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Barry A. Bleidt, PhD, PharmD, RPh, FAPhA, FNPhA
Professor, Sociobehavioral and Administrative Pharmacy
College of PharmacyNova Southeastern University
Pharmacist
Pharmacy Makes A Difference
COI Disclosure Notice
NSU COP Employee
COI Disclosure (continued)
Philosophical Disclosure Notice
A person who views the world the same at seventy as he did at fifty has lost another
twenty years of his life
Voted 4th greatest sports moment of 20th century
25 February 1964Miami Beach
- Bleidt corollary 2019
Philosophical Disclosure (continued)
Philosophical Disclosure Notice
"Education is the most powerful weapon which you can use to change the world."-Nelson Mandela
It can also change your life. Real change comes from education.
- Bleidt corollary 2010
January 1, 2011What’s significant about this date?
State of the Profession
JOB Prospects retirement of older pharmacists
coverage under ACA (more patients)
> 65 years old
Movement to ACOs
Value-based healthcare
TrendingGlobal Spending On Prescription Drugs To Hit $1.5 Trillion By 2021
Study Suggests Pharmacy Alerts To Refill Prescriptions Ahead Of Storms Help Reduce Risk study published in JAMA Internal Medicine suggests alerting
people on medications with calls from pharmacies ahead of major storms to stock up on medications may help cut down on the number of people who run out of prescriptions in such conditions
Trending (continued)
Audience Response Cards
Where Is pharmacy? {1960s}
Here? {1980s}
How About Here? {2016}
How has Pharmacy
looked at its future?
1950’s
1960’s
1970’s
1980’s
2010’s
USF Pharmacy
How has Hospital
Pharmacy moved
into the future?
Individual Syringe vs. Automated
Individual IV Bag vs. Automated
Individual Piggyback vs. Automated
Drug Stock vs. Automated
Inpatient Fill vs. Automated
Visual Identification vs. Bar Code
SYSTEM NOW
Pharmacy
Critical CareNursingPrevention
Geriatrics
Pediatrics
Rehab
Health Care = Sick Care
Unprecedented Access Nearly 9 out of 10 adults have insurance
Greatest declines in the uninsured: Young adults (ages 26 – 34)
Hispanics
Lower-income Americans
Unprecedented Costs ~$2.8 Trillion (~16% of GDP)
80% of every healthcare dollar is spent on chronic, preventable diseases
The robots are here!
Audience Response Cards
What Is Disruption?
Capacity doubles every year
Soon => every 6 months
Disrupt or Die!!
Technological Disruption
Marketplace Disruption
INNOVATION DISRUPTED MARKET
Telegraph Pony Express
Automobiles Railroads
CDs / DVDs Cassette Tapes / VHS
Digital Downloadable Media CDs / DVDs
PCs Mainframe Computers
LEDs Incandescent Lightbulbs
Disrupted Industries Borders Books Amazon
In less than 5 years,from $110 million profit to defunct 2011
Blockbuster Netflix From 60,000 employees and over 9,000
stores to defunct 2014
Uses Surge Pricing
Disruption (continued)
x
Where Are We On This Curve?
Which Direction Are You Heading? x
x
Uber Health
One data set: One patient
Two-Years Ago => 100 slices 5122
pixels;50 MB or 50 books
Today => 2,400 slices 5122 pixels;20 GB or 800 books
Tomorrow => 1,0243 voxels 100 MHz;1 TB or 800,000 books
FasterCheaper
SmallerBetter
Data Explosion
Powered by “micro-fluidics” Single microliter of blood
If patient has malaria; What type of malaria; What the patient's genetics
are; and To what they will respond for
therapy
FasterCheaper
SmallerBetter
Point of Care Diagnostics
Watson
Medical Devices Soon
Epidermal Electronic Devices
Don’t be here!
Roger’s Theory on the Adoption of Innovation
Be here
Where Are You On This Curve?
New Models of Care (disrupters)
What are we as pharmacy professionals doing that the
coming technology cannot do better, faster, more efficiently, harmoniously, and with better
adaptability?
Think about it
4 Finding Meaning in
These Trends
ASHP Pharmacy Forecast
Developed by the Center for Health-System Pharmacy Leadership ASHP Research and Education Foundation
150-member Forecast Panel
“Wise crowds” are generally more accurate than individual experts in making predictions
A Look AheadHow likely is it that the following will occur
by the year 2022?
Reference:
ASHP-F Pharmacy Forecast | 2018-2022| 2017
A Look AheadHow likely is it that the following will occur
by the year 2022?
Reference:
ASHP-F Pharmacy Forecast | 2018-2022| 2017
A Look AheadHow likely is it that the following will occur
by the year 2022?
Reference:
ASHP-F Pharmacy Forecast | 2018-2022| 2017
A Look AheadHow likely is it that the following will occur
by the year 2022?
Reference:
ASHP-F Pharmacy Forecast | 2018-2022| 2017
A Look AheadHow likely is it that the following will occur
by the year 2022?
Reference:
ASHP-F Pharmacy Forecast | 2018-2022| 2017
A Look AheadHow likely is it that the following will occur
by the year 2022?
Reference:
ASHP-F Pharmacy Forecast | 2018-2022| 2017
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