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Pharmacy_ARMADA_Conf_2 sides_rev_AP-4-17 - Final

Aniket Patel
Aniket Patel

This document outlines the standards for URAC pharmacy accreditation across multiple domains, including organizational structure, policies and procedures, regulatory compliance, information management, staff management, pharmacy operations, quality management, consumer protection, patient management, specialty drug management, and reporting measures. URAC is an independent non-profit organization that sets industry standards for validating the quality of pharmacy services through accreditation.

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Insurers Demand Clinical Oversight! How Do You Prove the Quality of Your Pharmacy Services? URAC Sets the Industry Standard for Pharmacy Quality Validation. Learn More About URAC Pharmacy Accreditation. Visit URAC.org Email us at info@urac.org or call us at (202) 326-3943 Pharmacy services are evolving rapidly with increased scrutiny. Partner with the industry leader to demonstrate your commitment to quality. URACs independent, non-profit status is trusted to ensure quality and efficiency by federal and state regulators, insurers, and providers. For 25 years, URAC has been a recognized leader in healthcare quality with 30+ accreditation products. Over 300 pharmacy organizations have chosen URAC to validate their commitment to quality. Below are just a few... Specialty Pharmacy Mail Service Pharmacy Community Pharmacy Six URAC Pharmacy Quality Management速 Products Pharmacy Benefit Management Workers Compensation PBM Drug Therapy Management
Learn More About URAC Pharmacy Accreditation. Visit URAC.org Email us at info@urac.org or call us at (202) 326-3943 Organizational Structure PHARM Core 1 Organizational Structure PHARM Core 2 Organization Documents Policies and Procedures PHARM Core 3 Policy and Procedure Maintenance, Review and Approval Regulatory Compliance [revised standard] PHARM Core 4 Regulatory Compliance Program and Internal Controls Inter-Departmental Coordination PHARM Core 5 Inter-departmental Coordination Oversight of Delegated Functions PHARM Core 6 Delegation Review Criteria PHARM Core 7 Delegation Review PHARM Core 8 Delegation Contracts PHARM Core 9 Delegation Oversight Marketing and Sales Communications [revised standard] PHARM Core 5 Inter-departmental Coordination Business Relationships PHARM Core 11 Written Business Agreements PHARM Core 12 Client Satisfaction Information Management PHARM Core 13 Information Management PHARM Core 14 Business Continuity/Emergency Management PHARM Core 15 Information Confidentiality and Security PHARM Core 16 Confidentiality of Individually-Identifiable Health Staff Management PHARM Core 27 Staff Education and Training Program PHARM Core 28 Staff Operational Tools and Support PHARM Core 29 Staff Assessment ProgramInformation Clinical Staff Credentialing and Oversight Role PHARM Core 17 Quality Management Program PHARM Core 30 Clinical Staff Credentialing PHARM Core 31 Senior Clinical Staff Requirements PHARM Core 32 Senior Clinical Staff Responsibilities PHARM Core 33 Financial Incentive Policy PHARM Core 34 Access to Services PHARM Core 35 Consumer Complaint Process Health Care System Coordination PHARM Core 36 Coordination with External Entities Customer