Wednesday, July 8, 2020

PGY-1 Community Residency Weekly Team Meeting

Location: Zoom meeting
Meeting called by: Dr. Goar Alvarez
Note taker: Dr. Erika Zwachte
Attendees: Dr. Alvarez, Dr. Milfort, Dr. Zwachte

Minutes
- Call to order: 9:00AM
- Review/Approve previous minutes from previous meeting (07/08/2020)
- Agenda created and distributed to attendees before meeting
o Contents of agenda include point to be talked about during the meeting
o Agenda template for Resident’s meetings with Dr. Alvarez:
 Debrief
 Assignment of projects
 Review/Redirecting
- Residents to attend Zoom staff meetings for:
o South Florida State Hospital
o NSU Clinic Pharmacy
- Residents to attend QS1 meetings with Dr. Alvarez, Dr. Pino and Mrs. DeMore
o Meeting today at 11:00am
o Content of the meeting guided towards revenue, budget, accounts receivable,
inventory, end of fiscal year, among others
- Inventory and inventory management discussion
o Inventory is performed at the end of the fiscal year (every June 30th)
 A fiscal year measures performance of revenue and expenses in a one-
year time frame
o Goal is to sell items before we have to actually pay the manufacturer/supplier
o Administrative component reviews effectiveness of the inventory throughout a
year using a calculator for “inventory turn-over rate”
 Cost of goods sold (CGS)/average inventory
 Cost of goods sold (CGS): cost of the medication/item from the
supplier (includes products: Rx, OTC, vitamins, etc. – NOT services:
pharmacist, paper, bottles, vials, labels, etc.
 CGS: $1,569,093.54
 Inventory turn-over rate: 1,596,093.54 / 170,592.5 = 9.2
 Average Inventory: beginning inventory (06/30/2019) + final inventory
(06/30/2020) divided by 2
  Average inventory: $175,748 (2019) + $165,437 (2020) divided by 2
o Ideally a good turn-over rate ranges between 10-13 since we are paying monthly
o Lower turn-over rate is not good since it means we have lots of products sitting on
shelfs. In that case we need to look at why is it not selling: demographics, price,
product, etc.
o Higher turn-over rate is not good either (having only one product and turning it over
very frequently
- Management component keeps a “close-eye” on inventory, keeping a flowing inventory – in
order to have opportunity cost
- Inventory at the hospital done monthly due to a tighter budget
- “Par value”: having a standard number of products on the shelf and ordering more when
the count falls under certain set number
- Residents to review Policies and Procedures sent by Dr. Alvarez
o Need to develop a Policy for Hazardous Drugs
- Residents to review Orientation Checklist with different preceptors. Upon completion,
preceptor and residents to initial and date. Residents to keep paperwork for final of
residency portfolio.
- Residents to be added to internal calendar and patients’ calendar.
- CITI portal: Social-behavior administrative pharmacy of training
- Residents were individually interviewed regarding interest and goals for future residency
plan development
o Dr. Alvarez to develop a plan for each resident for achievement of interests during
residency

Meeting adjournment: 10:45am

Continue working on:

Action items Person responsible Deadline

Google and Review Hospital 389 on FL Senate Erika & Melissa

website

End-of-residency achievements reflection Erika & Melissa

Rename “TCM center” Erika & Melissa

Rename robot Erika & Melissa

Develop schedule for Quarterly Newsletter Erika & Melissa

Independently review/revise Policy and Erika & Melissa

Procedure manual (Pay special attention to
Screenings)

Develop or Review protocols Erika & Melissa

Complete Outcomes-MTM training Erika & Melissa

Get involved in Local, State and National Erika & Melissa

Pharmacy organization

Agenda item: Dr. Alvarez assigned tasks

Give Residents access to:

 QS1
 RxView, RxClaim
 MMR HER, PPC EHR
 Individual code for Pharmacy alarm system (once licensed)
 Individual keys for Pharmacy (once licensed)
 TCM call center (once Residents have ID badges)
 Username and Password for ICUBAcares
 Username and Password for Transition of Care platform
 Add residents to patient schedule calendar
Email Residents following protocols:
 Current: Immunization, Anticoagulation, and Diabetes
 Develop: Integrative Pharmacy protocol
Email Residents following trainings:
 OSHA including universal precautions