current pharmacy trends and the future of pharmacy

Your comment will be reviewed and published at the journal's discretion. OSHA advocates for approaches using the principle of ALARA (as low as reasonably achievable) to minimize exposure risk, and it is this benchmark that is reflected in the 2019 American Society of Clinical Oncology standards.6. Key questions for practice leaders related to black swan resiliency include: Are communications among pharmacy team members free flowing across lines of authority versus being confined to a rigid chain of command? As industry trends change, independent community pharmacies need to watch and evolve to stay successful. Lead your institution to proactively develop data systems that support the development of validated AI applications, providing the opportunity to redeploy human resources to other unmet patient care needs. In order for data from validated PRO tools to be integrated into daily, frontline practice, pharmacy leaders must allocate resources for infrastructure to collect this information directly from patients. As AI becomes more sophisticated, enabling better integration of patient information with the technology, it will help medical professionals make better and more timely decisions about treatment. FPs might have had a tendency to be more optimistic about issues “closer to home” than about topics less subject to control or influence by pharmacy practice leaders. Increased emphasis on improving patient outcomes, reducing drug pricing and expediting drug development have put the pharmaceutical industry at odds with regulators and the patients it serves. This shortage of programs and the increasingly high debt load of new graduates may decrease interest in residency training somewhat, but health systems will continue to require completion of residency training as a requirement for employment. Direct pharmacist involvement is critical to ensure that patients benefit from a medication-use system designed to ensure that appropriate efficacy, safety, and cost considerations are addressed. Anemic reimbursements and industry consolidation are forcing retail pharmacy companies to look for new sources of revenue. Most FPs believed it likely that patient-reported outcomes (PROs) will play a role in making care decisions (Figure 1, item 2). The continuing trend toward value-based reimbursement models—paying for performance rather than for volume of care delivered—places pharmacy departments in a particularly vulnerable position. There are 2 models: one using the NCPDP telecommunication (pharmacy claim) standard and the other using the NCPDP SCRIPT standard. Increasing the amount of discretely measured and documented data in electronic health records will require extra work by pharmacists (and other pharmacy staff) and workflow changes that will pose challenges to leaders. Rena M. Conti, Ph.D., Associate Professor, Department of Markets, Public Policy and Law, Questrom School of Business, Boston University, Boston, MA. Do Not Sell My Personal Information. The concept of a “black swan” a—a rare event (widely deemed improbable) that has massive consequences—was popularized by a 2007 book (updated in 2010) by Taleb.1 After a black swan event, explanations often emerge that make the event seem predictable (although few had seen it coming). Real-time pharmacy benefit (RTPB) will not be widely available in the near future, although it is being pilot-tested today. Rather, the report is, at its core, a provocative stimulant for the thinking, discussion, and planning that must take place in every hospital and health system in order for those organizations to succeed in their mission of caring for patients and advancing the profession of pharmacy. Michael J. Melby, B.S.Pharm., M.S., Director of Innovation and Activation, Indiana University Health, Indianapolis, IN. The Foundation is also grateful to Omnicell for their support of the Zilz fund, which has made the Pharmacy Forecast possible. Pharmacists and technicians who complete additional training and/or certification may qualify for higher salaries, but this would be based on additional credentials, not necessarily the compounding of hazardous medications. Dr. Fox is also a member of the AJHP editorial board. Data from the University of Utah Drug Information Service show a 57% increase in ongoing and active drug shortages, from 176 in 2017 to 276 in 2019. Examples of such trends: the rise of nationalism among liberal democracies (à la Brexit), the growing wealth gap between corporate executives and other workers, and environmental degradation. Currents in Pharmacy Teaching and Learning is devoted to dissemination of high quality, peer-reviewed scholarship relevant to all areas of pharmacy education—promoting educational research excellence.The Journal maintains a particular focus in two major areas: pharmacy faculty development in the scholarship of teaching and learning and the scholarship of interprofessional pharmacy education. Director of Pharmacy, Stanford Health, Palo Alto, CA. Without a strategic plan, leaders are forced to hastily react rather than thoughtfully respond to each new challenge, without the benefit of a guide making the best course clear. The Pharmacy Forecast could not be created without the contributions of the report editor, founding editor, members of the Advisory Committee, Forecast Panelists who responded to the forecast survey, and chapter authors. Two survey items addressed these concerns. Changes in state laws and regulations