Health Renaissance in the Pharmacy
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The document discusses the pharmacy renaissance and the expanding role of pharmacists in healthcare delivery. It notes that pharmacists are highly accessible, work to improve patient health, and provide new services. Pharmacies are redefining their spaces to include health corners for education and private consultation rooms. Pharmacists are trusted professionals, and their expanded roles can help improve outcomes and lower costs. The pharmacy is well-positioned to increase access to primary care services and preventative care.
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Health Renaissance in the Pharmacy
- 1. Health Renaissance in the Pharmacy
- 2. wellness, and consumer-focused Renaissance “If this moment in time cannot be called a in health, retailing, then no other time in our history will ever bear that name.” Steve Anderson President NACDS
- 3. A Mission to Redefine Pharmacy in the U.S. Our Purpose: Champion everyone’s right to be happy & healthy. To be America’s most loved pharmacy-led health, well-being, and beauty enterprise.
- 4. Redefining the Pharmacy, Health and Wellness Experience Accessible pharmacists Practicing at the height of their licensure Health Corners Dedicated to health services and education Private/ semi-private consultation rooms A private area to chat with your pharmacist Expanded services at HealthCare Clinics Personalized, quality healthcare made easy 4 Changing the landscape with:
- 5. The Face of the Pharmacy Renaissance Prompt: Please tell me how you would rate the honesty and ethical standards of people in these different fields -- very high, high, average, low, or very low? 5 Pharmacists ranked for 4th straight year Gallup’s annual Honesty/Ethics in Professions Poll Reference: Gallup
- 6. Pharmacists’ Expanded Role in Healthcare Delivery 6 Pharmacists are highly accessible Pharmacists are working to improve the overall health of patients Pharmacists are providing new innovative services Pharmacists are trusted healthcare professionals A positive pharmacist-patient relationship can help improve patient outcomes and lower healthcare costs
- 7. Growing Field in the Midst of Shortages 2022 Pharmacist Projected Growth: 7 • 325,000 employment, increase of 14% Pharmacist employment grew by 20,000 between 2010-2013 to 287,420 • Over 60% are employed at retail establishments (health and personal care stores, grocery stores, general merchandise stores and department stores) Reference: Bureau of Labor Statistics
- 8. Growing Field in the Midst of Shortages (cont.) 2025 Physician Projected Shortages: 8 70% • 130,600 - All Physicians • 65,800 - Primary Care Physicians (PCPs) of U.S. population is without/not using a primary care physician Reference: 1. ThinkProgress 2013, 2. Health Resources and Services Administration’s Information Warehouse 3. The impact of health care reform on the future supply and demand for physicians updated projections through 2025. AAMC Web site. Currently • There are regions where the ratio of primary care physicians to people is 1:3,500 as of Jan. 1
- 9. Rapidly growing demand for healthcare services • Greater focus on Value for the Healthcare Dollar • Consumers demand quality, cost-effective health and daily living options in simple, yet customized, ways Aging of America • 10,000 Americans turning 65 daily and spending twice as much on healthcare Healthcare reform projected to add 30 million insured Americans • Traditional roles in healthcare delivery are evolving 9 Operating in a Dynamic Industry
- 10. Expansion to Chronic Care Delivery Half of the U.S. adult population (117MM) has at least one chronic disease 10 • 70% of Americans take at least one prescription drug • 50% of Americans take at least two prescription drugs • 20% of Americans take five or more prescription drugs at the same time Rx Usage: Reference: 1. CDC 2. HighBeam Business 2013
- 11. Rise of the Retail Clinic Projected number of retail-based clinics to reach 3,000 by 2016 11 30MM visits to retail clinics to date 15-20 minute visit with no appointment needed Average cost of $40-$75 • Physician visit or urgent care: $120 • Emergency Room: $500 Reference: Growing Retail Clinic Industry Employs, Empowers Nurse Practitioners. RWJF: February 20, 2015
- 12. Healthcare Clinics fill a significant need in Healthcare Delivery Given primary care shortages, uniquely positioned to: • Provide complementary primary care services • Increase patients’ access to healthcare services Reference: Clark B, Davis J, Hoyem R. The changing scope of retail healthcare clinic visits. Poster presented at: National Nurse Practitioner Symposium: July 10-13, 2014; Keystone, CO 12 Preventative 8.9% Acute 61.7% Immunization 21.7% Screening 6.5% Chronic 9.0% Types of Healthcare Clinic visits in 2013
- 13. Not “Immune” to Vaccines 13 • Two-thirds of all pharmacists are trained to administer vaccines ̶ All 27,000 Walgreens Pharmacists certified Immunizers • Approximately 1/3 are administered when a primary care physician would be closed • 18.5 million flu shots were administered in retail pharmacies in 2013 Reference: 1. Rotholz, Mitchel C. The Role of Community Pharmacies/Pharmacists in Vaccine Delivery in the United States. American Pharmacist Association. June 2013. 2. Johnsen, Michael. Survey: 1-in-5 Americans got their flu shots at a retail pharmacy. Drug Store News. 2013. 3. Cannon, A., Taitel, T., Fensterheim, L., Huang, Z., Lou, Y., Goad, J. Vaccinations Administered During Off-Clinic Hours at a National Community Pharmacy: Implications for Increasing Patient Access and Convenience. National Immunization Conference. March 2012.
