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Costs Avoided by Network 8 PBM

Costs Avoided by Network 8 PBM . Additional slides about Collaborative Data Mining in Rapid ly Changing Environments. Robert Goodhope, MD, MBA CMO Tallahassee VA Outpatient Clinic Chair Network 8 Pharmacy Utilization Committee . Summary in Non-technical terms.

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Costs Avoided by Network 8 PBM

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  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

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