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In this edition of Insights Care, Pharmacy Pioneers: 5 Most Influential Chief Pharmacy Officers in Florida, you will discover Most Influential Chief Pharmacy Officers<br>
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July | Issue 04 | 2024 The Role of Chief Pharmacy Officers Pharmacy Regula?on and Oversight in Florida Greening Drug Manufacturing Sustainability in Florida's Pharmaceu?cal Industry Darrell Miller Chief Pharmacy Officer Community Health Northwest Florida
Cover Story Dr. Darrell Miller Pioneering Pharmacy Leadership for Community Health Equity 08
Boldly Naviga?ng Pharmacy Services into the New Digital Fron?er 20 CXO The Role of Chief Pharmacy Officers Pharmacy Regula?on and Oversight in Florida 14 Articles 24 Greening Drug Manufacturing Sustainability in Florida's Pharmaceu?cal Industry
PHARMACY PIONEERS: 5 MOST INFLUENTIAL CHIEF PHARMACY OFFICERS IN FLORIDA Featuring Person Company Brief Community Health Northwest Florida healthcarewithinreach.org Dr. Darrell exemplifies a commitment to improving community health outcomes and ensuring equitable access to essen?al healthcare services for vulnerable popula?ons. Dr. Darrell Miller Chief Pharmacy Officer Kenneth Komorny Vice President & Chief Pharmacy Officer Kenneth has over 13 years of pharmacy leadership experience with focus on enhancing pharmacy services and pa?ent care. Moffi? Cancer Center moffi?.org Sigler focuses on improving pa?ent access to medica?ons and enhancing the overall quality of pharmacy services. Lenny Sigler Chief Pharmacy Officer CareMax caremax.com Central Florida Health Care c?c.org Mike is a renowned Pharmacy Officer in Florida and Illinois with over 20 years of experience in the Pharmacy Industry. Mick Pickos Chief Pharmacy Officer Venessa is known for her contribu?ons to the field of pharmacy and healthcare management. Jackson Health System jacksonhealth.org Venessa Goodnow Chief Pharmacy Officer
E ducation, dedication, and commitment are the cornerstones of exceptional leadership, and Dr. Darrell Miller’s remarkable journey is a shining example of this principle. As the driving force behind Community Health Northwest Florida, a non-profit organization that has been a pillar of hope for the region’s most vulnerable populations, Dr. Miller has dedicated his career to bridging the healthcare gap. With a network of 12 health centers and over 40,000 patients served annually, Community Health Northwest Florida has become a model for community-based healthcare, providing comprehensive medical, dental, and behavioral health services to those who need them most. Under Miller’s leadership, the organization has expanded its reach, improved health outcomes, and fostered a culture of compassion and excellence. As the Chief Pharmacy Officer, Dr. Miller’s path has been marked by dedication, experience, and a commitment to community healthcare, inspiring a new standard of care that has transformed the lives of countless individuals. Through collaborative efforts, he helped establish and enhance the organization’s 340B program, aimed at providing vital support to vulnerable community members. Mission and Vision of Community Health Northwest Florida The core mission of Community Health Northwest Florida is to provide support to all individuals, regardless of their background or financial circumstances. The FQHC (Federally Qualified Healthcare Center) is committed to extending a helping hand to every patient who walks through their doors, ensuring access to healthcare services regardless of race, religion, or ability to pay. The primary objective is to empower members of the community to lead happier, more productive, and healthier lives. The central focus of their vision lies in a thriving community where health and productivity go hand in hand. By fostering a culture of wellness and inclusivity, Community Health Northwest Florida aims to enhance the overall well-being of the community. Recognizing the challenges faced by underinsured patients with high deductibles or no insurance at all, the organization is dedicated to bridging the gap in healthcare access. Through comprehensive primary care, preventative measures, and access to essential medications, they try to keep individuals healthy and out of the emergency room. By addressing both medical needs and ensuring medication adherence, Community Health Northwest Florida strives to provide holistic healthcare solutions for all citizens. Let’s get into the insightful journey of how Darrell’s leadership has transformed community healthcare and inspired a new generation of leaders! Path to Leadership Dr. Miller embarked on his professional journey by attending Auburn University in Auburn, AL, where he pursued his pharmacy education. His pursuit of excellence led him to further his studies at the University of Florida in Gainesville, where he earned his Doctor of Pharmacy degree. Simplifying Complex Systems Following his academic achievements, Miller ventured into the practical realm of healthcare, starting with a stint at the Women and Children’s Hospital in Pensacola. Subsequently, he gained valuable experience by working with large chain pharmacies, honing his skills in various aspects of pharmaceutical management. Dr. Miller acknowledges the complex nature of the system, with its intricate reimbursement processes and various stakeholders. However, he emphasizes a fundamental principle: placing the patient at the forefront of all endeavors. However, it was his role in managing an independent pharmacy in the Pensacola area that truly shaped Miller’s career. Over several years, he managed the pharmacy and cultivated its growth and success under his guidance. This experience culminated in his decision to acquire the pharmacy, expanding its reach to multiple locations within the Greater Pensacola area. Miller outlines a philosophy that guides their approach: prioritize the patient. By centering all actions and decisions around the patient’s needs, the organization aims to streamline the healthcare experience. This involves active engagement with patients, ensuring they are informed and involved in their own care. A key aspect of their strategy involves simplification. Rather than burdening patients with the complexities of medical insurance and prescription processes, Community Health Northwest Florida assumes responsibility. Driven by a desire for community impact and professional fulfillment, Darrell sought to align his efforts with Community Health Northwest Florida.
