1 / 12

Collaborative Data Mining in Pharmacy: Cost Avoidance and Innovations

This presentation by Dr. Robert Goodhope discusses the integration of business principles, clinical knowledge, and data technology to optimize pharmacy benefits and avoid costs within a rapidly changing healthcare environment. The focus is on mining outpatient pharmacy data for enhanced formulary management and resource utilization, leading to significant cost avoidance. With insights into effective practices and collaborative efforts across facilities, this presentation highlights how data mining can refine information into actionable outcomes, ensuring healthcare innovation remains at the forefront.

yonah
Télécharger la présentation

Collaborative Data Mining in Pharmacy: Cost Avoidance and Innovations

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Costs Avoided by Network 8 PBM

  2. Additional slides about CollaborativeData Mining in Rapidly Changing Environments Robert Goodhope, MD, MBA CMO Tallahassee VA Outpatient Clinic Chair Network 8 Pharmacy Utilization Committee

  3. Summary in Non-technical terms • Synergy from Melding Business Principles, Clinical Knowledge and Data Technology • Network 8 Pharmacy Benefits Collaboration • Desperately Needed a Low Cost Centralized Pharmacy Information Support System. Completed-1999 • Struggled with Many PBM Processes and Discovered Stark, Wheatley, Snowantle & others --1999-Present FOR MORE INFO... Look at the VISN 8 Home Page (http://vaww.visn8.med.va.gov)

  4. Data Recycled for Data Mining • Raw Outpatient Pharmacy Data • Emailed to National for One VA formulary • Copy Emailed to Server for Network 8 DataMart • Operational Transactions become Uniform Archival Data when transformed to Thirty Day Equivalent Rx *in Server Query Language • *Allows accurate Financial Metric comparisons • * Sine qua None Innovation by VISN 8 PBM • Accessible to Trained Searchers at each Facility

  5. Data Mining Evolution & Benefits • Data Mining Operations: • Prospecting, Nuggets • Test Holes • Mining Veins of Data • Refining “Mother Lode” into Beneficial Information • Data Mining Benefits: • Review: Outcomes Oriented Resource Utilization • Monitor: Effectiveness of Formulary decisions • Practice Trending: Drug Use and Lab Results

  6. Test Hole: Top 25 Drugs=45% of Drug CostVeins of Data: Cost Position by Quarter

  7. “Well begun is Half done . . . 49.7% of Benefit comes from 1% of effort.”

  8. Having Picked the Low Hanging Fruit And Having Shaken Tree --The Pony Waits For Windfalls-- Hoping for Branch Lowering Technology or Something New to stand upon

  9. The Soft Stuff of Managing Innovations Paradox: Innovations Require Conventions Most Important Where Change Most Rapid-- Margaret Wheatley

  10. He leads best who leads least, so in the end, they know they did it themselves- Lao Tse And form a Social Network which Outlives the Initial Collaboration –David Stark www.santafe.edu

  11. $ 1/4 Billion Cost Avoided & A Seminal Publication Parra D, Beckey N, Raval H, Schnacky K, Calabrese V, Coakley R, Goodhope R Effects of Splitting Simvastatin Tablets for Control of Low Density Lipoprotein Cholesterol American Journal of Cardiology 2005 95(12):1481-83. Cited 12 times (in addition to the Popular Press) theledger.com

More Related