Service, Communications, and Disclosure (CSCD) CSCD 1 Post-Enrollment Consumer Information Requirements CSCD 2 Ongoing Communication Practices CSCD 3 Disclosure on Refilling Prescriptions CSCD 4 Integration and Coordination with Existing Benefits CSCD 5 Disclosure CSCD 6 Disclosure Verification CSCD 7 Ongoing Consumer Support CSCD 8 Telephone Performance Monitoring CSCD 9 Telephone Performance Metrics CSCD 10 Multiple Format Communication Requirement CSCD 11 Communications Process CSCD 12 Literacy and Culturally Appropriate Communications CSCD 13 Electronic Prescribing Pharmacy Operations (PHARM-OP) PHARM-OP 1 Pharmacy Operations: Scope of Services and Performance Metrics PHARM-OP 2 Prescription Intake Process PHARM-OP 3 Prescription Order Review and Verification by Pharmacist PHARM-OP 4 Product Preparation and Dispensing Process PHARM-OP 5 Prescription Dispensing by Pharmacist PHARM-OP 6 ShippingCSCD 11 Communications Process PHARM-OP 7 Cold Chain Distribution: Process Controls and Monitoring System PHARM-OP 8 Product Handling, Storage, and Inventory PHARM-OP 9 Procurement and Supply PHARM-OP 10 Machine and Equipment Maintenance PHARM-OP 11 Pharmacy Medication Claims Processing PHARM-OP 12 Handling and Removal of Unacceptable Medications PHARM-OP 13 Pharmacy Oversight PHARM-OP 14 Facility Safety and Security PHARM-OP 15 Quality and Error Management in the Facility PHARM-OP 16 Compounding Quality Management PHARM Core 17 Quality Management Program PHARM Core 18 Quality Management Program Resources PHARM Core 19 Quality Management Program Requirements PHARM Core 20 Quality Management Committee PHARM Core 21 Quality Management Documentation PHARM Core 22 Quality Improvement Projects PHARM Core 23 Quality Improvement Project Requirements PHARM Core 24 Quality Improvement Projects: Consumer Organizations Consumer Protection and Empowerment PHARM Core 37 Consumer Rights and Responsibilities PHARM Core 38 Consumer Safety Mechanism PHARM Core 39 Consumer Satisfaction PHARM Core 40 Health Literacy PHARM Core 41 Employment Background Screening Patient Management (PM) PM 1 Patient Centered Strategy PM 2 Patient Management Program Services PM 3 Additional Program Characteristics PM 4 Program Development and Review PM 5 Periodic Patient Reassessment Process PM 6 Evidence-Based Research and Practices PM 7 Staff Qualifications PM 8 Coordination of Care PM 9 Informed Decision-Making with Patients PM 10 Communication and Education Materials PM 11 Patient Management Integrated Approach PM 12 Participating Patient Rights and Responsibilities PM 13 Quality Improvement PM 14 Demonstrating Patient Management Program Value PM 15 Program Evaluation Outcomes Reporting PM 16 Program Evaluation Methodology Disclosure Measures Reporting RPT 1 Reporting Mandatory Performance Measures to URAC RPT 2 Reporting Exploratory Performance Measures to URAC Specialty Drug Management (SDrM) SDrM 1 Roles and Responsibilities of Pharmacies SDrM 2 Principles that Support Pharmacy Services SDrM 3 Treatment Recommendations Based on Clinical Decisions SDrM 4 Prospective, Concurrent, and Retrospective Drug Management SDrM 5 Drug Utilization Management Reporting SDrM 6 Patient Safety Process Requirements Specialty Pharmacy Accreditation, Version 3.0 Staff Qualifications PHARM Core 25 Job Descriptions PHARM Core 26 Staff Qualifications

