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7/27/2011
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Automated Pharmacy Workflow: Analyze, Optimize and Maximize
Productivity–An Industrial Engineering Perspective
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g g p
Keith Overfield, BSDirector of Consulting Services
Parata Systems LLCDurham, North Carolina
Faculty InformationPresenter:Keith Overfield, BSDirector of Consulting ServicesParata Systems LLCDurham, North Carolina
Moderator:
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Moderator:Nikhil Patel, RPh, PharmDDirector, Scientific Affairs Pharmacy Times Office of Continuing Professional
Education
This activity is supported by an educational grant from Emdeon.
Educational ObjectivesUpon completing the program, participants should be able to:
• Examine their information workflow and identify areas for improvement
• Understand the types of technology available (both software and hardware) and the benefits provided by each for all components of the healthcare cycle
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each for all components of the healthcare cycle• Understand the value of clinical pharmacy services within
their pharmacy, as well as ways to integrate within their current structures
• Identify opportunities to improve their pharmacy processes today with their current resources
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DisclosuresKeith Overfield, BS, has disclosed that he is currently an employee of Parata Systems, LLC.
The planning staff from the Pharmacy Times Office of Continuing Professional Education have no relevant financial relationships to disclose.
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The contents of this webinar may include information regarding the use of products that may be inconsistent with or outside the approved labeling for these products in the United States. Physicians should note that the use of these products outside current approved labeling is considered experimental and are advised to consult prescribing information for these products.
Pharmacy Accreditation
Pharmacy Times Office of Continuing Professional Education is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education. This program is approved for 1 contact hour (0 1
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program is approved for 1 contact hour (0.1 CEU) under the ACPE universal program number 0290-0000-11-036-L04-P. This program is available for CE credit through July 21, 2011.
Type of Activity: Knowledge-based.
Automated Pharmacy Workflow: Analyze, Optimize and Maximize
Productivity:
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yAn Industrial Engineering Perspective
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Introduction
• Lead a lean six sigma industrial engineer team (specific healthcare certification) that applies lean tools, resources and knowledge to the pharmacy environment
• 4 base services:Performance focused servicesProcess focused services
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Process focused servicesStaff focused servicesEquipment optimization services
• Markets:Retail pharmacyLTC pharmacy and facility
Technical Sciences
workflow productivity efficiency
work sampling time study
Introduction
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Human Sciences
Economic Sciences
ergonomicsstaff utilization
balancing workloadmanagement tools
IEROIlabor cost/script
inventory managementprofitability
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Presentation Objectives
• Examine the information exchange process between physician, pharmacist, providers and patients and explore improvement opportunities
• Understand technological applications
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(both hardware and software) and the efficiencies they create in patient healthcare management
• Explore the benefits these technological applications create for expanding clinical pharmacy services
• Identify opportunities to improve pharmacy processes today with existing resources
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ANALYZE
Our World Today
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The Web of Data
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Patient Data
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Health Information Exchange –What is it?
•Health Information Exchange (HIE)The electronic movement of health-related information among disparate organizations according to nationally recognized standards in an authorized and secure manner.
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•Health Information Organization (HIO)An organization that oversees and governs the exchange activities of health-related information among independent stakeholders and disparate organizations according to nationally recognized standards in an authorized and secure manner.
