Compounding Pearls Member Panel

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1 Compounding Pearls Member Panel Kate James, RPh Cliff Holt, RPh Bobby Muniz, PharmD International Seminar Houston, TX November 10 12, All Rights Reserved. 1

2 Pharmacist Follow up Program The Mutual Benefits of Staying in Touch Kate James, RPh, FIACP All Rights Reserved. 2

3 Disclosure Kate James, RPh, FIACP, is owner of Broadway Apothecary. Professional Education Services Group staff have no financial interest or relationships to disclose All Rights Reserved. 3

4 Disclosure This continuing education activity is managed and accredited by Professional Education Services Group. Neither PESG nor any accrediting organization supports or endorses any product or service mentioned in this activity All Rights Reserved. 4

5 Educational Grant Support This continuing education activity is supported by an educational grant from PCCA All Rights Reserved. 5

6 Learning Objectives At the conclusion of this activity, the participant will be able to: Discuss the importance of pharmacist follow up from scientific literature Identify key components of a compounding follow up program Discuss how to build an outline to begin a follow up program All Rights Reserved. 6

7 2016. All Rights Reserved. 7

8 Why We Follow Up Demonstrate core values Great formulas, yet adherence issues Relationships are easier to keep than create All Rights Reserved. 8

9 Core Values Dedicated & productive Deliver WOW through service Embrace and drive change and learning Pursue quality, accuracy, and organization Enthusiastic team players Honest & trustworthy Positive & friendly Professional Solution finders Take initiative & responsibility All Rights Reserved. 9

10 Our People Make It Work All Rights Reserved. 10

11 Medication Adherence $105 billion is lost to poor medication adherence in the U.S. every year. (1) Patients who do not take medications as prescribed have poorer therapeutic outcomes and higher medical costs than those following a treatment plan. (2) Patients participating in purposeful interventions have better adherence, experience improved outcomes, and lower healthcare costs compared to those who do not have a diligent and collaborative healthcare team. (3,4) All Rights Reserved. 11

12 Customer Retention Customer retention has a direct impact on profitability. Indicates that engaged customers generate 1.7 times more revenue than normal customers, while having engaged employees and engaged customers return a revenue gain of 3.4 times the norm. Human Sigma research by John Fleming and Jim Asplund All Rights Reserved. 12

13 2016. All Rights Reserved. 13

14 What are the elements and how do they fit together? All Rights Reserved. 14

15 Key Elements Initial call scheduled by filling technician Pharmacist or pharmacist intern generated calls Standardized documentation methods Program devoted pharmacist FTE and workstation All Rights Reserved. 15

16 Call Schedule Anti infective: day 3, 14 & 21 Pediatric: day 3 & 14 Pain: day 7 & 21 Hormones, veterinary and others: day 14 Additional calls scheduled at pharmacist s discretion All Rights Reserved. 16

17 Mock Conversation All Rights Reserved. 17

18 Program Results All Rights Reserved. 18

19 From Here to There All Rights Reserved. 19

20 Build Your Program Dedicate staff to schedule and place calls Practice using software tools Determine patient, disease, or prescription type Choose time intervals for interaction(s) Standardize questions and how to document information All Rights Reserved. 20

21 Refine Your Program All Rights Reserved. 21

22 Pearls Call when times work for patients During initial counsel let patients know you ll be calling and why Follow up AND follow through Listen to patient feedback All Rights Reserved. 22

23 For Your Reference 1. us/news/ims health study identifies $200 billionannual opportunity from using medicines more responsibly ng.pdf 5. rule.aspx 6. started/understanding modelimprovement All accessed 09/07/ All Rights Reserved. 23

24 Thank you! Kate James, RPh, FIACP Broadway Apothecary All Rights Reserved. 24

25 Obtaining CE If you would like to receive continuing education credit for this activity, please visit: All Rights Reserved. 25

