discussion polling questions - visante · specialty pharmacy services yes, specialty pharmacy...

Discussion Polling Questions

Copyright Visante Inc. 2018 1 | P a g e

Sterile compounding: Patient and healthcare worker safety

0% 20% 40% 60% 80%

Yes

No

Are you confident that your facilities and practices will be compliant with UPS <795>; USP <797> and

USP <800> by December 1, 2018?

0% 20% 40% 60% 80%

100%

75%-99%

50%-74%

less than 50%

How compliant do you feel your hospitals are with regards to sterile compounding standards,

specifically USP <797> and your state board of pharmacy requirements?



0% 10% 20% 30% 40% 50% 60% 70%

Yes

No

Does your facility have an IV efficiency system in place?

0% 20% 40% 60% 80%

100%

75%-99%

50%-74%

less than 50%

How compliant do you feel your hospitals are with regards to hazardous drug handling standards, specifically USP <800> and your state board of

pharmacy requirements?



0% 20% 40% 60% 80%

Yes

No

Has your site(s) implemented sterile compounding automation?

0% 20% 40% 60% 80% 100%

Yes

No

Does your site currently use an outsourcing manufacturer to supplement sterile compounding

needs?



0% 10%20%30%40%50%60%70%

Very safe (would give to myfamily)

Safe (selectively give to myfamily)

Neutral

Concerning (with considerablescrutiny

Do not use (No better thanNECC)

How confident are you with the current outsource manufacturing 503B market with regards to safety?



Managed care strategies

0% 20% 40% 60% 80% 100%

Yes

No

Do you have your own outpatient/retail pharmacies?

0% 20% 40% 60% 80%

Yes

No

Do you have your own specialty pharmacy?



0% 10% 20% 30% 40% 50% 60%

Yes

No

Do you have your own mail-order pharmacy? (i.e. for traditional retail meds, not specialty)?

0% 10% 20% 30% 40% 50%

No, not really

A little

Yes, we have quite a lot ofinvolvement

Is "pharmacy services? involved in design and management of the pharmacy benefit for

employees?



0% 10%20%30%40%50%60%70%

We don't have our ownpharmacies

We have our own pharmacies,but there is no incentive for…

Yes, copay incentive

Yes, use of our pharmacies ismandatory for employee Rx…

For the pharmacy benefit for your employees -- is there a copay incentive or other incentive (e.g., mandatory) for

employees to fill prescriptions at your pharmacies?

0% 20% 40% 60% 80% 100%

Not applicable - we don't fillemployee Rx's, and /or we are

not a 340B covered entityWe are a 340B covered entity

filling prescriptions foremployees, but we don't have…

Yes, we do have a "chronic careclinic" to help make more

employee prescriptions 340B…

Do you have a "chronic care clinic" to increase the number of employee prescriptions eligible for 340B (e.g., employees seen in the chronic care clinic, have a medical record, Rx

written by health system prescriber?



0% 10% 20% 30% 40% 50%

No applicable, we don't havespecialty pharmacy services

We have specialty pharmacy,but contracting is handled by

others, with little involvement…

Yes, we are intimately involvedin payer contracting for

specialty pharmacy services

Is Pharmacy involved in your contracting processes with payers/health plans for pharmacy services (particularly

speciality pharmacy and/or infusion services)?

0% 10% 20% 30% 40% 50% 60% 70%

Not applicable, we don't havespecialty pharmacy services

Yes, specialty pharmacycontracts are a significant

problem for us

No, specialty pharmacynetworks/contracts do not

seem to be a significant…

Is "specialty pharmacy contracting" seen as a problem for your health system, particularly inclusion of your specialty

pharmacy in various PBM or health plan networks?



0% 10% 20% 30% 40% 50%

Yes - for 2 years or less

Yes - for 2 years or more

No

Are you currently enrolled in a PSAO? If so, how long have you been in the PSAO?

0% 10%20%30%40%50%60%70%

Not applicable, we don't haveretail/specialty pharmacy…

Pharmacy has little or noinvolvement. We throw the…

Yes, we work closely with ourfinance/rev cycle/patient…

Pharmacy directly managesbilling/reimbursement for…

Is Pharmacy involved in billing/reimbursement for retail/specialty pharmacy services?



