Mid Year Update - Book

BAYLOR
SCOTT
AND
WHITE
HEALTH
PHARMACY
Mid Year Update
FY2017

2

BAYLOR
SCOTT
AND
WHITE
HEALTH
PHARMACY
TABLE
OF
CONTENTS
OVERVIEW Page 3
PEOPLE Page 9
QUALITY Page 22
FINANCE Page 32
SERVICE Page 36
3

4

MISSION AND VISION
5

ABOUT US
23 HOSPITALS
24 RETAIL PHARMACIES
#1 LARGEST EMPLOYER IN TEMPLE #5 LARGEST EMPLOYER IN DFW
Vision 2020
6
Become one of the “Top 3” health care systems
in the nation, strategically positioned as a
fully integrated delivery network for providers
implementing population health.

2017 BSWH PHARMACY GOALS
People
• Evaluate options to sponsor an ASHP approved
Pharmacy Technician Training program
• Enhance residency program by preceptor development,
staff development, post-residency placement, and
PGY2 program
Quality
• Perform USP800 GAP Analysis and Action Plan
• Centralize BHE Drug Utilization Reviews
• Enhance a culture of Medication Safety by: standard
concentration, pump library alignment and crash cart
alignment
• Develop an Ambulatory Antimicrobial Stewardship
strategy in conjunction with the Health Plan, BSWQA,
and the BSWH Antimicrobial Stewardship Council
• Continued quality improvement by: IV process check,
MedMined optimization, EHR gap analysis of
pharmacy workflows, ADM coordination, and feasibility
of centralized fills
Finance
• Capture drug spend savings > $2M from contracting,
formulary alignment, utilization and formulary
compliance
• Alignment of CDMs
Service
• Add 4 BHE stores
• Grow pharmacy practice to align with ACO in the
following areas: Pharmacy Med Review, transition of
care, chronic disease
• Enhance Nursing satisfaction across Baylor Scott &
White Health on a five point scale
• Enhance patient and customer satisfaction across
Baylor Scott & White Health and Baylor Health
Enterprise.
• Evaluate opportunities to increase ambulatory specialty
services
7

LEADERSHP
David Watson
System Director,
Informatics
Sidney Phillips
Division Director,
North Texas
Heath Huston
Pharmacy
Analyst
Tammy Cohen
Vice President,
Pharmacy
Services
Paul Godley
System Director,
Ambulatory &
Specialty
Pharmacy
Leon Jacobs
Project Manager,
Procurement
Jason Trahan
System Director,
Medication
Safety
Rema
Thyagarajan
System Director,
Clinical Services
8

LEADERSHP
Tammy Cohen
Vice President,
Pharmacy
Services
Eric Gaines
Division Director,
North Texas
Paul Godley
System Director,
Ambulatory &
Specialty
Pharmacy
Ping Du
Vice President,
BHE Pharmacy
Services
David Boyett
Manager
Pharmacy Tech
Operations
Valerie
Tuquero
Marketing
Program
Manager
John Wilson
Division Director,
Central Texas
9

COMMUNICATION
• Weekly Newsletter to
Pharmacy Leaders
• The Newsletter includes
‒System Updates: Operations,
Clinical, Medication Safety,
and Procurement
‒Highlight Great Catches,
Awards, Service
• Pharmacy Leaders add site
specific information and send
out to their staff
10

COMMITTEES
Pharmacy Councils
Pharmacy &
Therapeutics Council
Retail Council
Pharmacy Council
Pharmacy Committees
340b Ops
Clinical
Retail
EPUG
Clinical
Liaisons
Inpatient
Operations
Rx
Residency
Directors
P&T
Antimicrobial
Stewardship
Buyers
Medication
Safety
Retail
Operations
Pharmacy Task Forces
Oncology
BCPS
Network
TSBP IV
Updates
Policy and
Procedure
Discharge
Antimicrobial
Stewardship
USP 800 ADM Contracting NICU Metrics Billing (retail)
11

