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