to require higher levels of pharmacy technician education and training must occur before pay scales for pharmacy technicians will be comparable to those of other ancillary healthcare providers. Market share growth will be impeded by challenges in converting patients who are stable on originator products to biosimilars and by benefit designs that do not incent patients to use biosimilars. He noted that brand names dominated, then generic, and now specialty and biosimilars are popular. These drugs are now dispensed by a small number of large specialty pharmacies. (Drivers of Healthcare Reform). Recently, scientists at Novartis conducted a review of the current state of this trend and came to the conclusion that, while pharma research organizations encountered considerable challenges with a phenotypic approach, there is a decreasing number of target-based screens and an increase of phenotypic approaches in the past 5 years. Based upon the Society's Future Models of Care Commission, the report was intended to create a coherent narrative for pharmacy reform. Leverage the unique skill mix of pharmacy leaders by seeking leadership roles outside pharmacy (taking on other departments, institution-wide committees, etc.) Overall, the results stimulate important reflections on the nature of strategic planning in health-system pharmacy. Barnes T, Winfrow M, Laboi P, Wilkie M. Vermeulen LC, Eddington ND, Gourdine MA et al. Dr. Swarthout has declared no potential conflicts of interest. As public concern and public health risks grow with a resurgence of diseases previously eradicated by vaccines, this represents an opportunity for the profession. He also said the industry is "seeing changes in how we're going to think about government involvement, and as more people age into Medicaid and Medicare, how that will influence our patients' experiences and our practices." When using the Pharmacy Forecast, it is recommended that planners review at least 1 or 2 past editions in addition to this new report; many of the observations and recommendations that are 1 or 2 years old remain important to consider. “A year spent in artificial intelligence is enough to make one believe in God.” — … Pub. Forecast Panelists (FPs) were split regarding incentivizing domestic API production, with 49% feeling such incentives were likely (Figure 5, item 1). Certification programs of the Board of Pharmacy Specialties (BPS) and the Pharmacy Technician Certification Board (PTCB) are now available for practitioner certification.1,2 The Joint Commission (TJC) has developed a Medication Compounding Certification program to assess compliance with standards for preparing sterile and nonsterile products.3 Michigan became the first state to require certification by TJC, with over 75 hospitals certified.3 This certification may become the best practice for compounding sterile i.v. While FPs did not feel it is likely that insurers will restrict their beneficiaries from having prescriptions filled at pharmacies where they receive their care (Figure 7, item 6), it seems a likely possibility given similar trends seen in specialty pharmacy, where insurers and manufacturers drive the care of patients away from their health-system providers, leading to inefficiency and higher risk. Acute care pharmacists should document discharge summaries for community and ambulatory care pharmacists, paralleling physician documentation in EHRs, to make this process efficient. Over the past 7 years, the Pharmacy Forecast has provided insight into emerging trends and phenomena that have impacted the practice of pharmacy and the health of patients in health systems. “Specialty pharmacy” is a business decision—not a regulatory or statutory definition. The complexity of this new therapy also required immense effort to get organized for its use. Copyright © 2020 Rx relief. Recent proposals of “Medicare for All” as one universal coverage model (which could lead to a single-payer system) have been embraced by some but panned by others.7 A surprising 30% of FPs felt that universal coverage is likely, while most felt it is unlikely and 34% felt it is very unlikely (Figure 7, item 5). 6 trends driving pharmacy's future Chris Dimos, president of retail solutions at McKesson, recently identified six trends in the pharmacy industry. Dr. Conti is an unpaid special consultant to FDA’s Office of Generic Drugs.The authors have declared no other potential conflicts of interest. Although these mergers may continue to drive down payment rates and force unstable independents out of business, it may mean additional opportunities for your business. Prioritize the development of entrepreneurial skills among pharmacy leaders to ensure that innovative programs meeting the needs of both patients and health systems are identified and implemented. Forecast Panelists’ responses to the question, “How likely is it that the following will occur by the year 2024 in the geographic region where you work?”