12

13

STATE & NATIONAL REPRESENTATION
Texas Society of Health-System
Pharmacists serves the pharmacy
professionals of Texas. TSHP
provides networking opportunities, education, mentorship,
competitions, awards and much more for its
members.
‒ Sidney Phillips – President
‒ Tammy Cohen – President-Elect
‒ Lloyd “Boots” Thurman – Vice-Chair, Council on
Communication Affairs
American Society of Health-System Pharmacists
represents pharmacists who serve as patient care
providers in acute and ambulatory settings. The
organization’s more than 43,000 members include
pharmacists, student pharmacists, and pharmacy
technicians. For over 70 years, ASHP has been at the
forefront of efforts toimprove
medication use and
enhance patient safety.
‒ Tricia Meyer – Council on Pharmacy Management
‒ Tammy Cohen – ASHP Section of Pharmacy Practice
Managers’ Advisory Group on Multi-Hospital Health System
Pharmacy Executives
14

PHARMACIST & TECHNICIAN OF THE YEAR
The Pharmacist of the Year and Technician of the Year
awards were designed to highlight pharmacist and
technicians that exemplified the Baylor Scott and White
values of Servanthood, Integrity, Teamwork, Excellence,
Innovation and Stewardship.
Pharmacist of the Year
Technician of the Year
Central Texas
Yolanda Vera, PharmD
Central Texas
Misty Reddin, CPhT
BHE Retail
Maria Racapero, PharmD
BHE Retail
Jamie Evans, CPhT
North Texas
Brian Meadors, PharmD
North Texas
Lucille Lasley, CPhT
15

U-Rx-CELLENT AWARDS
The U-Rx-Cellent Awards are presented to pharmacy staff
that have shown outstanding initiative and are nominated by
their peers, other staff members and leadership.
Team Focus: Going above and beyond for the team
Melissa Scott, Jennifer Chanthanouvong, Russell
Griffin, Sindel Kopp, Melissa Rios, James Martinez,
Rosa Cardona, Teresa Nunez, Megan Sowders, and
Janice Thompson
Medication Safety: Great Catch
Beth Lohr, Marlin Carpenter, Danny Pham,
Mike Jung, David Nguyen, Kristine Gililland,
Cody Greenlaw, Inga Shivers, and Ed Vaughn
Patient Focus: Making an impact on
patients
Robert Stewart, and Christopher Capella
Innovation: Creativity
Stephanie Walden, and Hope Rios
16

BILL ASTON QULAITY SUMMIT
The Bill Aston Quality Improvement Summit recognizes teams across
the system that utilize rapid-cycle improvement methods and tools to
improve and sustain best care practices aligned with the Circle of Care
focus areas of People, Quality, Service and Finance. There are 12
awards – 1st, 2nd and 3rd place in each of the four focus areas. This
year Pharmacy staff participated in 12 projects that were nominated for
an award. Of the 12 projects nominated 5 of the projects received an
award! Congratulations to the following teams!
Awards
1 st Place Winner – People: Fab 50 Good Catch Program
Baylor University Medical Center at Dallas – Jeannine Thomas
2 nd Place Winner – Quality: Improving Deliver of Pain Medication for Long Bone Fractures in the ED
Baylor Scott & White Medical Center Carrollton – Justin Ong
3 rd Place Winner – Finance: Antibiotic Stewardship: Decreasing Utilization of Meropenem
Baylor Scott and White Medical Center Carrollton – Sidney Phillips, Sweta Patel, Khushali Bhatt,
Mustafa Bhimani, Usha Kottoor, Chow Yin Lam, Juan Oliva, Justin Ong, Stacy Romero, Xiao-Rong
Wang and Rema Thyagarajan
3 rd Place Winner – Quality: “Let’s Get Moving”: Mobilization of the Critical Patient in the Intensive Care
Unit (ICU)
Baylor Scott & White Medical Center Garland – Melanie Strickland
3 rd Place Winner – People: Improving Pharmacy Practice Through Management of Order Message
Manager (OMM)
Baylor Scott & White Medical Center Waxahachie – Lance Richards and Darnisha Stafford
Nominations
Automated Dispensing Cabinet Optimization
Baylor University Medical Center – Sidney Phillips, Angela Straza, Priya Patel, Patricia Daniels, Jason
Murray, Tedra Carter, Michelle Powell and Lloyd Thurman
Anticoagulation: Warfarin Dosing
Scott & White Clinics, Temple Region – Emory Martin and Kim Baty
Acid Suppression Therapy Management by ICU Pharmacists
Scott & White Memorial Hospital Temple – Tricia Meyer, Sarah Westbrook, Gary Blair, Brad Andersen,
Andrea Evans, Mande Hasting, Summer Hayes, Helen Rogers and Su-Fei Yang
Cost Savings with Isoproterenol
The Heart Hospital Baylor Plano – Mijiroghene Okobiah, Lucille Lasley, Alina Buono and Health Huston
Reducing Length of Stay for the Sickle Cell Patient
Baylor Scott & White All Saints Medical Center Fort Worth – Kristin Gililland and Cade Colson
Discharge Phone Calls
Baylor Scott & White Medical Center Plano – Danny Pham
Get Me to the CT On Time: Improving Stroke Care for Patients in the Emergency Department
Baylor Scott & White Medical Center Waxahachie – Farrukh Khan
17

