Clinical Coding Workout Chapter 4, question 4.70 This is a 71-year-old female admitted with a complaint of right-sided weakness. She denies any fever, shortness of breath, cough, headaches, or chest pain. Patient has NIDDM, controlled by diet. Patient currently smokes a half pack of cigarettes per day. Mild right-sided paralysis was found on physical examination. Patient is right-handed. Gadolinium-enhanced brain MRI demonstrated subacute middle cerebral artery infarct in the left basal ganglia. Discharge diagnosis was CVA-subacute infarct. Physical therapy and speech therapy for her hemiparalysis and dysphasia started and will continue at the rehabilitation facility where she was transferred.  Which of the following answers would be correct? 

Clinical Coding Workout Chapter 4, question 4.88 A 75-year-old male was admitted to the hospital in acute respiratory failure. He has emphysema due to his continuous cigarette smoking for over 50 years. Sputum cultures showed streptococcus A pneumonia. He was intubated in the ER and started on mechanical ventilation. After 36 hours, he was extubated and was able to breathe on his own. He was started on Chantix to treat his dependence on nicotine. Diagnosis: Acute respiratory failure, pneumonia due to streptococcus A, and emphysema. What codes are assigned? 

QUESTION 3                                                                                                          (14 marks)Forecasting is the process of estimating the expected consumption of pharmaceutical products based on historical consumption, other data or assumptions when data are unavailable, to calculate the quantities of pharmaceutical products needed to meet demand during a particular time frame. Using different procurement methods, forecasts (and supply plans) are turned into purchased products that are delivered to a point of entry.3.1 Explain why accurate forecasting is important. (7)3.2 Describe pooled procurement, highlighting its advantages. (7)

QUESTION 4                                                                                                               (15 marks)Pharmaceutical waste has a negative impact on already limited healthcare resources as well as detrimental effects on the environment. Another major concern from this waste is that patients may not be experiencing the intended outcomes of their prescribed treatment. As a pharmacy manager, one of your responsibilities is to help reduce and prevent the generation of pharmaceutical waste. It is important to identify the root causes and thereafter develop interventions to prevent the accumulation of pharmaceutical waste. 4.1 Describe factors that contribute to pharmaceutical waste. (5)4.2 Suggest possible interventions to mitigate these factors. (5)4.3 Briefly outline the legal framework governing the disposal of pharmaceutical waste in South Africa. (5)

An ICER is calculated by dividing the difference in total costs by the difference in the chosen measure of health outcome or effect to provide a ratio of ‘extra cost per extra unit of health effect’ for the more expensive therapy vs the alternative.

ABC analysis is a useful tool to scrutinise the use of a single pharmaceutical product over a set period of time.

B (10 MARKS )CLOSED BOOK: ANSWER THIS SECTION ON THE QUESTION PAPERState whether the following answers are true or false.         Terms of Reference (TOR) for Pharmaceutical and Therapeutics Committees (PTC) are only mandatory at provincial and district levels.                       

 Regarding the destruction of medicines, encapsulation involves

Which of the following best represents a direct nonmedical cost? 

 Which of the following is NOT a type of pharmaceutical waste associated with patient factors?