2. Assisted-living Pharmacy Services Bob Rhinehart, R.Ph. Cornerstone Pharmacy

3. History 1990 – established as a Kelley-Ross satellite 1992 – partnership 1994 – sole ownership 1994-1999 – rapid growth Today – serving 15 alf’s plus, 200 + prescriptions/day

4. Then…

5. Orders Come From: Nurses Patients Family Prescribers

6. Via: Fax Telephone Scheduled (cycle fill) Email Walk-in

7. Then… Picked up Delivered, via: In-house delivery personnel Messenger service “On the way home” Mail

8. Processing Orders “Man-on-man” Receive order, fill it “Zone” Staff takes “ownership” of a facility Usually a blend

9. Relations With Nursing Staff Important because of their position as caregiver/gatekeeper/conduit/protector Easy to play “blame game” when things go wrong or people are stressed Common goals – keeping residents happy and healthy. Reducing turnover Assisted-living is competitive – pharmacy can add value

10. Owning the Business Similar to parenthood – a blessing and a burden Requires lots of time and energy You’re in control of more variables more fun, less hassle nurture the good stuff/prune the bad a business can take on a life of its own

12. Owning the Business Know thyself What do you enjoy, what are you good at? What do you hate or are not so good at? Hire someone who is good at it Rewards Financial Creativity

13. Owning the Business Find a mentor Find a partner Buy into an established practice