Transcript Union Hospital

Group 4
UNION HOSPITAL
OVERVIEW
•Union Hospital opens in 1906
- 20 beds
- 3 nurses
•Today is one the largest employers in
Tuscarawas County
-200 primary care physicians and
specialist,
-1,000 employees
-Serves over 5000 patients a week.
UNION HOSPITAL

Top 100 Hospitals

Union Hospital’s policy is to provide medicallynecessary care to all patients regardless of
their ability to pay while providing the highest
standards of quality, safety and patient care.
UNION HOSPITAL
Operates on an IS called MediTech
 Pharmacy operates on the PYXIS system
- has allowed for decentralization
- more efficient
- more accurate
- reduce cost

MEDITECH
MEDITECH IN THE PHARMACY
How it helps
 What its focus is
 How Union uses it
 Supply Chain Management

TEMP TRAK

Automated wireless remote temperature
tracking system for pharmaceuticals

Benefits
HL7 MESSAGING

Transmit data between hospital systems

Included Systems

Categories of messages: ADT, BAR, ORM, ORU,
SIU
HL7 MESSAGING
PYXIS

Physician Order Management System

Designed For a Number of Reasons

Many Benefits
PYXIS
PYXIS CONNECT

Physician ordering system
 Order
written
 Order scaned
 Order received at pharmacy
 Order
viewed on a digital screen
Image is 4X clearer than a faxed order
 Allows pharmacist to magnify the order to read small details

 Approved
order sent to PYXIS Station
PYXIS CONNECT CONT.
PYXISCONNECT
Base System
PYXISCONNECT
ScanStation(s)
PYXIS STATION
Drug Distribution Center
 Holds top 80% of drugs used
 Uses BioID Technology
 Select patient and drug

 Gives
nurses drug information
 One drawer opens filled with CUBIEs
PYXIS STATION CONT.
CUBIE
Medication dispensing boxes
 In every drawer of the PYXIS Station
 Hold medications
 Only one opens at a time

