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The Future of Pharmacy – Embracing AI and Emerging Technologies | SureCast LIVE · Pharmacy Podcast Network

• 0:05
  Speaker 1: You are listening to the global network of podcasters dedicated
• 0:09
  Speaker 1: to the pharmacy profession.
• 0:10
  Speaker 2: Welcome to the Pharmacy Podcast Network.
• 0:26
  Speaker 1: Welcome to the Surecast covering the Shirt Cost Insights twenty
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  Speaker 1: twenty five here in Nashville, Tennessee.
• 0:37
  Speaker 3: All right, welcome back everyone.
• 0:38
  Speaker 1: I hope you enjoyed the break, so glad that you
• 0:41
  Speaker 1: came back. We have some exciting stuff happening right now.
• 0:43
  Speaker 1: Shurecast Live. This is a live edition of a podcast
• 0:47
  Speaker 1: with Todd Yuri from the Pharmacy Podcast Network. Goes by
• 0:51
  Speaker 1: OURX podfather. Is that right, todddget.
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  Speaker 3: He's been doing it for sixteen years.
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  Speaker 1: It was actually the first pharmacy podcast in existence. So
• 1:00
  Speaker 1: please welcome Todd Juri from the Pharmacy Podcast Network and
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  Speaker 1: co host Calvin Hunticker.
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  Speaker 4: Hey, thank you so much for being part of this.
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  Speaker 5: This is a special event for me, founder of the
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  Speaker 5: Pharmacy Podcast Network.
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  Speaker 4: Released in March of.
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  Speaker 5: Two thousand and nine, you can still find the very
• 1:17
  Speaker 5: first episode. It sounds like I was talking out of
• 1:20
  Speaker 5: a tin can. It's on YouTube. It's embarrassing. Come a
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  Speaker 5: long way. Forty two podcasts are part of this network,
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  Speaker 5: now the world's largest platform for audio for the pharmacy
• 1:31
  Speaker 5: profession made up mostly of pharmacists about pediatrics and geriatrics
• 1:36
  Speaker 5: and specially pharmacy and especially disease states. So my relationship
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  Speaker 5: with companies over the years has been transformational.
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  Speaker 4: For my own career.
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  Speaker 5: And out of out of my twenty one years in pharmacy,
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  Speaker 5: Pharmacy Podcast Network became my full time position in two
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  Speaker 5: thousand nine eighteen, and it's been a blessing. It's been
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  Speaker 5: a blessing to collect the mind share and the passion
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  Speaker 5: and the professionalism and how we're all moving this industry,
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  Speaker 5: this very complex industry forward. And Calvin, I want to
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  Speaker 5: thank you so much for having me to be part
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  Speaker 5: of today's discussion about the emerging technologies and the future
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  Speaker 5: of pharmacy embracing AI and I thank you for all
• 2:28
  Speaker 5: being part of it too. We're going to ask for
• 2:30
  Speaker 5: your feedback and participation.
• 2:32
  Speaker 4: If you're listening on.
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  Speaker 5: Your favorite podcast platform, please share the Shore Coast Shurecast
• 2:39
  Speaker 5: with a fellow pharmacist, a fellow pharmacy professional.
• 2:44
  Speaker 4: And if you can say.
• 2:45
  Speaker 5: Sure cost sure cast fast five times in a row,
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  Speaker 5: you get a prize.
• 2:50
  Speaker 4: You'll get a T shirt.
• 2:52
  Speaker 5: All right, I'm going to have a seat, good seat
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  Speaker 5: as well, and I'd like to also welcome to the stage.
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  Speaker 4: People that are passionate.
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  Speaker 5: I always look for people that are passionate about what
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  Speaker 5: they're doing.
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  Speaker 4: I learn from you.
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  Speaker 5: I've been involved through my own interviews, twenty two hundred
• 3:15
  Speaker 5: interviews over sixteen years, and what a learning.
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  Speaker 4: I learned from the profession.
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  Speaker 5: I learned from people like you, Calvin, but I also
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  Speaker 5: learned from Marsha Malonging, who's president and CEO of the
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  Speaker 5: Catalyst Enterprises. Marshall, please join us on the stage. I
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  Speaker 5: also want to bring up vice President of Pharmacy at
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  Speaker 5: am fharm Amy Cruz. All right, so this is interesting.
• 3:41
  Speaker 5: Mostly I'm in my studio. We're usually twrksing. This Week
• 3:44
  Speaker 5: in Pharmacy comes up every single Friday. It'll actually be
• 3:48
  Speaker 5: out this Friday as well, and we dig into what's
• 3:54
  Speaker 5: happening in our profession as quickly as we can and
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  Speaker 5: start to to shape conversations that help us to make
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  Speaker 5: some decisions. And today that's what we're doing here at
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  Speaker 5: the Surecast. We are interested in understanding the perspectives of
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  Speaker 5: these three amazing pharmacy professionals who have been working in
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  Speaker 5: our markets and understanding what this means for our future future?
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  Speaker 6: What a word?
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  Speaker 5: What an inflection point that we're in right now, the
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  Speaker 5: futures right now. I remember when I used to talk
• 4:28
  Speaker 5: about predictive analytics ten years ago and how it's happening,
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  Speaker 5: and then we started talking about AI, and now it's happening,
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  Speaker 5: and if you're not using tools like that, you're going
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  Speaker 5: to be left behind. And Calvin, I kind of want
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  Speaker 5: to open up to you first, and that is, what
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  Speaker 5: can you share with our people that are here today
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  Speaker 5: a sure costs Insights twenty twenty five, but also our
• 4:59
  Speaker 5: listener didn't get to make it here. What do you
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  Speaker 5: say to them when you found out that they're not
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  Speaker 5: implementing AI yet or they're not using data as a
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  Speaker 5: map for their profession.
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  Speaker 4: Just share with us some of your thoughts.
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  Speaker 6: Yeah, no, great question, obviously.
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  Speaker 7: I think as I spoke to earlier, I think the
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  Speaker 7: future is the implementation of AI. If you're not using
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  Speaker 7: it today, you certainly want to make sure you're looking
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  Speaker 7: at how you can incorporate that into your organization. I
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  Speaker 7: know at short cost we're looking at AI both internally
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  Speaker 7: for helping us develop and continue to develop our product,
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  Speaker 7: and also within engineering and within the company as a whole,
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  Speaker 7: how we can actually better serve you and our customers
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  Speaker 7: out in the marketplace, the other areas around the product itself.
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  Speaker 7: And you know, we wanted to take an teaser because
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  Speaker 7: obviously at the next roadmap piece we're going to talk
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  Speaker 7: about it and show you. You'll be the first to
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  Speaker 7: see our drug shorties insights, and so we wanted to
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  Speaker 7: come up with a way that we could implement AI
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  Speaker 7: in a positive impactful way to you as pharmacy and
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  Speaker 7: give you insights which Jessica, you know, mentioned the importance
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  Speaker 7: of giving you that transparency and visibility of the marketplace.
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  Speaker 6: And what's happening there. We are not.
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  Speaker 7: Stopping there, you know, we want to incorporate that in
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  Speaker 7: are purchasing and being now able to help you make
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  Speaker 7: decisions at the time of purchase with Copilot, where it
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  Speaker 7: will be assisting you of, hey, this item you're ordering
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  Speaker 7: is potentially going to be short. Here's an opportunity, here's
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  Speaker 7: where you can potentially get it. If you don't have
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  Speaker 7: that relationship with the vendor, showing you other vendors or
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  Speaker 7: showing you other opportunities that you can actually move product to.
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  Speaker 7: If you need to and beyond that we're looking at
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  Speaker 7: and Jessica spoke to this as well, looking at your
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  Speaker 7: agreements holistically. You know, what is you know, from your
• 6:45
  Speaker 7: agreement standpoint, what are the values you're getting, what are
• 6:49
  Speaker 7: the values you're getting from those rebates, what are the
• 6:51
  Speaker 7: values you get from the secondary market, and then how
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  Speaker 7: you piece that all together. And you know, in the past,
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  Speaker 7: we've all looked at that retrospectively. You know, we get
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  Speaker 7: that data, were like trying to make decisions on that.
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  Speaker 7: You know, we want to give you a forward looking
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  Speaker 7: Here's the dynamics in pricing, here's the changes that are
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  Speaker 7: having in pricing, Here's when it's happening, here's the dynamics
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  Speaker 7: in product availability, and you know, the market changing, and
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  Speaker 7: how we can actually help provide you that insight to
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  Speaker 7: make better decisions whether you're the next time you're meeting
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  Speaker 7: with your wholesale or with your agreements or your strategies
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  Speaker 7: as a whole to maximize your margins within your pharmacy operation.
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  Speaker 6: So that's a big piece.
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  Speaker 7: Lastly, is around inventory, and you know, I feel you
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  Speaker 7: know that inventory is becoming a more important piece to
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  Speaker 7: your operation. I think you know pharmacies looked at inventory
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  Speaker 7: in the past more as you know, an accounting principle,
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  Speaker 7: like you know, I'm curious what my inventory is. You
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  Speaker 7: kind of use that as a way to gauge as
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  Speaker 7: their shrinkage, what's my true.
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  Speaker 6: Cost of goods? Blah blah blah.
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  Speaker 7: But it really if you take think of inventory as
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  Speaker 7: a way to be the genesis of your order.
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  Speaker 6: And I kind of spoke this.
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  Speaker 7: A little bit earlier, where you're have predictive knowledge of
• 8:03
  Speaker 7: what your supply is, uh, what your supply, what you
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  Speaker 7: need in terms of utilization, and you know, again factoring
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  Speaker 7: in shortages, factoring and pricing, factoring all those things. How
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  Speaker 7: do you maximize that inventory so you have that right
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  Speaker 7: drug at the right time for your patient, so you
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  Speaker 7: don't have any lapses in service to your patients. So
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  Speaker 7: those are areas that if you're not implementing an inventory
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  Speaker 7: I do think inventory is an important piece for a
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  Speaker 7: pharmacy to look at. I know there's some discussions later
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  Speaker 7: today that you know, we'll be talking about that specifically,
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  Speaker 7: but I do think that's an area that we've seen
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  Speaker 7: our customers really excel both in terms of time savings,
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  Speaker 7: UH minimization of out of stocks, minimization of inventory, and
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  Speaker 7: you know, maximization of.
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  Speaker 6: Having the right product at the right time.
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  Speaker 5: So I appreciate that AI makes a lot of people
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  Speaker 5: nervous because they don't know how to apply it. They
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  Speaker 5: don't know how to apply it to the data within
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  Speaker 5: those components operations, staffing, shortages, prevention, buying, better price analytics, profitability.
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  Speaker 5: But now I shift to the media aspect of it,
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  Speaker 5: and that is the truth be told. And we have
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  Speaker 5: a lot of discussions right now on LinkedIn with people
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  Speaker 5: inside pharmacy, people in health system, and people in public relations,
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  Speaker 5: where we're saying, as a sector of the entire healthcare ecosystem,
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  Speaker 5: how are we using AI responsibly and how can we
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  Speaker 5: assure that truth and validity and authenticity is being pulled
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  Speaker 5: out of what we have through AI? But accelerating and
• 9:50
  Speaker 5: making things easier and double checking. For example, I use
• 9:53
  Speaker 5: AI to bring show notes that are accurate to what
• 9:57
  Speaker 5: was being said, so I don't forget something a spell checker,
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  Speaker 5: I will admit it.
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  Speaker 4: That's a horrible spell checker.
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  Speaker 5: And that's such a novel, you know, the infant way
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  Speaker 5: of using it. But it was a start. Two years later,
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  Speaker 5: since I've been really been using it. I see so
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  Speaker 5: many things happening in tech that they're pulling data into
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  Speaker 5: an AI model, and if you know how to prompt
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  Speaker 5: the system that you're using, the massive amount of guidance
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  Speaker 5: in validity that can.
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  Speaker 4: Come of that.
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  Speaker 5: So I want to shift to that perspective of the user,
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  Speaker 5: and that is Amy Cruz, vice president of pharmacy at
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  Speaker 5: am Farm. Amy kind of described to us your perception
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  Speaker 5: of artificial intelligence today and how that impacts your operations.
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  Speaker 2: Well, I think I'd really like to build a little
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  Speaker 2: bit on what Calvin said about inventory management. So we've
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  Speaker 2: really been successful because of your costs with managing our inventory,
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  Speaker 2: perpetual inventory, and so it's kind of the forefront of
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  Speaker 2: a think what the future holds with AI, But we've
• 11:03
  Speaker 2: really it's allowed us to be more efficient. We have
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  Speaker 2: automated min max levels, A high high percentage of our
• 11:11
  Speaker 2: orders are automatically done with auto replenishment. So I really
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  Speaker 2: think that e lines are purchasing with our senses data.
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  Speaker 2: So we're already kind of using these more simple tools
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  Speaker 2: that I think in the future will really push us
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  Speaker 2: to do even more with AI. And I think sure
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  Speaker 2: costs is a vendor has really helped us on that
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  Speaker 2: cusp of you know, in really increasing that for our business.
