Home Infusion Nuts N Bolts
Published on Nov 18, 2015
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PRESENTATION OUTLINE
HOME INFUSION
NUTS AND BOLTS. JANUARY 12, 2015
Started in the 70's to support home TPN
VANTAGE
MEADVILLE,PA
Established in 1984
Partnership among nonprofit community hospitals and a medical school
Partnership among nonprofit community hospitals and a medical school
OVER 300 EMPLOYEES
HERE TO SERVE
VHITS had 30.4 FTE's month of December 2013
US HOME INFUSION MARKET OVERVIEW
- Current US Market $9-11 Billion Annually
- 1500 Infusion Pharmacies Across US
- Revenue/Patient Declines
- Market Volume Growth (New Patients)
- Regional Competitors & Referral Sources
1982-86 annual growth rates>60%
1986-93 annual growth rates of 24%
1993-2010 annual growth rates of 12%
Growth rates in a given market depend on competition and referral sources
1986-93 annual growth rates of 24%
1993-2010 annual growth rates of 12%
Growth rates in a given market depend on competition and referral sources
Photo by HumongoNationphotogallery
Untitled Slide
Inbound logistics: Acute Care Transitions and the art of intake
Operations: Process flow, care coordination and planning, sterile compounding, supplies, follow up, QA,accreditation
Outbound Logistics: Distribution, delivery
Marketing and Sales: GG
Service: Patient, Referral Source, Physician, Care Partners
Hi quality, service intense, can produce and document solid outcomes in a low cost setting, able to coordinate care with providers across the spectrum, as well as interface directly with patients
Operations: Process flow, care coordination and planning, sterile compounding, supplies, follow up, QA,accreditation
Outbound Logistics: Distribution, delivery
Marketing and Sales: GG
Service: Patient, Referral Source, Physician, Care Partners
Hi quality, service intense, can produce and document solid outcomes in a low cost setting, able to coordinate care with providers across the spectrum, as well as interface directly with patients
Photo by Jinho.Jung
METRICS: ShP BENCHMARKS
- AHRQ CCS Characteristics
- Payer & Therapy Distribution
- Unscheduled Hospitalizations/ER Visits
- Patient Events
- Therapy Events
Agency of healthcare research and quality's clinical classification system.
Patient events: equipment failure,noncompliance, insufficient medications or supplies
Therapy events: ADR, medication error, mised dose
Patient satisfaction
Patient events: equipment failure,noncompliance, insufficient medications or supplies
Therapy events: ADR, medication error, mised dose
Patient satisfaction
Photo by Andy Magee
METRICS: FINANCIAL RATIOS
- ROE,ROA, Profit Margin,EBITDA
- Quick,Current,Debt/Net Worth
- DSO,Inventory Turns,Revenue/Day
- TLC/Net Revenue, COG/Net Revenue
- Pt/FTE, TX/FTE, Compounds/FTE, Revenue/FTE
Photo by skycaptaintwo
KEY TRENDS
- M&A Consolidation
- Preferred Providers
- Health System Integration
- Specialty Pharmacy
- Value Based Payment
Specialty pharmacy projected spending to increase by 67% by the end of 2015.
By 2018 50% of total drug spend will be specialty .
Infused drugs will account for 30% of specialty drugs in the pipeline.
By 2018 50% of total drug spend will be specialty .
Infused drugs will account for 30% of specialty drugs in the pipeline.
Untitled Slide
OPPORTUNITIES
- Specialty Pharmacy
- Synergistic Partnerships
- Future Care Delivery Models
- Optimize Site of Care
- Data Data Data
Photo by ecstaticist
INDUSTRY BARRIERS
- Regulatory Oversight
- Competitive Bidding
- Preferred Providers
- Insurance Coverage
- Meaningful Part D Coverage
Photo by Matti Mattila
FUTURE VISION
- Aggressively manage costly patients and care transitions
- "There's no place like home!"
- Patient Engagement With High Touch Therapies
- Payment Model Reform :Accountable for Outcomes
- Co-create and Collaborate
Photo by Thomas Tolkien
