Pharmacy Transformation

Changing Practices/Challenges

COL Isiah M. Harper Jr.Army Pharmacy Consultant and

Pharmacy Program

UNCLASSIFIED

7-11 January 2007

BRIEFING OUTLINE

1. Pharmacy In the Past

2. Pharmacy Today

3. Issues impacting Pharmacy

4. Conclusion

5. Question

PURPOSE: To provide information how pharmacy transformation impacts the Military Treatment Facilities (MTFs).

Pharmacy In the Past

Pharmacy Formulary

Impact

•Slower process

• Increase in errors

•Requires more people (?)

•One formulary

•Fenced budget

Pharmacy Yesterday and Today

Outpatient Robot

Outpatient Baker Cells

Outpatient Accumed

FlexRx

IMPACT

• Reduction in errors

• Better utilization of pharmacists

• Mail Order Pharmacy Program

The Challenge

•Pharmacy Technician’s Role

•Pharmacist’s Role

•Command Thinking

•Dual Formulary

Two Formulary Systems

• Local Formulary System

• DoD Formulary System

• $$$$$ Savings

• Strain on the MTF

• Two Formularies increases rate of Non-Formulary Items

• Policy Challenges

CONCLUSION

“If it’s not broken, break it and make it better, or someone else will!” Isiah M. Harper Jr.