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Pharmacy_ARMADA_Conf_2 sides_rev_AP-4-17 - Final

  • 1. Insurers Demand Clinical Oversight! How Do You Prove the Quality of Your Pharmacy Services? URAC Sets the Industry Standard for Pharmacy Quality Validation. Learn More About URAC Pharmacy Accreditation. Visit URAC.org Email us at info@urac.org or call us at (202) 326-3943 Pharmacy services are evolving rapidly with increased scrutiny. Partner with the industry leader to demonstrate your commitment to quality. URACs independent, non-profit status is trusted to ensure quality and efficiency by federal and state regulators, insurers, and providers. For 25 years, URAC has been a recognized leader in healthcare quality with 30+ accreditation products. Over 300 pharmacy organizations have chosen URAC to validate their commitment to quality. Below are just a few... Specialty Pharmacy Mail Service Pharmacy Community Pharmacy Six URAC Pharmacy Quality Management速 Products Pharmacy Benefit Management Workers Compensation PBM Drug Therapy Management
  • 2. Learn More About URAC Pharmacy Accreditation. Visit URAC.org Email us at info@urac.org or call us at (202) 326-3943 Organizational Structure PHARM Core 1 Organizational Structure PHARM Core 2 Organization Documents Policies and Procedures PHARM Core 3 Policy and Procedure Maintenance, Review and Approval Regulatory Compliance [revised standard] PHARM Core 4 Regulatory Compliance Program and Internal Controls Inter-Departmental Coordination PHARM Core 5 Inter-departmental Coordination Oversight of Delegated Functions PHARM Core 6 Delegation Review Criteria PHARM Core 7 Delegation Review PHARM Core 8 Delegation Contracts PHARM Core 9 Delegation Oversight Marketing and Sales Communications [revised standard] PHARM Core 5 Inter-departmental Coordination Business Relationships PHARM Core 11 Written Business Agreements PHARM Core 12 Client Satisfaction Information Management PHARM Core 13 Information Management PHARM Core 14 Business Continuity/Emergency Management PHARM Core 15 Information Confidentiality and Security PHARM Core 16 Confidentiality of Individually-Identifiable Health Staff Management PHARM Core 27 Staff Education and Training Program PHARM Core 28 Staff Operational Tools and Support PHARM Core 29 Staff Assessment ProgramInformation Clinical Staff Credentialing and Oversight Role PHARM Core 17 Quality Management Program PHARM Core 30 Clinical Staff Credentialing PHARM Core 31 Senior Clinical Staff Requirements PHARM Core 32 Senior Clinical Staff Responsibilities PHARM Core 33 Financial Incentive Policy PHARM Core 34 Access to Services PHARM Core 35 Consumer Complaint Process Health Care System Coordination PHARM Core 36 Coordination with External Entities Customer Service, Communications, and Disclosure (CSCD) CSCD 1 Post-Enrollment Consumer Information Requirements CSCD 2 Ongoing Communication Practices CSCD 3 Disclosure on Refilling Prescriptions CSCD 4 Integration and Coordination with Existing Benefits CSCD 5 Disclosure CSCD 6 Disclosure Verification CSCD 7 Ongoing Consumer Support CSCD 8 Telephone Performance Monitoring CSCD 9 Telephone Performance Metrics CSCD 10 Multiple Format Communication Requirement CSCD 11 Communications Process CSCD 12 Literacy and Culturally Appropriate Communications CSCD 13 Electronic Prescribing Pharmacy Operations (PHARM-OP) PHARM-OP 1 Pharmacy Operations: Scope of Services and Performance Metrics PHARM-OP 2 Prescription Intake Process PHARM-OP 3 Prescription Order Review and Verification by Pharmacist PHARM-OP 4 Product Preparation and Dispensing Process PHARM-OP 5 Prescription Dispensing by Pharmacist PHARM-OP 6 ShippingCSCD 11 Communications Process PHARM-OP 7 Cold Chain Distribution: Process Controls and Monitoring System PHARM-OP 8 Product Handling, Storage, and Inventory PHARM-OP 9 Procurement and Supply PHARM-OP 10 Machine and Equipment Maintenance PHARM-OP 11 Pharmacy Medication Claims Processing PHARM-OP 12 Handling and Removal of Unacceptable Medications PHARM-OP 13 Pharmacy Oversight PHARM-OP 14 Facility Safety and Security PHARM-OP 15 Quality and Error Management in the Facility PHARM-OP 16 Compounding Quality Management PHARM Core 17 Quality Management Program PHARM Core 18 Quality Management Program Resources PHARM Core 19 Quality Management Program Requirements PHARM Core 20 Quality Management Committee PHARM Core 21 Quality Management Documentation PHARM Core 22 Quality Improvement Projects PHARM Core 23 Quality Improvement Project Requirements PHARM Core 24 Quality Improvement Projects: Consumer Organizations Consumer Protection and Empowerment PHARM Core 37 Consumer Rights and Responsibilities PHARM Core 38 Consumer Safety Mechanism PHARM Core 39 Consumer Satisfaction PHARM Core 40 Health Literacy PHARM Core 41 Employment Background Screening Patient Management (PM) PM 1 Patient Centered Strategy PM 2 Patient Management Program Services PM 3 Additional Program Characteristics PM 4 Program Development and Review PM 5 Periodic Patient Reassessment Process PM 6 Evidence-Based Research and Practices PM 7 Staff Qualifications PM 8 Coordination of Care PM 9 Informed Decision-Making with Patients PM 10 Communication and Education Materials PM 11 Patient Management Integrated Approach PM 12 Participating Patient Rights and Responsibilities PM 13 Quality Improvement PM 14 Demonstrating Patient Management Program Value PM 15 Program Evaluation Outcomes Reporting PM 16 Program Evaluation Methodology Disclosure Measures Reporting RPT 1 Reporting Mandatory Performance Measures to URAC RPT 2 Reporting Exploratory Performance Measures to URAC Specialty Drug Management (SDrM) SDrM 1 Roles and Responsibilities of Pharmacies SDrM 2 Principles that Support Pharmacy Services SDrM 3 Treatment Recommendations Based on Clinical Decisions SDrM 4 Prospective, Concurrent, and Retrospective Drug Management SDrM 5 Drug Utilization Management Reporting SDrM 6 Patient Safety Process Requirements Specialty Pharmacy Accreditation, Version 3.0 Staff Qualifications PHARM Core 25 Job Descriptions PHARM Core 26 Staff Qualifications