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  Speaker 5: Who here by a show of hands, has implemented AI
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  Speaker 5: into your operations based on what Amy was sharing, Just
• 11:45
  Speaker 5: to show me hands of your operations, your inventory. See
• 11:49
  Speaker 5: it's it's less people than I would have a guest.
• 11:52
  Speaker 5: I saw maybe maybe eight hands go up. And what
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  Speaker 5: that tells you as people that are actually running the
• 11:59
  Speaker 5: day to a operations of pharmacy operations and is to
• 12:04
  Speaker 5: embrace people that know how to leverage AI and learn
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  Speaker 5: from them and take it little bits by little bits
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  Speaker 5: like I just admitted I use it as a spell
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  Speaker 5: checker two years ago, and now of course it's helping
• 12:17
  Speaker 5: me to run scheduling, and it's helping me to make
• 12:20
  Speaker 5: sure that we're tying our clients messaging back to campaigns.
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  Speaker 5: And I'm thinking of different aspects of how to leverage
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  Speaker 5: and how to get more out of what you're doing
• 12:34
  Speaker 5: day to day and how can it help you empower
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  Speaker 5: your pharmacy technicians to take up more responsibility by making
• 12:42
  Speaker 5: them comfortable with it. I do want to go to
• 12:45
  Speaker 5: Marcia because we talked a little bit about before this
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  Speaker 5: event Marsha and I've been talking a lot lately about
• 12:51
  Speaker 5: validity and authenticity and the use of AI. Your perception, Marcia,
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  Speaker 5: you have documented the profession for thirty some years as
• 13:02
  Speaker 5: a writer, as someone that is a reporter in so
• 13:06
  Speaker 5: many of our industry magazines talk to us. Your perception
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  Speaker 5: about how AI is going to be implemented to help
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  Speaker 5: our pharmacy profession move forward.
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  Speaker 3: Yeah, And I.
• 13:15
  Speaker 8: Think it's really interesting when you do an environmental scan
• 13:19
  Speaker 8: out there, there's really two components to the whole AI question.
• 13:24
  Speaker 8: I think here today we're probably focused more internally on
• 13:28
  Speaker 8: how can we use it in our operations to drive profitability?
• 13:32
  Speaker 8: And Amy just brought up a great example of that,
• 13:35
  Speaker 8: and I have a few more. But surprisingly, I think
• 13:39
  Speaker 8: you read a lot in the media about how retailers
• 13:43
  Speaker 8: and consumers are using AI, and there's just been a
• 13:46
  Speaker 8: huge study published and I was stunned. I shouldn't be
• 13:50
  Speaker 8: because I'm probably one of these consumers. But almost half
• 13:54
  Speaker 8: of all consumers now rely on AI as their primary
• 14:00
  Speaker 8: source for shopping online, and it certainly declines with age.
• 14:06
  Speaker 8: So the baby boomers of which I'm part are the
• 14:09
  Speaker 8: lower of that spectrum, but almost fifty percent of them,
• 14:13
  Speaker 8: And so the secondary source is search engines. So number
• 14:17
  Speaker 8: one is AI, Number two is search engines. But what's
• 14:21
  Speaker 8: fascinating about it is while they claim it helps them
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  Speaker 8: make a purchase decision and they rely on it, there's
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  Speaker 8: a big trust issue, as Todd says, and I don't
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  Speaker 8: know about all of you when you first start using AI,
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  Speaker 8: but I think that's one of the black boxes to me.
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  Speaker 8: You do a search and you get what sounds like
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  Speaker 8: a reasonable answer, but how do you know if it's accurate?
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  Speaker 8: And that's what consumers also say. So they're using it.
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  Speaker 8: It's helping them make buying decisions, but it's also creating
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  Speaker 8: more clicks. More clicks is more opportunity for you from
• 14:58
  Speaker 8: an external point view with your market, So don't forget
• 15:02
  Speaker 8: to think about that in addition to operations. So I
• 15:05
  Speaker 8: think again, looking externally, what can you be doing with
• 15:09
  Speaker 8: your external facing information to help AI drive a consumer
• 15:13
  Speaker 8: purchase decision? And building trust and credibility with those results
• 15:18
  Speaker 8: and being consistent is the number one output of this
• 15:21
  Speaker 8: study that we had. And I know we're going to
• 15:23
  Speaker 8: get more into operations, so I'll leave it at that now.
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  Speaker 5: Yes, so the feedback and the comments, especially my favorite
• 15:32
  Speaker 5: platform is linked in. Is it will AI take over
• 15:38
  Speaker 5: our jobs? And it's more threatening to me as a podcaster,
• 15:44
  Speaker 5: as someone on media, as someone who develops even graphics
• 15:48
  Speaker 5: for clients and PowerPoint presentations. But then when I start
• 15:52
  Speaker 5: looking at the pharmacist decisions the safety of medication management,
• 15:58
  Speaker 5: plugging it into Walter's clue or plugging in a medi
• 16:01
  Speaker 5: span and starting to ask it questions about specific disease states,
• 16:06
  Speaker 5: and let's marry that with the EHR data that we
• 16:09
  Speaker 5: can get and start dialing into pharmacogenomics and looking how
• 16:13
  Speaker 5: the treatment is going to trend for a specific patient.
• 16:17
  Speaker 5: Take that data times by thousands of patients that have
• 16:21
  Speaker 5: been on the same exact medication and start predicting what
• 16:24
  Speaker 5: their outcomes will be scary because it almost feels like
• 16:29
  Speaker 5: it's going to be taken out of our control. But
• 16:31
  Speaker 5: the truth of the matter is, as long as there's
• 16:34
  Speaker 5: a farm d around and they give license out by NABP,
• 16:38
  Speaker 5: it's still the pharmacist's responsibility to keep that patient safe.
• 16:42
  Speaker 5: So therefore AI needs to be a steel sharping tool.
• 16:46
  Speaker 5: Steel versus steel sharping, over and over and over again
• 16:50
  Speaker 5: to make you a more efficient clinician to make you
• 16:54
  Speaker 5: more effective clinician in order to do more, because we
• 16:59
  Speaker 5: know right now with everything happening in PBM, reform your day,
• 17:03
  Speaker 5: your eight hour day or your ten hour day, you
• 17:05
  Speaker 5: have to do more and more and more and get
• 17:08
  Speaker 5: more out of your systems, and the leveraging of AI
• 17:11
  Speaker 5: can definitely help you do that. I have a question
• 17:14
  Speaker 5: for Calvin, you've been watching this. One of the ogs
• 17:18
  Speaker 5: with the first sure cost was the very first system
• 17:22
  Speaker 5: that we wrote an API for API out of our
• 17:25
  Speaker 5: pharmacy management system that I was working for at the
• 17:27
  Speaker 5: time to shure cust back in the Emerald Technology Data. Yeah,
• 17:31
  Speaker 5: and I want to know from your perspective, let's take
• 17:35
  Speaker 5: AI out of the picture and let's just talk about
• 17:38
  Speaker 5: mapping and let's talk about making better decisions. Where is
• 17:42
  Speaker 5: your cost at you before the AI monster came to
• 17:47
  Speaker 5: be in helping to keep patients safe based on data?
• 17:51
  Speaker 6: Yeah? Great question.
• 17:52
  Speaker 7: I think you know, one of the areas that we've
• 17:55
  Speaker 7: seen is, you know, pharmacy. As pharmacists, pharmacy technicians, you know,
• 18:00
  Speaker 7: we're kind of thrown into purchasing and it's a necessity,
• 18:03
  Speaker 7: you know, we kind of have to do it to
• 18:05
  Speaker 7: make sure there's inventory there to serve your patient. It's
• 18:08
  Speaker 7: not what we're trained for. I mean, as pharmacists or
• 18:11
  Speaker 7: even pharmacy technicians, you're not trained to really understand supply chain.
• 18:14
  Speaker 7: You're not trained to understand like how to maximize those.
• 18:17
  Speaker 6: Terms of inventory.
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  Speaker 7: You're just there to try to make sure that you
• 18:21
  Speaker 7: have that right product for the patient that when they
• 18:23
  Speaker 7: come in to be served.
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  Speaker 6: So throwing that into the mix.
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  Speaker 7: You know, and I mentioned this earlier, is like, you know,
• 18:29
  Speaker 7: pharmacy is to some degree manufacturing. You're taking a bulk
• 18:33
  Speaker 7: product and you're fine lining that down to automnately distribute
• 18:36
  Speaker 7: to a patient.
• 18:37
  Speaker 6: But it has to be right.
• 18:39
  Speaker 7: You know, you can't make a mistake, and you also
• 18:41
  Speaker 7: want to have the time to actually work with your
• 18:43
  Speaker 7: patients to be able to consult with them, provide them feedback.
• 18:47
  Speaker 6: David spoke to this earlier.
• 18:48
  Speaker 7: You know, pharmacists have far more interaction with patients than
• 18:52
  Speaker 7: physicians do, so we're kind of the front line and
• 18:55
  Speaker 7: one of the most trusted professions in the marketplace. So
• 18:59
  Speaker 7: being able to be able to put what we hear
• 19:03
  Speaker 7: out in the mark places to practice top of license,
• 19:07
  Speaker 7: you know, how do I practice the top of license
• 19:09
  Speaker 7: and the only way to do that is to free
• 19:11
  Speaker 7: yourself up from the day to day burdens, because if
• 19:13
  Speaker 7: you're tied to those, you don't have that ability to
• 19:16
  Speaker 7: do you're kind of you're working on prior off or
• 19:18
  Speaker 7: you're working on, like I said, trying to procure product.
• 19:22
  Speaker 7: So one of the things we focus on this is
• 19:23
  Speaker 7: again before AI, is how to make that process simpler.
• 19:27
  Speaker 7: And the other thing that we also focus on a
• 19:30
  Speaker 7: lot of the systems that we're out there are very linear.
• 19:32
  Speaker 7: It's kind of an NDC based you know, compare this
• 19:35
  Speaker 7: NDC and sources and price, but you're not looking at
• 19:38
  Speaker 7: the big picture because we know the market's very fluid
• 19:41
  Speaker 7: within the product group. Anything that's equivalent whole salvice change
• 19:46
  Speaker 7: those products, you know, sourcing availability, all those products, So
• 19:50
  Speaker 7: how do I know where they are at?
• 19:52
  Speaker 6: How do I know the prices of those things?
• 19:54
  Speaker 7: So we want to be able to kind of look
• 19:56
  Speaker 7: at that holistically, and that's one of the things that
• 19:58
  Speaker 7: you know, we focused on as a product to make
• 20:00
  Speaker 7: sure that we are looking at the bigger picture. And
• 20:02
  Speaker 7: we're continuing to look at that bigger picture to take
• 20:05
  Speaker 7: that burden off the day to day operations, so you
• 20:08
  Speaker 7: don't have to do that.
• 20:10
  Speaker 5: So, Amy, I think of automation, and I think of
• 20:13
  Speaker 5: decision support tools, and I think of us improving safety.
• 20:17
  Speaker 5: Talk to me about your operations right now in the
• 20:20
  Speaker 5: realm of decision support and improving safety and communications, especially
• 20:24
  Speaker 5: with patient care and patients.
• 20:26
  Speaker 2: Yeah, you know some of the workflows that we've you know,
• 20:30
  Speaker 2: implemented at our pharmacy that really helps improve you know,
• 20:36
  Speaker 2: just the ease of operations. Really, what we stressed our
• 20:40
  Speaker 2: employees is that technology really has to support you know,
• 20:44
  Speaker 2: your judgment, it doesn't really replace it. And so you know,
• 20:49
  Speaker 2: our pressure for us is really to remove repetitive tasks
• 20:52
  Speaker 2: so that pharmacists and techs can do, you know, use
• 20:55
  Speaker 2: their expertise and use that to the patient's advantage. They
• 20:59
  Speaker 2: can now folk sound clinical outcomes, patient outcomes and not
• 21:03
  Speaker 2: just doing these main you know, manual repetitive tasks over
• 21:07
  Speaker 2: and over.
• 21:09
  Speaker 5: So what's been what's been a surprise to you when
• 21:13
  Speaker 5: you're starting to leverage AI tools in your operations.
• 21:17
  Speaker 4: That's been like, oh, we gotta we got to spread this.
• 21:20
  Speaker 5: We've got to teach our technicians or teach our pharmacists
• 21:22
  Speaker 5: to leverage a something that you've invented or something that
• 21:27
  Speaker 5: you've used that has made the operations more efficient.
• 21:30
  Speaker 2: Well, I think a big part of you know, technology
• 21:35
  Speaker 2: is obviously going to remove some human error, so that
• 21:39
  Speaker 2: to us is really the quality perspective, and really reducing
• 21:43
  Speaker 2: our errors in the pharmacy is something that we're really
• 21:46
  Speaker 2: passionate about. So to really get to that point, you know,
• 21:50
  Speaker 2: like you said, people are skeptical. Everyone's worried that this
• 21:54
  Speaker 2: is going to replace their jobs. But I think we've
• 21:57
  Speaker 2: really tried to emphasize kind of small ends with people
• 22:01
  Speaker 2: and that has really helped turn kind of this skepticism
• 22:03
  Speaker 2: and maybe relief, and it helps the kind of adopt
• 22:06
  Speaker 2: this growth in these new technologies that we're presenting to them.
