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Best Practices How to Prevent Duplicate Medication Dispenses ............................................................................................................................................ 2
Customer SpotlightMedication Adherence – The Future Is Upon Us ............................................................................................................................................. 3
Product SpotlightSave Time With Pandora Remote Par Optimization (RPO) Module................................................................................................................ 4
Industry IssuesHappy Nurses, Happy Patients ....................................................................................................................................................................... 5
Announcements myOmnicell Launched! .................................................................................................................................................................................... 6 Nurse Preceptor Training................................................................................................................................................................................. 6 Are You Aware of HIPAA Risks Due to XP End of Life? .................................................................................................................................. 7 Another Stellar KLAS Year for Omnicell .......................................................................................................................................................... 7
Events Upcoming Conferences and Training Events .................................................................................................................................................. 8
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Information and News for Omnicell Customers Fall 2013
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How to Prevent Duplicate Medication Dispenses A recent ISMP Medication Safety Alert newsletter item noted a duplicate medication error that occurred after a patient transferred to another unit.1
Before transferring the patient, a nurse removed all the patient’s morning medications from the automated dispensing cabinet (ADC) and administered them to the patient. Because it was still early in the morning, the nurse on the receiving unit gave the patient the same medications, without checking the patient’s medication administration record (MAR).
To prevent these kinds of errors Omnicell® ADCs can be activated with a Last Issue Alert,2 which is recommended by ISMP.
Last Issue Alert This hospital-wide alert warns nurses when removing a medication previously issued for a patient within a set time period, regardless of the cabinet being used. The last issue date and time will be displayed in red, drawing the nurse’s eye to this critical information.
If the nurse attempts to remove the medication, an alert message will be displayed (as shown below), requiring the nurse to actively decide whether to proceed with removal or cancel to further investigate.
Other Safety Mechanisms Additional Omnicell safety features that help prevent duplicate dispense errors are described below.
Scheduled Meds The Scheduled Meds tab displays the list of medications orders that are within the administration due time, including the early/late window. Once an ordered medication is issued from the cabinet within this time period, it is no longer displayed on the Scheduled Meds list.
By following the practice of dispensing scheduled medications from the Scheduled Meds tab, nurses are prevented from inadvertently issuing a scheduled dose more than once.
Last Issue Status To reduce the potential for error, the following is displayed during the medication selection process:
• Last date and time the medication was issued
• The cabinet it was issued from
• The user who issued it
This hospital-wide information reflects all issues for that medication order or medication within the facility, giving the nurse up-to-date status.
Reducing Risk Greater opportunity for error occurs when care is transferred between nurses, when a patient transfers to a different level of care, or during nurse shift changes. The risk can increase when the patient profile is not available.
Using the features described here, including activating the Last Issue Alert, helps safeguard against duplicate medication dispense errors. Accessing the patient’s MAR adds another layer of safety.
To learn more about these features, click here and login to myOmnicell, the new Omnicell customer portal. For assistance in activating the Last Issue Alert, please contact the Technical Assistance Center at 800-910-2220.
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Newsletter – Fall 2013
Best PracticesTips and techniques to help you work smarter.
1 ISMP Medication Safety Alert newsletter, September 5, 2013. 2 Feature available with software version 16.0 and above.
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3 National Council for Patient Information and Education, September 2009.4 Cited by USC Arnold School of Public Health, Office for the Study of Aging website: October 10, 2012: http://www.sph.sc.edu/osa/MedicationAdherenceManagementService.htm. 5 Smith D. Compliance Packaging: a patient education tool. American Pharmacy. February 1989;NS29(2).
Medication Adherence – The Future Is Upon Us Dennis Newsom, RPh, has been a pharmacist and entrepreneur for 44 years. During his career, he has founded or acquired three healthcare companies. The Pharmacy Counter, his latest acquisition, was sold in 2010 to Ohio-based ProMedica, a healthcare provider that includes 11 hospitals.
Dennis has always been a strong advocate for the profession of pharmacy—not the counting and pouring part, but the part spent offering face-to-face counseling to patients and assuring proper use of medication. He believes pharmacists are an integral part of the healthcare equation.
