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10/3/2018 How Pharmacies Implemented the Four Disciplines of Execution NCPA 2018 Annual Convention Brad Arthur, RPh, Owner, Black Rock Pharmacy Dared and Renee Price, PharmDs, Co-owners, Graves Drug Stores Hashim Zaibak, PharmD, Owner, Hayat Pharmacy Disclosure Dared and Renee Price and Hashim Zaibak declare no conflicts of 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. 2
10/3/2018 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 3
10/3/2018 Before…the whirlwind After… 4
10/3/2018 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 5
10/3/2018 Example #1: Wildly Important Goal “To get 90% of our EQuIPP adherence measures into green by the end of January” Example #1: Wildly Important Goal LEAD MEASURES: LAG MEASURE: • Hours of dedication • Percentage of Equipp • Number of outliers adherence measures in called green • Number of outliers enrolled in Med Sync 6
10/3/2018 Example #1: Wildly Important Goal Results: SEPTEMBER JANUARY 01 31 2017 2018 74% 93% To get 90% of our EQuIPP adherence measures into green by the end of January Week Ending 11/18/17 7
10/3/2018 Example #2: Wildly Important Goal “Achieve GM of $85K weekly for all 11 Hayat Pharmacy locations by the end of November” Example #1: Wildly Important Goal LEAD MEASURES: LAG MEASURE: • Weekly gross margin for Number of Rx’s sold: 1. Preferred diabetic supplies 11 locations 2. Non-preferred diabetic supplies 3. Preferred prenatal 4. Non-preferred prenatal 8
10/3/2018 What are your commitments for next week? Follow-up on non-preferred Week Ending: diabetic supplies and 11/11/18 non-preferred prenatal tablets Did we accomplish our commitments? Week Ending: Yes!!! 11/18/18 9
10/3/2018 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 10
10/3/2018 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 11
10/3/2018 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 12
10/3/2018 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 13
10/3/2018 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. 14
10/3/2018 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 15
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10/3/2018 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. • What I have learned • 1) Communicate the key about the key’s to points. (Distill the plan effective business down to its most crucial strategy execution is that points and focus on those.) while there is no • 2) Develop tracking systems. consensus on the number (Develop the means to , there are several measure and track) fundamental concepts • 3) Set up formal reviews thruout. 17
10/3/2018 Quote: However beautiful the strategy, you should occasionally look at the results. (Sir Winston Churchill) Questions? Hashim Zaibak Dared and Renee Price Bradley J Arthur Owner/Founder Owners Chief Strategy Officer Hayat Pharmacies Price Pharmacies, Inc. Black Rock Pharmacy zaibak@hayatrx.com dared@prorx.net Blackrockrx@Aol.Com 18
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