10/3/2018 1 10/3/2018 How Pharmacies Implemented the Four - - PDF document

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10/3/2018 2 Brad Arthur, RPh, Owner, Black Rock Pharmacy Dared and Renee Price, PharmDs, Co-owners, Graves Drug Stores Hashim Zaibak, PharmD, Owner, Hayat Pharmacy NCPA 2018 Annual Convention

How Pharmacies Implemented the Four Disciplines of Execution

Disclosure

Dared and Renee Price and Hashim Zaibak declare no conflicts

• f interest or financial interest in any product or service

mentioned in this program, including grants, employment, gifts, stock holdings, and honoraria. Bradley J Arthur declares no conflicts of interest or financial interest in any product or service mentioned in this program, including grants, employment, gifts, stock holdings, honoraria, free cookies or smooth Bourbon.

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Learning Objectives

• 1. Discuss common barriers to implementing new programs

and goals in your pharmacy operation.

• 2. Outline peer-proven methods of organizing tasks and

developing a reporting structure to accomplish project goals.

• 3. Create a plan for project execution of your pharmacy goals

and accountability tools for achieving goals.

How 4DX Impacted… Hayat Pharmacy

Hashim Zaibak, PharmD

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Before…the whirlwind After…

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Why 4DX?

• Teams can choose a goal
• Gives accountability to the team
• Keep teams motivated and engaged

How 4DX Impacted Hayat Pharmacy

• Gives a goal to reach by the deadline
• Team involvement
• Teams have weekly commitments
• Creates communication amongst different teams
• Issues are being resolved

10/3/2018 6 “To get 90% of our EQuIPP adherence measures into green by the end of January”

Example #1: Wildly Important Goal

LEAD MEASURES:

• Hours of dedication
• Number of outliers

called

• Number of outliers

enrolled in Med Sync LAG MEASURE:

• Percentage of Equipp

adherence measures in green

Example #1: Wildly Important Goal

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SEPTEMBER

01

2017

93%

JANUARY

31

2018

74%

Results:

Example #1: Wildly Important Goal

To get 90% of our EQuIPP adherence measures into green by the end of January

Week Ending 11/18/17

10/3/2018 8 “Achieve GM of $85K weekly for all 11 Hayat Pharmacy locations by the end of November”

Example #2: Wildly Important Goal

LEAD MEASURES: Number of Rx’s sold:

• 1. Preferred diabetic supplies
• 2. Non-preferred diabetic supplies
• 3. Preferred prenatal
• 4. Non-preferred prenatal

LAG MEASURE:

• Weekly gross margin for

11 locations

Example #1: Wildly Important Goal

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What are your commitments for next week?

Follow-up on non-preferred diabetic supplies and non-preferred prenatal tablets Week Ending: 11/11/18

Did we accomplish

• ur commitments?

Yes!!! Week Ending: 11/18/18

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4DX motivates and keeps teams engaged by…

• Having teams pick their own…
• Wildly Important Goal
• Lead measures
• Set the bar
• Competing amongst each other during WIG meeting
• Choosing their own commitments for the following week
• Sharing success stories with larger group
• Celebrating win!

How 4DX Impacted… Price Pharmacies

Dared and Renee Price, PharmDs

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Why did we decide to try the 4 Disciplines Method

• Results from the last 7 years
• What changes have taken place in your organization in the last 7

years?

• Many new programs, any great ones?
• Couldn’t break free of the Whirlwind!!!!

The Whirlwind

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Timeline/Meeting logistics

• February 2018
• Renee and I decided upon Wildly Important Goals (WIGS)
• March 2018 – Held a staff meeting to come up with Lead

Measures

• Take the temperature of the group
• Get input and engagement
• April 2018 – Present
• Monday Morning WIG sessions
• Commitment and accountability
• Every week, almost without exception

WIG Session

Name: Whirlwind Survivor WIG 1: Move from Current Culture to SUPER Culture by date.

Lead Goal 1: Accomplish? Y N Lead Goal 2: Accomplish? Y N

WIG 2: Increase margin from X  Y by WHEN?

Lead Goal 1: Accomplish? Y N Lead Goal 2: Accomplish? Y N

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Sample Goals

• Ex WIG: Increase EQUIPP Score from 3/5 stars to 5/5 stars by

June 30, 2019

• Lead Measures
• Increase adherence patients
• Fax on diabetic patients not taking statin
• Send faxes on all high risk meds
• WIG Session weekly goals
• Add 3 patients to our adherence program
• Follow up on 5 faxes for diabetic patients in need of statin
• Put notes in 5 HRM drugs

WIG SESSION

• WIG Video

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Keeping Score

• Scorecard
• Must be EASY TO READ!!!
• Friendly competition
• Rewards/incentive programs

What has changed?

• Employee purpose
• Down-time
• Accomplishments
• Goals have been met in 6 months.

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Reading List

The 4 Disciplines of Execution: Achieving Your Wildly Important Goals By Chris McChesney, Jim Huling, and Sean Covey Good to Great: Why Some Companies Make the Leap...and Others Don’t By James C. Collins The 7 Habits of Highly Effective People By Stephen Covey Fish!: A Proven Way to Boost Morale and Improve Results By Stephen C. Lundin

How 4DX Impacted… Black Rock Pharmacy

Brad Arthur, RPh

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10/3/2018 17 Between Austria and Italy, there is a section of the Alps called The Semmering. It is an impossibly steep, very high part of the mountains. They built a train track over these Alps to Connect Vienna and Venice. They built these tracks even Before there was a train in existence that could make the trip. They built it because they knew some day, the train would Come. (From: Under The Tuscan Sun)

How pharmacies implement the Disciplines of Execution.

• 1) Communicate the key
• points. (Distill the plan

down to its most crucial points and focus on those.)

• 2) Develop tracking systems.

(Develop the means to measure and track)

• 3) Set up formal reviews
• What I have learned

about the key’s to effective business strategy execution is that while there is no consensus on the number , there are several fundamental concepts thruout.

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Quote: However beautiful the strategy, you should occasionally look at the

• results. (Sir Winston Churchill)

Hashim Zaibak Owner/Founder Hayat Pharmacies zaibak@hayatrx.com

Questions?

Bradley J Arthur Chief Strategy Officer Black Rock Pharmacy Blackrockrx@Aol.Com Dared and Renee Price Owners Price Pharmacies, Inc. dared@prorx.net

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