“Medication adherence is part of our future,” said Dennis,who cites the following statistics:
• About 50% of prescriptions filled each year are not taken correctly.3
• 10% of all general hospital admissions and 23% of nursing home admissions are due to medication non-adherence.4
• 25,000 avoidable deaths are caused each year by non-adherence.5
The Pharmacy Counter began to address non-adherence eight years ago with a medication therapy management program—an intensive counseling, motivational, and clinical goal setting relationship between selected patients and pharmacists. The program was successful and won national awards.
But even with these interventions, The Pharmacy Counter could not solve the patient dilemma of forgetting to take medications or doubling doses—especially when multiple medications are prescribed. In addition to counseling, some sort of tool was necessary to ensure patients were medication-adherent.
The Pharmacy Counter looked at various options, but everything had its limitations. They envisioned a simple seven-day, multi-dose medication pack with breakfast, lunch, dinner, and bedtime blisters—a visual display where people could see whether or not they had taken their medication for a specific time slot. The capability to produce this type of packaging on a large scale did not seem to exist.
Then about four years ago at a national pharmacy conference, Dennis and his team came across an OnDemand® 400 machine for RxMap® from MTS Medication Technologies, an Omnicell company. The equipment allows pharmacies to quickly and accurately organize medications into RxMap® multiple medication adherence packaging—blister cards arranged by time-of-day and day-of-the-week—exactly what The Pharmacy Counter wanted.
The Pharmacy Counter worked with MTS to integrate RxMap with their ongoing adherence counseling. This program has helped to keep patients out of the emergency department, out of the hospital, and out of the nursing home. “Patients are at home where they want to be and are able to manage their medications themselves,” said Dennis.
As the future unfolds, Dennis believes that pharmacies specializing in medication adherence will be an integral part of local “integrated care management teams” tasked with keeping people healthy and independent. He believes this model can assist in making healthcare costs affordable and sustainable.
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Newsletter – Fall 2013
Customer SpotlightLearn how colleagues are solving issues in medication and supply management.
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Save Time With Pandora Remote Par Optimization (RPO) Module Pandora® analytics Remote Par Optimization (RPO) module shortens the process for implementing par level changes for healthcare facilities using Omnicell® automated medication and supply dispensing cabinets.
Pandora’s recommended par levels, calculated from recent usage patterns, can be automatically pushed to the Omnicell dispensing system with just a few clicks.
How RPO Works 1) Run the Pandora Par Optimization report and
review the recommendations.
2) Adjust levels if desired, and then approve the new par levels.
3) Click to automatically send the changes to the Omnicell cabinets.
Benefits • Eliminates the extra steps of exporting the information
to Excel, manipulating the data, and importing it to the OmniCenter® server.
• Prevents errors caused by the manual entry of data.
• Reduces time spent on day-to-day cabinet management.
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Newsletter – Fall 2013
Product SpotlightDiscover new solutions for solving problems and improving workflow.
Pandora Featured in CIO Article The August 15 article “Can Healthcare Big Data Live Up to Its Promise?” explores the importance of data analytics —and challenges in acquiring it—in the era of healthcare reform. The diversion tracking capabilities of Pandora are highlighted as an example of how certain analytics tools are helping healthcare facilities make strides in specific areas.
Review Pandora par level recommendations
Approve the changes
Click to automatically send changes to your dispensing cabinets
To learn more about Pandora and the RPO module, contact your Omnicell representative or call 855-306-7926.
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6 Adamy J. U.S. ties hospital payments to making patients happy. Wall Street Journal. October 14, 2012.7 Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys.8 Lower readmissions for hospitals with good work environment. Newswise.com 12/19/2012.9 Monegan B. Nurse interrupted: South Jersey Hospital uses technology to reduce disruptions, avoid errors. Healthcare IT News. June 2010.10 Based on Omnicell customer data.
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Industry IssuesTopics relevant to the changing healthcare landscape.
