Technology is a critical tool in providing quality, cost effective healthcare. An overview of key technologies which effect day to day pharmacy management will be reviewed. Future market and technology trends which could alter the professional landscape for pharmacy will be discussed.

1. The Rise (or Fall?) of
Pharmacy Management in
the Technology Age
RICK BURNETT, PHARM.D., FACHE

2. Growth of Technology
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Use of complete EHR
Use of CPOE
E-prescribing in OP
Bar code med. Administration
SMART pumps
Controlled subst. ordering system
2013
2007
Ref. Am J Health-Syst Pharm.2015;72:636-55

4. Evolving Healthcare Delivery System
Past
•Treating sickness
•Inpatient care
•Silos
•Fee per service
•Dispensing
Current
•Wellness
•Ambulatory care
•Integrated Team
•Value
• ?

5. Career Timeline
Strategic
Operational
Tactical
Individual Contributor
Supervisor
Director
Vice President
Executive Leadership
Managerial Progression

6. Objectives
• Describe the basic functions of management.
• Explain the main classifications used to categorize different
technologies.
• Provide examples of how different forms of technology effect
pharmacy management functions.
• Describe current market and technology trends which should be
taken into consideration during the strategic planning process
for pharmacy.

7. Planning
Organizing
Leading
Directing
Motivating
Controlling Management

8. Technology Types
•Medical Technology

9. Types of Technology
• Medical Technology
•Assistive

10. Types of Technology
• Medical Technology
• Assistive
•Productivity

11. Types of Technology
• Medical Technology
• Assistive
• Productivity
•Information

12. Types of Technology
• Medical Technology
• Assistive
• Productivity
• Information
•Technology of
Teaching
•Instructional
technologies

13. • EMAR
• Bar code scanning
• SMART pumps
• Drug delivery systems
• Patient education
• Clinical decision
support
• E-prescribing
• Electronic Health
Record
• Compliance
reminders
• ETCO2 monitors
• Carousel shelving
• Narcotic vault
• Labeling/packaging
• IV/TPN compounding
• Pneumatic tube
• Delivery robot
• Point of sale system
• DSCSA software
• CSOS software
• Bar code scanner
• Carousel shelving
• Narcotic vault
Medication Use Cycle
Selection/
Storage
►
Prescribing/
Transcribing
► Dispensing ► Administering ► Monitoring

14. Medical Assistive Productivity Information
Teaching/
Instructional
1. ETCO2
monitor
2. Drug delivery
systems
3. SMART
pumps
1. Compliance
reminders
1. Carousel
shelving
2. Narcotic Vault
3. E-prescribing
4. Bar code
scanner
5. Labeling
device
6. Packager
7. IV/TPN
compounders
8. Pneumatic
tube system
9. Robotic
delivery
1. DSCSA
2. CSOS
3. Clinical
decision
support
4. Electronic
health record
5. Point of sale
1. Web based
patient
education

15. CEO Concerns
Issue 2015
Financial challenges 3.2
Patient Safety and Quality 4.2
Governmental mandates 4.5
Personnel shortages 5.1
Patient satisfaction 5.3
Physician-hospital relations 5.7
Access to care 6.2
Population health management 6.3
Technology 7.1
Reorganizations 7.4
Ref: Survey: Healthcare Finance, Safety and Quality Cited by CEOs as Top Issues Confronting Hospitals in 2015. (2016, February 2). Retrieved
from https://www.ache.org/pubs/Releases/2016/top-issues-confronting-hospitals-2015.cfm.
Transition from volume to value 65%
Medicaid reimbursement 62%
Bad debt 57%
Increasing costs for staff, supplies, etc. 57%
Reducing operating costs 56%
Government funding cuts 48%
Competition from other providers 47%
Moving away from fee for service 45%
Medicare reimbursement 44%

16. Types of medication administration records (MARs) used by
hospitals from 1999 through 2014
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
1999 2002 2005 2008 2011 2014
Computer-generated MAR
Electronic MAR
Handwritten MAR
Am J Health-Syst Pharm. 2015;72:1119-37

17. 27% use a
mobile device to
access health
information
Average age of a
social media user
45 years old
87% Americans use the internet regularly
74% used a social medical website for health info
39% visited WebMD.com in the past year
22% visited a local hospital website
Source: National Research Corporation’s MARKET INSIGHTS study. 2010-2015, average annual n sizes
vary from 208 (qual) to 278,824 (quant): PEW research center, n size = 857.

20. VIDEO
https://www.youtube.com/watch?v=C4LbAUa4ZwY

21. Opportunities Threats

22. Rick Burnett, Pharm.D., FACHE
rburnett@completerx.com