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Posts Tagged ‘smart refrigerators’

The Future of Pharmacy – Part Deux

Monday, February 16th, 2015

I’ve written about this topic before. But I need to elaborate.  I’m also going to try to elaborate on the skills that I think future pharmacists may need to “own” the future. (And caution: some of the trends below aren’t pretty – but I think they need to be discussed…)

Two words. Vending. Machines:

I really, really REALLY don’t dig these. But here it is. There are going to be more and more pharmacy vending machines coming up.  I’ll tell you why I don’t like them.  In the evenings when I was at law school over 4 years and starving, the only cafeteria options we had at 8 pm at night were the vending machines.  I fed a lot of money into those vending machines.  Sometimes, the food would get stuck inside the vending machine, and I couldn’t get it out.  Now, getting between me and my Snickers bar when I’m hangry, granted, isn’t a pretty scene.  Imagine what the sick, tired and angry patient will be experiencing when the prescription doesn’t come out of the vending machine?  Who’s going to be there to fix it?

Skills needed for the pharmacist:  Pharmacists are definitely going to need to get tech-y here if they want to dominate in this area.

First in house, smart tech:

…is going to not only rule our homes, but it will integrate with our health. This is already happening.  It’s in iOS 8. HealthKit and HomeKit are already in your iPhones.  You’ll be able to keep everything on your phones and run your life via this tech.  I’m just in hopes that Apple’s HomeKit has smart tech integrated into the refrigerators and medicine cabinets to simply send off the alert to you and/or your pharmacy when you need a refill on something (and not just Rx, but OTC stuff too).

Skills needed for the pharmacist: Tech. Again. And make sure that the pharmacy world is talking to the developers.  And vice versa.

The drones will drop it off:

I’m actually kind of baffled as to why Jeff Bezos hasn’t gotten into the pharmacy space just yet.  Once he has his drones up and running, it would make a lot of sense to send prescription drugs through the “drone” channel, particularly to the elderly who no longer drive.  Unless, we go Star Trek and someone invents a drug synthesizer, like the food synthesizer on the show.  But, that would be the physicists inventing that (BTW – can you all please get on that? I’d like a teleporter. Pronto. Thanks!)

Skills needed for the pharmacist: Unless we’re going to require more physics here, I’m not sure what we can do. Physics wasn’t my strong suit.

Pharmacy as a space will need to be first as a third space:

I’m not sure the idea of “grocery shopping” and “running errands” will exist in the future.  This could free up a lot of our time from stuff we have to do (LIKE run errands) into stuff we WANT to do (like, hang out at cool third spaces other than at home and at work).  Or, maybe because of the internet, we won’t have a work space that much longer, which would free us to work WHERE and WHEN we want.  If that’s the case, third spaces are going to need to get a lot cooler for us to WANT to hang out at them.  I still think a bookstore/pharmacy hangout would be a good combo.  A bank/pharmacy would be a good combo for security’s sake.  But, if the medicine cabinet is ordering your refill, and the drones are dropping it off–WHY would you need to go to a pharmacy anymore?

Skills needed for the pharmacist: Pharmacists who understand design, civic and city development, psychology, and what makes people come to third spaces will win here.  Pharmacies that can create one-of-a-kind experiences for their patients will also win here.  (Let’s face it, going to pharmacies right now is an utterly forgettable experience.  But does it have to be?)  I’m also in hopes we have more pharmacist entrepreneurs seizing this opportunity too moving forward.

I also think this third space concept is an opportunity for the pharmacist as teacher and coach.  I see classes and offerings here as a community hub for wellness.  But pharmacists are not only going to have to bring their clinical knowledge here, but also their creativity in bringing in people to listen to their courses on living better lives.  In this busy world, that could be a hard sell in the beginning.

Will live healthcare need to be “edutaining”?

This is one area that I think we humans can beat the machines.  We are more creative than they are; hence, I think pharmacists will, as educators, have an amazing opportunity to provide value by not only educating, but entertaining as well.  In an attention deficit world, I’m sorry to say, mortality really isn’t a “hook” anymore.  Learning about your health and wellness needs to be like anything else–fun–otherwise, we’ll all fall asleep from boredom.  I’m not saying this is right, but I am speaking the truth.