- 14. Solutions at the Shelf™ Flu Vaccine Case Study
- 15. Flu Vaccine - Program Overview 16-week Solutions at the Shelf™ program 1,794 shelf units placed across various pharmacies in 5 DMAs: 1. Atlanta 2. Boston 3. Los Angeles 4. New York 5. Philadelphia Units installed in the Cough/Cold section 15
- 16. Program Results • Increased vaccines of the brand by +19.2% across the 16-week Test Period (compared to the 12-week Base Period) • Drove the entire Flu Vaccine category up by +3.2% in stores with the Rx EDGE program 16 0.0% 10.0% 20.0% 30.0% 40.0% 16-WEEK PROMOTION PERIOD 3.2% 19.2% Flu Category QuadsBrand
- 17. The Pharmacy’s Place in a Marketing Campaign The Mindset Moment™ 17 Healthcare is top of mind - A state of mind when consumers’ attention is on their health or healthcare, and they are receptive to information and motivated to take action Jimmy still hasn’t gotten rid of his cough, I wonder if he has allergies? I need some advice. It seems like I'm always buying heartburn medicine... could it be something more serious? Maybe my chronic joint pain is due to RA, it does run in my family. Because of my diabetes, my doctor says I should keep my feet healthy. I'll check the Foot Care section for ideas.
- 18. A Busy and Active Location • Over 275 million people visit pharmacies each week Reference: 1. Public Health Reports 2013 2. Pharmacy Pulse Satisfaction Survey 2013 • Almost 90% of Consumers are “very satisfied” with their pharmacy • 94% of Americans plan to continue filling their prescriptions at their primary pharmacy 20
- 19. • 8,000+ of the best corners in America • 63% of Americans live within 3 miles • 75% of African Americans • 78% of Latinos • > 6 Million retail customers per day • 800+ Million annual prescriptions filled • Largest retail vaccination provider • 70,000 trusted healthcare provider • 27,000 Certified Pharmacists • 37,000 Certified Technicians 21 A Wide Reach with Walgreens
- 20. Retail Healthcare Clinics Home Infusion/RT Healthcare Worksites Health Systems Rx Mail Online Nationwide Reach Convenient, Affordable Health & Wellness Solutions for Everyone 22
- 21. Targeting in Pharmacy Pharmacy works much like traditional media Instead of channels (TV), publications (Print), stations (Radio) or sites (Online) it’s RETAILERS and AISLES 23
- 22. Marketing Engagement Tactics 22 Shelf Dispensers Located in aisles or on pharmacy counters Can include: Product information, disease education, doctor discussion guides, savings offers, etc.
- 23. Marketing Engagement Tactics (cont.) 23 Specialty Health Publications Can include: how to take the product, product details, side effects, adherence program information Attachment with Prescriptions Focused on specific disease state or general healthcare topics
- 24. Marketing Engagement Tactics (cont.) 24 Pharmacist Interactions Delivers brand messages, trial offers, promotional items, additional information Digital Screens, Blood Pressure Machines, Brochure Racks Patient counseling, face-to-face communications, medication reviews, clinical services, outbound calls, etc.
