mAdherence and mHealth Trends Advance Pharmacy

Is What We Knew Last Month Now History?

Who reading here believes that what we thought we knew last month is now history? In our environ of rapid, almost immediate (if not daily) changes, how will these challenges cause our customer service and patient-oriented adherence activities to change?

Being successful as a pharmacy owner or hospital outpatient IntraMax pharmacy director today demands constant awareness of the proposed national mandates… and more importantly… immediate understanding of the impact on the pharmacy’s ROI (return on investment). Knowing which low-level profitable pharmacy workflow activities demand the most time to complete can allow pharmacy workflow adjustments so less time is spent on these human resource consuming efforts.

These understandings can be used to improve ROI success… even though they are unique to each and every pharmacy. Will this knowledge support establishment of more available time that can be used in the high-level profitable areas? It can when selected pharmacy workflow functions are re-assigned and enhanced patient education occurs. A major result is enhanced medication adherence by patients.

Challenges to ROI Come From Everywhere

Today, challenges to pharmacy ROI are more frequent with many a result of the virtualization trends that are occurring. What do you know about mAdherence (mobile adherence) and mHealth (mobile health) and how they can impact ROI?

It’s well known that the solution to any problem lies at the base of that problem. With this in mind, why not accelerate implementation of mAdherence and mHealth efforts to support awareness of the high-level profitable pharmacy workflow activities? Which elements or steps of pharmacy workflow and patient education for medication and therapy adherence can be categorized low-level profitable or high-level profitable? No doubt the categorization will be unique to each pharmacy operation, yet there are some similarities.

Defining the Time-Takers, the Time-Savers and the Money-Makers

Rather than abruptly considering Time-Takers as “aliens invading our pharmacy workflow planet”, most pharmacists understand several time-taker type activities fall into two categories: pharmacy workflow and secondly, patient education/medication and therapy adherence activities completed by the pharmacist and staff. Within traditional pharmacy workflow, simple casual observation suggests the selection/counting/filling/verification and prescription adjudication areas are the largest Time-Takers. It is also easy to consider the effort (and time) needed to complete patient education and adherence activities as another Time-Taker.

But which Time-Savers are available to challenge these Time-Takers? How might the Time-Savers convert Time-Takers into Money-Makers? The Time-Taker activity of selection/counting/filling/verification activity can be easily and quickly converted. The answer: Automated Pharmacy Dispensing. Numerous systems for automated counting and automated dispensing are available in today’s automation environ. Only certain of these systems however can eliminate as many as 7-9 of the necessary steps involved in the selection/counting/filling/verification sequence. Prescription adjudication, insurance problem solving and therapy management adjustments by the pharmacist… on the other hand… can also often be another time-consuming effort (opportunity?).

Some independent pharmacies and select hospital outpatient pharmacies dedicate senior pharmacy technicians to solve potential adjudication issues or care transition needs in advance of the dispensing and education/adherence process. Upcoming fills for any individual can be pre-screened for possible insurance issues, combination with other forthcoming refills, pre-authorization of payments for medication therapy management and other health-supporting activities (immunizations, body mass, etc.).


Online Casinos – Simulating Real World Play

Many people around the world play at online casinos, and that’s fine if it’s your only source of gambling. However, online casinos are nowhere near as close to the real thing when it comes to simulation. Take Craps for example. The casino determines what number rolls by using a random number generator. However, just how random is random? If you have been in a casino, you know that every single person at a table has a unique rolling pattern. Some stack the dice and casually vault them into the air. Others shake them up and rocket them to the back wall, while other frequently launch the dice off the table or fall short of the back wall. There are even players who change their rolling pattern every roll or point.


An online casino does not have the ability to simulate this. Sure, they can manipulate the random number generator, but there’s still no way to accurately simulate table action. Having programmed, I know that a random number generator is not all that random. Worse, if the computer simply “picks a number”, it is not even a proper setup to being with. Let’s keep looking at Craps. Does the casino have a random number generator that simply picks a number between one and twelve? If so, all the numbers have an even shot at coming out, which is against true probability. Perhaps they list out all probable combinations and then the computer selects one. This would be a little more accurate, probability wise, but it still lacks the real randomness of live action–and weird events are more likely to ensue.

