Author: Jerry Fahrni

  • Why Disney should run healthcare

    My oldest daughter’s competitive cheer team qualified for the World’s Cheer competition in Orlando, FL. The competition was held a couple of weekends ago at Disney World’s ESPN Wide World of Sports. There were teams from all over the world; Czech Republic, Canada, Japan, China, Mexico, New Zealand the US, among others. It was big, really big and Disney handled it without incident.

    Here are some observations:
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  • Some friendly advice for pharmacy recruiters

    I get a fair number of emails and phone calls from pharmacy recruiters. The number has decreased over the past couple of years secondary to the change in demand for pharmacists, but I still get them. Lately I think it’s a byproduct of having a LinkedIn profile, which makes me wonder if LinkedIn is worth the time, energy and effort of keeping an online work profile up to date. That’s a post for another day.

    Regardless, most of the recruiters that contact me offend more than intrigue me, and here’s where they make their mistakes. (more…)

  • All good things must come to an end, and so goes the pharmacist shortage

    The pharmacist shortage was both good and bad for the pharmacy profession. On one hand it created demand which drove up salaries and improved work environments for some. On the other hand it created an environment of apathy where competition to become better dipped because frequently all you needed was a pulse and a license to get hired and/or keep your job.

    Well, times are changing. I noticed a slight change in pharmacist demand during my last two years in the hospital and many people that I’ve talked to across the country confirm what I’ve been thinking – the pharmacist shortage is over.
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  • BlackBerry PlayBook impressions

    Mobile Health Computing: “I had a chance to briefly see the BlackBerry PlayBook at HIMSS 2011, but then I had a chance to spend some time and play with it recently when I was at the airport. The device is small and light and my first impression was: “this is simply too small.”

    The PlayBook is really slim and has a solid feel. You’ll notice that the device does not have a “home” button like the iPad. You’ll need to play around to figure out how to navigate back to the home menu. Try a few on-screen gestures and you’ll quickly figure it out. If you can’t figure it out, try swiping up, swipe down, swipe left, etc. The new mobile Operating Systemis not like your typical BlackBerry. This new OS is much closer to HP webOS (formerly Palm webOS).”

    I also had an opportunity to play with a BlackBerry PlayBook recently while at the airport (I wonder if it was the same airport). I found myself in a BlackBerry store, which I didn’t even know existed. I agree with much of what is said above, but I didn’t feel the device too small. I like being able to hold the PlayBook in one hand while controlling it with the other. I feel the same way about the 7” Galaxy Samsung tablet. It’s personal preference at this point.

    One thing I think BlackBerry did especially well was the OS, which I also think is similar in approach to the webOS. I found it a breeze to navigate through several open apps without having to jump out of any single applications. With that said, it may take you a second to figure out how best to navigate using “off screen” finger swiping. It wasn’t immediately obvious.

    The bottom line is that I’d like to have one.

  • Data visualization and dashboards

    A wise colleague of mine once told me that lots of people collect data, but few people know what to do with it. I didn’t understand what he was talking about at the time, but I’ve come to have a better understanding over the years. It basically boils down to the difficulty that many of us experience when it comes to the best way to handle information. Our brains do some amazing things, but fail to “see” things when the perspective is all wrong.

    Data surrounds us. It’s in everything we do, from the bank statements we receive in our personal life to the mountains of data collected by every healthcare institution. Regardless of the data collected, there are basically three things that can be done with it. Data can be ignored, it can be archived or it can be used. Unfortunately only one of those three things is truly useful; using it. Many people chose to ignore or archive data not because the information isn’t valuable, but because they are overwhelmed with the amount of information they receive and the way that the information is presented.
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  • unSUMMIT 2011 Presentation (#unSUM11)

    I uploaded the presentation I gave Thursday at the unSUMMIT in Louisville, Kentucky. You can see it below, although some of the slides came out a little rough when I uploaded it to slideshare. It looks like it may have something to do with the font I used. If I find time I’ll correct it later.

    The presentation focused on the often overlooked things that need to be done following implementation of something like BCMA. Healthcare systems have a bad habit of not providing enough resources, both labor and monetary, to maintain and optimize technology once implemented. I simply suggested five things that healthcare systems could do post-implementation to make sure their BCMA implementation didn’t crumble right before their eyes.

    And now that the unSUMMIT presentation has been delivered I am officially retiring from the role of presenter. Unlike some people I know, it takes me a concerted effort and a fair amount of time to put one of these things together, and I just don’t feel like doing it again. Enjoy.

  • I think it’s time for a new mobile connectivity model

    I fought this one for a while, but I think I’ve experienced the need enough lately to change my tune. It’s becoming increasingly common for new devices – tablets, netbooks, laptops, etc – to be offered with cellular antennas build in. These can be activated through various carriers to provide continuous connection to the world around us.

