Back to Basics Track-Bleidt · 2 Wonderings and Musings 1. How has Pharmacy looked at its future? 2. Marketplace Disruption What is it? Why is it important? 3. What’s Trending Now?

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FSHP 2017 ANNUAL MEETING

Barry A. Bleidt, PhD, PharmD, FAPhA, FNPhAProfessor, Social and Behavioral Pharmacy

COI Disclosure Notice• Pharmacist

Pharmacists Make A Difference

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COI Disclosure (continued)• NSU COP Employee

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A person who views the world the same at sixty-five as he did at fifty has lost another

fifteen years of his life

Voted 4th greatest sports moment of 20th century

25 February 1964Miami Beach

- Bleidt corollary 2015

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#FSHP2017Learning ObjectivesLearning Objectives1. Recognize the coming wave of technological

disruption;2. Describe its impact on the healthcare delivery and

profession of pharmacy; and 3. Discuss how health-system pharmacists might be

practicing in this changed environment.

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Wonderings and Musings1. How has Pharmacy looked at its future?2. Marketplace Disruption What is it? Why is it important?

3. What’s Trending Now?4. Practice Changes5. Finding Meaning in these Trends

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#FSHP2017 Where Is the pharmacist? {1960s}

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Any Pharmacist Here? {1980s}

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#FSHP2017 How About Here? {2010s}

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How has Pharmacy looked at its future?

1950’s

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1960’s

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1980’s

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#FSHP2017 2010’s

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USF Pharmacy

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NOW

Pharmacy

Critical CareNursing

Prevention

Geriatrics

Pediatrics

Rehab

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#FSHP2017 January 1, 2011*What’s significant about this date?• Year 6 of 18 large > 65-years old growth • This huge number will then continue for the 10+

years after 2029

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Unprecedented Access• Nearly 9 out of 10 adults have insurance• Greatest declines in the uninsured:

• Young adults (ages 26 – 34)• Hispanics• Lower-income Americans

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Unprecedented Costs• ~$2.8 Trillion (~16% of GDP) • 80% of every healthcare dollar is spent on

chronic, preventable diseases

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2 Marketplace Disruption

What Is Disruption?

• x

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Technological Disruption

Capacity doubles every yearSoon => every 6 months

Disrupt or Die!!

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#FSHP2017 Exponentially Growing Technologies

FasterCheaper

SmallerBetter

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

?? Taxi => UberUses Surge Pricing

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Disruption (continued)

• x

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#FSHP2017Where Are We On This Curve?

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#FSHP2017Which Direction Are We Heading?

• x

• x

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4 PracticeChanges

Data Explosion 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

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Point-of-Care Diagnostics*• 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

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#FSHP2017 Big, Single Data• Average person will

generate >> 1 PB of health-related data in a lifetime

• This equals: • 1 petabyte• 300,000,000 books• 1,000 TB• 1,000,000 GB• 1015 bytes

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Medical Data• Volume expected to double every 73

days by 2020

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#FSHP2017 AI or IA?

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Recently

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#FSHP2017 Recent Past Now

• Reimbursement-Based Medicine

• Volume-Based Medicine

• Trial-and-Error Medicine

• Intuitive Medicine• Symptom-Based

Medicine

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In the Future, Pharmacy PracticeWill Be:• Predictive• Preventive• Personalize• Participatory

Big Data

FasterCheaper

SmallerBetter

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#FSHP2017 Precision Medicine Initiativehttps://www.youtube.com/watch?v=MKiw7yAqqsU

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Precision Medicine => Huge Shift

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#FSHP2017 Trends Starting NowValue = Quality Cost Balance

• Movement to Value by ALL payers• How will we measure Quality?

• Paradigm Risk Sharing• New reimbursement mechanisms

• Value-Based• Accountable Care Organizations• Medical Homes

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Move from Cost- to Value-Based

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#FSHP2017 Transition to Better Value

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Financial TrendsHow likely is it that the following will occur by

the year 2017?

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#FSHP2017 At HomeHome Health Monitoring through Technology

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#FSHP2017Fitbit

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Where Are You on This Curve?

Don’t be here!Adoption of Innovation

Be here

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5 Finding Meaning in These Trends

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The Time Is NowNew Models of Care (disrupters)

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Genetic Profile: Metabolism

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Work Force Trends (continued)How likely is it that the following will occur by the

year 2019?

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Trending (continued)How likely is it that the following will occur

by the year 2019?

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Trending (continued)How likely is it that the following will occur

by the year 2019?

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What are we as pharmacists doing that the coming

technology cannot do better, faster, more efficiently,

harmoniously, and with better adaptability?

Think about it

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Everyday above ground is a great day,

remember that- Pitbull 2015

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Barry A. Bleidt, PhD, PharmD, FAPhA, FNPhAProfessor, Social and Behavioral Pharmacy

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2017 ANNUAL MEETING

#FSHP2017Assessment QuestionsAssessment QuestionsQuestion #1

Colonial America's first hospital (Pennsylvania) was established in Philadelphia in 1751; the first Hospital Pharmacy began operations there in 1752,

QuotesCritical thinking...the awakening of the intellect to the study of itself

~ The Critical Thinking Community

• Education’s purpose is to replace an empty mind with an open one

~ Malcolm S. Forbes

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Audience Response CardsAudience Response CardsContent…

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Group 1 Group 2

Class 1 82 95

Class 2 76 88

Class 3 84 90

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Documents

Back to Basics Track-Bleidt · 2 Wonderings and Musings 1. How has Pharmacy looked at its future? 2. Marketplace Disruption What is it? Why is it important? 3. What’s Trending Now?