AWARDS AROUND THE SYSTEM
Meeghan Abraham, PharmD, RPh, was
selected as The Heart Hospital Baylor
Denton’s Exceptional Employee by the Staff
Nurse Council. Meeghan is being
recognized as an Exceptional Employee
because of the care and education she
gives to our patients, the nurses and her
pharmacy colleagues.
Theresa Yarger received a Spirit of
Excellence Award at Baylor Scott & White
All Saints Medical Center – Fort Worth. She
was nominated by the Transplant Research
nurses for her work as the investigational
pharmacist for Abdominal Transplant and
Hepatology Research.
Congratulations India Crockem and
Elizabeth Rios from Courtyard pharmacy!
Both ladies were cordially invited to the BAS
Employee Awards Dinner on November 5,
2016 to be honored for their excellent
customer service.
Solomiya Bolyukh and Liza Martin received
the President’s award at Baylor Scott &
White Medical Center – Grapevine.
18

AWARDS AROUND THE SYSTEM
Claire McGough, Manager –
BSWMC Grapevine, received the
Leader of the Month award.
We congratulate Paul Sulak, RPh from
BSW Med Ctr- Hillcrest for being
recognized at his facility for extraordinary
compassionate care in September. The
Sunshine and Daisy Award nominees
personify a remarkable patient experience
at BSW Medical Center Hillcrest. They
demonstrate excellence in the
extraordinary and compassionate care
they provide. Thank you and keep up the
great work Paul
Marlin Carpenter, Pharmacist at The
Heart Hospital Baylor Plano,
received employee of the month for
the hospital!
19

BOARD CERTIFICATION
The Board of Pharmacy Specialties ® was established in 1976 as an
autonomous division of the American Pharmacists Association. The
purpose of the BPS certification programs is to grant recognition of
appropriate pharmacy practice specialties based on criteria
established by BPS; to establish standards for certification and
recertification of pharmacists in recognized pharmacy practice
specialties; to grant qualified pharmacists certification and
recertification in recognized pharmacy practice specialties; to serve
as a coordinating agency and informational clearinghouse for
organizations and pharmacists in recognized pharmacy practice
specialties; and to enhance public/consumer protection by
developing effective certification programs for specialty practices in
pharmacy.
Currently there are more than 20,000 pharmacists worldwide who
are BPS board certified in eight specialties: ambulatory care
pharmacy, critical care pharmacy, nuclear pharmacy, nutrition
support pharmacy, oncology pharmacy, pediatric pharmacy,
pharmacotherapy and psychiatric pharmacy.
Congratulations to the following employees who
became board certified
20
Jenny Dang, BCPS
Angela Minimah, BCPS
Leanne Current, BCPS, BCCCP
Sarah Harrison, BCCCP
Joe Kramer, BCPS, BCCCP
Sharmin Zaman, BCPS
Amanda Williams, BCPS
Noel Tramel, BCPS
Corey Smith, BCOP
Jill Merritt, BCPS
Jennifer Roth, BCPS, BCCCP
Jessica Trojacek, BCPS
Jessen Thomas Koshy, BCPS
Aaron Zajicek, BCPS

