2019 Pharmacy Executive Forum Meeting Summaries

A recap of member-led presentations

Every year, the Pharmacy Executive Forum brings together pharmacy leaders from across the country for a series of intimate, discussion-based meetings that provide an opportunity to network, learn from one another’s experiences, and advance strategy on a range of hot topics. At each session, senior pharmacy leaders present curated examples of pharmacy-led initiatives to improve patient care, reduce costs, and creatively solve institutional problems.

On this page, we’ve compiled details on each of the case studies presented, as well as highlights from the in-person meeting discussions. Each meeting in the series features different speakers and different agendas, so stay tuned for updates as we host meetings across the summer.

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Member Meeting #1: Washington, DC, April 9, 2019

Slashing Clinic Drug Spend Using Inventory Management Specialists
CoxHealth
  • Locally owned, not-for-profit health system with 6 hospitals, 120+ clinics based in Springfield, MO
  • Medical group VP approached pharmacy for help lowering clinic drug spend; worked with pharmacy to develop an inventory management support pilot that placed a pharmacy-trained ambulatory inventory specialist in medical group clinics
  • Saved $700K in just over one year and expanded inventory specialist support to nearly all of CoxHealth’s 120+ clinics with 3 FTE pharmacy technicians

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You Don’t Know Until You Ask: Negotiating with Manufacturers for Lower Drug Prices
Marshfield Clinic
  • Health system with 6 hospitals, 50+ clinics based in Marshfield, WI. Began as a physician group in 1916, then started acquiring hospitals 10 years ago
  • Used their consolidated data to systematically review drug costs and identify low- or negative-margin drugs; negotiated with manufacturers to lower costs for select products
  • $400K/year saved by contracting with one sole vaccine supplier; $2M/year saved by requiring use of biosimilar Renflexis

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Increasing Retail Operating Income with Data-Drive Purchasing Analyses
University of Missouri Health Care
  • Academic medical center with 5 hospitals and 63 clinics
  • Conducted a multi-phase initiative to lower acquisition cost for retail medications by standardizing product selection and ordering across 9 retail locations
  • Standardized 241 generic products, leading to $1.39 million in drug savings, an $88K reduction in inventory, and a 10% increase in wholesaler service level

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Accelerating Specialty Pharmacy Success with a Strategic Partner
Southern Ohio Medical Center
  • 240-bed hospital with 35 clinics, serving rural areas surrounding Portsmouth, OH
  • Entered into a 10-year partnership with Trellis Rx in 2018 to establish in-house specialty pharmacy capabilities
  • Specialty pharmacy services available for patients in 8 specialty areas and growing; high patient and provider satisfaction, and $446k of medication copay assistance provided in 2018

Download the Case Study



Member Meeting #2: Chicago, IL, May 9, 2019

Establishing a Health System-Owned PBM: From Idea to Impact
UNC Health Care System (UNCHCS)
  • Public academic medical center based in Chapel Hill, NC with an adult, women’s, children’s, neurosciences, and cancer hospital, 11 affiliated hospitals, and 11 retail pharmacies
  • UNCHCS leaders were unsatisfied with their existing pharmacy benefits manager’s ability to control drug costs and provide a high level of customer service for their self-insured employee population; in addition, they also faced rising drug costs for charity care patients
  • To address the problem, pharmacy began by building relationships with key internal stakeholders; with their support, pharmacy then took over PBM functions through a strategic partnership with an external PBM vendor, which saved the health system over $3M in 2018

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How IU Health Pharmacy Provides Value in the Medical Group Setting
IU Health
  • Not-for-profit, comprehensive health care system based in Indianapolis, IN with 17 hospitals; medical group includes more than 1,500 physicians practicing in 200+ locations statewide
  • Pharmacy centralized medical group drug purchasing and inventory to improve medication safety, reduce costs, mitigate shortages, and enhance operational efficiencies
  • Program saved $500K in the first year, attributable to: bulk buy discounts, waste reduction through unit-dose distribution, and using wholesaler for purchases rather than distributors

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Sharing Your Specialty Pharmacy Value Story
Vanderbilt University Medical Center
  • Academic medical center in Nashville, TN with an adult hospital, children’s hospital, psychiatric hospital, and rehabilitation hospital, and more than 24,000 employees
  • Vanderbilt specialty pharmacy (VSP) leaders leveraged existing institution resources and built additional data collection capabilities to demonstrate VSP’s value to multiple stakeholders, including payers, manufacturers, and patients
  • For example, among Hepatitis C patients treated by VSP, cure rates (SVR12) were comparable to clinical trials, 100% of patients received access to Hepatitis C medications, and 53% of patients paid $0 out-of-pocket for their treatment

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Harnessing the Latest Technology to Improve Medication Adherence
Froedtert & the Medical College of Wisconsin
  • Partnership between Froedtert Health and the Medical College of Wisconsin based in Milwaukee, WI with an academic medical center, an adult Level I Trauma Center, four community hospital campuses, and 40 health centers and clinics
  • Pharmacy department offers various outpatient digital technologies to improve patient outcomes, engagement, and medication adherence, including:
    • Retail mobile app, on which over 1,700 patients registered and refilled over 4,300 prescriptions via text, app/web, or email in just five months
    • Digital medication technology, through which pharmacy remotely manages patients with hepatitis C, heart failure, and other chronic diseases
    • Diabetes management app, which resulted in a 2.18% reduction in A1c for those enrolled in the program for longer than 6 weeks with a starting A1c ≥9%

Download the Case Study

2018 Case Study Summaries

2018 Pharmacy Executive Forum Member Case Study Summaries

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