• 22:11
  Speaker 5: I think an advantage to all of us is being
• 22:14
  Speaker 5: able to come together once in a while. This is
• 22:17
  Speaker 5: why this is so important to be here and start
• 22:20
  Speaker 5: sharing some of the wins of what you've done in
• 22:23
  Speaker 5: your setting versus what someone has done in a pure
• 22:25
  Speaker 5: long term care pharmacy versus a community pharmacy that's mixed
• 22:30
  Speaker 5: or a specialty pharmacy or something, and how AI is
• 22:34
  Speaker 5: being leveraged and teaching our staff to use it better. Marsha,
• 22:38
  Speaker 5: You and I have talked about pharmacy management systems on
• 22:41
  Speaker 5: and off, on and off for years. You've been writing
• 22:43
  Speaker 5: about these things in Computer Talk and Drug Topics Pharmacy Times.
• 22:48
  Speaker 5: Talk to me about your interpretation of how these pharmacy
• 22:55
  Speaker 5: management systems and the tools that have already been in
• 22:58
  Speaker 5: placed are adopting a to get more out of these
• 23:01
  Speaker 5: systems so that our pharmacists can do more with less.
• 23:06
  Speaker 3: Yeah, I mean, I think Amy really touched on it.
• 23:08
  Speaker 8: There tends to be three areas in my scan at
• 23:12
  Speaker 8: least of the last year year and a half where
• 23:14
  Speaker 8: AI is coming into play outside of the inventory decision,
• 23:19
  Speaker 8: which is so critical. I wish we had that where
• 23:22
  Speaker 8: I practice. It's very frustrating, you know, it's kind of
• 23:25
  Speaker 8: a black hole. Maybe our corporate people are using it
• 23:27
  Speaker 8: and I'm not aware of it, but it's really operations, finance,
• 23:31
  Speaker 8: and productivity. The systems have been able to come in
• 23:35
  Speaker 8: and use that machine learning, because really that's what AI is, right.
• 23:39
  Speaker 8: I think that's part of the difficulty in getting your
• 23:43
  Speaker 8: hands around it is what is this artificial intelligence? And
• 23:47
  Speaker 8: it's really machine learning where you can process an enormous
• 23:52
  Speaker 8: amount of data and get some trends out of it.
• 23:55
  Speaker 8: And again what Amy is saying looking at routine tasks,
• 24:00
  Speaker 8: A lot of long term care facilities are starting to
• 24:03
  Speaker 8: look at those patient orders on the front end and
• 24:06
  Speaker 8: use predictive analytics to know when you're going to need
• 24:10
  Speaker 8: something which now ties into your system that helps me
• 24:13
  Speaker 8: figure out how to order it.
• 24:15
  Speaker 3: I think where and some of the other things.
• 24:17
  Speaker 8: Honeywell just did a study of retailers using this and
• 24:20
  Speaker 8: the great thing about it is it increased jobs. It
• 24:23
  Speaker 8: didn't decrease jobs. It increased employee satisfaction. But a lot
• 24:27
  Speaker 8: of that had to do with helping them understand what
• 24:31
  Speaker 8: is copilot going to do for you? What is chat, GBT, etc.
• 24:35
  Speaker 8: So what are those eight or nine common systems that
• 24:38
  Speaker 8: are out there? Have the employees heard of it? Do
• 24:40
  Speaker 8: they know what Google, gebini as there are many? And
• 24:44
  Speaker 8: how can it help you where there's still a pretty
• 24:47
  Speaker 8: big black hole? And Amy touched on this as did
• 24:50
  Speaker 8: utadd you're not replacing the pharmacist or the pharmacy technicians expertise,
• 24:56
  Speaker 8: especially in patient care. There have been studies done using
• 25:00
  Speaker 8: AI on the front end, for example, reviewing orders through EMR,
• 25:06
  Speaker 8: EHR systems that are fairly accurate, not a problem being
• 25:10
  Speaker 8: able to kick out some unusual outliers there where we've
• 25:14
  Speaker 8: seen some real issues doing some Google searches, if you will,
• 25:19
  Speaker 8: or using AI engines for drug interactions. As an example,
• 25:24
  Speaker 8: there was a chat GPT search that turned up eight
• 25:28
  Speaker 8: different drug interactions and when you looked at the references,
• 25:33
  Speaker 8: they didn't exist. So there's a huge hole with the
• 25:38
  Speaker 8: studies that have shown when you're looking at using AI,
• 25:42
  Speaker 8: especially in the drug interaction space, it is nothing close
• 25:45
  Speaker 8: to the Walter Cluers, etc. So there's a big black
• 25:49
  Speaker 8: hole for consumers that are using that. And again I
• 25:52
  Speaker 8: think it just reinforces how can we use it to
• 25:56
  Speaker 8: efficiently use operations, but then use our expertise to keep
• 26:01
  Speaker 8: those black holes and plug those where we know they're coming.
• 26:06
  Speaker 5: There is nothing intelligent about artificial intelligence, and I wish
• 26:14
  Speaker 5: that we would all come to terms with that because
• 26:17
  Speaker 5: AI is just a reflection of the data that we
• 26:22
  Speaker 5: have fed it. So if we're worried about it replacing
• 26:27
  Speaker 5: our jobs, you're just not using it correctly or you're
• 26:31
  Speaker 5: not tuning in. And for me, and like I said,
• 26:37
  Speaker 5: it's more threatening to a media person or to a
• 26:40
  Speaker 5: writer than it is to any of you that are
• 26:42
  Speaker 5: working in a pharmacy operations. And I'm constantly refining how
• 26:47
  Speaker 5: I'm using it to deliver better content to.
• 26:52
  Speaker 4: My beloved.
• 26:54
  Speaker 5: I feel like a servant to the profession, my beloved profession.
• 26:58
  Speaker 5: Technology is easy. Technology for me has always been easy,
• 27:03
  Speaker 5: especially if I can read a manual or understand the
• 27:07
  Speaker 5: components of it. It's the change management that's the hard part.
• 27:12
  Speaker 5: Change is so hard. I'm still I'm still trying to
• 27:16
  Speaker 5: start my twenty twenty five New Year's resolution and it's November,
• 27:25
  Speaker 5: and staying consistent with change management in my own health,
• 27:29
  Speaker 5: and that's difficult. But let's go back to something I'm
• 27:33
  Speaker 5: going to ask Amy about this, and that is building
• 27:35
  Speaker 5: trust through data, reducing resistance, being able to help your
• 27:40
  Speaker 5: teams adapt. Talk to us about how you're dealing with
• 27:44
  Speaker 5: that internally.
• 27:45
  Speaker 2: Yeah, And I think, like you said, technology that's easy.
• 27:49
  Speaker 2: We have vendors to help us, We have some of
• 27:52
  Speaker 2: these tools that really, change management is what determines success
• 27:56
  Speaker 2: for us. So, like you said, we can have the
• 27:59
  Speaker 2: best out of or the best AI, but if our
• 28:02
  Speaker 2: team does not trust the data or doesn't understand it,
• 28:07
  Speaker 2: it's not going to land with them. So I kind
• 28:09
  Speaker 2: of said this before. You know, technology has to support
• 28:12
  Speaker 2: their is going to support their judgment, but not really
• 28:15
  Speaker 2: replace what they're doing. So you have to be fully
• 28:17
  Speaker 2: transparent with your staff why you're doing this, Like I
• 28:21
  Speaker 2: said before, emphasize wins so that they can see the
• 28:25
  Speaker 2: positive side to why.
• 28:26
  Speaker 9: We're doing this.
• 28:28
  Speaker 2: Reassure them that removing all of these repetitive tasks kind
• 28:32
  Speaker 2: of keeps again their expertise central they and on top
• 28:37
  Speaker 2: of that, really AI cannot replace compassion or human interaction.
• 28:42
  Speaker 2: So I think people think, you know, forget that, and
• 28:45
  Speaker 2: that's part of our job is interacting with our customers
• 28:48
  Speaker 2: and our patients to provide the best outcomes for them.
• 28:51
  Speaker 4: AI cannot do that. A person has to do those
• 28:54
  Speaker 4: things absolutely.
• 28:57
  Speaker 5: So Calvin, you're supporting your users, your teaching people to
• 29:00
  Speaker 5: leverage technology short costs in and of itself, the design
• 29:05
  Speaker 5: and training.
• 29:06
  Speaker 4: Talk to us a little bit about that.
• 29:08
  Speaker 5: The design the technology to me once again to many
• 29:13
  Speaker 5: of us listening to the podcast, that's the easy part
• 29:16
  Speaker 5: to understand, but it's the implementation that's the design the
• 29:19
  Speaker 5: training in order for it to make sense.
• 29:21
  Speaker 7: Yeah, Well, first and foremost, we have you know, exceptional
• 29:25
  Speaker 7: CS team to help our customers, and you know, we
• 29:28
  Speaker 7: continue to train those. We try to have folks that
• 29:31
  Speaker 7: have experience in pharmacy and and you know, preferably even
• 29:34
  Speaker 7: pharmacy experience with short costs, which which has been great.
• 29:38
  Speaker 7: So having those they actually can empathize been you know,
• 29:42
  Speaker 7: there on the floor doing exactly what you're doing, and
• 29:44
  Speaker 7: you know understand the process that you are going through.
• 29:47
  Speaker 7: So it's it's easy to adapt short costs and how
• 29:50
  Speaker 7: short costs fits your operations.
• 29:53
  Speaker 6: Every operation does something different.
• 29:55
  Speaker 7: I mean, you know, even on the same pharmacy management platform,
• 29:59
  Speaker 7: whether you're US one framework whoever, it's you know, everyone
• 30:03
  Speaker 7: has their own interpretation of how they want their pharmacy to.
• 30:06
  Speaker 6: Operate, which is great.
• 30:07
  Speaker 7: And so with shirt costs, we wanted to be pluggable
• 30:10
  Speaker 7: where we can actually fit into your operation to the
• 30:12
  Speaker 7: level that you need.
• 30:13
  Speaker 6: It to fit into.
• 30:15
  Speaker 7: And again, if for some reason it isn't working, it's
• 30:18
  Speaker 7: just not configured properly, because that is our goal to
• 30:21
  Speaker 7: be able to have it work seamlessly side by side
• 30:25
  Speaker 7: with with your operation and the goals that you're trying
• 30:27
  Speaker 7: to achieve within within your operation. I think the other
• 30:30
  Speaker 7: thing is that when we design short costs and continue
• 30:33
  Speaker 7: to design short costs, we want to provide actionable information.
• 30:36
  Speaker 7: One of the things that you know, I think is
• 30:39
  Speaker 7: important and this is part of the adoption and change
• 30:42
  Speaker 7: management is you know, you have data, but you have
• 30:45
  Speaker 7: to do something with that data. So if if that's
• 30:48
  Speaker 7: not actionable and we don't give you a path to
• 30:50
  Speaker 7: actually take action on it.
• 30:52
  Speaker 6: It makes it difficult. So we you know, as.
• 30:55
  Speaker 7: As product and as designers of what we're doing and
• 30:59
  Speaker 7: we get feedback from you is to find out how
• 31:02
  Speaker 7: does this actually help you and how does it make it,
• 31:05
  Speaker 7: you know, more efficient for you to actually use our product,
• 31:08
  Speaker 7: because that is a really important aspect because you can't
• 31:11
  Speaker 7: you can't do change if it's difficult, you know, and
• 31:15
  Speaker 7: change in itself is hard. So to have it where
• 31:18
  Speaker 7: it's actually easier to implement and easier to adopt is
• 31:21
  Speaker 7: really important. So when we look at our product, we
• 31:25
  Speaker 7: try to want to encompass the whole supply chain, you know,
• 31:28
  Speaker 7: really from start to finish, from the point of purchase
• 31:31
  Speaker 7: to the point of receipt and verification of invoices and
• 31:33
  Speaker 7: making sure that that data is correct and again giving
• 31:36
  Speaker 7: you more helpful data, you know, especially around drug shortage
• 31:41
  Speaker 7: and how that affects your supply over time. And then
• 31:44
  Speaker 7: obviously we move into inventory and your agreements as a
• 31:47
  Speaker 7: whole are really critical for us to help you manage
• 31:51
  Speaker 7: that process more efficiently.
• 31:54
  Speaker 5: Every transformation story has two sides, the technical, the tech
• 32:00
  Speaker 5: technology and the people behind it. And this brings me
• 32:03
  Speaker 5: back to Marsha, because you've written about technology so much
• 32:08
  Speaker 5: within your within your pieces, but you always remember the
• 32:12
  Speaker 5: people behind it. You're always a storyteller that are talking
• 32:16
  Speaker 5: about how those people actually how they overcame the challenges
• 32:20
  Speaker 5: through transformation. Share with our listeners and on our teams
• 32:25
  Speaker 5: some of your experiences in writing stories like that.
• 32:28
  Speaker 3: Yeah, I mean, I think you know.
• 32:30
  Speaker 8: And I'm looking forward to talking to a number of you,
• 32:32
  Speaker 8: especially those that raised your hand. And I'm curious how
• 32:35
  Speaker 8: many of you this far into our program have decided
• 32:39
  Speaker 8: when you leave here today you're actually going to start
• 32:42
  Speaker 8: exploring AI.
