WSPS Executive Council Meeting
Monday March 16th, 2015
6:00 pm – 7:00 pm
Room 2006
1. Welcome!
2. Executive Council Elections (18 min)
a. Secretary/Historian
i. Heather Champion
ii. Rebekah Lee
b. Student Senate Rep
i. Calley Paulson
ii. Nikita Shah
iii. Shelby Tjugum
c. Treasurer-elect
i. Emily Bollom
d. Treasurer
i. Emily Jackson
e. President-elect
i. Mandy Kvam
ii. Heather Stoner
3. Guest Speaker (35 min)
a. Steve Rough, Jordan Rush, & Scott Canfield
b. Career Advice and Hot Topics in Pharmacy, Steve Rough, PharmD, Director of
Pharmacy at the University of Wisconsin Hospital and Clinics
i. Discuss priorities you should be looking for in your residency program
and first job
1. Mentoring and networking connections
2. Horizontal and vertical exposure throughout the organization
3. Involvement with advocacy for pharmacy services and business
plan development
4. Can they articulate past accomplishments and future priorities
related to advancing the patient care role of the pharmacist?
- Is this a place you want to work for?
5. Does their “vision” for pharmacy excite you?
6. Organizational financial status, resources, and commitment to
pharmacy
7. Culture of innovation
8. Culture of “accountability”
- For what happens to patients
9. Track record of success (past residents, past and current
employees)
- Reason why their success is attributed to spending time at
that organization
10. Do you learn by doing (vs. observing)?
11. Involvement in professional organizations
- Leadership
ii. Share recent UW Health presentations delivered by pharmacy residents
to a national audience of pharmacy leaders
iii. Review top current priorities of the UW Health Pharmacy Department
c. Creation, Structure, and Benefits of a Specialty Pharmacy Residency, Scott
Canfield, PharmD Combined PGY1/PGY2 Specialty Pharmacy Resident
i. 14 ambulatory pharmacies
1. Dispense specialty products at all pharmacies
- Mail order and specialty pharmacy program at one
location
2. Separate oncology pharmacy location within the oncology clinic
ii. Unity Health Insurance relationship HMO
iii. UW FY13 – Specialty percent of total drug spend
1. Non specialty 26%
2. Specialty 74%
iv. In 2012, looked at the potential for revenue and looked at cost of these
expensive drugs.
1. Reimbursement for these medications is favorable at this point
2. How many are prescribed and how many of these prescriptions
are being filled at our pharmacy? (24% in 2012)
3. $150 million dollars in potential revenue and to better take care
of these patients
v. Future of Specialty Pharmacy Practice
1. Potential Future state
- Dispensing product does not equal money
2. Threats and Risks
- Carved out of payer contracts
- Carved out of distributer contracts
- Lack of accreditation
- Inability to care for our own patients, care fragmentation
- Inability to document and demonstrate outcomes
-
When patients filling elsewhere, cannot control the
outcomes
vi. Opportunity to Understand the big Picture
1. Retail (document and access)
2. Hospital (taking care patients at their worst)
3. Clinics (expanding ambulatory pharmacy practice)
4. Leadership (opportunity to work with leadership within the
organization)
vii. Specialty Pharmacy Residency
1. PGY1/PGY2
2. Year 1 hospital pharmacy focus
3. Year 2 = outpatient and leadership focus
4. First accredited specialty pharmacy residency in the country
5. Unique opportunities
- Leadership and management rotations
i. Executive pharmacy leadership
ii. Ambulatory pharmacy leadership
- Wide variety of clinics and in patient rotations
- Also specialty third party contract
- Longitudinal clinic infusion center and HIV clinic
- Staffing (average 12 hours/week)
i. Inpatient medicine and neurology, outpatient and
specialty mail service
- Overall a wide variety and things accessible outside of an
academic medical center!
6. Inpatient mirror clinic rotation to see the continuum to see how
patients are managed throughout the system
viii. UW Health Specialty Pharmacy Services
1. Net margin increasing since 2010!
2. Help understand where things in specialty is going and train
future practitioners about disease states not traditionally taught
in pharmacy school
d. Key Elements for Creating a Business Case to In-Source Take-Home Prescriptions,
Jordan Rush, PGY1/PGY2 Health Care Administration Pharmacy Resident
i. Describe the financial and non-financial benefits of In-Source Take-Home
Prescriptions
ii. Background
1. 80% approached by chain pharmacy
2. 43% partnership with a chain pharmacy
3. 4% chain owned pharmacy in hospital
4. Big trend for chain pharmacies to approach health systems
5. Improve patient outcomes and patient experiences
iii. Creating the Business Case
1. To defend or propose retail pharmacy services
2. Key Elements of the business case
- Identify the opportunity
- Propose service
i. Fulfillment services (traditional retail pharmacy
practices)
ii. Support services (where we can distinguish
ourselves from the chain pharmacies)
- Outline benefits proposal
i. Profitability
ii. Patient Outcomes
iii. Integration
iv. Non-financial and financial
v. Non-specialty and specialty
- Return On Investment
i. Physical space
ii. Capital costs
iii. Labor
iv. Other (accreditation fees)
- Timeline
i. Milestones, schedule, and action plan
- Summary
i. Executive summary – summarize business plan and
an “elevator speech”
ii. Conclusion – overarching impact of the program
4. Re-vote if needed
5. Five Minute Fact (5 min)
a. PSW Legislative Day Preview – Becca Grupe, PSW intern
i. Wednesday, March 18th, Madison Concourse Hotel in Madison, WI
ii. Not too late to sign up!
iii. Legislative Day Topics
1. 2015-2017 Budget Review
2. PSW Legislative Awards
3. PEB update
- Updates made to Pharmacy Administrative Code
i. Some of these affect you as a student!
- Potential revisions to Pharmacy Administrative Code
Chapters 7 (pharmacy practice) and 15 (sterile
compounding)
i. Will be expanded
4. Phar 7 panel discussion
- Topics for consideration with Phar 7 revisions including:
Tech-Check-Tech and Patient Counseling requirements
5. Legislative Day Issue Review Session
6. Capitol Visits and Student Session
- Talk to a legislator to find out who does what and how do
you approach them and advocate for pharmacy
iv. Why should I go?
1. Convenient and cheap conference opportunity
2. Learn about current issues
3. Learn how to reach out to legislators to gain support
4. Network with Wisconsin pharmacists and CUW students
6. Announcements (2 min)
a. Hat’s Off Award
i. Personally raised $360 for the WSPS Relay for Life Team
ii. Joanne Kuznicki, DPH-1
b. Relay for Life Trivia
i. Thursday, March 19th registration begins at 7:00pm and trivia starts at
7:30pm
ii. Where: in SOP commons or room 2006 TBD
iii. Cost $7 per person
iv. Teams of 5 or less
v. Prize 1st place $50 Brats gift card
vi. Prize 2nd place $25 Brats gift card
c. 2015-2016 Executive Council Winners
i. Secretary/Historian
1. Rebekah Lee
ii. Student Senate Rep
1. Shelby Tjugum
iii. Treasurer-elect
1. Emily Bollom
iv. Treasurer
1. Emily Jackson
v. President-elect
1. Heather Stoner
7. Adjourn