Skills needed for the pharmacist:  Teaching. In a variety of ways.  One of the areas of teaching in pharmacy I’m most fired up about is writing.  We focus a lot on oral communication, but we don’t do much in the realm of writing.  So, I’ve personally made it my mission to help students stretch their writing talents–like through this creation of BU Well, and for students writing children’s books on healthcare topics.  This year, we have two that students are producing.  One on vaccinesThe other for 4th graders in Indiana on STEM leaders of Indiana in time for the Indiana Bicentennial in 2016.  I’ve said it here many times, but I will say it again: writers. Are. Leaders. If you are considering pharmacy programs–ask, “What writing communication courses and co-curricular opportunities do you offer?”  I won’t, however, tell you what to do if you see blank stares…

Labs/tests and wellness checks:

Point of care testing labs.  They are a pain to find, then find the hours of, then schedule to go to when your doc orders labs.  Instead, I think smart pharmacies will start offering lab and tests inside pharmacies on a regular basis, to help patients avoid the headaches of one off lab testing. This could be for Fido too.  Check out Abaxis and their Piccolo machine.

Skills needed for the pharmacist: Pharmacists need to fully understand labs, lab values, when patients should get labs, and clinical aspects of disease management with labs here.  This is the only instance thus far where I think more clinical wizardry comes into play.

Big Data:

I think in the future, pharmacists will be interacting with a lot of big data to assess and seek trends–in the data for patients, and for populations of patients.  Large self-insured employers already hire one pharmacist to oversee and manage the health of the patient employee population, and manage the drug formulary that an employer offers to its employees.  These days, the drug formulary alone in terms of costs can suck up to 20% of the total healthcare spend for an employer. Keeping a tight reign on this is important.

Skills needed for the pharmacist: Pharmacists here need to understand pharmacoeconomics and analytics here.  They need to be able to see whether or not a drug is worth the spend.  And, in the era of specialty drugs – managing specialty drug spend alone is going to be a huge opportunity to reign in costs.  They also need some acumen around bioinformatics.  Are pharmacy students learning how to manage and run a drug formularly in school?  Are we handing a blob of data over to students who can find trends and suggest better management of patients based upon an analysis of those trends?  Are we teaching students to PREDICT trends in a population?

There you go.  I see this stuff already here, or coming.

Are we ready for it, pharmacy?

Smarthomes, Smartclothes, and Wearables: Being the Dumbest One in the Room is Fine with Me

Monday, January 13th, 2014

I can’t resist a post on this, because I’ve been thinking about it a LOT lately.

Everything is getting smarter around me (except, for me…hahaha!)

CES this year was all about smart appliances, like in this article. This article also over at Forbes about the top companies to watch for Smart Homes 2014 I saw as well…and with the baby boomer population heading towards retirement, this industry is going to explode in the years to come, because no one wants to go to the hospital.  If we can keep patients out of the hospitals, all of our healthcare spending will go down.

Wearables are important now too – I’m particularly infatuated with them for health.  I bought myself a Fitbit Flex for Christmas, and I gotta say, it’s holding my feet to the fiery treadmill – pretty much every day since Christmas I’ve hit my 10K step goal.  I saw this article online tonight, and it actually ranks the wearables thus far from worst to best.  Google glass still really isn’t quite available to the masses, but I’m not sure I could wear them just yet – they’re just a little too…Google Glass-ish for me.  (I guess I saw some hard core Google glass wearers at ADC/GDCNext in LA last fall, and I just don’t think they’re personally my style…)

While I dig my Fitbit Flex, it’s still kind of clunky, and honestly, I’d like to see more features added to the app (like, a BMI calculator or a way to track BMI at least, some kind of app where we could take a picture of our food from major restaurant chains and track calories–protein, fat and carbs, and a vitamin checkbox.  There’s definitely more that we could track here for patients long term too – like blood pressure and even blood glucose readings…come on, Fitbit! : )

Here’s my point: everything is getting smarter around us.  From refrigerators knowing when we are almost out of milk, to Amazon’s future drones dropping it off at our front door, to how many steps we walked per day, I think this is some fabulous tech we’ve got headed our way.  I hope you’re taking advantage of it.  I’m trying to…and, last but not least, just so you know…I didn’t write this point UNTIL I got my 10K steps in today!