• 32:44
  Speaker 3: There were eight of you that were already.
• 32:45
  Speaker 8: Using it, So how many of you are thinking you
• 32:48
  Speaker 8: may test that water? Speaking of transformations? Raise your hand? Okay,
• 32:53
  Speaker 8: a lot more. That's wonderful, And I think it's that
• 32:56
  Speaker 8: fear of the unknown That's usually what I find when
• 32:59
  Speaker 8: I talk to people and we start to do things.
• 33:02
  Speaker 8: And I said the same thing to Todd. Why would
• 33:05
  Speaker 8: I want to use AI? I'm a writer, and every
• 33:08
  Speaker 8: time I do a search on a topic, now it
• 33:11
  Speaker 8: just makes my job just like that consumer, twice as much.
• 33:16
  Speaker 8: I get a lot of information. But now I've got
• 33:18
  Speaker 8: to figure out where it came from. How am I
• 33:21
  Speaker 8: going to do that? That said, how many of you
• 33:25
  Speaker 8: use zoom for your businesses? A lot of people for
• 33:29
  Speaker 8: meetings and stuff. The other day, we were on a
• 33:32
  Speaker 8: call with this team and I got on Zoom and
• 33:35
  Speaker 8: it immediately said, would you like to use our AI
• 33:38
  Speaker 8: feature in order to take notes from our session?
• 33:41
  Speaker 3: How many of you have experienced that? Yeah?
• 33:45
  Speaker 8: I was shocked. I'm like, I didn't know I could
• 33:47
  Speaker 8: do that. So, I mean, I think that's part of
• 33:49
  Speaker 8: the transformation. Boy, that's an incredible time saver. I don't
• 33:53
  Speaker 8: need to sit and take notes on that. I can
• 33:54
  Speaker 8: just clean them up and send them out.
• 33:56
  Speaker 3: So I think part of it.
• 33:57
  Speaker 8: Is using it and those babies and finding things. One
• 34:01
  Speaker 8: of the most inspirational stories I found in some of
• 34:05
  Speaker 8: my retailers. You know, we fight a lot of these
• 34:08
  Speaker 8: discount cards because it costs us money. And yet we
• 34:11
  Speaker 8: want to be responsive to our consumers, right we want
• 34:13
  Speaker 8: to make sure they can save money, try to drive
• 34:16
  Speaker 8: some savings. And there was a great example of Kerryville Pharmacy.
• 34:21
  Speaker 8: They partnered with one of the pharmacy industry AI companies
• 34:26
  Speaker 8: in order to look at their whole cash pricing strategy
• 34:29
  Speaker 8: and they fed that information into the AI engine and
• 34:33
  Speaker 8: they were able to produce an increase in their cash
• 34:36
  Speaker 8: sales of six percent. They got rid of using discount
• 34:41
  Speaker 8: cards and eighty eight percent of the customers who were
• 34:44
  Speaker 8: now cash paying saw savings greater than the discount card.
• 34:48
  Speaker 8: At the same time, they increased profitability ninety six percent.
• 34:52
  Speaker 8: So that was a great, you know, transformational story to me,
• 34:56
  Speaker 8: where you identify a problem, try, you know, have a
• 34:59
  Speaker 8: little bit of f with some.
• 35:01
  Speaker 3: Of your colleagues.
• 35:02
  Speaker 8: But I think learning from colleagues is another big thing,
• 35:04
  Speaker 8: and I encourage every one of you to do that
• 35:06
  Speaker 8: while you're here the next two days.
• 35:08
  Speaker 3: That's what I'm going to do.
• 35:10
  Speaker 5: So this next question makes more sense as we've been
• 35:13
  Speaker 5: sitting here talking and I've been watching the audience raise
• 35:17
  Speaker 5: your hand to the questions. The question that Marsha just
• 35:21
  Speaker 5: ask and I'm going to ask, Calvin, what are you
• 35:24
  Speaker 5: seeing that tells that tells you and tells your team
• 35:29
  Speaker 5: that pharmacy is ready or not ready for this next
• 35:33
  Speaker 5: leap using AI?
• 35:35
  Speaker 7: Well, I mean pharmacy and I spoke to this earlier.
• 35:38
  Speaker 7: I mean pharmacy has to be ready. I mean it's
• 35:41
  Speaker 7: you know, unfortunately the economic wins that are going against
• 35:47
  Speaker 7: pharmacy right now. It's critical to look for any opportunity
• 35:50
  Speaker 7: that you can to be more efficient. And you know,
• 35:53
  Speaker 7: I talked about like prior authorization and I know I
• 35:56
  Speaker 7: just came from a conference, Becker's Health System conference, and
• 36:00
  Speaker 7: you know, AI was a big topic. Everybody was concerned
• 36:03
  Speaker 7: like is it going to take our jobs? Is you know,
• 36:05
  Speaker 7: how's this going to impact us? And the reality is
• 36:08
  Speaker 7: it's it is incredibly useful, uh, you know, to be
• 36:12
  Speaker 7: able to use it for things that are repetitive, that
• 36:14
  Speaker 7: take a lot of time that you know you don't
• 36:18
  Speaker 7: have to do anymore, and it does free you up
• 36:20
  Speaker 7: to do things that you know are more uh you know,
• 36:23
  Speaker 7: more war designed as humans to be able to do
• 36:25
  Speaker 7: and again automately interaction with with our patients and interact
• 36:29
  Speaker 7: with our management team, how do we grow a company,
• 36:31
  Speaker 7: you know, focus on forward thinking things as opposed to
• 36:35
  Speaker 7: you know, repetitive tasks. And it's I'm guilty of this,
• 36:38
  Speaker 7: I think. Excuse me, We're all guilty. Like it's comforting
• 36:41
  Speaker 7: to do the same thing over and over again, right,
• 36:43
  Speaker 7: you know, kind of walk in we do this like
• 36:44
  Speaker 7: this is what I do.
• 36:46
  Speaker 6: But the reality of that is we need.
• 36:48
  Speaker 7: To change, We need to move forward so we can
• 36:51
  Speaker 7: actually do new things because we have to be more creative,
• 36:54
  Speaker 7: especially with like I said, the headwinds that that pharmacy
• 36:57
  Speaker 7: is facing, you know, with with reimbverse.
• 37:00
  Speaker 6: So it is a necessity, you know, really and.
• 37:05
  Speaker 7: The timing is great because there are these tools out
• 37:08
  Speaker 7: there to really lean into to take advantage of it,
• 37:11
  Speaker 7: and those are going to continue to get better and
• 37:13
  Speaker 7: better and better for you for your operations. And you know,
• 37:15
  Speaker 7: we're super excited to be able to help on the
• 37:18
  Speaker 7: procurement side and we're looking at revenue opportunities and optimization
• 37:21
  Speaker 7: and other things down the road. Dickinson is going to
• 37:24
  Speaker 7: talk about a roadmap and go through some of those things.
• 37:26
  Speaker 7: But you know, we're forward thinking as well, and how
• 37:29
  Speaker 7: we can be a better partner to you, you know,
• 37:32
  Speaker 7: not just this year, but five years from now.
• 37:34
  Speaker 5: So Amy, what sector, the sector that you're in your viewpoint,
• 37:41
  Speaker 5: been in it long enough to make this opinion?
• 37:45
  Speaker 4: What are they missing? What part? What the jump?
• 37:49
  Speaker 5: We saw eight hands rays of people that are using
• 37:52
  Speaker 5: and implementing artificial intelligence into their operations.
• 37:57
  Speaker 4: Is it the fear of change? What is it about
• 38:00
  Speaker 4: about not using it?
• 38:01
  Speaker 2: Yeah? I really do think it's the fear of I mean,
• 38:03
  Speaker 2: and I feel like we're saying this over and over,
• 38:06
  Speaker 2: but I really think this is the core. It's the
• 38:07
  Speaker 2: fear of change, and people are so concerned that it's
• 38:10
  Speaker 2: going to replace their jobs. And you know, just to
• 38:14
  Speaker 2: piggyback on what Calvin said, our margins are being shrunk
• 38:18
  Speaker 2: so much and continue to continue, and if we don't
• 38:21
  Speaker 2: find ways to be more efficient, you know, our industry
• 38:24
  Speaker 2: is already you know, barely surviving and without being more efficient,
• 38:29
  Speaker 2: we're never going to get there. So I think I
• 38:33
  Speaker 2: just I feel repetitive, but automation does not replace people.
• 38:38
  Speaker 9: It really helps us.
• 38:39
  Speaker 2: Work smarter, safer, you know, gives us more time to
• 38:42
  Speaker 2: do the things that we need to do and again
• 38:45
  Speaker 2: interact with our customers. And I think you just have
• 38:48
  Speaker 2: to just really really stress that with your teams when
• 38:52
  Speaker 2: you go back with them, you've got to embrace this
• 38:54
  Speaker 2: or we're not going to survive, honestly.
• 38:58
  Speaker 6: All right.
• 38:59
  Speaker 5: So we're looking ahead now we've spent this time together
• 39:05
  Speaker 5: sure costs insights the first event of coming together really
• 39:10
  Speaker 5: dialing into analytics and data and start start planning what's
• 39:15
  Speaker 5: the next phase, what's the integration to drive our intelligence
• 39:18
  Speaker 5: and using predictive modeling and benchmarking and smarter vendor negotiations. Colvin,
• 39:24
  Speaker 5: what's the future look like as we leave? As we
• 39:27
  Speaker 5: leave and wrap up today's presentation on the future of
• 39:31
  Speaker 5: AI in Pharmacy.
• 39:33
  Speaker 7: Yeah, like I said, I think the future of AI
• 39:34
  Speaker 7: in pharmacy is, you know, around finding tools that actually
• 39:39
  Speaker 7: help your operations on the repetitive task and or the
• 39:43
  Speaker 7: tasks that actually have the data, the big data to
• 39:46
  Speaker 7: be able to that you just don't have the time
• 39:49
  Speaker 7: or resources to be able to look at. And you know,
• 39:52
  Speaker 7: it is a statistical model really, I mean, especially the
• 39:54
  Speaker 7: machine learning. It's you know, you can apply those algorithms,
• 39:58
  Speaker 7: but it's not to the depth that machine learning can do,
• 40:01
  Speaker 7: and it looks for patterns that you wouldn't be able
• 40:03
  Speaker 7: to pick up. So leveraging it there again from an
• 40:08
  Speaker 7: operation standpoint internally for your business, you know, ways that
• 40:12
  Speaker 7: you can actually save time, uh, you know in terms
• 40:14
  Speaker 7: of your own documentation communication internally for your your folks.
• 40:18
  Speaker 7: We use it, like I said, in tools for for
• 40:20
  Speaker 7: not taking all different all different aspects. You know, we're
• 40:24
  Speaker 7: actually using it for documentation as well, trying to find
• 40:27
  Speaker 7: there's so many different levels of documentation and then you
• 40:31
  Speaker 7: have to normalize that and you know, essentially we're normalizing
• 40:34
  Speaker 7: your data from a procurement standpoint, but operationally you have
• 40:38
  Speaker 7: different different procedures operation, operating procedures, and how do you
• 40:43
  Speaker 7: how do you make sure that there is the most
• 40:47
  Speaker 7: optimal procedure for your for your folks to implement. And
• 40:50
  Speaker 7: so I think leaning into that from a product standpoint,
• 40:53
  Speaker 7: we are super excited because we have tons of data
• 40:56
  Speaker 7: and we'll share that with you coming up on drug
• 40:59
  Speaker 7: shortages and how we're to leverage that for you. But
• 41:01
  Speaker 7: there's so much data in terms of you know, looking
• 41:05
  Speaker 7: forward to to maximize your margins and maximize your relationships
• 41:09
  Speaker 7: that you have with your vendors, because really that's what
• 41:10
  Speaker 7: it comes down to, you know, looking at it more holistically,
• 41:14
  Speaker 7: and how do you actually make sure you're aligned? How
• 41:17
  Speaker 7: do you make sure? And you mentioned benchmarking, you know
• 41:20
  Speaker 7: benchmarking do you to peers like yourselves?
• 41:23
  Speaker 6: Am I? You know, having the right number of turns
• 41:25
  Speaker 6: of inventory?
• 41:26
  Speaker 3: You know?
• 41:26
  Speaker 6: What is my cost of goods? Things like that? How
• 41:29
  Speaker 6: am I performing?
• 41:30
  Speaker 7: And even for a large corporate organization where you have
• 41:32
  Speaker 7: multiple pharmacies, how those pharmacies performing amongst themselves? So those
• 41:36
  Speaker 7: are things that we want to be able to raise
• 41:39
  Speaker 7: to you as an operator to maximize you know, your
• 41:43
  Speaker 7: effectiveness in your organization.
• 41:45
  Speaker 5: I like that, Marsh. So what does the future look like?
• 41:50
  Speaker 5: What narratives are going to help us define the next
• 41:53
  Speaker 5: error of a pharmacy technology?