Boldly Navigating Pharmacy Services into the New Digital Frontier in integrating advanced digital platforms into our pharmacy workflow. Much like the ship's computer system assists in navigation and decision-making, digital platforms of the future will streamline medication dispensing, inventory management, and clinical decision-making. Automated dispensing systems will ensure accuracy and efficiency, allowing our pharmacists to focus on clinical care rather than manual tasks. A Chief Pharmacy Officer's Log A frontier of space aboard the USS Enterprise. As we look to the future, Chief Pharmacy Officers (CPO) must have a strategic vision, adaptability, and a commitment to leveraging technology to enhance patient care, improve operational efficiency, and drive innovation. At the forefront of this transformation lies the digital frontier, where innovative technology solutions are revolutionizing the way pharmacy services are delivered. s a kid, I always enjoyed watching Star Trek, and all the missions that Captain Kirk and his crew would navigate as they traveled into the final Next, we will implement telepharmacy services to reach patients in remote areas or during times when physical access to the pharmacy is limited. Just as the Starship Enterprise communicates with distant planets through subspace channels, telepharmacy will enable us to provide medication counseling and patient support independent of location. No matter where they live, patients will receive personalized care from our pharmacists, enhancing medication adherence and health outcomes. As CPO in charge of our Clinical Pharmacy Enterprise, my mission is to lead our pharmacy services into the new digital frontier, much like Captain Kirk navigates through the stars. Here, I outline the pharmacy's mission and strategy for navigating this brave new world. Captain Kirk often relies on the ship's advanced sensors and diagnostic tools to assess unknown environments. Similarly, we must leverage digital health technologies such as wearables and mobile apps to monitor patient health and medication adherence. These digital platforms can facilitate remote monitoring of medication adherence and health outcomes. Through connected devices and sensors, pharmacists can track medication intake, vital signs, and other relevant clinical metrics, allowing for early intervention when issues arise. This proactive approach to Chief Engineer Montgomery Scott represents our IT department and the clinical informatics crew with whom we will need to partner when analyzing the current landscape of pharmacy services and identifying areas where digitalization can revolutionize our operations. We recognize the importance of embracing technology while ensuring that the human element remains at the heart of our practice. Just as Captain Kirk values the contributions of his diverse crew, we value the expertise of the informatics team 20 www.insightscare.com July 2024
About the Madeline Camejo Vice President & Chief Pharmacy Officer Bap?st Health South Florida 21 www.insightscare.com July 2024
patient care will prevent medication errors, reduce hospital readmissions, and improve overall health outcomes by empowering our pharmacists to prevent adverse events even before they start. stakeholders and incorporating it into our digital initiatives, we will ensure that our efforts align with the needs and expectations of those we serve. In conclusion, CPOs should position their organizations for success in the digital era of pharmacy practice by embracing innovation. Much like Captain Kirk explores the cosmos with courage and curiosity, we must embrace digital technologies to enhance patient care and advance the practice of pharmacy. By integrating advanced platforms, leveraging telepharmacy and digital health tools, harnessing AI and predictive analytics, prioritizing security and interoperability, investing in staff training, and engaging with key stakeholders, we will chart a course toward a brighter future for pharmacy services ultimately benefiting our patients. Furthermore, we will need our own First Officer Spock (AI developers) to harness the power of artificial intelligence (AI) and machine learning to analyze vast amounts of patient data and identify trends and patterns. Just as the ship's computer predicts potential threats based on sensor data, these AI developers will use algorithms to help us anticipate medication-related issues and tailor interventions to individual patient needs. This predictive analytics capability will revolutionize our approach to medication management, ensuring safe and effective therapy for all patients. As we venture into the digital frontier, security and privacy are paramount concerns. Much like Captain Kirk safeguards sensitive information from hostile forces, we will implement robust cybersecurity measures to protect patient data and pharmacy systems. Encryption protocols, multi- factor authentication, and regular security audits will serve as our shield against cyber threats, ensuring the integrity and confidentiality of patient information. With our crew beside us and the CPO at the helm, we must embrace the digital frontier and be willing to boldly go where no pharmacy department has gone before. Additionally, we recognize the importance of interoperability and data exchange in optimizing patient care. Just as Enterprise communicates with other starships and space stations using standard protocols, our