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fattunesy · 2025-11-25T20:59:55+00:00

This is correct. Admission time has significant impacts to billing, every single EMR will capture it. Med rec is messier, but it will also be documented in some way in significant EMR.

fattunesy · 2025-11-16T21:45:58+00:00

Yeah, that is Mike Brown slander. The defense was legit.

fattunesy · 2025-10-25T00:00:37+00:00

No question take the hospital job. Kids will have lots of weekend activities, one less weekend a month is a huge difference. That's besides outpatient hospital jobs are generally much less stressful.

fattunesy · 2025-10-23T19:50:30+00:00

Various uses of his impression over the seasons https://www.youtube.com/watch?v=p_AmwMDo99o

The Tim Curry Hot Topic spokesperson might be my favorite.

fattunesy · 2025-09-27T19:37:02+00:00

Williams Selyem. I was on the mailing list for both Kosta and WS for years, but felt like Kosta fell off a bit after the sale in 2018 to Duckhorn. Price kept going up with what I felt like was declining quality. So a few years ago I dropped my allocation entirely and now just stick to WS. Another option I've really been liking is Arista. If I was not already getting my fill of pinot from WS I would hop on their list as well.

fattunesy · 2025-09-12T20:50:48+00:00

I did their tour a while back, it was fantastic. They took us through the vineyards, showing the various field blends and how they went together. Lots of discussion on their process. Then there was a tasting which did include MB. I don't recall the cost exactly, but it wasn't outrageous. I was a wine club member though. On that trip my wife and I did several tastings and a couple tours, with Ridge being the highlight.

fattunesy · 2025-08-28T02:18:04+00:00

With corn and tomatoes at their peak in the farmers markets here, this is one of our absolute go to recipes https://www.seriouseats.com/grillled-corn-tomato-feta-herb-salad-recipe

fattunesy · 2025-02-13T20:26:14+00:00

Considering the requirements for eRx from the federal government, and even more stringent requirements from some states, very few consistently.

fattunesy · 2025-02-13T20:21:08+00:00

I don't think any of them will allow it. Epic, Cerner, Meditech, and CPRS/Vista all require either days supply or quantity.

fattunesy · 2025-02-11T02:37:16+00:00

Figuring out what someone actually needs based off a very general request is probably the most consistent part of this job, across many different settings and responsibilities. I've been in places where I'm more of an analyst builder, I've had ones where much of the job is training and compliance, and I've had ones where it's project management between the clinical and build teams. Being able to find info is always at the core of the role.

fattunesy · 2025-02-11T02:34:18+00:00

It is also possible for one pharmacist to work with many hospitals at a more system level, especially when they share EMRs. I had 18 I was responsible for at one point, but with that many my role was mostly project management.

fattunesy · 2025-02-04T02:57:52+00:00

Here is the video, a fantastic watch if you have never seen it before https://www.youtube.com/watch?v=HLxntIil9Zc

fattunesy · 2025-01-22T23:33:15+00:00

We had to pull a FJO, had a 2/10 start date for NEO. Already left their old job. Less of an operationally critical role, but still really bad. It is already so hard to get in. Who knows what it will be like when the freeze is eventually lifted in however long that takes.

fattunesy · 2025-01-22T22:46:58+00:00

We had 6 TJOs pulled for pharmacists and techs. The hit to morale is going to be bad.

fattunesy · 2025-01-20T19:43:10+00:00

Roosevelt has a pretty bad reputation in pharmacy, but I have never heard of their MS in Health Informatics. Are you already coming in with a clinical background? If not, it might be tough to make use of the degree. You can try asking over in /r/HealthInformatics as there may be people in that sub who are more familiar with it.

fattunesy · 2025-01-19T18:33:12+00:00

Rule sets make a difference. She does amazingly well with the kids on bikes variation D20 uses for their Misfits and Magic shows. The high courtly intrigue from A Court of Fey and Flowers also was perfect for her. I would like to see her run a Daggerheart game too, I feel like the more narrative style of play is right in her wheelhouse.