• 41:57
  Speaker 8: Well, I think I think it goes to what Calvin
• 42:00
  Speaker 8: is saying, there's not going to be a choice to
• 42:04
  Speaker 8: implement the use of AI to drive profitability. And Amy
• 42:09
  Speaker 8: said it best. I mean the pressure on margins. It's
• 42:12
  Speaker 8: been that way in the forty years I've been in business.
• 42:15
  Speaker 8: It's not going to end. I think part of it
• 42:19
  Speaker 8: is finding better margin business. I don't know how many
• 42:24
  Speaker 8: of you are into doing some clinical services point of
• 42:27
  Speaker 8: care testing as an example, which is a cash based business.
• 42:32
  Speaker 8: It's a win for everybody, but you need to have
• 42:35
  Speaker 8: the time doing immunization's hand down. I mean, for every
• 42:40
  Speaker 8: GLP one we dispense at the pharmacy I practice at
• 42:43
  Speaker 8: in a month, for a one month supply, I've got
• 42:46
  Speaker 8: to do nine immunizations to make up.
• 42:48
  Speaker 3: For that profit loss. Okay, that's a one month supply.
• 42:53
  Speaker 8: That's why a lot of independence don't carry him, and
• 42:55
  Speaker 8: I don't blame them, So you know, it's that constant
• 43:00
  Speaker 8: I think, search for what is my next best opportunity,
• 43:04
  Speaker 8: and by automating these repetitive things, you've got to focus
• 43:07
  Speaker 8: on margin first, and that is what this conference is
• 43:10
  Speaker 8: all about.
• 43:10
  Speaker 3: I mean number one.
• 43:11
  Speaker 8: If you haven't done that, do that, but then look
• 43:14
  Speaker 8: at future opportunities as well. Calvin brought up the fact
• 43:18
  Speaker 8: that there may be a way I think you were
• 43:20
  Speaker 8: talking about using it in documentation.
• 43:22
  Speaker 3: Fascinating enough.
• 43:23
  Speaker 8: That is one of the best uses of AI in
• 43:26
  Speaker 8: a physician model.
• 43:27
  Speaker 3: They're using it to scribe.
• 43:29
  Speaker 8: So next time you go to the doctor for your
• 43:31
  Speaker 8: annual checkup, see if they're using it. Many clinics are
• 43:35
  Speaker 8: and what they're finding it's creating consistency in the note
• 43:39
  Speaker 8: taking process consistency and charting consistency and ability to look
• 43:44
  Speaker 8: at outcomes. And I think that's sort of the next
• 43:46
  Speaker 8: horizon in pharmacy is let's get it in on the
• 43:50
  Speaker 8: operations side.
• 43:52
  Speaker 3: Let's drive profitability.
• 43:53
  Speaker 8: But in the future for some of these higher margin
• 43:56
  Speaker 8: clinical services, how can we use it there to help
• 43:59
  Speaker 8: drive even more money and good good You know, everybody
• 44:03
  Speaker 8: wins the consumer, We do everyone.
• 44:07
  Speaker 5: For you listening out there to the sure cast, do
• 44:11
  Speaker 5: not and for the crowd, please do not not do
• 44:15
  Speaker 5: nothing like don't do nothing. Do something, even if it's
• 44:19
  Speaker 5: a short step. There are so many vendors and partners
• 44:22
  Speaker 5: who are passionate about this industry and this profession. If
• 44:25
  Speaker 5: you don't want to reach out to necessarily one of
• 44:27
  Speaker 5: your vendors, reach out to us, reach out to Marsha,
• 44:30
  Speaker 5: reach out to me on the Pharmacy Podcast Network, and
• 44:32
  Speaker 5: we will plug you in with somebody that's going to
• 44:34
  Speaker 5: help you take those next steps and take AI into
• 44:39
  Speaker 5: your operations and make it make sense. I want to
• 44:41
  Speaker 5: thank Amy, I want to thank Calvin. I want to
• 44:44
  Speaker 5: thank Marsha for being on the first suure cast here
• 44:47
  Speaker 5: on the Pharmacy Podcast Network.
• 44:49
  Speaker 4: Thank you to our listeners.
• 44:50
  Speaker 5: Thank you to my favorite providers are pharmacists, and thank
• 44:54
  Speaker 5: you to the audience listening.
• 44:55
  Speaker 4: This has been so much fun talking with you. Thank
• 44:57
  Speaker 4: you God. All right, folks.
• 45:03
  Speaker 1: Definitely AI is something that we got to start considering.
• 45:06
  Speaker 1: It's friend, not foe when you safely, but a tool
• 45:09
  Speaker 1: and not a replacement, which is comforting to us humans.
• 45:12
  Speaker 3: So thank you for the insight on that.
• 45:15
  Speaker 1: Coming up next, we actually have a sneak peek into
• 45:17
  Speaker 1: the product roadmap at shir Cost.
• 45:20
  Speaker 4: So what's next?
• 45:21
  Speaker 1: Why it matters as being led by Dickinson Maren, who
• 45:24
  Speaker 1: is the director of product management here at shir Cost
• 45:27
  Speaker 1: and mentoring team lead. So Dickinson, won't you come on up?
• 45:32
  Speaker 10: All right, Good morning everyone. My name is Dickinson Maren.
• 45:35
  Speaker 10: I am the director of product management here at Shircoss
• 45:38
  Speaker 10: and I've had the privilege and the pleasure of serving
• 45:41
  Speaker 10: in that capacity for the past two years, working done
• 45:43
  Speaker 10: to Calvin, and I'm going to get a chance to
• 45:45
  Speaker 10: talk to you about our product roadmap and then Calvin's
• 45:47
  Speaker 10: going to have a sneak peek into something really, really
• 45:50
  Speaker 10: really amazing. Meeting at shirt Coss is very personal personal
• 45:55
  Speaker 10: for me. I took my family on vacation and my
• 46:00
  Speaker 10: son and I run into a store because he wanted
• 46:02
  Speaker 10: a toy, and while we're in the store, my son
• 46:05
  Speaker 10: collapsed onto the floor and he starts convulsing, and I'm
• 46:10
  Speaker 10: freaking out because for as long as I remember, he's
• 46:13
  Speaker 10: been a healthy boy since the day he was born.
• 46:16
  Speaker 9: And I was so scared, and I just yelled for.
• 46:18
  Speaker 10: Someone to call nine one to one, and I called
• 46:20
  Speaker 10: my wife, who was in the parking lot, and I said,
• 46:22
  Speaker 10: something's wrong, please run in here, and they call the
• 46:25
  Speaker 10: ambulance and they rushed us over to the hospital, and
• 46:28
  Speaker 10: I'm just waiting to hear what's happening because he's mind
• 46:31
  Speaker 10: closed doors in the emergency room and they're working on him.
• 46:34
  Speaker 10: And then finally they bring him back out and like, doctor,
• 46:36
  Speaker 10: tell us what happened, and he's like, well, we don't
• 46:39
  Speaker 10: know what happened. He had a seizure. And I said, okay, why,
• 46:44
  Speaker 10: I think has he ever had a seizure before? As
• 46:46
  Speaker 10: he had hit his head as he maybe he's dehydrated.
• 46:48
  Speaker 10: They run all the tests and everything comes back normal,
• 46:52
  Speaker 10: and so we're like, what a freak accident. Wow, we
• 46:54
  Speaker 10: dodged a bullet there and then we went back home,
• 46:58
  Speaker 10: and my son proceeds to have I have about five
• 47:01
  Speaker 10: more seizures within a week's time. And they finally referred
• 47:05
  Speaker 10: us to a neurologists, a specialist that put the noes
• 47:08
  Speaker 10: on his head and ran a sleep study, and we
• 47:11
  Speaker 10: found out that our son had general epilepsy surges that
• 47:15
  Speaker 10: were happening in his brain every thirteen seconds, and his
• 47:18
  Speaker 10: body was no longer able to control what was happening.
• 47:22
  Speaker 10: And so the doctor told us, hey, he's going to
• 47:24
  Speaker 10: have to be on medication until his body can eventually
• 47:28
  Speaker 10: learn to handle all of these surges. And I said, oh, man, okay, well,
• 47:31
  Speaker 10: no problem. The prescribed medication was over seven hundred dollars
• 47:36
  Speaker 10: for every thirty day supply, and even with insurance, without
• 47:41
  Speaker 10: you know, with our copey, was going to be five
• 47:43
  Speaker 10: hundred dollars out of pocket. And I'm already thinking, oh
• 47:45
  Speaker 10: my god, what are we going to do? You know,
• 47:47
  Speaker 10: I haven't had to deal with pharmaceuticals for a long time.
• 47:49
  Speaker 10: I you know what, first time I'm having to deal
• 47:52
  Speaker 10: with pharmacy in any kind of way. And I remember
• 47:55
  Speaker 10: going to the first pharmacy and them telling me that
• 47:58
  Speaker 10: medication is so expensive we don't get as much in
• 48:00
  Speaker 10: reimbursement for it, so we won't be able to feel
• 48:02
  Speaker 10: that here. And I'm rember thinking to myself, can they
• 48:05
  Speaker 10: say that. I'm hearing some of you now say it
• 48:08
  Speaker 10: to me, But at the time, I was like, can
• 48:09
  Speaker 10: they say no to carrying a medication? So I went
• 48:12
  Speaker 10: to another pharmacy and tried to get the same thing,
• 48:14
  Speaker 10: and they told me they didn't carry it there either
• 48:16
  Speaker 10: because it was too expensive of a drug. So finally
• 48:20
  Speaker 10: I got a pharmacy to do the fill for me,
• 48:24
  Speaker 10: and I remember when it was time for the next refill,
• 48:28
  Speaker 10: they told me it was on back order and I said, okay,
• 48:32
  Speaker 10: well when do you expect.
• 48:34
  Speaker 9: To have that drug back in stock and they.
• 48:37
  Speaker 10: Said it's going to be about five days before we
• 48:39
  Speaker 10: can get it in. And I said, you have to
• 48:42
  Speaker 10: be able to do something for me because without this medication,
• 48:44
  Speaker 10: my son's going to have seizures. And I remember the
• 48:47
  Speaker 10: pharmacists looking at me and saying, mister Mary, and I
• 48:50
  Speaker 10: am so sorry, but my hands are tied. And it
• 48:55
  Speaker 10: was probably the most frantic five days of my life
• 48:58
  Speaker 10: because he was having siege.
• 49:00
  Speaker 9: Said they were nothing we could do about it.
• 49:01
  Speaker 10: They hospital told us you could bring them in, but
• 49:03
  Speaker 10: there's nothing more that we could do other than give
• 49:05
  Speaker 10: him more medication, and the drug is sure. I'm grateful
• 49:11
  Speaker 10: that eventually we're able to get his medication. In between
• 49:14
  Speaker 10: calling the neurologists consistently and calling the pharmacy beforehand to
• 49:17
  Speaker 10: place the orders early, and working with the insurance company
• 49:20
  Speaker 10: and everything else, that everything stabilized.
• 49:22
  Speaker 9: After a while.
• 49:23
  Speaker 10: And I'm grateful for that experience because about three months later,
• 49:27
  Speaker 10: I get a phone call from a colleague that said, hey, listen,
• 49:29
  Speaker 10: I have the CEO that's looking for an experienced product manager.
• 49:32
  Speaker 10: And I said, oh, what does the company do. He said, well,
• 49:35
  Speaker 10: they do procurement and inventory management for independent pharmacies across
• 49:39
  Speaker 10: the country.
• 49:42
  Speaker 9: I said, I want to take that call.
• 49:44
  Speaker 10: And I remember speaking to David and I remember speaking
• 49:46
  Speaker 10: to Calvin, and I explained to them that this is
• 49:48
  Speaker 10: more than just a.
• 49:48
  Speaker 9: Job for me.
• 49:49
  Speaker 10: This is personal because I understand now the importance of
• 49:53
  Speaker 10: pharmacies across the country. I understand how important you are
• 49:57
  Speaker 10: to patient care. And I took the job and I've
• 49:59
  Speaker 10: been working in that so you know, I'm really passionate
• 50:01
  Speaker 10: about the work that I do because I know the
• 50:03
  Speaker 10: impact that you have. Now, in the time that I've
• 50:06
  Speaker 10: been able to speak to you, I've gone the conferences,
• 50:10
  Speaker 10: I've been on phone calls, and boy, can I tell you,
• 50:13
  Speaker 10: people do not understand how important independent pharmacies are to
• 50:17
  Speaker 10: this country and to the patients all across the world.
• 50:20
  Speaker 10: Industry challenges that are in our site so where we're
• 50:22
  Speaker 10: going to be talking about evolving pharmacy operations and you
• 50:25
  Speaker 10: already heard plenty about that, about the need for evolving
• 50:28
  Speaker 10: as well as a preview.
• 50:30
  Speaker 9: Into our road metal.
• 50:32
  Speaker 10: So what have I heard from you that we've spoken
• 50:35
  Speaker 10: at conferences? And you know, on the phone calls and
• 50:38
  Speaker 10: the emails that we exchange, we're talking about regulatory environment
• 50:42
  Speaker 10: changes are killing us. The government's helping and they're not helping.