- 25. Today, Customers Are Driving a New Evolution Empowered Personalization Competitive Focus on value and service
Editor's Notes
- Introductions
- “If this moment in time cannot be called a Renaissance in health, wellness, and consumer-focused retailing, then no other time in our history will ever bear that name.” This quote by Steve Anderson President of NACDS perfectly embodies the current healthcare landscape. Hi I’m Jim O’Dea from Rx EDGE Pharmacy Networks and I’m here today with Cathy Paulson from Walgreens to elaborate on the changes or rather the Renaissance in the pharmacy…. Cathy
- We at Walgreens are on a mission …
- We are also literally changing the landscape within our store with … Note to presenter: Underscore the various components of the pharmacy and health care experience – how not all locations have the same elements but are built around the health care needs of the community. Speaking points (in addition to the slide): Accessible Pharmacists: An innovation in advancing community pharmacy, pharmacists are now trained to enagage patients and get up front to answer questions, provide additional retail clinical services and encourage patients to seek consultation about their medications. Making pharmacists accessible transforms the interaction with patients, and encourages conversation and counsel – what pharmacists were trained to do and what they do best. Health Guide: The Health Guide station is the hub of the new Walgreens experience. Health Guides are dedicated concierges who advocate for patients by helping them discover new services and answering product questions. HealthCare Clinic: In many WE locations, we have Take Care Clinics with certified, licensed healthcare providers who can write prescriptions that can be filled at the patient’s pharmacy of choice. Patients can check in at the Health Guide station via the electronic sign-in kiosk. Take Care Clinics provide walk-in and appointment-based health care services ranging from acute, episodic conditions to providing vaccinations, screenings and administering physicals. The service list is growing every year and allows Walgreens to have a comprehensive list of healthcare service offerings in addition to what pharmacists can offer through immunizations and medication therapy management. And, having a clinic near the pharmacy and with the added “Health Guide” helps patients navigate their healthcare choices and really consult with the Walgreens healthcare team. Health Corner: This room is dedicated to health education, health services and community events. Consultation room: A private room allows for consultations or services like immunizations, blood pressure screenings, blood glucose tests and self-injection assistance. This elements help us deliver a better experience and expanded services [Transition to clinic slides and immunizations.]
- Not be possible without a trusting face behind it all. That’s where the pharmacist comes in. Every year Gallup does a poll on Honesty and Ethics among professions – the prompt they use is (Please tell me how you would rate the honesty and ethical standards of people in these different fields) and for the 4th straight year pharmacists have placed second. Another profession that ranks very high is nurses. It’s no great coincidence that both are found in many a retail pharmacy. On a side note car dealers and members of congress rank at the bottom year in and year out. Fortunately all they do in a pharmacy is shop there. - Cathy
- And you know what … it’s a growing field too. According to the Bureau of Labor Statistics, employment for pharmacists grew by 20,000 in a three year period and by 2022 is expected to grow by another 14%. To 325,000. Moreover 60% of these jobs are in the retail environment like Walgreens. This growth is in stark contrast to …
- Projected physician numbers. Did you know that today in many regions in the country the ratio is 3,500:1!!! We expect there to be a shortage of 130,000 physicians - 66,000 primary care physicians, by 2025. And currently 70% of the U.S. population is either not using their PCP or is without one. This means that the pharmacists is uniquely positioned to fill in any potential gaps there might be in healthcare delivery. - Cathy
- 10/15/2015 7:00 PM
- The retail pharmacy has responded positively to all of these changes by expanding into chronic care delivery for things like asthma, diabetes and hypertension. Due to the projected shortages expansion is a logical, healthy and a needed next step. The CDC reports half of the U.S. adult population has at least one chronic disease. Our prescription usage data reflect this. In fact: 70% of Americans are on at least 1 prescription, 50% on at least 2 and 20% on a whopping 5 or more.
- Many pharmacies have embraced the clinic concept, where chronic and other healthcare needs can be addressed. Like pharmacist employment, clinics are projected to grow rapidly. By next year surpassing 3,000. To-date 30 million people have visited at least one. People love the convenience, no appointments necessary, short wait times and low cost. Growth in this arena makes perfect sense. - Cathy http://www.rwjf.org/en/about-rwjf/newsroom/newsroom-content/2015/02/growing-retail-clinic-industry-employs--empowers-nurse-practitio.html
- Given primary care shortages we’ve mentioned, Walgreens is uniquely positioned to: Provide complementary primary care services Increase patients’ access to healthcare services Clinics: No Appointment Necessary but Scheduling Possible Open 7 Days a Week and Weeknights, Too Most Insurance Accepted Board-Certified Family Nurse Practitioners and Physicians Assistants On-Site Pharmacy Treatment for Patients 18 Months and Older Data Transmission Capabilities Healthcare clinic is addressing increasing volumes of screening, preventive and chronic care visits. WGPR-0814-0006-1
- Vaccines - we hear a lot about them in the news and the pharmacy is not “immune” to them. In fact: Vaccines are a booming aspect of the pharmacies offerings. They account for over 20% of Walgreens’ clinical visits you saw in the pervious slide. With two-thirds of all pharmacists trained to administer vaccines, vaccinations are made convenient for the average person given the pharmacy’s ubiquity. A third are administered when a PCP would be closed. Like an ATM is ready with your money when you need it, this pharmacy convenience translated to 18 million flu vaccines administered in 2013. That’s just for the flu alone, there are many other vaccine offerings in todays pharmacy. Cathy
- While we’re still on the subject of vaccines. Here is a recent case study. At Rx EDGE, we place educational material at the shelf to encourage patients to seek out appropriate solutions as they are in what we call the “mindset moment”. In other words they are thinking about their disease state and are looking for, in may cases over the counter solutions.