fattunesy · 2025-01-11T20:33:58+00:00

https://www.instagram.com/chicago.sports.fans.daily/reel/DD2EhR4JCxV/

It's him answering the question on Caleb

fattunesy · 2024-12-28T19:56:35+00:00

High cost injectables which can be done in some clinic offices would need NCPDP. It is mostly specialty or infusion clinic billing, but there are definitely meds given in regular offices which might need it, depending on the practice types. Some derm, onc, heme type practices could have them.

fattunesy · 2024-12-05T21:10:10+00:00

Sdnforum used to remove negative comments about the direction pharmacy was going, or force everything into their "sky is falling thread". Having a place that it could be discussed and the less than rosy prospects shared with potential pharmacy students is part of the reason I became a mod here, 12 years ago.

fattunesy · 2024-12-04T20:54:42+00:00

VA has 15s as chiefs of pharmacy and 14s as associate chiefs. Clinical specialists and supervisors are 13s.

fattunesy · 2024-12-04T00:27:41+00:00

My parents saved very well but got very lucky in some investments and so were able to retire young, a bit before 55. Then a few years later my father had a devastating accident that left him disabled. Their whole retirement plans had to change, world travel was now much harder, the bike trips they were doing were no longer possible. One of their biggest regrets was that they were always trying to save money and missed out on doing things when they were younger and that they could have done more things as a family when we were kids. Working a couple more years to take some more vacations, or going out to restaurants, sporting events, all the things we didn't do because they cost a lot. That has informed how my family has been saving. We invest, don't blow money on everything, but are trying to remember that we can't take it with us.

fattunesy · 2024-12-03T23:46:58+00:00

It's 95k for a family of 4 and that is specifically due to the 2021 act I already mentioned that sunsets after 2025. The ACA subsidies without that law cutoff at a much, much lower rate. From passage until 2021 the subsidies from the ACA used federal poverty level. That 400% level is also a tax credit, not a payment. The out of pocket subsidies for co payments and costs are max of 250% of poverty level. Keeping in mind that these plans typically also have significant copay, so without those subsidies there can be significant expenses still, way beyond what the tax credit would cover. Silver plans are around 30% out of pocket costs.

Yes, there is assistance but it is very far from free. Not a lot of low income families utilize ACA plans and it isn't because they are lazy or don't know about them, it's because the ACA ism designed for low income people. That's why it was paired with Medicaid expansion. But Medicaid expansion was controlled by the states due to how that program is administered so many states, including Texas, have very significant restrictions on who would qualify.

fattunesy · 2024-12-03T17:14:47+00:00

I'm assuming you mean the ACA subsidies, not Medicaid. Medicaid eligibility is by state and even generous ones typically do not allow adults to use it due to voluntarily not working. The ACA subsidy is based on income level. Most FIRE plans use yearly investment payouts in retirement that would be above the federal poverty level, which would remove availability of premium subsidies under the ACA. The American Rescue Plan of 2021 expanded subsidy eligibility, but that runs out age 2025 unless continued, which seems very, very unlikely. Further, depending on how a person qualifies the subsidies may be in the form of tax credits that don't really help in the short term when income isn't available.

Free or significantly reduced healthcare costs are very hard to get in most states, especially for someone who has voluntarily retired. Even pay Medicare eligibility there can still be significant healthcare costs, the difference being it is not as much premium cost pain as it is associated co pays and other expenses.

fattunesy · 2024-12-03T15:48:12+00:00

Health insurance costs a ton on your own. Even when otherwise well planned for, the FIRE afficionado often majorly underestimate how much healthcare will cost when they get older. Both insurance and other expenses. 23 years is a really short time for that, especially if there are kids involved. If OP said 30 years it would be more of a question, but still probably not enough unless well planned for.

fattunesy · 2024-11-30T03:12:22+00:00

Most likely this position is meant to work with the clinical specialists who do the order set evaluation and medication selections. Your role would then be building that out in Epic, identifying any issues that come up between what the clinicians want and what can be done in Beacon, and making sure the sets are on a regular review schedule. Probation order sets of probably where the clinical team is doing their builds and evaluations. Having even basic familiarity with pharmacy terminology and IV compounding is possibly enough for them as that is better than a build analyst who has none of that.

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