Checklist | Current AuBurn Pharmacies Website

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Overall Cleanliness:	Needs Improvement Meeting Expectations Exceeding Expectations

Signage Appropriate:	Yes No

Trash picked up:	Needs Improvement Meeting Expectations Exceeding Expectations

Carpets/rugs vacuumed:	Needs Improvement Meeting Expectations Exceeding Expectations

Sidewalks/Exterior:	Needs Improvement Meeting Expectations Exceeding Expectations

Register Area:	Needs Improvement Meeting Expectations Exceeding Expectations

Pens Available:	Yes No

Hand Sanitizer:	Yes No

AuBurn Advantage Enrollment Forms:	Yes No

Vaccine/Program Literature:	Yes No

Promotions Binder Accessible:	Yes No

Correct Coupon Codes Used:	Yes No

Workflow Area:	Needs Improvement Meeting Expectations Exceeding Expectations

Cluttered:	Yes No

Third Panel Labels-Use and pre-label vials in bottle bay:	Yes No

Fast-Movers:	Yes No

Printers cleaned and printing clear:	Yes No

Staff:	Needs Improvement Meeting Expectations Exceeding Expectations

Smock:	Yes No

Name Tags:	Yes No

Attitude:	Yes No

Attire:	Yes No

Advantacare:	Needs Improvement Meeting Expectations Exceeding Expectations

Separate Queue:	Yes No

Nursing Home for Identification:	Yes No

Communication Process(Dr. Patient RX):	Yes No

Patient Engagement:	Needs Improvement Meeting Expectations Exceeding Expectations

Zostavax:	Needs Improvement Meeting Expectations Exceeding Expectations

Implementation (RXs on hold):	Needs Improvement Meeting Expectations Exceeding Expectations

Patient Engagement:	Needs Improvement Meeting Expectations Exceeding Expectations

Utilizing Literature (Bag Stuffer, Infographics, etc.):	Yes No

AuBurn Advantage:	Needs Improvement Meeting Expectations Exceeding Expectations

Proper Patient Setup:	Yes No

Vaccination Station:	Needs Improvement Meeting Expectations Exceeding Expectations

Emergency Kit/Tote:	Yes No

Patient Engagement:	Yes No

Healthy Kids:	Needs Improvement Meeting Expectations Exceeding Expectations

Number of Consistent Customers:

Generating New Business:	Yes No

OTC:	Needs Improvement Meeting Expectations Exceeding Expectations

Product appropriately placed:	Needs Improvement Meeting Expectations Exceeding Expectations

Empty Spaces/Missing Shelve Tags:	Yes No

Shelves Dusted:	Needs Improvement Meeting Expectations Exceeding Expectations

Seasonal End Caps:	Yes No

RX Inventory:	Needs Improvement Meeting Expectations Exceeding Expectations

Invoices Properly Filed:	Yes No

Procedure for dead stock:	Needs Improvement Meeting Expectations Exceeding Expectations

Appropriate Order Points:	Yes No

Appropriate Price Codes:	Yes No

Negative Margin Analysis/U&C:	Yes No

Schedule Drug Protocol followed:	Yes No

Use of Full-Fill IOUs:	Yes No

IOU Process:	Needs Improvement Meeting Expectations Exceeding Expectations

Medicare/Major Medical:	Needs Improvement Meeting Expectations Exceeding Expectations

Refill Request Log:	Yes No

New Patient Packets:	Yes No

Procedure for refills:	Needs Improvement Meeting Expectations Exceeding Expectations

KMAP Procedure:	Yes No

Daily Register Audit:	Needs Improvement Meeting Expectations Exceeding Expectations

Any Problems:	Yes No

Email:	Needs Improvement Meeting Expectations Exceeding Expectations

Who Checks:

How Often: