KU School of Pharmacy Campus ConventionMonte Overcast, Pharm.D., BCPS

February 21, 2015

Parallon (legally known as Parallon Business Solutions LLC) is a

leading provider of healthcare business and operational services.

Parallon partners with hospitals and healthcare systems to improve

their business performance and patient outcomes through proven

practices in revenue cycle; technology; workforce management and

consulting; as well as purchasing and supply chain management

through HealthTrust Purchasing Group, LP. Together with its

affiliates, Parallon employs more than 24,000 professionals

and serves more than 1,400 hospitals and 11,000 non-acute

care providers, including ambulatory surgery centers, physician

practices and alternate care sites. For more information, visit

parallon.com or follow @ParallonConnect.

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The Road Less Traveled

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Tommy Boy - 1995

Tommy: Did you hear I finally graduated?Richard Hayden: Yeah, and just a shade under a decade too. All right.Tommy: You know a lot of people go to college for seven years.Richard Hayden: I know, they're called doctors.

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“If at first you don’t succeed, lower your standards.”

Path to Current Position

University of Missouri – Columbia (Health profession path)University of Missouri – Kansas City School of PharmacyPGY1 Pharmacy Practice Residency – University of FloridaClinical Pharmacist – Critical care focusBCPS CertificationClinical Coordinator Clinical Pharmacist – Internal medicine team coverageClinical Pharmacist – Ambulatory care with PGY1/PGY2Current position – HCA MidAmerica Division Director of

Clinical Pharmacy Services

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A Day in the Life – Example ActivitiesGroup calls with DDCP group across the companyDivision level pain management performance improvement

committeeFacility meeting with local clinical coordinator, clinical

pharmacists, and endocrinologist – conversion from SSI to basal/bolus approach to improve glycemic control

HCA group CFO and corporate pharmacy leadership WebEx call

Meeting with higher level division leadership (“Os” or “C-suite”) regarding possible creation of a new position Need expertise in specialized area – goal of improved quality of patient

care, treatment consistency, evidenced based approach, and outcomes Discussed justification, expected benefit of position addition, etc.

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A Day in the Life – Example ActivitiesDrug class reviews

Assigned two classes annually to be disseminated to all HCA hospitals Currently overhauling and creating a diabetes resource to include all

AHFS classes of antidiabetic agents

Meetings with division DOPs and clinical coordinators Discuss clinical interventions, initiative progress, financials for division

and company, ISMP, literature/guideline updates, etc. Focus on current year targeted initiatives

Meetings with division supply chain leadership (CEO) Wide focus but includes performance on initiatives, drug spend,

challenges, successes

Initiative creation and development Examples, conversion to basal/bolus insulin for inpatient glycemic

management, improve appropriateness of parenteral nutrition, etc.

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Advantages and Disadvantages

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Advantages:•Broad footprint across multiple hospitals to impact patient care•Flexibility (schedule, initiative driver)•Multidisciplinary interaction at multiple levels (corporate, division, hospital)•Day to day activities vary broadly making for stimulating and ever changing environment •Minimal travel due to concentrated Kansas City market for HCA hospitals•Clinical pharmacy thought leader all the way to the corporate level•Opportunity for teaching and mentoring

Disadvantages:•Lack of direct patient care interaction within hospital•Initiative implementation due to local hospital challenges & obstacles •Many interactions are remote (calls, WebEx, etc.) and not face-to-face•Maintaining consistency with clinical pharmacy services across the division hospitals•Limited site visit time in each facility due to division and corporate responsibilities and deadlines

Student TipsResidency trainingConsider board certification (BPS)Consider an MBA and/or HEOR (Health Economics and

Outcomes Research) trainingFocus on work/life balance while striving for professional

satisfaction and goal pursuit Have an open mind as opportunities present themselves

Your career path may go directions you didn’t plan – enjoy the ride

Be a trailblazer always looking for opportunities to improve: Clinical Pharmacy services Quality of care Patient safety Etc.

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Be a Pharmacy Trailblazer

“Do not go where the path may lead, go instead where there is no path and leave a trail.”

- Ralph Waldo Emerson

“Two roads diverged in a wood, and I – I took the one less traveled by, and that has made all the difference.”

- Robert Frost

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