Newsletter – Fall 2013
Happy Nurses, Happy Patients With healthcare shifting to a pay for performance model, nearly $1 billion in payments to hospitals over the next year will be tied in part to patient satisfaction.6 CMS will base 70% of payments on how well clinical guidelines for care are followed and 30% on patient experience, via patient surveys.7
The functions nurses perform are intrinsically tied to many of the survey factors. But how does a nurse’s own job satisfaction correlate with patient satisfaction? Several studies have looked at this question, and not surprisingly, proven that the correlation exists. A few of the studies are highlighted below:
Nursing: A Key to Patient Satisfaction Kutney-Lee A, et al Health Affairs. 2009;28(4):w669-w677
In examining the relationship between nursing and patient satisfaction across 430 hospitals, the authors found that nurse perception of their work environment was associated with all 10 measures of patient satisfaction based on HCAHPS surveys, and was strongly related to whether patients would definitely recommend the hospital.
The relationship between nurses’ perception of work environment and patient satisfaction in adult critical care Boev C. Journal of Nursing Scholarship. 2012;44(4)368-375
This study, involving four ICUs in a 750-bed hospital, also found a relationship between nurses’ perception of their work environment and patient satisfaction. In particular, the study showed higher patient satisfaction when nurses have a favorable perception of the nurse manager.
Nurses’ widespread job dissatisfaction, burnout, and frustration with health benefits signal problems for patient care McHugh M, et al Health Affairs. 2011;30(2):202-209
This study found that the percentage of patients who would definitely recommend the hospital decreased by about 2% for every 10% of nurses reporting dissatisfaction with their job. The authors concluded that “improving nurses’ working conditions may improve both nurses’ and patients’ satisfaction as well as the quality of care.”
More than good feelings are at stake. Research from the University of Pennsylvania School of Nursing found that Medicare patients treated in hospitals with good working environments for nurses had up to 10% lower readmission than hospitals with poor environments.8
How Omnicell ADCs Support Nurse Satisfaction Work environment plays a critical role in nurse satisfaction. By helping to reduce steps and stress involved in medication management, Omnicell products contribute to a positive work environment.
OmniDispenser™ single-dose dispensing module virtually eliminates tedious narcotic counts and discrepancy resolution that often put nurses behind at the end of their shifts.
Medication Label Printer minimizes the frustration of waiting for pharmacy and saves time spent on handwriting labels.
Anywhere RN™ remote medication management and Savvy™ mobile medication workstation reduce the number of trips to and from the ADC by 33%9 and reduce interruptions that can lead to medication errors.
SinglePointe™ patient medication management enables virtually all of a patient’s medications to be managed within the ADC, reducing missing doses 30%.10
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myOmnicell Launched! New Customer Portal Now Live If you have been using Omnicell’s existing customer website, you will discover a greatly improved experience at myOmnicell.com. Our completely redesigned customer support website is a personalized portal to questions, answers, and information about Omnicell products and services.
Most importantly, you can personalize the content to products you are interested in. This tailors content such as training and technical documentation to the most relevant items for your needs. The site includes:
• The ability to submit and track the status of your open service requests.
• Technical documentation and training resources.
• A collection of Foxfire custom reports that can bedownloaded.
• A discussion board that allows you to collaborate withand learn best practices from your peers located around the country.
How to Register Even if you are currently registered on the previous Omnicell or Pandora customer websites, you must register separately to access myOmnicell, since the content is personalized to you and the older customer websites will no longer be active.
It only takes a minute to register. Click here to register. You will be asked to fill out a brief form and to personalize the products for your profile. Please note that you will need to have your Omnicell Customer Service Number (CSN) handy during registration. If your CSN is not currently active in Omnicell’s system there may be a delay in providing access.
Nurse Training From Trusted Experts Did you know the Omnicell Nurse Preceptor Training Program offers an effective and sustainable approach to training? Omnicell provides intensive training to groups of selected nurse preceptors who acquire expertise in system operation and receive coaching in how to train others. As a result, you benefit from having an expert group of nurse preceptors available to deliver ongoing education as needed.
New staff can quickly become skilled in product operation without having to wait for outside trainers. Omnicell provides comprehensive training support materials, such as scripts and skills checklists, to aid the nurse trainers in delivering future training sessions.
“I definitely recommend the program,” said Ivette Ramus, Pharmacy Operations Manager for Martin Health System. “The nurses really take ownership of their education, and because of their involvement pharmacy doesn’t get bombarded with phone calls.”