0% 10% 20% 30% 40% 50% 60%

Yes

No

If you are currently involved in Home Infusion, is Pharmacy involved in billing/reimbursement?

0% 10% 20% 30% 40% 50% 60%

Not applicable, our organizationdoes not have much organizedactivity around ACO strategies

We are developing or havedeveloped some ACO strategies,

but pharmacy has relatively…

Yes, pharmacy is intimatelyinvolved in developing our ACO

strategies

Is Pharmacy involved in your organization's ACO strategies?



0% 10%20%30%40%50%60%70%

Not applicable, our organizationdoes not have much organized

activity around pop health…

We are developing or havedeveloped some pop health

strategies, but pharmacy has…

Yes, pharmacy is intimatelyinvolved in developing our pop

health strategies

Is Pharmacy involved in your organization's population health strategies?

0% 20% 40% 60% 80% 100%

Yes, agree they are pretty muchthe same

No, for our organization theyare different

From my perspective, "ACO strategies" and "Population Health strategies" are pretty much the

same thing



Measurement and management

0% 10% 20% 30% 40% 50% 60% 70%

All/Almost All

Majority

Some

Few/None

Have you identified key processes in each of your major pharmacy service areas?

0% 10% 20% 30% 40% 50% 60% 70%

All / Almost All

Majority

Some

Few / None

Does the pharmacy have visual process maps for your identified key processes?



0% 10% 20% 30% 40% 50% 60%

All / Almost all

Majority

Some

Few / None

Does each key process have an associated policy and procedure P&P?

0% 10% 20% 30% 40% 50%

All / Almost all

Majority

Some

Few / None

Does each key process have an associated standard operating procedure (SOP)?



0% 10% 20% 30% 40% 50% 60%

Past 3 months

Past 6 months

Past 12 months

Past 24 month

25 months or greater

How recently have your process maps, P&P and/or SOPs been reviewed and updated?

0% 10% 20% 30% 40% 50%

All / Almost all

Majority

Some

Few / None

Does the pharmacy have volume metrics for each of the identified key processes?



0% 10% 20% 30% 40% 50% 60% 70%

Manual ad hoc data collection

Manual routine data collection

System(s) generated "canned"reports

Custom / ad hoc systemgenerated reports

How are most of your volume metrics data elements collected or obtained?

0% 20% 40% 60% 80% 100%

Daily

Weekly

Monthly

Quarterly

Ad hoc

How frequently are your volume metrics collected and reported?



0% 10% 20% 30% 40%

Pharmacy Service Area lead…

Pharmacy Assistant /…

Pharmacy based analytics

Finance department analyst

IT based analyst

Other

Who primarily analyzes, trends and reports your volume metrics?

0% 10% 20% 30% 40% 50% 60% 70%

All / Almost all

Majority

Some

Few / None

Does the pharmacy have productivity metrics for each of the identified key processes?



0% 10% 20% 30% 40%

Manual ad hoc data collection

Manual routine data collection

System(s) generated "canned"reports

Custom / ad hoc systemgenerated reports

Other

How are most of your productivity data elements collected or obtained?

0% 10% 20% 30% 40% 50% 60% 70%

All / Almost all

Majority

Some

Few / None

Does the pharmacy have performance metrics (process, outcome, satisfaction, etc.) for each of the

identified key processes?



0% 20% 40% 60% 80%

0.25-0.5

0.5-1

1-2

2-4

>4

What would be a reasonable FTE estimate for personnel time utilized to prepare your

performance metrics?

0% 10% 20% 30% 40% 50% 60%

1-2

3-5

5-10

>10

How many systems do you need to access in order to obtain system generated reports for the key process

metrics you collect?



0% 10% 20% 30% 40% 50% 60% 70%

Data access/availability

Analytic resources

Other

What are the primary challenges in obtaining data for metrics?

0% 20% 40% 60% 80% 100%

Internal

External

Both

Are your key metrics benchmarked internally within your health system, externally or both?



0% 20% 40% 60% 80% 100%

Yes

No

Do you prepare and report pharmacy service area or department dashboards within the hospital

pharmacy department or health system pharmacy program?

0% 10% 20% 30% 40%

Volume

Productivity

Outcome

Financial

Which of the pharmacy key metrics types are utilized in the executive dashboard?