• 50:47
  Speaker 10: The complexity of vendor agreements. I have this big contract
• 50:51
  Speaker 10: of things I need to do in order to get
• 50:53
  Speaker 10: to a number so I can get the best and yeah,
• 50:57
  Speaker 10: I signed it. I'm not sure exactly all of the
• 50:59
  Speaker 10: ins and outs. I need someone to help me to
• 51:02
  Speaker 10: explain that increased drug prices, drug prices going up, yay me.
• 51:06
  Speaker 10: I understood when that five hundred dollar bill came every
• 51:09
  Speaker 10: single month and it went from five hundred to five
• 51:12
  Speaker 10: to fifty and from five to fifty to six hundred
• 51:14
  Speaker 10: those increased drug prices vendor compliance. I want to stay
• 51:18
  Speaker 10: in the good graces of my primary vendor, and at
• 51:20
  Speaker 10: the same time I'm trying to maximize my savings within
• 51:23
  Speaker 10: the pharmacy staffing shortages. So here, I didn't know that
• 51:28
  Speaker 10: there was a thing in pharmacy where the number of
• 51:31
  Speaker 10: people wanting to rush in the industry was going down
• 51:34
  Speaker 10: and down every single year. I thought that people within
• 51:37
  Speaker 10: the pharmacy.
• 51:38
  Speaker 9: Just had that attitudes.
• 51:39
  Speaker 10: I didn't know that they were working without lunch and
• 51:43
  Speaker 10: staying in extra three four hours of data try to
• 51:45
  Speaker 10: finish all of the work that they had to do
• 51:47
  Speaker 10: because of the complex stream on pharmacies. So I apologized
• 51:51
  Speaker 10: to any pharmacists on behalf of all of the patients
• 51:53
  Speaker 10: who don't understand what.
• 51:55
  Speaker 9: Your day to day life is like.
• 51:57
  Speaker 10: I better understand that now apply chain supply chain disruptions,
• 52:02
  Speaker 10: whether it's a natural disaster and or like they were
• 52:04
  Speaker 10: talking about earlier, manufacturer deciding I no longer want to,
• 52:09
  Speaker 10: you know, make this drug anymore, and or contamination or
• 52:12
  Speaker 10: the FDA stepping in and making a ruling shrinking margins,
• 52:17
  Speaker 10: trying your very hardest to I'm not making as much
• 52:20
  Speaker 10: money as I need to make to keep my operations going,
• 52:23
  Speaker 10: and that number keeps going down and down, lower and
• 52:26
  Speaker 10: lower and then lower reimbursements from the insurance company making
• 52:30
  Speaker 10: pharmacies have to choose between patient care and profitability for
• 52:34
  Speaker 10: their pharmacies. What are those resulting challenges they fall into
• 52:38
  Speaker 10: three buckets? And creating Where I'm concerned when Covin's concerned,
• 52:41
  Speaker 10: it's managing staff. So you have these staff and schorges.
• 52:44
  Speaker 10: You don't have a bunch of people running from college.
• 52:46
  Speaker 10: You're running out of college saying I'd like to be
• 52:48
  Speaker 10: a pharmacist. Sign me up for six days a week,
• 52:51
  Speaker 10: twelve hours a day. I'd like to do that. I
• 52:53
  Speaker 10: want to stand the entire time too. I didn't know
• 52:55
  Speaker 10: you guys stood for that log during the day. But
• 52:58
  Speaker 10: even if people wanted the it's a lack of domain knowledge.
• 53:01
  Speaker 10: How do they actually help you with your day to
• 53:03
  Speaker 10: day operations when they don't have any experience. And don't
• 53:06
  Speaker 10: get me wrong, they teach you things in college, but
• 53:08
  Speaker 10: real life application, everyone needs to understand exactly how your
• 53:12
  Speaker 10: pharmacy works. Which options within the procurement system is the
• 53:16
  Speaker 10: best option for you to maximize your profitability, and so
• 53:20
  Speaker 10: Calvin built in into our tool compliance management to try
• 53:23
  Speaker 10: to help you remain compliant with your vendor and at
• 53:26
  Speaker 10: the same time make it easy for your staff to
• 53:28
  Speaker 10: know exactly what they're supposed to do managing costs and
• 53:32
  Speaker 10: shrinking margins. I didn't know when I walked into a
• 53:35
  Speaker 10: pharmacy the reason why that can of pringles.
• 53:37
  Speaker 9: Was six dollars.
• 53:39
  Speaker 10: I thought, you got I'm like, the pharmacists are so greedy.
• 53:41
  Speaker 10: Look how much I're charging for a can of pringles.
• 53:43
  Speaker 9: They were trying to make up the losses.
• 53:45
  Speaker 10: So when I heard the comment recently, when you just
• 53:48
  Speaker 10: said I need to do nine immunizations to make up
• 53:51
  Speaker 10: for dispensing one of those drugs.
• 53:52
  Speaker 9: Now I get it.
• 53:53
  Speaker 10: Oh, I okay, you know what, I'm going to feel
• 53:55
  Speaker 10: better about paying five dollars for that can of pringles
• 53:57
  Speaker 10: now because I understand the reason why it's happening. Trying
• 54:00
  Speaker 10: to increase your margins. And that's the reason why we
• 54:03
  Speaker 10: have Purchase Manager procurement management built within sure Costs to
• 54:07
  Speaker 10: make it easier to know which drug is going to
• 54:10
  Speaker 10: be the most profitable for your pharmacy and then managing inventory.
• 54:15
  Speaker 10: I didn't know this either, that pharmacists are trying to
• 54:18
  Speaker 10: hedge their bets on how much inventory they need to
• 54:20
  Speaker 10: keep on hand in order to serve their patients, but
• 54:23
  Speaker 10: at the same time not have too much inventory on
• 54:26
  Speaker 10: the shelves because you're just tying up your capital money
• 54:29
  Speaker 10: that you can't use for your operations, and then trying
• 54:32
  Speaker 10: to make sure you don't have.
• 54:33
  Speaker 9: Drugs that are expiring on the shelf. And it's the reason.
• 54:36
  Speaker 10: Why Calvin built in inventory management within sure costs. Now
• 54:40
  Speaker 10: Here are the quotes that I've heard from you that
• 54:42
  Speaker 10: really stuck with me in our conversations. Number One, my
• 54:45
  Speaker 10: purchasers made what they thought were the right decision to
• 54:48
  Speaker 10: save money at the time, but it cost us more
• 54:51
  Speaker 10: when we missed our rebate.
• 54:53
  Speaker 9: And I remember the number on this one.
• 54:55
  Speaker 10: We made a short term ten thousand dollars decision, but
• 54:58
  Speaker 10: we missed out on a forty thousand dollars rebate. The
• 55:01
  Speaker 10: net gain for the pharmacy would have been thirty thousand dollars.
• 55:04
  Speaker 10: And it wasn't that necessarily the purchaser made a bad
• 55:07
  Speaker 10: decision in the moment. They made what they thought was
• 55:09
  Speaker 10: the best decision, but there wasn't this overall view of
• 55:13
  Speaker 10: what would have been better for the pharmacy long term.
• 55:15
  Speaker 10: I would have purchased more of drugs X had I
• 55:17
  Speaker 10: known that supply levels were going to be impacted.
• 55:20
  Speaker 9: A week later.
• 55:23
  Speaker 10: Eighty eight percent more or on the low and eighty
• 55:26
  Speaker 10: eight percent to two hundred and fifty percent more for
• 55:29
  Speaker 10: a drug alternative when it's in shortage versus when it's
• 55:32
  Speaker 10: properly stocked.
• 55:33
  Speaker 9: When I make a change.
• 55:34
  Speaker 10: In strategy, I prefer to have it push down to
• 55:36
  Speaker 10: each pharmacy so that the local decisions aligned with what
• 55:39
  Speaker 10: we're trying to do. So I want you to imagine
• 55:41
  Speaker 10: you have multiple locations, you come up with the formula
• 55:44
  Speaker 10: with your team as to what the best items are
• 55:46
  Speaker 10: to purchase, and then everyone at the local level are
• 55:49
  Speaker 10: making different decisions than what the corporation has decided. And
• 55:53
  Speaker 10: it would be great to know if the decision I'm
• 55:55
  Speaker 10: about to make will make it more or less likely
• 55:58
  Speaker 10: that I reached my goal. Am I on track to
• 56:00
  Speaker 10: go where I want to go? Or am I not
• 56:03
  Speaker 10: going to hit those targets? So now, in terms of
• 56:09
  Speaker 10: evolving pharmacy, we've spoken to a lot of you. We've
• 56:12
  Speaker 10: gotten our survey results back. How do we change things
• 56:16
  Speaker 10: within the pharmacy. You've heard it many times already. It's
• 56:18
  Speaker 10: about being proactive as opposed to being reactive. It's defining
• 56:21
  Speaker 10: your procurement goals for cost savings, compliance and product alignment.
• 56:25
  Speaker 9: It's no longer flying by the seat right.
• 56:28
  Speaker 10: Have to decide, here's the best outcome that I need
• 56:31
  Speaker 10: for this year, and now, how can I partner alongside
• 56:34
  Speaker 10: shuir costs to.
• 56:35
  Speaker 9: Get me there?
• 56:36
  Speaker 10: Automating enforcement of those goals so they're applied consistently across
• 56:40
  Speaker 10: every single order. It means they're going to be exceptions
• 56:43
  Speaker 10: to the rule, but they're exceptions, they're not Here's what
• 56:47
  Speaker 10: I think is the better thing to do, and then throws.
• 56:49
  Speaker 9: The entire pharmacy operation off.
• 56:52
  Speaker 10: Monitoring supply chain risk with predictive data to anticipate shortages
• 56:56
  Speaker 10: or disruptions. We can't eliminate the shortage. A great presentation
• 57:00
  Speaker 10: earlier talking about all the things that go on in
• 57:03
  Speaker 10: a shortage, how shortagees happen.
• 57:06
  Speaker 9: We can't stop the shortages from happening.
• 57:08
  Speaker 10: However, we can help pharmacies to mitigate and be proactive
• 57:12
  Speaker 10: in managing the shortages and then continuously adapting workflows to
• 57:15
  Speaker 10: keep pace with evolving industry challenges.
• 57:17
  Speaker 9: We all have to do it. We're dealing with change
• 57:20
  Speaker 9: every single day.
• 57:21
  Speaker 10: It's having a solution provider that evolves alongside your pharmacy.
• 57:27
  Speaker 9: What does the future of short costs look like?
• 57:30
  Speaker 10: There are a lot of things that we can do,
• 57:31
  Speaker 10: and let me tell you, we're not short when it
• 57:34
  Speaker 10: comes to ideas. Whenever I speak to pharmacists across the
• 57:36
  Speaker 10: country like Dickinson and what if you did and what
• 57:39
  Speaker 10: might you and what can you? I have to take
• 57:42
  Speaker 10: all of that information about what we can do and
• 57:45
  Speaker 10: all that we want to do, and then decide what
• 57:48
  Speaker 10: we should do and eventually whittle that down to what
• 57:51
  Speaker 10: we will do.
• 57:52
  Speaker 9: The number one thing that we want to do is.
• 57:54
  Speaker 10: Powered by AI because we are adopting AI in a
• 57:57
  Speaker 10: way that's going to make it easier to go through
• 57:59
  Speaker 10: large sums of data and analyzing patterns. We want to
• 58:02
  Speaker 10: do that with giving you actionable insights. It's not just
• 58:04
  Speaker 10: giving you information, it's giving you information with recommendations about
• 58:08
  Speaker 10: what you should do and helping tailor your workflows within
• 58:12
  Speaker 10: our product to push your staff to do the very
• 58:14
  Speaker 10: thing that they should do based on the information.
• 58:17
  Speaker 9: Inventory Durdan Procurement.
• 58:18
  Speaker 10: Covin spoke about that it's about knowing the right amount
• 58:21
  Speaker 10: of inventory to have on staff so you're not overbuying
• 58:24
  Speaker 10: and you're not under buying. So then when mister Merrin
• 58:26
  Speaker 10: comes in looking for his epilepscy medication for his son,
• 58:29
  Speaker 10: you don't have to say.
• 58:30
  Speaker 9: That, my hands are tied.
• 58:32
  Speaker 10: Configurable workflows for us to be able to come alongside
• 58:36
  Speaker 10: your pharmacy operations the way you work, so you don't
• 58:39
  Speaker 10: have to keep changing how you work so much as
• 58:41
  Speaker 10: we supplement the way that you want to work, and
• 58:43
  Speaker 10: your staff can accomplish all the things that you set
• 58:46
  Speaker 10: out for them are learning and notifications to tell you
• 58:50
  Speaker 10: when things aren't happening the way you want them to
• 58:53
  Speaker 10: and or to make sure you know when you need
• 58:55
  Speaker 10: to give approval for things. Tying certain workflows down so
• 58:59
  Speaker 10: people can't take an ap unless you've given them the
• 59:02
  Speaker 10: permission to do so. Automated procurement and inventory levels. If
• 59:06
  Speaker 10: we know what your usage is for a particular drug,
• 59:09
  Speaker 10: and we can forecast that out, we can set the
• 59:12
  Speaker 10: system up to make sure automatically that.
• 59:14
  Speaker 9: The system is keeping those par levels.