- While we’re still on the subject of vaccines. Here is a recent case study. At Rx EDGE, we place educational material at the shelf to encourage patients to seek out appropriate solutions as they are in what we call the “mindset moment”. In other words they are thinking about their disease state and are looking for, in may cases over the counter solutions.
- By the program’s end, this brand increased their vaccines administered by 19.2%. In addition the whole category benefited increasing total vaccines administered by 3.2%. Clear proof that the pharmacy works as a marketing vehicle that drives consumer behavior, growing both the brand and the category.
- So why market in the pharmacy, why does it work? : Pharmacies are ubiquitous The pharmacy is heavily involved in a patient’s journey (early self treatment to prescription fill) In the pharmacy, people are actually actively looking and thinking about healthcare versus distracted by other things at home or when they are on the go It’s where you’re the patients are - 85% of drugs are dispensed in retail pharmacy channels AND the numbers are staggering…
- The audience numbers in the retail pharmacy are astounding. 275 million a week. And you know what, these people are happy!!! 90% are very satisfied with their pharmacy 94% plan on continuing to fill their prescriptions at their pharmacy. - Cathy
- For Walgreens alone we have … 6.3 million customers visit Walgreens daily Walgreens fills more than 800 million prescriptions per year and more than one prescription from a mobile device every second Over 105 million members of our Balance Rewards program, making it the largest loyalty program in the world in terms of active membership The incredible legacy of Walgreens past, great foundation to build on… Trusted name in pharmacy in the United States. Worked carefully for generations to find right locations, best corners Locations within 3 miles of 63 percent of all Americans, 75 percent African Americans, and 78 percent of Latinos Close to customers, opportunity to make affordable healthcare available to our patients in a way that many healthcare providers can’t. In all kinds of communities, more than 60 percent of stores serve communities without access to good medical care Pharmacists and nurse practitioners, our more than 70,000 healthcare service providers, often the only trained healthcare resources Given us opportunity to move beyond traditional pharmacy For many customers, connection to primary and preventive care – vaccinations, health tests Nearly 8,000 stores nationwide The most 24-hour and drive-thru pharmacies of any national chain Nearly two-thirds of Americans live within 3 miles of a Walgreens Largest in-store immunization program of any drugstore chain, with more than 27,000 pharmacists, nurse practitioners and physician assistants certified to provide immunizations 1 in 5 retail prescriptions in the last year were filled at Walgreens More than 700 in-store Take Care Clinics and worksite-based health and wellness centers, many in “med-deserts
- 20
- And you can leverage this audience through targeting. Much like any other media. Broadly you can market, by retailer, by geography (zip code or DMA).
- And there are many ways to market in the pharmacy for one there are educational shelf dispensers like us
- You can attach educational material to the prescription bag, or communicate via specialty publications in-store
- There are Digital screens, blood pressure machine advertising opportunities and pharmacist interaction programs including MTMs. - Cathy
- Ultimately it has been the customers driving these changes … Increasingly, customers have more choice, information and options for care ACA/Exchanges give people a way to shop for care – Walgreens example – our people able to compare prices, levels of care, make their own decisions, about which insurer to choose With more access to information, comes more price and quality transparency Like never before, quality data, price comparison, physician ratings, all available to customers From US News and World Report healthcare rating to Angie’s List – From HEDIS scores to price lists at our own Healthcare Clinics and Theranos locations Can make informed choices Finally, consumers are figuring out on their own how to live well – tracking steps, personal devices, software that links to their smart phones to help them manage chronic conditions or lose weight Growing to expect personalized experiences, with data that supports their goals They are already there, they are beginning to realize they can take control And what they want is for us to know them, have data at our fingertips, connect information and experience from provider to provider, make it easy for them, seamless