21

POSTER PRESENTATIONS AT ASHP - RESIDENTS
Evaluation of pharmacist involvement
in Medicare Wellness Visits
Tram Tran, PharmD
Fluoroquinolone use after
Antimicrobial Stewardship Program
Implementation
Ashley Feik-Campbell, PharmD
Clinical impact on empiric carbapenem
use in the emergency department and
intensive care units after implementation
of antimicrobial stewardship and a
clinical decision support tool
Brent Ottarski, PharmD
A system-based quality
improvement focus on accurate
patient weights
Alyssa Sinkov, PharmD
22
Impact of pharmacy residents and students
on patient outcomes in a smoking
cessation program at outpatient charity
clinics: a retrospective study
Rolake Kuye, PharmD
Implementation of an information
technology system to improve
antibiotic stewardship process in a
pediatric institution
Jennifer Brasher, PharmD

POSTER PRESENTATIONS AT ASHP - RESIDENTS
Impact of pharmacists’ interventions
in an anticoagulation clinic: a
retrospective chart review
Peterson Monestime, PharmD
Identifying factors of sever
clostridium difficile diarrhea in the
neutropenic host
Luke Weber, PharmD
Impact of pharmacists performing medication
reviews during hospital discharge follow-up
visits at a family medicine clinic
Vicente Aparicio, PharmD
Narrow spectrum empiric antimicrobial
therapy for ventilator-associated
pneumonia in critically ill trauma patients
Holly Krohn, PharmD
Empiric micafungin therapy and risk
factors for candidema
Amy Carr, PharmD
Application of the 4Y Score in patients
receiving Extracorporeal Membrane
Oxygenation (ECMO) with suspicion of
Heparin Induced Thrombocytopenia (HIT)
Ellen Colman, PharmD
23

POSTER PRESENTATIONS AT ASHP - RESIDENTS
Effect of risk-stratified mycophenolate
mofetil dosing in heart transplantation
outcomes
Joanna Wu, PharmD
Evaluation of inpatient management of
supratherapeutic INR in warfarin patients
Alejandra Ibarra, PharmD
Antibiotic prescribing patters in adults
diagnosed with nosocomila pneumonia:
Retrospective chart review
Sana Qureshi, PharmD
Antibiotic prescribing patters in
pyelonephritis
Justin Shanks, PharmD
24
Rates of drug therapy problems in an
inpatient heart failure population readmitted
within 30 days of previous hospitalization
Brette McDonald, PharmD

POSTERS PRESENTATIONS AT ASHP - FELLOWS
Clinical Validation of a Rheumatoid
Arthritis Algorithm at a Health Plan
Located in Central Texas
Stephanie Yu, PharmD
Impact of Medication Interactions on
Clinical Outcomes with Concomitant
Rivaroxaban Therapy
Joseph Goble, PharmD
25

PUBLICATIONS
‒ Published manuscript: Melody Tran, Pin
Xiang, Paul J. Godley; Predictors of
Appropriate
Pharmacotherapy
Management of COPD Exacerbations and
Impact on 6-month Readmission. J Manag
Care Spec Pharm 22 (10), 1186-1193.
‒ Masters thesis: Pin Xiang: Long-Term
Healthcare Resource Utilization and Costs
among Heart Failure Patients with
Reduced and Preserved Ejection Fraction.
Final defense scheduled for Spring 2017;
Joint Masters Degree program between
BSWH & The University of Texas at Austin.
26

CLINICAL SERVICES
AMBULATORY SERVICES
MEDICATION SAFETY
PHARMACY INFORMATICS
INPATIENT OPERATIONS
BAYLOR HEALTH ENTERPRISE
REGULATORY

WELCOME
It's official. Baylor Scott & White Health – Lakeway is
on our team. Effective Sept. 1, 2016, Lakeway
becomes the newest member of our System's
growing, statewide network. The 106-bed hospital is
now called Baylor Scott & White Medical Center –
Lakeway, operated as part of Baylor Scott & White
Medical Center – Round Rock, and will become a
member of our Austin/Round Rock region of
hospitals and clinics.
28

