Foreword
I find this publication a significant and unique addition to the pharmacy
literature which should be considered not only by current leaders but by all
pharmacists, PGY1 residency directors, and Colleges of Pharmacy students
and faculty. I am pleased that it is a concise and practical handbook that I
recommend be on every current and aspiring pharmacy leader and manager’s
desk. Paul Bush has brought to this publication his 30 years of experience in
pharmacy leadership and involved his current and past administrative residents
to bring it a view from the “younger generation of leaders and mangers.”
They should be commended for their efforts.
Pharmacy leadership and management has never been as demanding,
multifaceted, complex and critical as it is today and hence the need for this
information. Current formal “Big L” leaders (Director, Associate, Assistant,
Coordinator, Supervisor, Lead, etc.) and managers must daily juggle:
• Working effectively with people, both their staff and others throughout
the organization
• Being financially responsible for a major part of the organization’s
expense and revenue budget, most of which they and their staff don’t
directly control, i.e., write medication orders
• Making sure all the ever changing regulatory and legal “bases” are
covered for medications which are everywhere in the organization, not
just in the pharmacy
• Ensuring that medications do not harm patients everywhere they are
used
• Develop and maintain good working relationships not only with the
medical and nursing staff but with administration, finance, and
virtually every other organizational department
• Lead the organizational efforts to improve the medication use system
for all the patients, from procuring, prescribing, dispensing, monitoring
through medication administration and appropriate charging
• Anticipate and innovate to ensure patients benefit from the new
developments in health care
• Keep up not only with the barrage of information such as e-mails,
voice mails, journals, newsletters, push news, list serves, but their own
self-development
• And other duties as assigned
While these varied responsibilities may seem daunting, they also require a
highly scientifically educated and trained person to be able to switch into the
art of leading and managing where there are very few true principles as there
are in science. Many current and aspiring pharmacy leaders and managers
have not benefited from formal training in the art of leading and managing pharmacies.
Likewise these skills are not just needed by the formal “Big L” leaders, but
every pharmacist as a “Little L” leader on their shift or in their practice needs to
employ the leadership techniques found in this book to ensure their maximum
impact.
Effective pharmacist leadership, both “Big L and Little L,” is crucial to the
continuing evolution of pharmacy services. Having separated from early medical
practitioners as the unique knowledge of specific medications developed, past
pharmacy leaders saw the need for pharmacists to apply their drug knowledge to
help patients minimize diseases. In health-systems this evolution included compounding
intravenous admixtures, developing unit dose drug distribution systems,
handling investigational drugs, utilizing formulary systems to promote
rational cost effective prescribing, compounding radiopharmaceuticals, moving
out of the pharmacy to practice in the patient care areas along side physicians and
nurses, computerizing systems, integrating automation, and championing patient
medication safety. Only pharmacist leaders can continue this evolution into the
future because they understand where the unmet needs are. My leadership published
research (AJHP 2005) has shown that over the next decade 80% of the
current health-system directors of pharmacy and 77% of the middle managers
anticipate retiring. These data also indicate that there may not be enough interest
by current practitioners to fill these vacancies with pharmacists. The most often
cited reason for not being interested in leadership positions is too many competing
responsibilities and having to give up their clinical practice. If there are not
enough pharmacists to take on these vacant leadership positions then non-pharmacists
will have to be utilized which may not be in the best interest of patients
and pharmacy staffs.
This book as a primer and handbook can assist leaders, managers and all
pharmacists to be more effective. It is filled with non-pharmacy quotes that offer a
philosophical backdrop to each topic or lesson. The 44 lessons are conveniently
organized into eight parts; personal roles, goals and development, communication,
learning and teaching, improving personal and organizational productivity,
meetings, marketing, building mutually beneficial employee-employer partnerships
and the broad view. Each lesson very effectively contains pharmacy examples,
suggestions for application and using the material, related lessons, sources
cited in the lesson for further study, suggested supplemental sources, e-newsletters,
and applicable websites. The use of key concepts tables make it easy to use as
a just-in-time resource.
There are the typical topics you would expect, such as, how to set goals, using
questions in communication, establishing culture, the difference between leadership
and management, etc but there are many unique topics that add dimensions
not usually found in such publications. The following are a few examples.
• Too much of a good thing. Avoiding the pitfalls of too much experience.
• Courage: real and counterfeit. Rising change and confronting the unknown.
• Afraid of dying, or not having lived? Realizing our dreams instead of
living with regret.
• Balance high tech and high touch. Mixing technology with human contact.
Readers will benefit from the variety of “pearls” that will enable them to be
more efficient and effective no matter what their job responsibilities.
Sara J. White, M.S., FASHP
Director of Pharmacy (retired)
Pharmacy Leadership Coach
Mountain View, California
January 2008