26 Compounding Pearls Member Panel Cliff Holt, RPh All Rights Reserved. 26

27 Inspiration O R Desperation All Rights Reserved. 27

28 THE GOAL OF THIS PRESENTATION IS TO GENERATE All Rights Reserved. 28

29 This is a tax break for businesses that perform domestic manufacturing and certain other production activities All Rights Reserved. 29

30 IRS - We ARE a manufacturer and can, therefore write off a bunch of our expenses FDA - We are NOT a manufacture All Rights Reserved. 30

31 A deduction against income derived from domestic manufacturing activities All Rights Reserved. 31

32 The domestic production activities deduction is designed to encourage domestic production and production-related activities. It is also known as the "manufacturer's deduction All Rights Reserved. 32

33 2016. All Rights Reserved. 33

34 SYNC The patient average for refilling their 30 day supply of maintenance medication is 44 days All Rights Reserved. 34

35 Increase from 9 fills/yr to fills/year Decrease labor (use more efficiently) Decrease inventory (just in time ordering of expensive meds) Decrease delivery expenses Convert Rxs that have been mail ordered All Rights Reserved. 35

36 RESULT $21.75 (GP$/Rx) 15 (annual extra fills) 2000 patients $652,500 annually All Rights Reserved. 36

37 EMPLOYEE BONUS PROGRAM INCREASE PROFITABILITY Most employees are great tactical workers. Raises are expected and that is not sustainable with decreasing margins All Rights Reserved. 37

38 SHOW EMPLOYEES HOW TO MAKE AN EXTRA $1-5/HR Look at baseline gross margin $/rx Monthly bonus on increasing every 1$ All Rights Reserved. 38

39 Increase compounds Increase compliance Decrease negative reimbursements All Rights Reserved. 39

40 RESULT $12K PROFIT FOR EVERY $1 INCREASE PER MONTH All Rights Reserved. 40

41 OTHER BUSINESS OPPORTUNITIES Hospice Home Health Medical Clinics All Rights Reserved. 41

42 MEDPACK All Rights Reserved. 42

43 Keeps people independent (and my patients) longer 13 fills a year vs average of 9 Converting mail order business to me Increasing supplement sales All Rights Reserved. 43

44 RESULT 30% ANNUAL GROWTH All Rights Reserved. 44

45 Thank you All Rights Reserved. 45

46 How to Get More Patients Bobby Muniz, PharmD, MBA All Rights Reserved. 46

47 Framework Dean Minuto The One Page Sales Coach Get to Yes Faster All Rights Reserved. 47

48 2016. All Rights Reserved. 48

49 2016. All Rights Reserved. 49

50 2016. All Rights Reserved. 50

51 2016. All Rights Reserved. 51

52 2016. All Rights Reserved. 52

53 2016. All Rights Reserved. 53

54 2016. All Rights Reserved. 54

55 MAGNETS Motion How can I get momentum? Ask What are the questions that I can ask to set the right context? Give What can I give the customer? Nice Because people buy goods from people they like, what can I do to be nice? What do I have in common with them, how can I compliment them? All Rights Reserved. 55

56 MAGNETS (cont d) Evidence What evidence can I show as social proof that others like what I am offering? Trust What can I do to establish that I am an authority? Pharmacy background and my own education? Supply How can I show that there s a limited supply or deadline to take action? All Rights Reserved. 56

57 How to Set It Up Identify your timeline: every 4 months over a year Identify 3 4 community leaders, physician, school board member, and head of school Ask them to help you with your campaign Hire a photographer to take pictures of you, your staff, and the community leaders Interview the community leaders All Rights Reserved. 57

58 How to Set It Up Identify zip code to mail postcards Every Door Direct mail (EDDM) Route, residential and or business, total, age, size, income Alternatively, hire a marketing agency All Rights Reserved. 58

59 Marketing Campaign All Rights Reserved. 59

60 Marketing Campaign All Rights Reserved. 60

61 2016. All Rights Reserved. 61

62 2016. All Rights Reserved. 62

63 THE END All Rights Reserved. 63

64 Thank you Questions? All Rights Reserved. 64

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