• 59:16
  Speaker 10: Now, granted we already have a lot of this stuff
• 59:17
  Speaker 10: built in, but with the power of AI and looking
• 59:20
  Speaker 10: at trending things over time, whenever that needs to be changes,
• 59:23
  Speaker 10: the system can start making some decisions for you, of course,
• 59:26
  Speaker 10: waiting for your approval through configurability, but we can start
• 59:29
  Speaker 10: keeping your inventory levels at the right place so you
• 59:31
  Speaker 10: don't have money tied up on the shelves, and then
• 59:34
  Speaker 10: putting in business intelligence helping you to better understand how
• 59:38
  Speaker 10: your pharmacy is doing in terms of operations previous years,
• 59:42
  Speaker 10: current year, and the year to come in terms of projections.
• 59:46
  Speaker 10: So how does that translate into our roadmap? In our
• 59:49
  Speaker 10: roadmap in Q one, we're helping you with the navigating
• 59:52
  Speaker 10: the supply chain interruptions. With the watch list, Covin's going
• 59:55
  Speaker 10: to give you a preview of this trending, trend tracking,
• 59:58
  Speaker 10: predictive shortage risk, helping you to reduce your inventory that's
• 1:00:03
  Speaker 10: on your shelves, helping you with unit transfers, helping you
• 1:00:07
  Speaker 10: to elevate your cost of goods data or bringing the
• 1:00:10
  Speaker 10: cost of goods data up so you can make better decisions,
• 1:00:13
  Speaker 10: and then single sign on. A lot of our pharmacies
• 1:00:16
  Speaker 10: have asked for this. They want to be able to
• 1:00:18
  Speaker 10: have people signed in one time and that be the
• 1:00:20
  Speaker 10: single source of all of my authentication. I want it
• 1:00:23
  Speaker 10: all go to a single place instead of having multiple
• 1:00:25
  Speaker 10: user names of passwords across multiple sites. And then infrared
• 1:00:29
  Speaker 10: scanning support. Now in Q two, we're going to help
• 1:00:33
  Speaker 10: you with implementing your own strategy. You come up with
• 1:00:35
  Speaker 10: a strategy, you want that filtered down to the rest
• 1:00:38
  Speaker 10: of your team so everyone understands that here is the
• 1:00:41
  Speaker 10: decision that my purchaser, my pharmacy manager wants me to make,
• 1:00:46
  Speaker 10: and configuring the system to make sure that they can't
• 1:00:49
  Speaker 10: make a decision outside of that unless it comes to
• 1:00:52
  Speaker 10: you for approval. Historic catalog pricing, we want to try
• 1:00:55
  Speaker 10: to keep track of the pricing of NDCs across time.
• 1:00:59
  Speaker 9: Is that dr trending higher and or lower?
• 1:01:01
  Speaker 10: And what should you do in response to those changes
• 1:01:05
  Speaker 10: in pricing? And then later on in Q three and
• 1:01:08
  Speaker 10: Q four, really fully implementing the power of AI in
• 1:01:12
  Speaker 10: Purchase Manager to do pass performance evaluation, future recommendations based
• 1:01:17
  Speaker 10: on your pass and where it is that you're trying
• 1:01:18
  Speaker 10: to go, and then adding in reimbursement data within our
• 1:01:22
  Speaker 10: purchasing to do margin analysis again, just trying to surface
• 1:01:26
  Speaker 10: as much of the data that we have behind the scenes,
• 1:01:29
  Speaker 10: bringing it up to the surface to help you make
• 1:01:31
  Speaker 10: better decisions. And then in Q four additional SOT compliance
• 1:01:35
  Speaker 10: work that we're going to be doing regulatory compliance updates
• 1:01:38
  Speaker 10: because they're constantly changing, enhance controls and permissions, and then
• 1:01:43
  Speaker 10: enhance dashboards for reporting and analytics. Now I've said a lot,
• 1:01:49
  Speaker 10: Me and my team were going to be on the
• 1:01:51
  Speaker 10: end of the hall here on the outside. We love
• 1:01:52
  Speaker 10: to talk to you about our roadmap, and we'd love
• 1:01:54
  Speaker 10: to hear about the additional challenges that you're going through
• 1:01:57
  Speaker 10: because your direct feedback is what shapes the roadmap that
• 1:02:00
  Speaker 10: we pursue, and we'd love to continue having that conversation
• 1:02:03
  Speaker 10: with you. But one of the most exciting things that
• 1:02:05
  Speaker 10: we've been able to work on, and you've heard this
• 1:02:07
  Speaker 10: as a running theme in this conference so far, is
• 1:02:10
  Speaker 10: how we're going to help you to navigate drug shortages.
• 1:02:13
  Speaker 10: And I have Calvin here to speak more to that,
• 1:02:15
  Speaker 10: So ladies and gentlemen can welcome Calvin back up on
• 1:02:18
  Speaker 10: the stage. I guess.
• 1:02:23
  Speaker 6: Okay, so you guys are the first to see this.
• 1:02:27
  Speaker 6: Actually I haven't used the clicker yet, So here we.
• 1:02:29
  Speaker 7: Go in terms of being able to see we're going
• 1:02:31
  Speaker 7: to demo live our drug shortage implementation using AI. Super
• 1:02:35
  Speaker 7: excited about that. One of the things, you know, we've
• 1:02:38
  Speaker 7: been working on us for a long time. We started
• 1:02:41
  Speaker 7: about a little over a year and a half ago,
• 1:02:43
  Speaker 7: and we're thinking, okay, as a company, what can we
• 1:02:46
  Speaker 7: do with our data and how can we leverage AI
• 1:02:49
  Speaker 7: in a safe, you know way that can provide real
• 1:02:53
  Speaker 7: value to our customers. And we have a unique data
• 1:02:56
  Speaker 7: set that really nobody in the industry has. We have
• 1:02:58
  Speaker 7: supply data from all the suppliers, you know, the Big
• 1:03:02
  Speaker 7: three as well as secondary vendors, so we know what
• 1:03:04
  Speaker 7: inventory is out there and we're monitoring those signals as
• 1:03:08
  Speaker 7: customers are checking.
• 1:03:09
  Speaker 6: Data, you know, they're they're you know, checking availability. We
• 1:03:11
  Speaker 6: have that data.
• 1:03:13
  Speaker 7: The other side we have is demand, so we understand
• 1:03:15
  Speaker 7: the demand curve and understand what demand is being requested.
• 1:03:18
  Speaker 7: So having those two sets of data, we can marry
• 1:03:21
  Speaker 7: that together and implement AI to maximize and determine is
• 1:03:26
  Speaker 7: something going to be short and if so, how long
• 1:03:29
  Speaker 7: is it going to last?
• 1:03:30
  Speaker 6: What is the confidence level?
• 1:03:32
  Speaker 7: We kind of talked about this earlier is you know,
• 1:03:35
  Speaker 7: how can I trust this data? Well, you know, our
• 1:03:38
  Speaker 7: algorithm is looking at that data every day and it's
• 1:03:41
  Speaker 7: back testing that data and then it's learning from that
• 1:03:44
  Speaker 7: and it gets better and better and better. And there's
• 1:03:46
  Speaker 7: so many there's so much data because obviously, you know,
• 1:03:50
  Speaker 7: this is everybody checking availability every day, so there's just so.
• 1:03:54
  Speaker 6: Many data points.
• 1:03:55
  Speaker 7: The more data points we have, the better we can
• 1:03:58
  Speaker 7: actually predict that and we have a higher confidence. The
• 1:04:01
  Speaker 7: other thing we're doing is we're using FDA data, so
• 1:04:04
  Speaker 7: you know, traditionally what's happened with drug shortage is everybody's
• 1:04:08
  Speaker 7: kind of gone looking at their wholesaler, looking at FDA,
• 1:04:11
  Speaker 7: looking at ASHP to find out, you know, is this
• 1:04:14
  Speaker 7: going to be short and how's it going to impact me?
• 1:04:17
  Speaker 7: And it's a very manual process. So we want to
• 1:04:20
  Speaker 7: automate that and be able to provide an interactive dashboard
• 1:04:23
  Speaker 7: to show you these are the things that we see
• 1:04:26
  Speaker 7: that apply to you, that apply to your patients that
• 1:04:28
  Speaker 7: potentially are going to be short and then what are
• 1:04:30
  Speaker 7: the infested alternatives for me to order those products? So
• 1:04:34
  Speaker 7: very excited to be able to show this to you today.
• 1:04:37
  Speaker 7: You know, we want to Obviously this is our launch
• 1:04:40
  Speaker 7: in terms of you know, being able to get feedback.
• 1:04:43
  Speaker 7: Are our roadmap in terms of like implementation and having
• 1:04:47
  Speaker 7: it out in production is somewhere in q Q one, potentially.
• 1:04:51
  Speaker 6: Early Q two.
• 1:04:52
  Speaker 7: So our goal is to have this out to you
• 1:04:54
  Speaker 7: you know, near term, and obviously as we roll this out,
• 1:04:57
  Speaker 7: we're going to be getting feedback. We're going to have
• 1:05:00
  Speaker 7: a limited set of customers that can you know, be
• 1:05:02
  Speaker 7: part of the beta testing, and we want to make
• 1:05:05
  Speaker 7: sure that this is something that provides real value to
• 1:05:07
  Speaker 7: you and you know, continue to.
• 1:05:10
  Speaker 6: Evolve the product as we go.
• 1:05:12
  Speaker 7: So the other analogy I kind of wanted to make
• 1:05:14
  Speaker 7: or metaphor here is like, you know, what we're doing
• 1:05:17
  Speaker 7: is really like no different than you driving right You
• 1:05:20
  Speaker 7: kind of have to know where you're at. There's a
• 1:05:22
  Speaker 7: traffic jam. How do I get around the traffic jam?
• 1:05:24
  Speaker 7: I need to go to that destination automately. In the
• 1:05:26
  Speaker 7: supply chain side, you're really trying to do the same thing.
• 1:05:29
  Speaker 7: I need this product at the end, what's my best
• 1:05:32
  Speaker 7: path to get there? And so implementing a now we're
• 1:05:35
  Speaker 7: able to do that and navigate you to the best
• 1:05:38
  Speaker 7: least cost path to make sure that you're able to
• 1:05:41
  Speaker 7: serve the patient and they have that medication at the time,
• 1:05:44
  Speaker 7: like to can set before that patient comes in the door,
• 1:05:47
  Speaker 7: you have that product on hand. So some of the
• 1:05:51
  Speaker 7: things that you know, like I said, traditionally, and Jessica
• 1:05:56
  Speaker 7: has spoken to this too. I mean, as an industry,
• 1:05:58
  Speaker 7: drug shortage has called us the industry close to a
• 1:06:01
  Speaker 7: billion dollars, so it's significant. A big thing is time.
• 1:06:05
  Speaker 7: A big thing is safety. Every time a drug has changed,
• 1:06:08
  Speaker 7: it introduces a safety risk.
• 1:06:09
  Speaker 6: And I know, Jessica you spoke to this.
• 1:06:11
  Speaker 7: Earlier, and there's statistics behind this, is real data that
• 1:06:15
  Speaker 7: show that you know, either the formulation has changed, the
• 1:06:17
  Speaker 7: dose has changed, and the chance of an error increases.
• 1:06:21
  Speaker 7: And you know, again we're trying to be able to
• 1:06:24
  Speaker 7: help you provide better service to your customers. Being able
• 1:06:27
  Speaker 7: to see interactive trend lines and being able to see
• 1:06:30
  Speaker 7: this not only us recommending, but you can make that
• 1:06:34
  Speaker 7: decision yourself too. You can see those trend lines. And
• 1:06:37
  Speaker 7: again we'll show you that example, having watchless analytics to
• 1:06:41
  Speaker 7: be able to kind of give you things that you want,
• 1:06:43
  Speaker 7: that you care about, that you want to have it
• 1:06:45
  Speaker 7: those watchless we'll be able to show you that as
• 1:06:47
  Speaker 7: well the predictive risk. You know, what is my risk
• 1:06:52
  Speaker 7: of this being short? And like I mentioned, how long
• 1:06:54
  Speaker 7: is it going to be short? Because of this a
• 1:06:56
  Speaker 7: short period of time, you might not have to do anything.
• 1:06:59
  Speaker 7: And Jessica like stockpiling products.
• 1:07:03
  Speaker 6: It's almost like a traffic jam.
• 1:07:04
  Speaker 7: If people overreact, it's going to start to slow down
• 1:07:07
  Speaker 7: and it's going to get aggressive and the stop and
• 1:07:09
  Speaker 7: then people start moving again. If everyone paced themselves, you
• 1:07:13
  Speaker 7: really minimize the impact to the supply chain. So you know,
• 1:07:16
  Speaker 7: the goal here is and there's no way to stop
• 1:07:19
  Speaker 7: drug shortages, right, but the goal is to be able
• 1:07:22
  Speaker 7: to minimize those abrupt changes. And so having that data,
• 1:07:26
  Speaker 7: you know, for you to make decisions ahead of time,
• 1:07:29
  Speaker 7: helps you gauge that more appropriately so you're not over
• 1:07:32
  Speaker 7: indexing one way or another.
