Transcript IMPROVING PHARMACY EFFICIENCY with AUTOMATED …

Welcome
Improving Pharmacy Efficiency
New Equipment
And Technologies
For Inventory Control
Donna Riehl CPhT, PhT.R.
Improving Pharmacy Efficiency
Introduction
 Brief history of inventory control
 New equipment and technologies
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Systems overview
 Implementation
 Benefits and/or limitations
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Future of pharmacy technology
 Open discussion and questions
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History Of Inventory Control
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Drugstore dispensatory
from the 1920's
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Salem, N.J., Hospital sold after
paying fine for pharmacy
inventory problems.
Byline: Sam wood
sep. 27--SALEM, N.J.--A Salem
county hospital has paid a $1 million
fine after an investigation revealed
lax inventory controls in its
pharmacy, authorities said yesterday.
News of the settlement came just
before an announcement that the
sale of memorial hospital of Salem
county to a corporation based in
Tennessee had been completed.
The settlement that Salem memorial
reached yesterday with the U.S.
Attorney's office requires the...
History Of Inventory Control
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Systematically determined inventory
requirements.
Determined stock levels or reorder points
based on current demand.
Large purchases inflated inventories to levels
that were substantially higher than needed.
Intuitive judgments, experience, customary
ordering practices.
Observations of stock on shelves.
Inventory Management: Carousel
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System overview
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Streamlines stocking
Pick-to-light indicators
Supports all dosage forms and packages
Decreases storage space by 30% to 50%
Reduces time-on task
Automatically tracks and documents activities
Recognizes priority orders
Compares inventory stock levels
Inventory Management: Carousel
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Implementation.
First-dose turnaround.
 Software to manage inventory and direct
order picking.
 Replenishment pyxis orders through
carousel.
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Inventory Management: Carousel
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Benefits.
Lower inventory levels and achieve greater
economic benefits.
 Maintain inventory records to document
quantities on hand and value.
 Perform periodic physical inventories.
 Generates consolidated, daily electronic
orders to the wholesale distributor.
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AUTOCAROUSEL™
Medication Repackager
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System overview.
Barcoding activities are automatically
coordinated.
 350 most frequently-used medications are
stored securely in repackager.
 Package and label less common
medications and special orders, such as
half tablets.
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Medication Repackager
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Implementation.
Transferable circle labels for multi-dose
medications like ointments, eye drops, to
ensure the bar code remains with the
package and linked to the administered
dose.
 Flag labels applied to ampoules and
syringes upon delivery from wholesaler.
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Medication Repackager
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Benefits.
First dose.
 Enhance work flow.
 Improving dispensing accuracy.
 Reduce staff time-on-task.
 Lowers nurse-to-patient delivery time.
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Autopacker™
Autopacker™
Autolabeler™
Automated Dispensing Machines
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System overview
Improved response time and accuracy for
STAT and first dose orders
 Reduced time required for ADU and cart fill
replenishment
 A reduction in staff hours dedicated to
ordering, picking, and dispensing
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Automated Dispensing Machines
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Implementation.
Identify top 80% movers to be loaded.
 Assign medication to bin location.
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Separate sound a-like/look-alike, similar
packages, same color, etc.
 Enter earliest expiration date.
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Determine maximum and minimum.
 Set-up restock time.
 Monitor for possible changes.
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Automated Dispensing Machines
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Benefits
Barcode-based pharmacy
 Integrated system with the pharmacy
suppliers
 Billing information
 Valuation for both pre-packed and
pharmacy manufactured inventory.
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Automated Dispensing Machines
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Limitations
Only one nurse can pull meds at any given
time
 Required space
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Pyxis Vault™
Refrigerator
Future Of Pharmacy Technology
Robotics
 Telepharmacy
 Will call storage
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Cytocare ™
Cytocare™
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Combines a robotic arm, laser-driven
syringe filler, sophisticated workflow
software and a sterile cabinet
ScriptPro®
Telepharmacy technician filling a remote order
Inspection And Verification
Counseling And Patient
Education
HangRx™
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Will call storage
Conference
Open Discussion
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Questions