1. Leadership The important thing is this: To be willing to give up what you are, for what you could become. -Charles Dubois ACHS Presentation on Patient Safety Pharmacy Collaborative (PSPC) Dallas 2010 Ammonoosuc Community Health Services, Inc (ACHS) Federally Qualified Health Center (FQHC) Jennifer Jewell, CMA, CPhT, Certified Medical Assistant / Pharmacy Technician Lisa Mackenzie, Patient Navigator Linda Noyes, RN, Electronic Health Record Manager Edward D Shanshala II, MSHSA, MSEd, Chief Executive Officer Charles J. Wolcott, MD, Medical Director Littleton Regional Hospital (LRH) Critical Access Hospital (CAH) Karl Herzig, R.Ph Director of Pharmacy

2. “The problem in my life, and as I see it in other people’s lives, is not the absence of knowing what to do, but the absence of doing it.” -Peter F. Drucker Where your team is today in its progress: – Leadership is a way of being, producing optimal engagement, and demonstrable results. – has resulted in a success breeding success cascade, e.g., Patient Centered Medical Home, PSPC – 2.0, Accountable Care Organization, PSPC – 3.0 – 360 Degree Leadership is the holy grail for sustainable success.

3. “Genius is one percent inspiration and ninety-nine percent perspiration.” -Thomas Alva Edison The top 3 leadership activities/actions your team needed to make it to where you are today 1.CEO and Senior Leadership Develop support for intrinsic motivation and removal of barriers 2.Medical Director and Provider Staff Lead by example and elicit optimal engagement 3.Point of Service clinical and non-clinical support staff A novel, uncommon, and successful source of leadership excellence. This is the lynch pin to 360 Degree Leadership

4. “Success is a journey not a destination.” Dr. Wayne Dwyer What goals does your team have for going forward. 2011 – Expand Population of Focus to all diabetics – Hire Pharmacist and integrate into care delivery team with medical and behavioral health care providers – Open In-House Pharmacy at ACHS – Littleton Care Delivery Site – Continue PDSA to include and not be limited to Enhanced identification of Adverse and Potential Adverse Drug Events – Spread Lesson Learned to Accountable Care Organization (ACO) Pilot Program Decrease avoidable ED visits Decrease avoidable re-hospitalizations 2012 – Tele-Pharmacy to other four ACHS Care Delivery Sites For delivery of medications For delivery of medication therapy management interventions – Collaboration with County Corrections

5. Imagine the quality of care and the financial possibilities expanding from 62 to 10,000 patients