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A Look Ahead for Health System Pharmacies

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How pharmacy can play a pivotal role in helping health systems manage four key healthcare trends.

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A Look Ahead for Health System Pharmacies

  1. 1. A Look Ahead for Health System Pharmacies How pharmacy can play a pivotal role in helping health systems manage four key healthcare trends.
  2. 2. The Trends Population Health Management Health System Operations Therapeutics Pharmacy Workforce 1 2 3 4
  3. 3. Evolving payment models incentivize patient wellness, elevating population health management among top strategic initiatives. Population Health Management1
  4. 4. At least half of health systems will serve high-risk patients (such as those with cancer, congestive heart failure or HIV) through formal programs with owned or partnering community pharmacies. 75% of health systems are expected to institute formal programs aimed at achieving the highest quality of care at the lowest cost for specific patient populations. Opportunity: Focus on optimal medication adherence among high-risk patients through risk stratification, medication reconciliation , discharge strategy and "meds-to-beds" prescription delivery. 75% 50% 1. Population Health Management
  5. 5. Healthcare delivery organizations are allocating more resources to experimentation and innovation. They’re looking to identify approaches to care that yield the best value to patients and payers, while cultivating new revenue sources. Health System Operations2
  6. 6. The pharmacy enterprise in at least 50% of health systems will measure its contribution to patient care outcomes through data analytics. 25% of health systems are projected to establish formal innovation centers for exploring areas such as patient experience, clinical outcomes, operational efficiency, application of technology and generation of entrepreneurial revenue. 25% 50% Opportunity: Even if current cost-control measures mean a funded innovation center isn’t realistic, explore innovative processes for improving efficiencies. Discharge meds programs, advanced analytics, specialty pharmacy and pharmacy consolidation strategies are all ways the health system pharmacy can be a revenue generator and cost saver for the hospital. 2. Health System Operations
  7. 7. Newly approved drugs continue to converge with precision medicine approaches to treatment and disease prevention. Therapeutics 3
  8. 8. 3. Therapeutics Opportunity: Evaluate your site of care strategy, including specialty pharmacy and home infusion through owned services or partnerships to ensure that patients have access to these new treatments and the health system can capitalize on the opportunity. At least 10% of new medications used in health systems will require a different level of product management in terms of storage, preparation, administration or monitoring, thereby requiring distinct workflow processes. 22 novel drugs were approved in 2016 by the FDA’s Center for Drug Evaluation and Research, many of which were “notable for their potential positive impact and unique contributions to quality medical care and public health,” according to the agency.22 10%
  9. 9. The most significant shifts in the health system pharmacy workforce will be in the roles, training and distribution of personnel. Pharmacy Workforce4
  10. 10. 4. Pharmacy Workforce Opportunity: Prioritize the professionalization of technician staff. This will help to create opportunities for pharmacists and directors of pharmacy to participate on patient care teams, underscoring the importance of pharmacy to the health system. Also, implement leadership development and mentorship for future pharmacy leaders to be better aligned and positioned at the C-suite. 34% of hospitals report pharmacist counseling of at-risk patients and nearly 60% of hospitals report pharmacist monitoring of at least 75% of all patients. Nearly 14,000 new pharmacists graduated in 2015, doubling the number that graduated in 2001. However, overall enrollment in PharmD programs is likely to drop by at least 10% by 2021. At least 50% of health systems will have formal career ladders for pharmacy technicians. 34% 50% 14THOUSAND
  11. 11. The unprecedented change facing health systems presents a unique opportunity for pharmacies to make a significant contribution. By pursuing one or all of the measures highlighted here, pharmacies can play a lead role in improving care, lowering costs and optimizing efficiencies. References American Journal of Health-System Pharmacy. ASHP Foundation pharmacy forecast 2017. http://www.ajhp.org/content/early/2016/11/18/sp170001?sso-checked=true Food and Drug Administration. Novel drugs summary 2016. https://www.fda.gov/drugs/developmentapprovalprocess/druginnovation/ucm534863.htm American Journal of Health-System Pharmacy. ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education, 2015. http://www.ajhp.org/content/73/17/1307?ijkey=efd1175c3e045af28e8c76309a9acbc0392b2764&keytype2=tf_ipsecsha American Association of Colleges of Pharmacy. Student applications, enrollments and degrees conferred. http://www.aacp.org/resources/research/institutionalresearch/Documents/Degrees%20Conferred.pdf

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