The pharmacy infusion market continues to shift administration of biologics and specialty medications to the home or other lower-cost sites of care. Much of this is driven by payers. This change brings clinical, patient, economic, and information system considerations. Dr. Steve Kennedy, Senior Consulting Director at Vizient Pharmacy Advisory Solutions joins Program Host Gretchen Brummel to discuss sites of care.

Guest speakers: Steve Kennedy, PharmD Executive Director, Pharmacy Advisory Solutions Vizient

Host: Gretchen Brummel, PharmD, BCPS Verified Rx Host

Show Notes:

[00:44-01:25] Steve’s background

[01:26-02:18] How has the industry evolved over your career

[02:19-03:51] Why there is a shift in where these medications are administered

[03:52-06:36] Who’s watching these patients at home or in other non-hospital-based infusion settings

[06:37-7:34] How patients respond to change in site of care

[7:35-8:19] Is this shift realistic in rural areas where care outside of a hospital setting might not be consistently available

[8:20-9:30] Advocating or negotiating for patients when it doesn't align with the payer's interest

[9:31-10:23] How white bagging factors in

[10:24-11:32] What front line pharmacy staff needs to know

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Human rabies cases are fortunately rare in the US. Access to pre- and post-exposure prophylaxis, and domestic animal vaccination programs, drive this public health success. This comes at a financial and human resources cost. Dr. Kyle Weant, clinical assistant professor and an emergency medical clinical pharmacy specialist at the University of South Carolina College of Pharmacy and Dr. Philippe Mentler, senior consulting director, join host Gretchen Brummel to discuss the use of rabies immune globulin and rabies vaccine in patients who have been exposed and provide treatment pearls for frontline pharmacy practioners.

Guest speakers:

Kyle Weant, PharmD, BCPS, BCCCP, FCCP

Clinical Assistant Professor and an Emergency Medical Clinical Pharmacy Specialist

University of South Carolina College of Pharmacy

Philippe Mentler, PharmD, BCPS

Senior Consulting Director

Vizient

Host:

Gretchen Brummel, PharmD, BCPS

Show Notes:

[00:54-01:17] Kyle’s background information

[01:18-03:31] Rabies as a disease

[03:32-05:13] Public Awareness

[05:14-07:06] Options right now for post-exposure prophylaxis

[07:07-10:01] Thoughts on dose rounding

[10:02-10:13] Is rabies immunoglobulin considered an essential medication that everyone should stock in their hospital pharmacy

[10:14-11:30] Who should be administering these drugs? And who's ensuring follow up of these patients?

[11:31-14:31] Potential pitfalls in patient management

[14:32-18:12] What should our frontline pharmacy staff know about post-exposure prophylaxis

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Data dominate nearly every sector and drug shortages are an area to leverage data solutions. Stephen Colvill, Senior Policy Advisor for Medical Supply Chains, The White House Domestic Policy Council and Dr Nikola Markoski, Vizient Manager of Pharmacy Analytics and Clinical Insights, join host Gretchen Brummel to explore novel approaches and future implications for data use cases in drug shortages.

Guest speakers:

Stephen Colvill

Senior Policy Advisor for Medical Supply Chains, Domestic Policy Council The White House, Domestic Policy Council

This podcast was recorded in December 2023 prior to Stephen joining the federal government. The opinions expressed are the author’s own and do not necessarily reflect the views of the United States government or any agency thereof.

At the time of recording, Stephen was Executive Director of RISCS and Assistant Research Director at the Duke-Margolis Institute for Health Policy.

Nikola Markoski, PharmD, MBA, DPLA

Manager of Pharmacy Analytics and Clinical Insights

Vizient

VerifiedRx Host:

Gretchen Brummel, PharmD, BCPS

Show Notes:

[00:36-02:23] Guest’s background information

[02:24-05:44] How using data can change the discussion of drug shortages

[05:45-09:23] Approaches that have been attempted so far in the data space

[09:24-12:01] Where things are going in the future

[12:02-15:23] How we get everybody on the same page

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