• 1:07:34
  Speaker 6: And that's our goal with the product. So with that,
• 1:07:38
  Speaker 6: we'll go to a live demo here. So this is
• 1:07:43
  Speaker 6: a dashboard.
• 1:07:44
  Speaker 7: It shows you, you know, all your products. The great
• 1:07:47
  Speaker 7: thing is that right now the initial launch here is
• 1:07:51
  Speaker 7: really any drug shortage that our system sees is going
• 1:07:54
  Speaker 7: to show. You can pin those items so you can
• 1:07:57
  Speaker 7: say these are the things that I care about only
• 1:08:00
  Speaker 7: we're going to integrate this with your data inside Shure Costs,
• 1:08:03
  Speaker 7: so you know that way, it's data, it's your purchase.
• 1:08:06
  Speaker 6: It's things that you care about.
• 1:08:07
  Speaker 7: So you see those things that matter to you and
• 1:08:11
  Speaker 7: you still can actually pin and there might be certain
• 1:08:13
  Speaker 7: things you want to follow, but in the end it's
• 1:08:16
  Speaker 7: going to be interactive to to your data set and
• 1:08:18
  Speaker 7: what you know, what the purchase that you make and
• 1:08:22
  Speaker 7: are they relevant or not. So in this example you
• 1:08:24
  Speaker 7: can see you know, trends we're going to show you.
• 1:08:27
  Speaker 6: You know, at a quick glance.
• 1:08:28
  Speaker 7: Is a trend down, is a trend up for that
• 1:08:31
  Speaker 7: product or there's no trend Obviously these are on the
• 1:08:33
  Speaker 7: screen are showing all down. It is NDC specific and
• 1:08:37
  Speaker 7: the reason is and s is feedback from you, you know,
• 1:08:40
  Speaker 7: because of automation, because of pair you do want to
• 1:08:43
  Speaker 7: lock that NDC down and you want to be you
• 1:08:45
  Speaker 7: know again between your your agreements, you want to maximize
• 1:08:49
  Speaker 7: the pull through for those products. However, you know, you
• 1:08:52
  Speaker 7: want to be aware if this is going to be
• 1:08:54
  Speaker 7: short and then what alternatives you have for doing that.
• 1:08:57
  Speaker 7: We show you that status if it's critical.
• 1:08:59
  Speaker 6: Warning or there is really no worries and.
• 1:09:02
  Speaker 7: We also show you the product group as well. So
• 1:09:04
  Speaker 7: these are all interchangeable products and are they at risk?
• 1:09:08
  Speaker 7: So we kind of escalate it up. Is this something
• 1:09:10
  Speaker 7: that potentially impacts that whole product? In the future, we'll
• 1:09:14
  Speaker 7: be looking at the equivalent, like the whole drug itself,
• 1:09:17
  Speaker 7: the active ingredient. So you know, I'm looking at the
• 1:09:20
  Speaker 7: various different dosages and the different forms of those products.
• 1:09:23
  Speaker 7: So that way, if I have to navigate, I could
• 1:09:25
  Speaker 7: potentially talk to the prescriber recommend Hey here's an another alternative,
• 1:09:30
  Speaker 7: still staying in the same class, so you're not changing
• 1:09:33
  Speaker 7: it too much. But you know, again taking the least
• 1:09:36
  Speaker 7: path of or path of least resistance is really our
• 1:09:39
  Speaker 7: objective here. So that way, you know, you kind of
• 1:09:42
  Speaker 7: move up the chain, stay in NDC, maybe you need
• 1:09:45
  Speaker 7: a different vendor, different NDC.
• 1:09:47
  Speaker 6: You know, what's the best option for me?
• 1:09:49
  Speaker 7: And then automately, do I have other options within that product?
• 1:09:53
  Speaker 7: And then lastly is therapeutic class and what's the risk?
• 1:09:57
  Speaker 7: You know, what's what other products are in that therapeutic
• 1:09:59
  Speaker 7: class I can look at. So and then we have
• 1:10:01
  Speaker 7: the confidence score, and we also have source. Is this
• 1:10:04
  Speaker 7: a short cost source or is it both? Which we
• 1:10:07
  Speaker 7: would include FDA and we're.
• 1:10:09
  Speaker 6: Going to be putting ASHP data as well.
• 1:10:11
  Speaker 7: So the more touch points we have, like I said,
• 1:10:13
  Speaker 7: it gives us a higher confidence so we can we
• 1:10:15
  Speaker 7: can actually be more confident the results. And then lastly,
• 1:10:19
  Speaker 7: it has the prediction resolution, so I can see how
• 1:10:22
  Speaker 7: long this is going to last. So obviously it's going
• 1:10:25
  Speaker 7: to be a longer period time. I need to do
• 1:10:27
  Speaker 7: something about it, and need to make sure I have
• 1:10:29
  Speaker 7: enough inventory to weather the storm. If it's a shorter time,
• 1:10:32
  Speaker 7: you know, like I said, you might have enough inventory
• 1:10:34
  Speaker 7: so you don't have to do anything.
• 1:10:36
  Speaker 6: But keep a watch of it.
• 1:10:37
  Speaker 7: And this is the part where we're trying to minimize
• 1:10:40
  Speaker 7: the overreaction and also the burden of bringing additional inventory
• 1:10:45
  Speaker 7: in or you know, potentially jumping to different sources if
• 1:10:48
  Speaker 7: not needed. So in the triump synalone one, we'll click
• 1:10:52
  Speaker 7: into that. And this is the you know, this is
• 1:10:56
  Speaker 7: the jar the four and fifty four grams and these
• 1:10:59
  Speaker 7: are you can pin vendors as well, so these are
• 1:11:01
  Speaker 7: the vendors I care about, so I'm only seeing those
• 1:11:04
  Speaker 7: vendor and that data. So this shows you the first
• 1:11:07
  Speaker 7: half the graph is showing you historically what has happened
• 1:11:10
  Speaker 7: with the availability, so I can see that that's dropping down.
• 1:11:14
  Speaker 7: And then the second half is what the prediction model
• 1:11:16
  Speaker 7: is saying, here's what we see from availability standpoint. Is
• 1:11:20
  Speaker 7: it going to be a problem or not a problem.
• 1:11:23
  Speaker 7: So you can also include other vendors as well, so
• 1:11:26
  Speaker 7: you know, operationally, you know, we have the big three here,
• 1:11:28
  Speaker 7: but operationally you may say, hey, you know, I just
• 1:11:32
  Speaker 7: want to see what's there for other vendors, and you
• 1:11:35
  Speaker 7: can see they all pretty much follow the same pattern.
• 1:11:38
  Speaker 7: You know, they all had inventory, and then that inventory
• 1:11:41
  Speaker 7: has you know, continue to drop because of the demand
• 1:11:43
  Speaker 7: on that particular NBC. And again in this case, there's
• 1:11:47
  Speaker 7: not much you could do except being aware of it,
• 1:11:50
  Speaker 7: and you know, you might lean to a vendor that
• 1:11:52
  Speaker 7: has more inventory. The other option is to say what
• 1:11:56
  Speaker 7: other products could I move to? So if I scroll down,
• 1:12:00
  Speaker 7: I can sort and look at this from best availability standpoint,
• 1:12:04
  Speaker 7: and I can go down to the bottom to the
• 1:12:05
  Speaker 7: next four the last four point fifty here and view
• 1:12:08
  Speaker 7: that result. And then it's going to show me that's
• 1:12:12
  Speaker 7: certainly more stable. And if I include all vendors on
• 1:12:14
  Speaker 7: this one, I can see that you know, there's plenty
• 1:12:20
  Speaker 7: of inventory from certain vendors. Now I might not have
• 1:12:22
  Speaker 7: a relationship with that vendor, and so if I don't,
• 1:12:25
  Speaker 7: this gives you an opportunity to actually build a relationship
• 1:12:27
  Speaker 7: with that vendor if it's a product that you need
• 1:12:29
  Speaker 7: and you want to stay a little to that NBC,
• 1:12:32
  Speaker 7: we're giving you optionality here, and we're trying to give
• 1:12:35
  Speaker 7: it to you in a point where you can actually
• 1:12:37
  Speaker 7: make a decision ahead of time, because if it's reactive,
• 1:12:41
  Speaker 7: you're not going to be able to call the vendor
• 1:12:42
  Speaker 7: today and say, hey, I need this product tomorrow because
• 1:12:43
  Speaker 7: you don't have a relationship, right, so you have to
• 1:12:45
  Speaker 7: credit apps all the other stuff. So with this, you
• 1:12:48
  Speaker 7: actually have advanced notice that this is a potential for
• 1:12:51
  Speaker 7: being short and then I have the option to potentially
• 1:12:55
  Speaker 7: bring another vendor in if I need to to secure
• 1:12:58
  Speaker 7: that product, if there's adequate inventory in this supply chain.
• 1:13:02
  Speaker 7: So another example, and I know we have a couple
• 1:13:04
  Speaker 7: of minutes left here would be raff amp in here
• 1:13:08
  Speaker 7: and so on.
• 1:13:09
  Speaker 6: The riff ampin Akron as.
• 1:13:11
  Speaker 7: A manufacturer withdrew from the market. This is actually a
• 1:13:14
  Speaker 7: couple of years ago, but because of the demand, you
• 1:13:16
  Speaker 7: can see that inventories you know, continue to drop and
• 1:13:21
  Speaker 7: so you know there's some stability there. But again you
• 1:13:23
  Speaker 7: get you get that differential where you can actually see
• 1:13:27
  Speaker 7: there is option for me to find other vendors that
• 1:13:30
  Speaker 7: potentially have this product. So if you want to stay
• 1:13:32
  Speaker 7: with that NDC because you have patients on it, you
• 1:13:35
  Speaker 7: see there's a fair amount stability with a couple of
• 1:13:37
  Speaker 7: those vendors, but as a whole, the group is down,
• 1:13:40
  Speaker 7: So there's still risk there. The risk just isn't as
• 1:13:42
  Speaker 7: great as you would with some.
• 1:13:44
  Speaker 6: Of the others.
• 1:13:44
  Speaker 7: Of all those numbers were pulling it down, you know,
• 1:13:46
  Speaker 7: we would actually have that as a critical You can
• 1:13:48
  Speaker 7: see this particular NBC as a warning. So we're letting
• 1:13:52
  Speaker 7: you know there could be a potential just because of
• 1:13:54
  Speaker 7: the waiting of the number of vendors that have you know,
• 1:13:57
  Speaker 7: low inventory versus the ones that have high And again
• 1:14:02
  Speaker 7: you can sort, you know, if you wanted to see
• 1:14:04
  Speaker 7: other other options there, you can do it by by NATIC,
• 1:14:08
  Speaker 7: by whack, best availability Autoimately, what we're going to be
• 1:14:12
  Speaker 7: doing with this is integrated with short costs. So when
• 1:14:14
  Speaker 7: you're ordering a product, we're going to say, hey.
• 1:14:17
  Speaker 6: This NBC is.
• 1:14:20
  Speaker 7: Forecasted to be short and so that's copilot shortcost co pilot.
• 1:14:24
  Speaker 6: You've seen that I mentioned before.
• 1:14:26
  Speaker 7: So we're going to actually recommend you know, here are
• 1:14:29
  Speaker 7: alternatives for you at the time of order. And if
• 1:14:31
  Speaker 7: you're on perpetual inventory, we want to let you know
• 1:14:34
  Speaker 7: even ahead of time because we know when you're going
• 1:14:36
  Speaker 7: to need to order product, so we're giving you even
• 1:14:38
  Speaker 7: further advanced notification to say these are things that are
• 1:14:42
  Speaker 7: going to be short and so you can react and
• 1:14:45
  Speaker 7: you know, review what you want to do from an
• 1:14:48
  Speaker 7: alternative standpoint and take action on it before it's a
• 1:14:51
  Speaker 7: situation where you're out of stock. So again, very super
• 1:14:54
  Speaker 7: excited about this. I am also proud of our team.
• 1:14:57
  Speaker 7: You know, we said we want to get this done
• 1:15:00
  Speaker 7: for the user conference. They worked very very hard, so
• 1:15:03
  Speaker 7: you know, the product team, engineering team, QA team spent
• 1:15:06
  Speaker 7: a lot of extra time and weekend working on this
• 1:15:09
  Speaker 7: to get it right. We have had customer interaction and
• 1:15:12
  Speaker 7: feedback from this at all points. Kelly, I give her
• 1:15:17
  Speaker 7: a ton of credit. She could laid this product, this
• 1:15:20
  Speaker 7: product as far as its development, so you know, huge
• 1:15:24
  Speaker 7: kudus to Kelly. And Will Davis is also our data scientist,
• 1:15:30
  Speaker 7: so he's spent a ton of time and work on
• 1:15:32
  Speaker 7: this as well, So shout out to those two folks,
• 1:15:37
  Speaker 7: very very proud of the work.
• 1:15:39
  Speaker 6: That they done.
• 1:15:40
  Speaker 7: It has taken a team, but they were kind of
• 1:15:42
  Speaker 7: the two that really spearheaded this project and really appreciate
• 1:15:45
  Speaker 7: their efforts on this