CLINICAL UPDATE
Pharmacy and Therapeutics Council
‒ 13 drug classes reviewed
‒ 11 policies and procedures reviewed and approved
‒ 16 monographs reviewed
‒ 4 guidelines approved
Antimicrobial Stewardship
‒ Expanded deployment of MedMined to reduce North
Texas sites antibiotic overuse and encourage deescalation
in August 2016
‒ Antimicrobial stewardship mobile platform application
(Dorsata) launched in June 2016
‒ Approved 6 guidelines and 2 policies/protocols.
‒ Top 50 abx spend decreased by 4.9%.
‒ Initiated Outpatient Stewardship Committee – first
meeting was in Dec 2016
29

AMBULATORY UPDATE
Baylor Community Care Clinics
‒ Exceeded MTM Year 5 DSRIP goals by the 34% (Irving), 38%
(Garland), 62% (BUMC), and 66% (All Saints).
‒ Pharmacists at BCC clinics currently manage
INR/Anticoagulation at 2 clinics, and have approximately 100
patients enrolled.
‒ PDSA/Chronic Medication Project Management has
expanded to 5 clinics, and our pharmacists are currently
managing 97 patients.
30
Baylor Scott & White Quality Alliance
‒ Implementation of the new SWHP employee pharmacy
benefit with BSWQA management resulted in a 8.6%
decrease in drug costs in 2016 resulting in an estimated
savings of $3.5million for the 36,000 member NTX employee
group.
‒ BSWQA initiatives increased the employee generic utilization
rate from 84% to 86%.
‒ BSWQA P&T Committee initiated integration of key
performance indicator reviews for other contracts: Aetna,
United and Humana

MEDICATAION SAFETY
Expanded Medication Safety Culture
‒ IV Pump Library Improvements
• CTX
o Coordinated Pharmacy / Patient Safety training on Carefusion Knowledge
Portal
o Utilize of Guardrails safety software has increased from 82.47% (June
2016) to 93.82% (December 2016)
o Work to standardize data sets (libraries) underway
• NTX
o Improvements presented Nationally for Association of Advancement of
Medical Instrumentation (July 18, 2016).
• Led to interview by ECRI Institute on October 6 th .
o PCA Pump Library Redesign Proposal created to decrease programming
steps for nurses.
o Statistically significant decrease in alert rates [99% CI for difference (2.729,
2.883) p

INFORMATICS
Informatics – North Texas
‒ Alteplase Ordering: TPA Pulmonary Embolus, TPA Stroke and TPA IR order sets
‒ Anesthesia Meds in Allscripts Project
‒ Antibiotic Stewardship: Patient Education
‒ Breast milk Scanning Project
‒ CTX Acute Hospital Project: IRX Epic-Memorial Site visit
‒ epoprostenol inhalation (FLOLAN) design project
‒ Glycemic Management project : insulin pump and insulin IV to SC transition workflows
‒ Insulin Pen Safety Design
‒ JCode Billing/JW Modifier Wastage Project
‒ Lakeway Cut-over and support 8/31-9/1
‒ MedMined Patient Event Advisor Project Go-Live: Summer 2016
‒ New Pharmacist On-boarding/ PGY2 Resident Training
‒ NICU Team Participation: Max Dosage on Drip Form, Zidovudine Order Set
‒ Non-Formulary, RX Only Order clarifications
‒ NS Sepsis Bolus design/testing
‒ NxStage Conversion to BBraun BUMC, GRAPE, WAX, CAR, BAS, MCK, BHVH
‒ Omnicell/Pyxis User Maintenance Reports
‒ Remote Pharmacist Verification Project
‒ Review of Desensitization protocols
‒ RT coded frequency category clean up
‒ Saline Flush Order Set Project
‒ Therapeutic Duplication PRN Reason Project (On hold)
32
‒ Titrate Drip modifications (Max Doses) TJC Recommendation

