KU School of Pharmacy Campus Convention Monte Overcast, Pharm.D., BCPS February 21, 2015

1. KU School of Pharmacy Campus ConventionMonte Overcast, Pharm.D., BCPSFebruary 21, 2015

2. 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.

3. The Road Less Traveled

4. Tommy Boy - 1995 “If at first you don’t succeed, lower your standards.” 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.

5. Path to Current Position • University of Missouri – Columbia (Health profession path) • University of Missouri – Kansas City School of Pharmacy • PGY1 Pharmacy Practice Residency – University of Florida • Clinical Pharmacist – Critical care focus • BCPS Certification • Clinical Coordinator • Clinical Pharmacist – Internal medicine team coverage • Clinical Pharmacist – Ambulatory care with PGY1/PGY2 • Current position – HCA MidAmerica Division Director of Clinical Pharmacy Services

6. A Day in the Life – Example Activities • Group calls with DDCP group across the company • Division level pain management performance improvement committee • Facility 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.

7. A Day in the Life – Example Activities • Drug 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.

8. Advantages and Disadvantages • 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

9. Student Tips • Residency training • Consider board certification (BPS) • Consider an MBA and/or HEOR (Health Economics and Outcomes Research) training • Focus 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.

10. 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