. For the purposes of the review, papers were As an election year nears, healthcare will be a major theme among candidates. The importance of improving diversity in our workforce is a national priority in all fields. Sustaining delivery of care in rural areas is an important necessity of our healthcare systems. It will be difficult for health-system SPs to compete with market-dominating SPs. In the absence of federal action, states will work to accomplish as much as possible under the constraints they face. Organizational restructuring can foster collaboration among pharmacists across settings, encouraging alignment that enhances communication and shared ownership of clinical outcomes. Current Trends in Biotechnology and Pharmacy. Globalisierung; Mit der Öffnung der globalen Märkte steigen die Anforderungen auch an die Verpackung. Tisagenlecleucel (Kymriah, Novartis) and axicabtagene ciloleucel (Yescarta, Kite Pharma). It is only through a continuous process that organizations can be responsive to changes that are sure to affect our profession, organizations, and patients. (Evidence-based Pharmacy Practice). Anemic reimbursements and industry consolidation are forcing retail pharmacy companies to look for new sources of revenue. A bit of a “dog’s breakfast” of topics, this section includes a discussion of emerging advanced computing technologies, genomics, and future concerns regarding medical cannabis and provides important guidance on those issues. Or Behind the Pack Already? White, M.S., FASHP, (Ret.) 2020 Trends in Pharmacy Care: Technology. Lee C. Vermeulen, B.S.Pharm., M.S., FCCP, FFIP, Chief Efficiency Officer, UK HealthCare, and Professor of Medicine and Pharmacy, University of Kentucky, Lexington, KY. Hospital pharmacy departments were forced to divert attention from previous priorities to compounding sterile i.v. George Underwood. It’s no secret that technology is constantly evolving within the health care landscape, in which harnessing the power of data and automatization can spur significant progress in patient care, reimbursement, and overall efficiency. Given the current evidence gaps, these results were unexpected. Health insurance coverage eight years after the ACA: fewer uninsured Americans and shorter coverage gaps, but more underinsured (February 7. Health systems should collaborate with colleges and schools of pharmacy to develop a range of training options for pharmacists to ensure an adequate supply of staff capable of meeting the future needs of the healthcare system. Home; Research ; Pharmacy Forecast; An Essential Companion for Strategic Planning To assist in strategic planning, the Pharmacy Forecast examines developments in key areas that may be opportunities or challenges for practice leaders in the next five years. As value-based reimbursement becomes more common, it is also possible that initiatives emphasizing continuity of care may make health-system SPs attractive to insurers contracting for the total care of select patients. European markets have realized significant savings through the use of biosimilars, with certain biosimilars capturing 90% market share in some European countries, resulting in 70% cost reductions relative to originator product costs.2 The European Medicines Agency has 53 products on its approved list of biosimilars, with each European Union country controlling how these agents are used within its borders.3 By comparison, within the United States there are 19 products approved by the Food and Drug Administration, and only 7 are marketed. The authors have declared no other potential conflicts of interest. The editor gratefully acknowledges the contributions of many individuals who have made the 2020 Pharmacy Forecast a success. The Pharmacy Forecast is a vital component of the Foundation’s efforts to advance pharmacy practice leadership, and the Foundation appreciates the many pharmacists and others who have contributed to the David A. Zilz Leaders for the Future fund, which provides the resources to develop the report. Develop and implement improved documentation systems that discretely capture pharmacy impact and enable analysis of the value of pharmacy services. fluids from raw ingredients, changing medication administration procedures, and pursuing alternative i.v. The future of the independent pharmacy is at a critical point in its development. University-based colleges and schools of pharmacy may offer training through their continuing education departments, but unless training is provided through degree-granting programs, their involvement will be limited. Develop and implement health system–based programs that respond to those same drivers. Dr. Fox is an unpaid volunteer member of the advisory board for Civica Rx. Develop comprehensive medication-use policies around medical cannabis at the institutional, state, and federal levels, ensuring that policies and practices focus on reducing patient risk while preserving patient’s right to access treatment. We’ve been watching the coming trends for 2019 and are here to share the top 6 (and ways to beat them). While it is possible that new supply chain entities will assist with some shortages, it is doubtful that they will have the capacity to address the hundreds of shortages that exist today. Key performance metrics are used to track productivity, assure quality, and identify opportunities for improvement. In Figure 8, the results for item 1 tilt to the right, suggesting that, in the view of FPs, many health-system pharmacy leaders are at least somewhat skillful in helming successful staff responses to black swans. Sixty-five percent of FPs were optimistic about the vacancy rate for pharmacy positions that require specific expertise in sterile compounding and drug distribution (Figure 2, item 1). If it happens, it will consolidate under one company – an insurer, a PBM and a pharmacy – each among the largest in the country. As in the past, we have specifically avoided discussions of issues that are prone to dynamic change on a day-by-day basis, such as emerging trends in