INFORMATICS
Informatics – Central Texas
‒ Charge on Admin go-live, follow-up, support CTX sites
‒ Pyxis Scan on Refill report, developed KP and non-KP options, implementation and
training, CTX sites
‒ Epic SW Formulary med list synchronization with BSW formulary
‒ Antibiotic Stewardship – Indication on Orders, 48hr Timeout SOPs, med list review
‒ BSW Medical Center – Lakeway: cutover, PIC and ongoing support
‒ Phacts software upgrade 1.2.10.1
‒ Pharmogistics to Cardinal SFTP ordering planning and go-live
‒ Alaris Pump server – site specific reporting data-CCH
‒ Outpatient pharmacy System (HCC): software and hardware upgrade and Kaseya
agent installs
‒ Herring REHAB, SNF closure planning and support
‒ Pyxis reporter install Hillcrest
‒ Ascend software upgrade
‒ Integrated Data Warehouse, data validation
‒ ED space/boarder unit and Cath Lab/EP Pyxis planning, implementation and support
‒ Pharm Admin/Informatics resident rotation
‒ FLU/PCV implementation, support
‒ EP lab Pyxis nurse workflow, training and implementation
‒ NICU CII safe install and go-live
‒ Internal Audits: support, reports, issue follow-up and resolution
‒ JW modifier project: data reviewed, report training and support
‒ Pharmacy charge standardization workgroup
33

OPERATIONS
Completed
‒ Initiated Centralized Order Verification Project in NTX
‒ Implementation of JW Modifier in both divisions for Waste documentation
‒ Advanced HRSA Audit at BUMC
Underway
‒ Narcotic Waste Disposal Product
‒ Medication Pricing Standardization Project
‒ Policy and SOP Alignment Project
‒ 340b – Sentry SENTREX Implementation
‒ USP 800 Preparation
‒ Narcotic Process Standardization
North Division BUMC BAS BHVH THHBP THHBD Plano Carrollton Garland Grapevine Irving McKinney Waxahachie
Medication
Reconciliation
Patient
Education
Medication
Concierge
Medication
Assistance
X X X X *
* * * * * *
X X X X X X X X X X *
X
X
Central
Division
Medication
Reconciliation
Patient
Education
Medication
Concierge
Medication
Assistance
Memorial Continuing
Care
McLane
Children's
Brenham College
Station
Llano Round
Rock
Taylor Hillcrest
X X X X X
X X X X X X X X X X
X X * * * *
X
Marble
Falls
X - Completed
* - In progress
34

BAYLOR HEALTH ENTERPRISE
Baylor Health Enterprise
‒ Implementation of Regional Technician Supervisor position
to improve communication and staff training for all stores.
‒ Implementation of the Transfer Pharmacist (NTX) – A
position focused on meeting the state standard of having
prescriptions transfers completed within 4 business hours
to off load this duty from store based personnel so they can
focus on in-store customer service
‒ Standardization of discharge reporting metrics across the
division used to develop a performance dashboard for our
Medication Concierge Service focusing on Med-to-Bed
‒ Ongoing work to perform off site Pre Verification so two
pharmacist can review a script before it is filled for the
patient to reduce potential errors
‒ Complete policy and procedure review by combined
divisions through the Standards of Practice Committee
(SOP) to unify practices and further integrate practice and
improve quality.
35

REGULATORY VISITS
Regulatory scrutiny yielded 15 regulatory visits
to date
7
The Joint
Commission
Texas State
Board of
Pharmacy
4
2 CMS
Texas
Department
of Health
1
1
DNV
Healthcare
36

PROCUREMENT AND SHORTAGES
PHARMACY CONTRACTS

SHORTAGES
69% of nationwide shortages are not impacting
BSWH due to coordinated efforts to monitor, develop
mitigation strategies, shifting of supply and working
with manufactures
Minimized patient care impact and financial impact of drug shortages with
cross divisional managing
400
350
300
250
200
150
100
226 223 241
238
22%
34%
189
138
103
112
153 129 124
107
50
30% 20% 26%
27% 25% 21% 29% 37%
46% 39% 22% 32%
0
5% 3% 6%
3Q
2014
4Q
2014
1Q
2015
38%
7% 7% 3% 5% 6% 8% 6% 7% 4%
2Q
2015
3Q
2015
4Q
2015
1Q
2016
2Q
2016
3Q
2016
4Q
2016
BSW Critcal Levels Impacted BSW National
1Q
2017
2Q
2017
‒ Monitor Manufacturers and FDA activity
‒ Develop mitigation strategy based on situation alternative, shortage
item, long-term change in practice
‒ Communicate to buyers, leaders and clinicians
38
‒ Work with the wholesaler and manufactures to assure appropriate
ordering practice changes are made
Source: BSWH pharmacy, 01.09.2017