The Benefits of HIE
Improve quality of care,
timeliness and
Decrease in patient
prescribing
Increases convenience
d kfl
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Improve privacy and security of patient health
timeliness and patient safety
p esc b gerrors and workflow
efficiency
Enhances communication
between all patient
providers
Improves access to test
results and referral
consultations
Standard Pharmacy Process
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Future Pharmacy Processes
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OPTIMIZE
Upstream Technology Adaptability
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In-Pharmacy Efficiency $$
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Electronic Health Records (EHR )
The sharing of patient information is changing from a "point to point" model to a "many to many" setup – the core of this transformation is the Electronic Health Record, or EHR
Longitudinal electronic record of patient health information
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Includes patient demographics, progress notes, problems, medications, vital signs, immunizations, lab data and other reports
Generates a complete record of a clinical patient encounter
Automates and streamlines the clinician’s workflow
E-Prescribing
Reduces callbacks to physician practices
Decreases manual entry, providing time savings
A prescriber's ability to electronically send an accurate, error-free and understandable prescription directly to a pharmacy
from the point-of-care
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and continuity of information
Supports better relationships with physicians and patients
Allows for faster dispensing
Lowers workflow costs that can be as much as 10% for pharmacy technicians
Target High-Impact Areas for High Return
Administrative 18%
Immunizations 4%
Break 3%
Non-Productive 14%
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4%
Register 14%
New Script Processing 14%
Refill Processing
9%
Script Filling24%
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Filling 62%
Pharmacy High Impact Areas
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Pick Up16%
Drop off/entry22%
Automation Solutions Full AutomationSemi-AutomationCounters/Scales
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MAXIMIZE
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HIE Impact on Pharmacist Time
• PV1: First VerificationPrevents medication prescription errors, look-alike or sound-alike drugs, incorrect dosing, drug allergy reactions, duplication of drugs
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drugsReduces time spent on data-entry by Technicians and Rph during Drug Utilization Review (DUR)Reduces calls to doctors for illegible handwritingReduces fraud and crimeAlerts pharmacy/prescriber of overdue prescriptions
Automation Impact Pharmacist Time
• PV2: Second verification
Automation ensures right drug and dose more efficiently/accurately than humans
Reduces wait times of patients for
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RPh to verify accuracy
Enables RPh to spend more time consulting patients
At least 5 states currently allow for reduced or no PV2 when automation is used and at least 10 others would consider variances.
Automation Benefits
Automated counting 99.99%
95%
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Grow Without Hiring
Inventory Management
Reduce Shrinkage
90%
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Technology to Increase Revenue
Automatic Refills
Time Savings
MTM Immunizations
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Refill by Scan, Walgreen’s mobile
app, allows patients to scan their
barcode to order a refill
RxCalc is a pharmacokinetics
calculator made by specifically
designed to handle aminoglycoside and
vancomycin kinetics
Remote Glucose Meter apps enables
pharmacists to better understand
how care is progressing
Med Calc/Doctor Calc provides recommended immunization
schedule based on medical and other
indications
Where Do Patients Get Their Information?
• 56% favor media and information service companies (e.g., Dr. Oz, The Doctors, iVillage, WebMD)
• 16% favor healthcare orgs or pharma (e.g., Mayo Clinic or
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Johnson & Johnson) • 12% favor consumer-driven
organizations for information (e.g., Patients Like Me, Daily Strength, Angie’s List)
• How many patients are asking pharmacists for information regarding their medical condition?
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CASE STUDY
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CareSpark
• CareSpark is a mature HIE community serving over 800,000 patients with 2,190 physicians and 21 hospitals
• CareSpark has shown:Improved access to health information and clinical best practices
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Clinical document growth rate of 25,000 documents per month Increased patient satisfaction with patient participation growth rate of 75,000 per quarter Reduced incidence of medical errors and duplicated services Reduced operational costs Lower malpractice claims and insurance costs
Educational Objective ReviewExamine the information exchange process between physician, pharmacist, providers and patients and explore improvement opportunities
Understand technological applications (both hardware and software) and the efficiencies they create in patient h lth t
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healthcare management
Explore the benefits these technological applications create for expanding clinical pharmacy services
Provide ideas to improve pharmacy processes today with existing resources
Question-and-AnswerSession
[Pre recorded]
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[Pre-recorded]
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Automated Pharmacy Workflow: Analyze, Optimize and Maximize
Productivity–An Industrial Engineering Perspective
THANK YOU!
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THANK YOU!
For any questions regarding this activity, contact: [email protected]