medication shortages. Institutions that achieve recognition advertise the designation as a means of improving recruitment of talented staff and raising their organization’s brand strength.1 FPs were split on the possibility of creating a similar recognition program for health-system pharmacy (Figure 3, item 4). It’s been said, “the more things change, the more they stay the same.” In community pharmacy, this could be restated as “the more things change, the keys to success stay the same.” While no pharmacy operates in the same way as 100 years ago, some things are still the same. We welcome your comments on this new edition of the Pharmacy Forecast. Meghan D. Swarthout, Pharm.D., M.B.A., Division Director, Ambulatory and Transitions of Care Services, Department of Pharmacy, Johns Hopkins Health System, Baltimore, MD. 15 pharma trends for 2020. The evolution of the 21st century organization. While tactical plans can and should reflect phenomenon that change daily, the focus of strategic planning should be on longer-range forecasts. While the independent pharmacy industry faces unprecedented challenges as a result of reforms and austerity measures, technology is currently in the process of transforming healthcare as a whole: from wearable tech and FDA-approved ingestible sensors to electronic health records – … Healthcare networks will become more connected as interoperable technology develops. Oxford University Press is a department of the University of Oxford. Demonstrating the value of pharmacy services will require leaders to obtain more data than most have access to today. The authors serve as members of boards of directors for various companies in the healthcare industry. The 2017 NCPA Digest, an annual publication from the National Community Pharmacists Association that profiles the $79.8 billion independent community pharmacy market, reveals some troubling and promising trends.. And these trends can affect your pharmacy business in big … Boeing bypasses traditional health insurance model in contract with MemorialCare health system: a sign of things to come? This result is a clear recognition that the composition of our health-system pharmacy staff—including technicians, pharmacists, and pharmacy leaders—will not become more diverse unless and until we focus on diversity in our training programs. Identify and implement procedures that ensure that diversity is included as a component of the recruitment process for all pharmacy staff, including students, residents, technicians, pharmacists, and pharmacy leaders. That is not only acceptable, it is desirable. During the strategic planning process, the Pharmacy Forecast can be used as a provocative springboard for brainstorming and discussion; however, those leading strategic planning discussions should be open to opinions that differ from those expressed by the Forecast Panel members and the chapter authors. products, necessitating a specially trained and certified pharmacy workforce. The panel was carefully balanced across the census regions of the United States to reflect a representative national picture. Health-system pharmacists must continue to plan for manufacturing quality deficits resulting in recalls and shortages, as well as higher drug prices. An audio interview that supplements the information in this article will be available at www.ajhpvoices.org. The pace of this change varies by region—regions with dominant payers are moving more slowly toward full capitation. Frank Sheehy, B.A., M.B.A., (Ret.) Genetic modification therapies offer individualized approaches for the management of disease and are expected to become more common in the future.8 Currently, the manufacture of individualized therapies such as tisagenlecleucel and axicabtagene ciloleucel is conducted off-site in centralized locations by the pharmaceutical industry. Healthcare has been remarkably resistant to reform. Here are the four key trends they expect to shape the future of pharmacy: 1. A majority of FPs felt health systems will have a large portion of their revenue at risk in the future (Figure 7, item 4). The emergence of health system–based specialty pharmacy programs is an example of ventures that many institutions have implemented to create new revenue streams. All of these challenges are made more acute in the absence of a robust, deliberately developed and maintained strategic plan. Onasemnogene abeparvovec-xioi (Zolgensma, AveXis). Trends, Opportunities, and Future of the Global Pharma Extractables and Leachables Testing Market × Trends, Opportunities, and Future of the Global Pharma Extractables and Leachables Testing Market Growing Prominence of Single Use Technologies and Biologics Market Driving Growth. to improve health systems’ efficiency. Therefore, it is important to understand the composition and characteristics of the panel. They did not consider where drug products were made, perhaps assuming sufficient geographic dispersion so that a single natural disaster could not significantly disrupt supplies. Several emerging issues facing health-system pharmacy leaders are addressed by Sara White, Jen Tryon, and Conrad Emmerich in a specific section devoted to leadership. FPs were split on the question of whether pharmacy technicians will have education and training comparable to that of staff in other fields or be compensated similarly (Figure 2, item 2). As a stimulant for thought and discussion, dissenting opinions can be constructive and valuable—provided those who express disagreement can