pharmacy systems will seamlessly integrate with electronic health records and other healthcare technologies. This interoperability will facilitate information sharing and care coordination, enabling a comprehensive approach to patient management. To ensure the successful adoption of digital innovations, we must prioritize staff training and education. Just as Captain Kirk ensures that his crew is proficient in the operation of new technologies, we will provide ongoing training and support to our pharmacists and staff. By empowering our team with the knowledge and skills to leverage digital tools effectively, we can maximize the benefits of technology while minimizing disruption to workflow. Finally, we will foster collaboration and partnership by seeking feedback from patients, healthcare providers, and community organizations to continuously improve our pharmacy services. By soliciting input from these key 22 www.insightscare.com July 2024
systems that allow for the reuse of process water, signifi- cantly reducing their overall water consumption. including pharmaceuticals. The Florida Department of Environmental Protection's Office of Sustainable Initiatives plays a crucial role in promoting eco-friendly practices and providing resources for businesses looking to improve their environmental performance. Sustainable Supply Chain and Procurement The greening of Florida's pharmaceutical industry extends beyond manufacturing facilities to encompass the entire supply chain. Companies are increasingly recognizing that true sustainability requires a holistic approach that consid- ers the environmental impact of every stage of drug production and distribution. Additionally, state-level incentives for renewable energy adoption and waste reduction are encouraging pharmaceuti- cal companies to invest in sustainable technologies and practices. These policy measures, combined with industry- led initiatives, are creating a supportive ecosystem for sustainability in Florida's pharmaceutical sector. Baptist Health has taken a leading role in this area by revising its procurement procedures to prioritize sustainability. They have implemented stricter environmen- tal criteria for supplier selection and are actively seeking partnerships that can enhance the overall sustainability of their supply chain. This approach includes sourcing materials from eco-friendly suppliers, optimizing transpor- tation routes to reduce carbon emissions, and exploring alternatives to single-use plastics in packaging. Challenges and Future Outlook While significant progress has been made, challenges remain in fully greening Florida's pharmaceutical industry. Balancing sustainability goals with stringent quality and safety requirements for drug manufacturing can be complex and costly. Additionally, the need for continuous innovation in sustainable technologies and practices requires ongoing investment and research. Moreover, there's a growing emphasis on reducing the use of chemicals of concern in pharmaceutical products and medical supplies. Companies are investing in research and development to find safer alternatives that maintain product efficacy while minimizing potential harm to the environment and human health. Looking ahead, the future of Florida's pharmaceutical industry appears increasingly green. As more companies recognize the business benefits of sustainability – including cost savings, improved public image, and enhanced resilience to environmental risks – we can expect to see further advancements in sustainable drug manufacturing. Community Engagement and Collaboration Emerging technologies such as green chemistry, biocatalysis, and continuous manufacturing hold promise for further reducing the environmental impact of pharma- ceutical production. Additionally, the growing focus on circular economy principles is likely to drive innovations in product design, packaging, and end-of-life management for pharmaceutical products. Florida's pharmaceutical industry recognizes that sustainability is a collective effort that requires engagement with local communities and stakeholders. Many companies are partnering with schools, community groups, and environmental organizations to raise awareness about sustainable practices and support green initiatives. Baptist Health's Grow2Heal program is an excellent example of this approach. This innovative initiative combines sustainability, community outreach, and preventa- tive healthcare by growing and sharing fresh produce. Such programs not only promote environmental stewardship but also contribute to public health by encouraging healthy eating habits and fostering a connection between commu- nity members and their local environment. In conclusion, Florida's pharmaceutical industry is making significant strides towards sustainability, driven by a combination of industry leadership, community engage- ment, and supportive regulatory frameworks. These efforts not only contribute to environmental protection but also position Florida's pharmaceutical sector as a leader in sustainable healthcare practices. As the industry continues to evolve, the Sunshine State is poised to play a pivotal role in shaping a more sustainable future for drug manufacturing and healthcare delivery. Regulatory and Policy Landscape - Natalie May The state of Florida has implemented policies and programs to support sustainability efforts across various sectors, 26 www.insightscare.com July 2024