I may soon have the opportunity to develop a new department charged with leadership and coordination of medication quality and safety across a 15-hospital health care system. The health-system also includes a physician practice employing the majority of the system physicians, a health plan, a next generation ACO, an extensive outpatient facilities including retail pharmacies, urgent care centers, and some partnerships with non-system facilities.
In the current structure, the academic health center/quaternary referral center leads all medication efforts for the system. Much of the focus for this structure is on safety. The new System Medication Quality & Safety Officer will report up through the Chief Pharmacy Officer, ultimately to the System Chief Medical Officer. Interestingly, the 15 hospital pharmacy directors will continue to report through each facility’s Chief Operating Officer, ultimately to the System Chief Operating Officer. It is evident that this position will need to use relationships/impact and influence to affect change.
- In developing this new role, what should the first 90 days in this new position look like?
- How do I best balance all of the opportunities (mile wide) vs. being able to strategically focus (mile deep)? What is the highest priority?
- Should I ultimately pursue a wider scope for this role? Should this include leading medication quality and safety initiatives for the health plan and population health? Retail pharmacies? Seizing opportunities to increase collaboration with local school of medicine and local pharmacy schools?
- What other significant points have I not yet considered?