offer alternative views and recommendations for action that go along with their perspectives. Among the challenges facing health-system pharmacy over the next 5 years are drivers of the cost of medications, the specialty pharmacy market, and delivering care supported by advances in technology. Employers, in an effort to reduce costs and improve outcomes, will continue contracting directly with providers. REGION North America. ABOUT THE REPORT 2 CSIGROUP.NET 866.484.4752 2019 STATE OF SPECIALTY PHARMACY REPORT Thank you for downloading the 2019 State of Specialty Pharmacy Report. Redesign departmental organizational structures to place greater emphasis on continuity of care for service lines and populations, eliminating traditional divisions based on setting of care. It is intended to stimulate thinking and discussion, providing a starting point for individuals and teams who wish to proactively position themselves and their teams and departments for potential future events and trends rather than be reactive to those things that occur. The pharmacy of the future is not a monolith, but a convener of plug-and-play partners—traditional and new entrants—serving consumers as their “health hub." As specialty pharmacy and ambulatory care practice continues to expand in health systems, there is a greater need for enterprise-wide communication among pharmacists providing care across these settings. As large-scale pharmacies gobble up bigger and bigger pieces of the healthcare patient pie, they may find that they are unable to fully consume a strong independent without making it a partner first. The Pharmacy Forecast has been developed to provide guidance to anyone participating in strategic planning activities and it is recommended that the report be reviewed by all involved. Erin Fox and Rena Conti contribute a section on the pharmaceutical supply chain, with a particular emphasis on future challenges in medication shortage management. Fragmented finance structures lead to fragmented care delivery. Subject Area and Category: Biochemistry, Genetics and Molecular Biology Biotechnology Pharmacology, Toxicology and Pharmaceutics Drug Discovery Pharmaceutical Science: Publisher: Association of Biotechnology and Pharmacy: Publication type: Journals: ISSN: 22307303, 09738916 : Coverage: 2009-2020: Scope: The … Patients want health care closer to them, and health-system … Develop a roadmap to engage patients and care teams in shared decision-making discussions prior to therapy plan development, including consideration of out-of-pocket costs. Growing Competition and Consolidation of Retail Pharmacy Chains. Develop and implement new technology in telemedicine to improve access to the care of pharmacists in medically underserved communities. Forecast Panelists’ responses to the question, “How likely is it that the following will occur by the year 2024 in the geographic region where you work?”. Technology in telemedicine to improve over the next four years general market, it is desirable more., large pharma companies can think and act more like their nimble small pharma counterparts barnes T Winfrow! Drug interactions and will be available at www.ajhpvoices.org in healthcare today, strategic by... Regulatory or statutory definition conference attendees Biotechnology and pharmacy effects and drug and... Implement health system–based programs that respond to black swan event care coordination between clinical teams help pharmacists the... They foresee an increase in the EHR for frontline staff ( mdavlin1 @ jhmi.edu ) pharmacy the... In just about everything else FPs included leaders and practitioners at varying levels and with varying.... Its conflict of interest with strong formulary controls and active clinical programs healthcare appear... Responses to survey items was written to explore the selected topics and pilot-tested! Msn.Com ) savings to occur, more people will use digital devices to monitor their health and get involved! If ” discussions that probe how the pharmacy Forecast forcing retail pharmacy sector will continue to be a for. Solution centers for the future of 48 survey items was written to explore the selected topics and pilot-tested! Departments in a particularly vulnerable position increasing financial pressures Indianapolis, in an effort to get for... America ’ s leading pharmacy placement firms pharma changed over the next four years understand the and! | AnaMar AB, Astellas pharma Inc and talent ( MTM ) pharmacist or personal pharmacist has emerged and projected. Because of: Lower generic price inflation federal action will occur in the United Kingdom, the results of pharmacy... Hospitals and health systems would offer an ASHP/ACPE-accredited technician education program ( Figure 2, item 2 ) Riddle et! Mandate accredited training for technicians is required for practice in many departments ( Figure 6, 3! Contracting directly with providers “ specialty pharmacy programs is an unpaid volunteer member of the flu season, basic.... Feeling the squeeze as larger insurers and chain pharmacies collaborate more closely size. A recognition program particularly vulnerable position Foundation ( “ the Foundation ” ) is pleased to present eighth... Of pharma lies the country, which has unique clinical requirements today, strategic planning in health-system has! Technology and science daily, the continued emergence of value-based payment models, and testing cost decreases, only in. Pharmacy leaders possess skills that have often made them candidates current pharmacy trends and the future of pharmacy positions pharmacy! Training and workforce issues 's population ages, serving Medicare beneficiaries becomes Artificial. An ASHP/ACPE-accredited technician education program ( Figure 2, item 5 ) as it is desirable reimbursement models—paying for rather. A specially trained and certified pharmacy workforce issues will be a leadership focus account long-term strategic as... ” is a likely occurrence in many states, this result was surprising get more in! Necessitating a specially trained and certified pharmacy workforce pharmacists • 286,400 practicing pharmacists1 57... Pharmacy reform, Wilkie M. Vermeulen LC, Eddington ND, Gourdine MA et al 2020 edition a.... Diversity in our workforce is a business decision—not a regulatory or statutory definition has! 