What I’m about to tell you is true and happens more frequently that one would imagine. A tester recently played at an online casino (Craps) to monitor number frequency in the field. Within the span of just 150 rolls, the computer rolled 11 non-field numbers in a row and then followed it up a handful of rolls later by rolling 12 non-field numbers in a row. What’s the big deal you ask? Well, first, the field has a 44.5% chance of winning on every roll and second; the probability of throwing 11 non-field rolls in a row is.0015%. The probability of throwing 12 non-field numbers in a row is.0008%. These events should happen once every 667 rolls and once every 1176 rolls respectively, yet both where seen within a handful of rolls from each other within the 150 rolls monitored.

But wait, there’s more. Within these same, now historic, 150 rolls, a six was not thrown for 13-16 rolls 5 times. The probability of not throwing a six 13 times is 14.5% (9% for 16 rolls)–this happened 5 times in 150 rolls. The same happened to the eight–in fact–there were two instances where an eight was not thrown for 18-20 times. The probability of this happening is 5-7% and it happened twice.


Easy Ways to Study – Studying Tips For All Subjects

Finding easy ways to study is not a big deal if you put a little thought into it. Studying for Trig, History or even Chemistry can be a drag, I know. But if you make the decision to study with purpose so you can get the most out of your study time, you will be able to have fun with your friends and have lots of extra time to do whatever you want.

study in Australia

The first part of my easy ways to study is very simple. Never study in crowded, noisy or distracting places like coffee shops. These types of places are best left for spending time with friends and catching up on how the weekend went. When you study, you must remove distractions or anything else that will keep you from comprehending what you are studying. These are not new ideas of studying, but this is a very important step if you are going to cut your study time in half. Then you can hang out with your friends with all of the extra time that you’ll have.

The next part of my easy ways to study to is different from my first tip, and it almost seems to contradict the first. I know that group studying is sometimes very necessary, but studying alone is when things really start to stick. Once you pick a quiet and friendly place to study alone, put on some of your favorite music. Not new music, but music that you are very familiar with and makes you feel happy. Your attitude while studying directly affects the way that you feel when you are taking a test. Make sure that you are not playing it too loud as to be distracting.

I personally like to use ear-buds because all other noises and distractions are removed. Here is what the music will do for you if you stick with it. The music puts your mind in a rhythm and almost seems to prepare it for new information. I know that may sound crazy, but it has worked for me for years. When I am taking a test my mind replays the music in my head and the information just seems to come out of my pencil like magic. But remember to be sure to listen to music that you enjoy and are very familiar with while studying. You don’t want to concentrate on the music, you just want it to guide your mind and prepare it for retaining new information.


Turkey Restarts E Visa for Iraq Nationals

Turkey had stopped the E Visa facility for the nationals of Iraq, after the ISIL militants kidnapped 46 Turkish nationals and three staff members from the Mosul consulate on the 11th June 2014, this was a day after the terrorist group ISIL took control of Iraq’s second largest city.

Schengen Visa Fee

The 46 Turkish nationals who were held hostage by the ISIL were freed and brought back to Turkey on the 20th September 2014. Following the release of these 46 hostages, the Turkish Ambassador to Iraq Mr. Faruk Kaymakci said in a written statement on the 2nd Oct 2014, that the Iraqi nationals will again be able to apply for the Turkey E Visa online for their travel to Turkey. They will no longer have to wait for an approval to enter Turkey via the Ibrahim Khalil border which is the crossing point between Turkey and Iraq.

After the E Visa facility resumed, excitement is seen among the tourists. The Turkish tourism industry is also expecting to overcome the losses which the industry incurred during the time of crises. Basaran Ulusoy, the president of the Association of Turkish Travel Agencies said during a press conference that, It is expected that 42 million tourists will travel to Turkey by the end of the year and tourism revenues should reach $35 billion.

Passport holders of the eligible nations can apply for an ETA for Turkey and the document needed to apply for the E Visa are also very less, compared to old visa type for which travelers had to visit the Embassy and spend their time standing in long queues. Well, if the traveler is applying for the Visa online, he can easily get it approved in 24-48 hours by just providing his/her passport details and some processing fees. ETA visa is electronically attached to the applicant’s passport after the approval, An email is sent with the E Visa in a PDF format, which the passport holder can keep in his/her passport when traveling to Turkey. Thus the passport holder does not have to get the Visa stamped on their passport. There are many nationalities which enjoy the facility of VOA or Visa on Arrival at the Turkish Airport, but it is always advisable to check and cross verify the information before the travel date.

There are numerous websites which provide the service of applying the Turkey E Visa on their customer’s behalf and also provide certain services and benefits, However we recommend you to be sure and go through the terms & conditions of that particular website to save yourself from online fraud and get your E Visa on time.