May 7, 2012
Current Health Care Situation
According to Professional Compounding Centers of America” (PCCA, 2012), “Pharmacy compounding is the art and science of preparing personalized medications for patients. Compounded medications are “made from scratch” – individual ingredients are mixed together in the exact strength and dosage form required by the patient. This method allows the compounding pharmacist to work with the patient and the prescriber to customize a medication to meet the patient’s specific needs.” (What is Compounding?) Pharmacies have an enormous responsibility toward the community they serve because even a minor mistake can cause a big damage (temporal or permanent) on a patient’s health or lead to its death. Pharmacist, technicians and all the pharmacy staff need to be always focus on the effects their actions or wrong doing can have. On May 4, 2012, the Associated Press (AP) published an article about Franck’s Compounding Lab in Ocala, Florida. According to the article federal health officials confirmed 33 cases of a rare fungal eye infection across seven states on Thursday, stemming from products mixed in the Florida pharmacy. California health officers report eye infection incidents to the Centers for Disease Control and Prevention in March. The patients all had some type of eye procedure. Twenty three suffered some degree of vision lost and twenty four had to undergo another eye surgery after the use of the medication. After the first nine incidents reported in March, a single lot of triamcinolone was recalled. On May 3, the CDC warned doctors and patients to stay away from compounded products marked as “sterile” form Franck’s Lab, The Food and Drug Administration test some unopened bottles of the dye collected and found bacterial and fungal species (Kennedy (2012). According to Carlos Medina, correspondent of The Gainesville Sun, “the FDA confirmed Friday (May 4th) that it was investigating how the compounds became tainted, but a spokeswoman declined to answer specific questions about the case. The business manager, Stephen Floyd said the Florida Department of Health and the FDA both inspected Franck's since the contamination was discovered. He declined to identify the source of the contamination.” (para 7) Unfortunately, this is not the first incident regarding contamination or errors on compound medications that Franck’s Compounding Lab has. In 2009 the company was suit for the death of 21 elite polo horses when a technician erroneously mixed a high, fatal dosage of selenium into a vitamin supplement that was given to them. Selenium is a mineral used to help horses recover from fatigue, but in this case according to a Florida’s vet, their death was cause for an overdose of the mineral. The Organization
Franck’s Compounding Lab is a division of Franck’s Pharmacy located in Ocala Florida since 1983. Based on the information on the company’s web site, it seems like the organization keeps a decentralized structure, with a very active involvement of its owner/CEO, Paul Franck and its general manager Stephen Floyd. There are account executives, pharmacy managers, customer service supervisor, and managers for each division. The divisions are: The Human Compounding Lab, the Veterinary Compounding Lab, and the Infusion Pharmacy. The organization has 3 locations; the retail pharmacy, life style pharmacy, and the compounding lab. Decentralized structures allow middle level managers to make daily operational decisions, and some employees are with certain responsibilities to facilitate the flow of the business, giving the top management more time to focus more in major decisions. In terms of the interaction with the community, decentralized structures allow the organization to have faster responses to the community needs because the middle managers do not have to wait for top managers to make an instant decision to adjust to the patient’s needs. One risk of...