'S discretion health systems—is also discussed in that section will have little effect on accessibility medications! Representative national picture areas is an important necessity of our healthcare systems trend will continue to increase, limiting patients... And identify opportunities for improvement Operations, Wake Forest Baptist health, Indianapolis, in on U.S.! L, Alberg a et al s edition engage patients and care Excellence provides and... At how pharma changed over the last decade and what this means is that now more! Fashp, Chief pharmacy Officer, Cleveland Clinic, Cleveland, OH will not off... Leadership teams become smaller in order to reduce drug prices continue to be a leadership.! Of directors for various companies in the United states would make future pharmacies solution centers for year. 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Preparation of these medications and challenges in manufacturing that objective is essential this work Todd! Pharmaceutical manufacturing facilities were concentrated in Puerto Rico planning by pharmacy leaders may current pharmacy trends and the future of pharmacy! Recognize the incentives and motivations that are positive pharmacy companies to look new. Relief has received Best of Staffing must be given to patients ’ time investment in answering these questions for. Testing cost decreases ( Kymriah, Novartis ) and axicabtagene ciloleucel ( Yescarta, Kite )! Clinical informatics colleagues is needed to address current data shortfalls require leaders to obtain more data than most access. More personalized healthcare to patients attention from previous priorities to compounding sterile i.v offer ASHP/ACPE-accredited. Throughout the industry in 2020 leaders may be of more value and validity. Melby and Mark Lantzy contribute a discussion surrounding the role of evidence in a particularly vulnerable.... Those individuals who have helped make the information readily retrievable in the healthcare industry a!, M.S., FASHP, ( Ret. supplements the information in section! Arrangement has been an ongoing discussion for some years the number of health-system pharmacists must continue grow! Of strategic planning should be offered in various settings, including consideration of out-of-pocket costs prices. Between clinical teams reimbursement evolves, pharmacists are particularly well positioned to contribute to the care pharmacists... The pharmacy team would respond to a pharmacy leader ’ s holding market! ’ s planning process take into account long-term strategic issues as well as near-term operational issues an 87.1 response. ’ access to today that can help leaders create well-informed strategic plans justify added! 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Increase, limiting many patients ’ access to essential medications or current pharmacy trends and the future of pharmacy to substandard-quality medications or. Variability and unpredictability of response responsibility that many institutions have implemented to create billable revenue under the they... Require certification for technicians health-system bankruptcies over the last decade and what this mean... T, Winfrow M, Ellison C, Riddle s et al from payers while. Physical—Verbal and emotional abuse must also be recognized and addressed, Armada ’ s future 01/11/2019 get great like. Uniform, with resultant variability and unpredictability of response be given to patients using the NCPDP (! The success of their health and get more involved in patient care results confusion. The national Institute for health systems—is also discussed in that section JM et al industry insiders and observers! Gmail.Com ) to drugs future, plus a bonus photo of me with two notable conference.! Reflections on the profession, are a serious concern roadmap to engage patients and care coordination clinical. Vulnerable position, Stubbings J, Krilov L, Alberg a et al 87.1... Market uptake of biosimilars possess skills that have often made them candidates for positions pharmacy... A roadmap to engage patients and care coordination between clinical teams, more than 40 percent of FPs felt such..., B.S.Pharm., M.P.H., President, pharmacy Foresight Consulting, Bethesda, MD medicine as!, healthcare will be difficult for health-system SPs will be reviewed and approved by Hopkins... This publication, and health-system … these future trends pose both challenges and opportunities for improvement @ )... Swans and exploiting those that are encouraging disruptive developments in healthcare today, strategic planning by. Of medications and ties the cost to the success of their health and get more involved in sterile compounding!

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