PPROCURMENT/ CONTRACTS
Procurement
‒ Monitored purchases to identify potential lost
savings opportunities, and to prevent incurring
service fees.
‒ Annual training for buyers to strengthen skills and
knowledge conducted.
‒ Coordinated drug conversion of system initiatives
to maximize cost savings opportunities
Contracts
‒ Coordinated 14 initiatives that resulted in >$1.8
million in savings
• Savings from scale, operational improvements and utilization
controls
• Tracking savings at the facility and by initiative level
• Data available on a monthly basis for performance
management, goal setting, and financial reporting by the
integration value team
39

BAYLOR HEALTH ENTERPRISE
NTX
‒ Prescription Count 209,691(22.4% increase y/y)
‒ Revenue – 27m (18.5% increase y/y)
‒ Additional profits pass back in areas of
• 758k for 340b
• 917k in charity care for social work and community clinics
• 860k in benefits for employee prescriptions
‒ Successful implementation of Sentrex (340b) Contract
Pharmacy Software at Pharmacy#108 (Irving).
‒ 6k Prescriptions delivered at bedside YTD through
Medication Concierge Program.
40
CTX
‒ Rx Revenue YTD – 8.6% Inc.
• $47,258,002– TY
• $43,521,906 – YTD Budget
‒ Total Revenue YTD – 6.2% Inc.
• $47,941,118 – TY
• $45,131,486 – LY
‒ Total Scripts YTD – 6.04% Dec.
• 445,533 – TY July-Dec
• 472,016 – LY July-Dec
‒ Operating Margin YTD – 53.6% Inc
• $5,783,424 – TY
• $3,765,742 – LY

SERVICE INITIATIVES
System
This year we have offered 7 hours of CE!
‒ The Heart of the Matter: An Update of the 2015 ACLS Guidelines
Holly Krohn, PharmD
‒ Project Management Concepts for Pharmacy Resident Research
Emory Martin, PharmD
‒ Drug Dosing in Plasmapheresis
Ellen Colman, PharmD
‒ Considerations for Continuous Infusion Vancomycin
Joanna Wu, PharmD
‒ Chronic Non-Cancer Pain: The Use of Opioids in the Outpatient
Setting
Rolake Kuye, PharmD
‒ Updates to Antiretroviral Agents in HIV-1 Infected Adults and
Adolescents Guidelines
Peterson Monestime, PharmD
‒ Outpatient Antimicrobial Stewardship: An Important Need
Vicente Aparicio, PharmD
Post Graduate Year 2 Pharmacy Residency in Health-System
Pharmacy Administration
‒ Implemented a one-year PGY2 training program in Health-System
Pharmacy Administration, one of only two 1 year programs in the state
of Texas. Anticipated accreditation survey by the American Society of
Health-Systems Pharmacists in April 2017.
Baylor Community Care Clinics (BCC)
Increased annual patient encounters to 3,917, expanded BCC clinic
services to include anticoagulation services.
42
Population Health
‒ 23 Flu Shot Clinics – Off-site at SWHP Employer Groups
‒ Total Immunizations YTD
4914 – TY
‒ Total Revenue YTD
$233,425 – TY
‒ Total Margin YTD
$67,800 – TY