0% 10% 20% 30% 40% 50% 60%

Essential

Very valuable

Valuable

Somewhat valuable

Not valuable

How valuable is a well defined and organized pharmacy key process and metrics package be in the day to day operation and reallocation of current resources and/or justification of

additional programs needs for a pharmacy service area supervisor/manager/ass

0% 10% 20% 30% 40% 50% 60% 70%

Essential

Very valuable

Valuable

Somewhat valuable

Not valuable

How valuable is a well defined and organized pharmacy key process and metrics package be in the day to day operation and reallocation of current resources and/or justification of

additional program needs for a pharmacy department or program at the hospita



Leadership development and succession planning

0% 10% 20% 30% 40% 50% 60% 70%

Yes

No

Do you have a personal Mission and Vision Statement?

0% 20% 40% 60% 80% 100%

Yes

No

Do you have a formal Pharmacy Strategic Plan that covers the next three years?



0% 10% 20% 30% 40% 50% 60% 70%

Yes

No

Do you have a formal Succession Plan for key Pharmacy leadership positions?

0% 20% 40% 60% 80%

Yes

No

Does your organizational have a formal Leadership Development Plan?



0% 10% 20% 30% 40% 50% 60%

Yes

No

Does your organization have a formal Leadership Succession Plan?

0% 20% 40% 60% 80% 100%

Yes

No

Does your organization conduct regularly scheduled surveys of the perceptions of employees

related to a Culture of Safety?



0% 20% 40% 60% 80% 100%

Absolutely no

Doubtful

Not sure

Possible

Definitely yes

"Leadership development" will be one of my Top 10 written objectives for 2019?

0% 10% 20% 30% 40% 50%

Absolutely not

Doubtful

Not sure

Possible

Definitely yes

Creating a "succession plan" will be one of my Top 10 written objectives for 2019?



0% 10% 20% 30% 40% 50% 60% 70%

Strongly disagree

Disagree

Not sure

Agree

Strongly agree

In my organization, leadership development and succession planning should be given more attention

during the next 1-2 years.



Future direction of the BOP Forum

0% 10% 20% 30% 40% 50% 60%

Not at all interested

Slightly interested

Somewhat interested

Very interested

Extremely interested (this willbe one of my top 2-3 meetings)

What is the relative interest in continuing these BOP Forum sessions?

0% 10% 20% 30% 40% 50% 60% 70%

1 national meeting

2 national meetings

1 national meeting plus 2-3regional meetings

If we continue how many meetings should we hold each year?



0% 20% 40% 60% 80% 100%

Keep the group fairlyconsistent, let the group buildsome stability and momentum

Try and add some newmembers and change/rotate

attendees, to keep things freshand recognizing not everyone

will have time to come to…

CPO/DOP attendees?

0% 10% 20% 30% 40% 50%

1Q

2Q

3Q

4Q

Not sure, does not matter

When should we schedule BOP Forums?



0% 20% 40% 60% 80% 100%

Stick to middle of the country(e.g., Dallas, Chicago) for

national meetings

Move national meeting aroundcountry, including east and

west coast

Where should we try and hold BOP Forums?

0% 20% 40% 60% 80% 100%

Strong No

Probably not

Not sure

Might be worth a try

Strong Yes

Should we try to add some developing leaders to the Forums?



0% 10% 20% 30% 40% 50% 60% 70%

Yes, a forum with a mix of CPO'sand our bosses would be very

useful

No, I don't think the mix of CPO'sand administrators would work,

or the administrators would…

Not sure

Should we look at creating a Forum that includes administrators?

0% 10% 20% 30% 40% 50%

Don't really need much. Thenetworking and peer…

Publications targeting seniorleaders (e.g. Becker's, HFMA,…

Platform presentationstargeting senior leaders (e.g.,…

Webinars for pharmacy leadersoutside the BOP Forum group

Other

What do we want for a work product or deliverable from these Forums?



0% 20% 40% 60% 80% 100%

Yes

No

Possibly

Visante identifies technology, software, service and other vendors in the marketplace with new or innovative offerings that we believe could significantly benefit our hospital and health system clients. Would you be interested in hearing

about these off

discussion polling questions - visante · specialty pharmacy services yes, specialty pharmacy...

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