PHARMACY SUPPLY CHAIN
Medstation
Orders
Faxed/Tubed
Medstation
Orders
Faxed/Tubed
Pharmacist O/E
into
Pharmacy IS
Medstation
Orders
Faxed/Tubed
Pharmacist O/E
into
Pharmacy IS
Orders Picked and
Loaded into Point
Specific Cassette
Medstation
Orders
Faxed/Tubed
Pharmacist O/E
into
Pharmacy IS
Orders Picked and
Loaded into Point
Specific Cassette
Medstation
Rx Checks
Cassette
Orders
Faxed/Tubed
Pharmacist O/E
into
Pharmacy IS
Orders Picked and
Loaded into Point
Specific Cassette
Medstation
Rx Checks
Cassette
Medications
Delivered
to Floor
Orders
Faxed/Tubed
Pharmacist O/E
into
Pharmacy IS
Orders Picked and
Loaded into Point
Specific Cassette
Rx Technician Restocks
Pyxis & Exchanges
Medication Cart
Rx Checks
Cassette
Medications
Delivered
to Floor
Orders
Faxed/Tubed
Pharmacist O/E
into
Pharmacy IS
Orders Picked and
Loaded into Point
Specific Cassette
Nursing Removes
Medications
~35% in Medstation
Nurse Administers
Medication
Rx Checks
Cassette
~65% in Medication Cart
Medications
Delivered
to Floor
Orders
Faxed/Tubed
Pharmacist O/E
into
Pharmacy IS
Orders Picked and
Loaded into Point
Specific Cassette
Nursing Returns
Unused Medications
Nurse Administers
Medication
Rx Checks
Cassette
Medications
Delivered
to Floor
Orders
Faxed/Tubed
Pharmacist O/E
into
Pharmacy IS
Orders Picked and
Loaded into Point
Specific Cassette
Medstation
Nurse Administers
Medication
Rx Checks
Cassette
Medications
Delivered
to Floor
Return/Credit
Medications to Patient
Orders
Faxed/Tubed
Pharmacist O/E
into
Pharmacy IS
Orders Picked and
Loaded into Point
Specific Cassette
Medstation
Nurse Administers
Medication
Rx Checks
Cassette
Pharmacy Orders
Medications
Medications
Delivered
to Floor
Return/Credit
Medications to Patient
Orders
Faxed/Tubed
Pharmacist O/E
into
Pharmacy IS
Orders Picked and
Loaded into Point
Specific Cassette
Medstation
Nurse Administers
Medication
Rx Checks
Cassette
Medications
Delivered
to Floor
Return/Credit
Medications to Patient
Distributor
EDI
Orders
Faxed/Tubed
Pharmacist O/E
into
Pharmacy IS
Orders Picked and
Loaded into Point
Specific Cassette
Medstation
Nurse Administers
Medication
Manually
Received
Rx Checks
Cassette
Medications
Delivered
to Floor
Return/Credit
Medications to Patient
Distributor
EDI
Medstation
Safety Net
Orders Scanned
PyxisConnect
Pharmacist O/E
Orders Scanned
PyxisConnect
Pharmacy IS
Medstation
Safety Net
Nursing Removes Medications
90-95% Medications Available
Orders Scanned
Pharmacist O/E
Bio-ID
PyxisConnect
Nursing Removes Medications
90-95% Medications Available
Orders Scanned
Pharmacist O/E
Bio-ID
PyxisConnect
Lexi-Comp
On-line Drug
Information
Nursing Removes Medications
90-95% Medications Available
Orders Scanned
Pharmacist O/E
Bio-ID
PyxisConnect
Lexi-Comp
On-line Drug
Information
Veri5
Bedside Verification
of Medications
Medstation
Safety Net
Orders Scanned
Pharmacist O/E
Bio-ID
PyxisConnect
Lexi-Comp
On-line Drug
Information
Veri5
Medication
Administration
is Documented
Medstation
Safety Net
Orders Scanned
Pharmacist O/E
Bio-ID
Lexi-Comp
On-line Drug
Information
PyxisConnect
EDI/XML
.com
Veri5
Bedside Verification
of Medications
Medstation
Safety Net
Orders Scanned
Pharmacist O/E
Bio-ID
Lexi-Comp
On-line Drug
Information
PyxisConnect
EDI/XML
Distributor
.com
Veri5
Bedside Verification
of Medications
Medstation
Safety Net
Orders Scanned
Pharmacist O/E
Bio-ID
Lexi-Comp
On-line Drug
Information
PyxisConnect
EDI/XML
Distributor
.com
Low Unit of
Measure Delivery
Cardinal
Assist
Veri5
Bedside Verification
of Medications
Medstation
Safety Net
Orders Scanned
Pharmacist O/E
Bio-ID
Lexi-Comp
On-line Drug
Information
PyxisConnect
EDI/XML
Distributor
Barcode
Replenishment
.com
Low Unit of
Measure Delivery
Cardinal
Assist
Veri5
Bedside Verification
of Medications
Medstation
Safety Net
Orders Scanned
Pharmacist O/E
Bio-ID
Lexi-Comp
On-line Drug
Information
PyxisConnect
EDI/XML
Distributor
Veri5
Barcode
Replenishment
eReceiver
.com
Low Unit of
Measure Delivery
Cardinal
Assist
Bedside Verification
of Medications
Medstation
Safety Net
Orders Scanned
Pharmacist O/E
Bio-ID
Lexi-Comp
On-line Drug
Information
PyxisConnect
EDI/XML
Distributor
Veri5
Bedside Verification
of Medications
Barcode
Replenishment
eReceiver
.com
Low Unit of
Measure Delivery
Cardinal
Assist
Electronic Receipt of
Pharmacy Inventory
VESTARA/ECOREX

Drug Disposal System
 Scan
Barcode
 Proper unit opens
 Dispose of drug

http://www.vestara.com/html/vestara_video.ht
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