prescription intake process. 
Practice touring the pharmacy, explain each work station, introduce team members and what their primary responsibility is during prescription intake. 
 
 
 
PATIENT CARE 
Have a Pharmacist descr...
What is your involvement in patient management? 
Patient management involves prescription dispensing, reimbursement, counseling, and pt clinical care activities we do. My involvement depends on the role I am assigned for the day. 
 
 
 
How do we promote drug adherence? 
During initial counseling - ...
Preview 4 out of 48 pages
Add to cartWhat is your involvement in patient management? 
Patient management involves prescription dispensing, reimbursement, counseling, and pt clinical care activities we do. My involvement depends on the role I am assigned for the day. 
 
 
 
How do we promote drug adherence? 
During initial counseling - ...
Core 1 & 2 
requires company's mission statement; organizational structure; history of company and types of business it provides 
 
 
 
Core 3: Policies and Procedures 
Must adopt p & p that reflects URAC standards and are reviewed annually 
 
 
 
Core 4: Regulatory Compliance 
Must have regulatory...
Preview 1 out of 2 pages
Add to cartCore 1 & 2 
requires company's mission statement; organizational structure; history of company and types of business it provides 
 
 
 
Core 3: Policies and Procedures 
Must adopt p & p that reflects URAC standards and are reviewed annually 
 
 
 
Core 4: Regulatory Compliance 
Must have regulatory...
What is involved in Quality Management? 
We report any incidents, complaints, or problems to the pharmacist or our manager. We utilize the peer review process if any error occurred and work as a team to improve. 
 
 
 
How do you define a complaint? 
Any expression of dissatisfaction by a customer/p...
Preview 2 out of 7 pages
Add to cartWhat is involved in Quality Management? 
We report any incidents, complaints, or problems to the pharmacist or our manager. We utilize the peer review process if any error occurred and work as a team to improve. 
 
 
 
How do you define a complaint? 
Any expression of dissatisfaction by a customer/p...
Tell me about how your site will function if the facility is affected by a disaster? 
Our policies and procedures describe these protocols and have a business continuity management (BCM) document that addresses disasters across all sites. 
Tabletop tests are done annually 
We can redirect shipments ...
Preview 3 out of 21 pages
Add to cartTell me about how your site will function if the facility is affected by a disaster? 
Our policies and procedures describe these protocols and have a business continuity management (BCM) document that addresses disasters across all sites. 
Tabletop tests are done annually 
We can redirect shipments ...
Who reviews Health Status prior to recommending privileges 
Joint Commission 
 
 
 
Joint Commission 
Which organization requires identification as part of the Credential Process 
 
 
 
 
 
 
00:23 
 
01:23 
Medicare Hospital COPs and Interp. Guidlines 
Does not specifically address Health Status al...
Preview 2 out of 5 pages
Add to cartWho reviews Health Status prior to recommending privileges 
Joint Commission 
 
 
 
Joint Commission 
Which organization requires identification as part of the Credential Process 
 
 
 
 
 
 
00:23 
 
01:23 
Medicare Hospital COPs and Interp. Guidlines 
Does not specifically address Health Status al...
Who reviews Health Status prior to recommending privileges 
Joint Commission 
 
 
 
Joint Commission 
Which organization requires identification as part of the Credential Process 
 
 
 
 
 
 
00:23 
 
01:23 
Medicare Hospital COPs and Interp. Guidlines 
Does not specifically address Health Status al...
Preview 2 out of 5 pages
Add to cartWho reviews Health Status prior to recommending privileges 
Joint Commission 
 
 
 
Joint Commission 
Which organization requires identification as part of the Credential Process 
 
 
 
 
 
 
00:23 
 
01:23 
Medicare Hospital COPs and Interp. Guidlines 
Does not specifically address Health Status al...
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