the pharmacy enterprise career
TRANSCRIPT
THE PHARMACY ENTERPRISE CAREER DeAnne Brooks, BS, PharmD
Vice President and Chief Pharmacy Officer
Cone Health
Serendipity
Grit
Yes
MOSES CONE HOSPITAL
Talent Alone ≠
Achievement
Talent + Effort =
Skill
Skill + Effort =
Achievement
Grit Can Be
Grown
4 COMMON ASSETS OF
GRIT
GRIT: THE POWER
OF…
Passion = Interest & Purpose
• Interest – Enjoying what you do leads to increased satisfaction and performance
•Purpose – The intention to contribute to the well-being of others
Perseverance = Practice & Hope
•Practice – A persistent desire to do better with better time on task. PDCA
•Hope – The expectation that our own efforts can improve our future
Five hospitals
Freestanding EDs
Cone Health Medical Group
Triad Healthcare Network
Outpatient Pharmacies
And more!
CHIEF PHARMACY OFFICER
Responsible for the business of health network pharmacy.
Addresses continuum of care issues across the enterprise efficiently and effectively. Common vision, goals, and accountabilities of success now and in the future.
Responsible for strategic planning, and the entire medication management system design, operation, revenue, and continuous improvement.
Supports safe, effective, and efficient medication management.
PHARMACY RESPONSIBILITY
Ensure optimal patient care (quality and safety)
•Clinical
•Operational
Strong contribution to enterprise financial viability
•Control cost
•Generate revenue
Appropriate medication use
• Improve outcomes
•Prevent admissions
•Eliminate readmissions
Educate the next generation
THE VALUE EQUATION
Value = Quality + Service
Cost
Chief Pharmacy Officer
Acute Care
(Clinical, distribution,
sterile products)
Annie Penn
ARMC
Behavioral Health
Moses Cone
MCHP
Women’s Hospital
Wesley Long
Ambulatory
Specialty
CHMG
Outpatient
ARMC
Bennett’s
CHWC
Moses Cone
MCHP
MMC
Wesley Long
Compliance, Quality,
Accreditation
Medication Safety
Regulatory
AntimicrobialStewardship
Business / Financial Mgmt.
/ Revenue Cycle
Charge Master
340B
Procurement
IT
CHEP
PBM
Specialty Clinic
Education
PGY1 Residents (11)
PGY2 Residents (6)
Schools of Pharmacy
GTCC Rx Tech School
Oncology
Annie Penn
ARMC
MCHP
Mebane
Wesley Long
➢ >400 employees
➢ $500 billion budget
➢ Approx 20% of system budget
THE PHARMACY ENTERPRISE
Clinical Financial
An integrated system of business units with accountability for clinical and financial outcomes related to medication use across the continuum of care in a health system
OUTCOMES
PHARMACY ENTERPRISE FROM
• Accreditation• Acute Care• Ambulatory• Business (340B, Revenue Integrity, Financial
Management)• Contracting for Pharmaceuticals• Data/Informatics• Education • Employee Health Plan• Formulary Management• Human resources/Managing the Workforce• Information Technology• Infusion Services• Legislative Advocacy
• Medication Therapy Management (MTM)• Meds to Bed (Bedside Prescription Delivery)• Oncology• Outpatient Retail Dispensing• Pharmacogenomics• Population Health• Quality• Regulatory Compliance• Research• Safety• Smart Infusion Pumps• Specialty• Sterile Compounding• Transitions of Care
PHARMACY IS BIG BUSINESS
Significant revenue and profit margin is driven by prescription dispensing.
U.S. healthcare spending was $3.8 trillion, or 17.7% of
our overall economy.
Prescription pharmaceutical expense in 2020 grew 4.9%
to $535 billion.
Seventy five percent of physician office and hospital outpatient clinic visits involve medication therapy.
Non-optimized medication therapy results in approximately 275,689 deaths per year.
The cost of non optimal medication therapy is estimated to be $528 billion dollars.
MEDICATIONS MATTER!
Pharmacist leaders are uniquely positioned to fully understand both clinical and financial components of healthcare!
Clinical Financial
PHARMACISTS
THE PHARMACY ENTERPRISE
TYPICAL PHARMACY
COST MIX
Total
Pharmaceutical
Spend
78%
Salaries &
Benefits
20%Other
2%
PAYMENT/REIMBURSEMENTFee for service versus accountable care (value based-risk management)
DRG
Population health
Pay for performance (readmissions, sentinel events, etc.)
Risk management of populations
Accountable care
POPULATION HEALTH
Requires Risk and Innovation
Care management processes or programs
Predictive analytical tools to identify high risk patients
Case managers / Patient navigators
Post discharge continuity of care / End of life planning
Chronic care management programs: Multiple conditions should be highest focus
SEAMLESS PHARMACY
SERVICESTHROUGH THE
CONTINUUM OF CARE
PhysicianServices
AccountableCare
Organization
Transitions of care
Acute CareRetail Pharmacy
Clinics
Contracting
Optimal Pharmacy
Care
PHARMACY’S IMPORTANT ROLE IN THE PANDEMIC RESPONSE
Detection Treatment
Prevention Recovery
RESOURCES AVAILABLE TO BOLSTER PHARMACY BUSINESS / LEADERSHIP CAREER
ASHP Pharmacy Leadership Academy
Other High Performing Leadership
Opportunities
ASHP HSPAL Residency
New! ASHP Pharmacy Executive
Certification
ASHP Revenue Cycle
Management Certification
LIFELONG LEARNING
Network Mentors Coaches
Hire people
smarter than
you!
Prioritize Say yes!
Grow grit
QUESTIONS?
DeAnne L. Brooks, BS, PharmD, serves as the Chief Pharmacy Officer for Cone Health. She is responsible for ensuring the patients of Cone Health have the right pharmacy care through the collaboration of expert knowledge and state of the art technology. The pharmacy team is comprised of almost 400 employees including pharmacists, certified pharmacy technicians, and support team members delivering exceptional pharmacy care to our patients throughout Cone Health. She supports educational efforts to build a strong future workforce of pharmacists and pharmacy technicians through the pharmacy residency programs, schools of pharmacy, and pharmacy technician programs.
DeAnne received her Bachelor of Science in Pharmacy in 1983 and her Doctor of Pharmacy in 2005, both from the University of North Carolina at Chapel Hill. She completed her ASHP-accredited hospital pharmacy residency at Cone Health and has been employed at Cone Health since 1987. She began as a clinical pharmacist and has served as an oncology pharmacist, the manager of the Women’s Hospital pharmacy, the director of pharmacy at Moses Cone Hospital, and the chief pharmacy officer for Cone Health.
DeAnne is an advocate for optimal medication therapy and team members working at the top of their license and certification. She is a member of the American Society of Health-System Pharmacists, the Health Management Academy and the North Carolina Association of Pharmacists.