SERVICE INITIATIVES
Baylor Health Enterprise
CTX
‒ College Station Hospital Outpatient Pharmacy – Opened 11/2016
‒ Hillcrest Hewitt Clinic Pharmacy – Projected Opening 3/2017
‒ Hillcrest Bellmead Clinic Pharmacy – Projected Opening 5/2017
‒ Hillcrest MOB – Projected Opening 7/2017
‒ BHE CTX Medication Concierge Service
• Baylor Scott & White Medical Center – College Station
o 955 Discharged Prescriptions YTD
o 509 Patients served YTD
o Servicing 90% of Medical Center Departments
o 59% Capture Rate (# patients serviced/total patients
discharged to home)
o Service began 10/2015
• Baylor Scott & White Medical Center – Round Rock
o 1066 Discharged Prescriptions YTD
o 332 Patients served YTD
o Servicing 50% of Medical Center Departments
o 45% Capture Rate (# patients serviced/total patients
discharged to home)
o Service began 6/2016
‒ ScriptCenter Kiosks - TSBP approved demonstration project for BSW
Pharmacies in Carrollton & Round Rock Medical Centers; Projected
Go-Live dates 2/7/17 & 2/8/17
NTX
‒ Expanded store hours across the system to serve our
communities better.
Irving, McKinney, Garland, Plano, Waxahachie
‒ Astares Script Center Implementation
Allows after hours script dispensing after pharmacies are closed, pilots
for Carrollton and Round Rock
‒ MyBSW Pharmacy App Update
New Interface, Now allows the creation of Family Accounts.
‒ New Locations:
New Pharmacy in College Station, and new Dallas location
43

COMMUNITY ENGAGEMENT
Antimicrobial Stewardship Week
Caroline Cruz is set up in the cafeteria at Marble Falls Hospital this week to talk to
patients and providers about the appropriate use of antibiotics, the risks of over-use
and inappropriate use of antibiotics as well as our upcoming stewardship efforts. We
also used this time to distribute the Dorsata app flyer to providers as well.
Students (L) Zachary Lawrence, University of Louisiana Monroe, and (R) Andrew Tran,
University of Texas man an information table at Round Rock Hospital for Antimicrobial
Stewardship week.
For the third year in a row Grapevine pharmacy team members volunteered in
Operation Christmas Child. Andrea led the way by collecting the pharmacy box items
and working with Shirin to color and paint the boxes. Donna coordinated the
volunteering appointment dates while Grace, Claire, Donna, Andrea, Lauren & Teena
volunteered on the assembly line at the shipping warehouse. Great team effort for a
worthy cause!
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COMMUNITY ENGAGEMENT
In July Berni Patterson joined many other pharmacists in the Austin Area to work at the
Volunteer Health Clinic in Austin. She was partnered with Olivia, a technician from CVS,
and Catherine, a UT Biology student who would like to attend pharmacy school. That
evening they saw 25 patients – mostly allergy-related visits, a few infections and a few
refills on their maintenance meds for diabetes and hypertension. All agreed that it was a
fun night serving the Austin community and meeting other volunteer minded people!
Andrea Keyes, who is a BSWH - Grapevine pharmacist pictured right in green scrubs
providing medication education/review to patients at the Grapevine REC on Tuesday,
9/20/16 during the Falls Prevention Fair.
Great job Andrea for supporting and making the community outreach a success!
CareFlite, Baylor Plano HERT, and the City of Plano’s Department of Emergency
Management held an event in hour of National Preparedness Month at Baylor Scott &
White Medical Center at Plano last week. When the Plano Bomb Squad asked for a
volunteer to try on their Kevlar suite the director of pharmacy, Alina Buono, didn’t
hesitate at the opportunity!
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COMMUNITY ENGAGEMENT
Baylor Scott & White Health and McLane’s Children’s Hospital received recognition as
Big Red Community Partner from the Belton ISD Board for their work with the BISD
students that they host every spring!
BSW Residents Peterson Monestime, Tram Tran, and Rolake Kuye collaborated with
First Presbyterian Church of Dallas to conduct a medical mission trip to Haiti January
7 th –January 14 th . The trip was a truly unforgettable experience as they were able to
collaborate with health professionals from various disciplines to provide healthcare to
1165 patients in the city of Ft. Liberte and two rural villages. In addition, the residents
assisted with mentorship of high school students, and food distributions to needy
families. The mission trip was a success, and instilled the importance of participating
in healthcare outreach programs not only in the community, but globally.
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