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Health System and Management

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Areej Shamim
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11 views16 pages

Health System and Management

Uploaded by

Areej Shamim
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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HEALTH SYSTEM

AND MANAGEMENT

Dr. Usman Ghani Farooqi


Pharm-D, MBA, Ph.D. (Fellowship).
HEALTHCARE LANDSCAPE
Pharmaceutical
Companies

Physicians
Payers and Care
teams

Regulators/ Health Systems


Policymakers
RESPONSIBILITIES OF EACH HEALTHCARE
LANDSCAPE Pharmaceutical
Companies
Provide best in class drugs, improve
market access for utilization of drugs,
to subsequently improve patient
outcomes

Providers
Payers Deliver healthcare to
Ensure patients get patients to improve
the right drug at population health
the lowest cost
with the best
outcome

Regulators/ Health Systems


Policymakers Deliver healthcare services
to meet the health needs
Ensure regulation, safety, of a target population
and efficacy of drugs, through an organization of
prices and reimbursement people, institutions, and
resources.
NEEDS OF EACH GROUP

I want to accelerate innovation and license products and diagnostics that


demonstrate real outcomes
Regulator
I should be informed of decisions relating to my health and be able to
manage my condition
Patient
I must contain healthcare costs without compromising patient outcomes

Payer
My policies need to encourage uptake of innovation and meet my
stakeholders’ needs
Policymaker
I need to adhere to evidence-based medicine to optimize my
performance and delivery excellent patient outcomes
Provider
ROLES AND RESPONSIBILITIES WITHIN A PHARMA
COMPANY
1 Evidence Generation and Management

Health Economics
Research and
Pharmacovigilance and Outcomes
Development (R&D)
Research (HEOR)
• Conduct research to • The science relating to • A discipline used to
uncover the scientific the detection, complement traditional
basis underlying a assessment, and clinical development
drug’s mechanism of prevention of adverse information (i.e.,
action effects or any other efficacy, safety, quality)
• Coordinate stages of drug related problem to guide decision-
clinical trials to • Occurs after product makers regarding
determine the efficacy, launch/license patient access
safety and quality of a • Captures data to help
drug payers determine
efficacy, cost, and
reimbursement
• Occurs after product
launch
ROLES AND RESPONSIBILITIES WITHIN A PHARMA
COMPANY
2 Connected Delivery

Manufacturing Distribution

• Drug manufacturing is • Drug distribution is the


the process of process by means of
industrial-scale which people get access
synthesis of to drugs. There are
pharmaceutical drugs by many stakeholders
pharmaceutical involved in this drug
companies. distribution model,
• Biotech manufacturing including;
is more costly than
traditional - Pharma company
manufacturing due to (manufacturer)
the use of living - Wholesaler
organism for - Pharmacy Benefit
manufacture Manager (PBM)
- Pharmacy
- Payer
- Provider/Physician
- Patient
ROLES AND RESPONSIBILITIES WITHIN A PHARMA
COMPANY
3 Customer Management

Account
Sales Marketing
Management
• Sales are conducted • Marketing is the business • Focuses on the needs of a
through a select number of of promoting the sale of particular customer
account managers who act pharmaceutical drugs. segment to address needs
as pharmaceutical beyond those touched by
companies’ representatives traditional sales team
to within compliance
guardrails
- Influence healthcare
stakeholders to improve
formulary access for their
chosen drugs
- Improve the utilization
and sales of drugs.
MANAGEMENT
AIM OF HEALTH MANAGEMENT
SCOPE OF HEALTH MANAGEMENT

 Mapping community health profile and policy.


 Running and improving health services.
 Introducing new health services and protocols.
 Running a health program and project.
 Conducting a research and survey.
MANAGEMENT DEFINITION
MANAGEMENT VS ADMINISTRATION
MANAGEMENT CYCLE

PLANNING

IMPLEMENTATI
EVALUATION
ON
MANAGEMENT FUNCTIONS
PREPARATORY
PHASE
(Planning to
Plan)
REPLANNING &
SITUATIONAL
DECISION
ANALYSIS
MAKING

IDENTIFY
COMMUNICATIO
NEEDS OR
N
PROBLEMS

EVALUATION PLANNING

IMPLEMENTATI
ON
MANAGEMENT FUNCTIONS
THANK YOU

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