    I originally found the idea silly. I’m not sure why, but I just felt that there wasn’t really a need for such device specific connectivity. After all, I have a USB access point through Verizon. With that said, it’s become increasingly obvious to me that that isn’t the answer. I find it cumbersome to use at times as it sticks out the side of my laptop like some unwanted extra appendage. Add to that the fact that I can’t use it on my wife’s iPad secondary to a lack of USB ports and my frustration only grows. Oh sure, I could purchase a MiFi-like device, and that would solve some of the issues like lack of USB port, but it doesn’t help me if my wife has the MiFi-like device in Florida and I’m in Kentucky. Get my drift?

    The problem with purchasing devices with cellular specific access is the cost of activating all those data plans. Can you imagine paying for data plans on several devices that only occasionally get used? I can’t. If my wife and I were to purchase separate data plans for each device in our armamentarium of electronics we’d certainly go broke trying to pay for them all.

    With the nature of connectivity changing, and the way the world has begun using mobile devices, I believe it’s time for companies like AT&T, Verizon, T-Mobile, Sprint, etc. to evaluate personalized data plans that follow the user around. Think of it as applying the idea of data in the cloud to your cellular service. Regardless of device, simply log into your cellular account and the antenna in the device would use your phone number to access service. Would that really be that hard to do? How about extending the idea further to include a family based data plan with similar features, i.e. a group of numbers assigned to individual family members that follow them around based on device. I know I’d be willing to pay a little extra for such a plan. Just sayin’.

  • Preparing for the unSUMMIT (#unSUM11)

    I’m sitting in a hotel bar in Louisville, Kentucky having a salad as I prepare to register for the unSUMMIT. This is the second year in a row I’ve made the trek to the unSUMMIT. I felt that the experience I had last year was definitely worth a second look.

    From the unSUMMIT website:

    Conventional summits deliver a something-for-everyone survey of the landscape with little or no depth on any given topic. This warp-speed flight provides only a 30,000-foot view of the terrain below. Nurses, pharmacists, and IT professionals return to the trenches of their own hospitals no better equipped to dig in and implement change.

    The unSUMMIT is different. It delivers a steadfast focus on barcode point-of-care technology. Attendees are outfitted with practical tools, insight, and inspiration for leading their institutions to carefully select, implement, and harness the quality-improvement power of BPOC systems.

    Truly an unconventional convention, The unSUMMIT is designed to get you out of the clouds and into the weeds, where the union of technology and practice can be more easily realized through the shared expertise of your experienced colleagues.

    I think most people believe that the unSUMMIT is nothing more than a bunch of people sitting around talking about BCMA, but it actually goes beyond that. Last year I heard presentations on not only bar-coding medications, but integrations of smartpumps into eMARs, the use of RFID tags, how to conduct observational studies and so on.

    This year looks to provide a similarly broad scope of information. While reviewing the list of presentations I saw topics on mobile technology, accountability, technology roadmapping, workflow design and of course a lot of stuff on bar-coding medications.

    The unSUMMIT begins officially tomorrow morning. I will be presenting on Thursday, April 28 at 2:00pm. I haven’t decided if I’m going to post the presentation here or not. I’ll let you know.

    If you’d like to know what’s going on during the conference you can follow the Twitter stream at #unSUM11.

     

  • Do larger hospitals have an edge? Maybe

    I’ve worked in several hospitals over the course of my career, ranging in size from 25 acute care beds to nearly 600 (584 beds to be exact). While 600 beds isn’t a large hospital, it certainly isn’t small. Regardless of the size of the hospital I’ve worked in, the operations inside the walls of the pharmacy are strikingly similar, including from the way pharmacists process orders to the way technicians handle distribution. There are differences to be sure, but the basics are the same. Differences to note include clinical services and use of automation and technology.
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  • The tail wagging the dog

    WSJ: “The Food and Drug Administration said Tuesday that it will require some painkiller manufacturers to produce new educational tools in an effort to quell prescription-drug abuse.

    The requirements will affect makers of long-acting and extended-release opioids, which include oxycodone, morphine and methadone.

    Letters have been sent to manufacturers of the drugs describing the medication guides and tools for physician training that are now required, FDA Commissioner Margaret Hamburg said. The FDA will approve the materials, which will also be accredited by professional physician-education providers, she said, a step meant to combat bias in the materials.”

    Oh. My. Gosh. Let me see if I can wrap my brain around this. The FDA is going to require that manufacturers of certain “painkillers” tell physicians how to properly use the drugs instead of requiring physicians to read the literature and do exactly what they’re trained and paid to do. Crud, it’s nothing a good pharmacist couldn’t fix. Why doesn’t the FDA simply require physicians to run these same prescriptions through a pharmacist for approval or give pharmacist prescriptive authority instead. It makes a lot more sense than putting the manufacturers in charge of the asylum. I would be utterly embarrassed if a drug manufacturer had to tell me how to properly use a drug because I couldn’t get it right. I think the healthcare system has officially reached a new low. Unfortunately this ain’t no limbo contest.