Newsletter – Fall 2013
AnnouncementsBrief news items to keep you informed.
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Are You Aware of HIPAA Risks Due to XP End of Support? On April 8, 2014, Microsoft ends support for Windows XP. As your partner, we want to ensure that you and your IT department fully understand the potential risk of staying on a Windows XP system, such as earlier-generation Omnicell medication and supply automation (G3 platform).
HIPAA Security Rule section 164.308(a)(5)(ii)(B) mandates that systems must be guarded against malicious software. After April 8, 2014, Microsoft will not release any Windows XP security patches or updates, which would prevent malicious software infections and possible data breaches. Click here to learn more about Microsoft’s end of support for Windows XP.
Your facility can maintain HIPAA security compliance by upgrading to the Omnicell G4 Unity platform running on Windows Embedded Standard 7. The Windows 7 systems meet HIPAA security demands and have a track record of stability and reliability in the business environment for almost 4 years. In addition, Windows 7 is supported with security updates by Microsoft. We encourage you to discuss these issues with your IT department and executive team. Some hospitals have been successful in securing funding for the G4 upgrade through their IT departments due to the urgency of the HIPAA security implications.
Please contact your Omnicell representative if you have questions, or call 855-306-7926 for additional information about upgrading to the G4 platform.
Another Stellar KLAS Year for Omnicell Omnicell was named the number one overall pharmacy automation equipment vendor in the KLAS 2013 Medical Equipment and Infrastructure Report.11 In addition, specific Omnicell products earned the recognition noted below.
Because KLAS rankings are based on direct feedback from healthcare providers, Omnicell is especially honored by these awards. We take the ongoing KLAS data we receive throughout the year to heart—whether positive or negative—because it inspires us to do even better.
Top Honors – Automated Dispensing Systems Best in KLAS: Omnicell OmniRx 2010 – 2013 Category Leader: Omnicell OmniRx 2006 – 201112
Category Leader – Pharmacy Automation Medication Carousels: 2010 – 2013 Controlled Substance Management System: 2013 Medication Packager: 2013
Newsletter – Fall 2013
AnnouncementsBrief news items to keep you informed.
11Best in KLAS Awards Medical Equipment & Infrastructure Report June 2013©2013 KLAS Enterprises, LLC. All rights reserved. www.KLASresearch.com12This category was discontinued in 2012 and combined with Best in KLAS category.
8 Omnicell, Inc. • Mountain View, CA • Tel: 800.850.6664 or (+1)-650-251-6100 • www.omnicell.com
Events ConferencesOmnicell participates in many conferences throughout the year. A few key meetings are listed below, and a full listing is provided here. We hope you can join us at an upcoming event!
American Society of Consultant Pharmacists (ASCP) Annual Meeting and Exhibition November 19 – 23, 2013 Seattle, WA
American Society of Health-System Pharmacists (ASHP) Midyear Clinical Meeting December 9 – 11, 2013Orlando, FL
Omnicell Training Our Education and Training Services team offers a variety of practical, hands-on customer courses on site at our Mountain View, California headquarters. View our current calendar of scheduled training courses and registration information on myOmnicell.
To inquire about the five-year Subscription Training Program, please contact your Omnicell representative.
Come See Us at ASHP 2013! Omnicell 2013 User Meeting “The Power of Collaboration” Sunday, December 8, 2013 2:00 to 5:30 p.m.
This exclusive invitation-only gathering of health system pharmacy leaders includes peer-led discussions and keynote presentations from thought leaders in the industry. Speakers include:
Vance Moore, Senior Vice President of Operations, Mercy
Dave Harlow, Chief Pharmacy Officer, Martin Health System
Fred Bender, Director of Pharmacy, Greenville Hospital System
To register please click here.
Omnicell Booth 101 Visit the Omnicell booth to learn how our enterprise solution can really add up for your institution.
We hope to see you there!
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Newsletter – Fall 2013
EventsUpcoming conferences, training classes, and more.
Omnicell, the Omnicell design mark, OmniCenter, OmniRx, OnDemand, RxMap, and Pandora are registered trademarks. Anywhere RN, OmniDispenser, SinglePointe, and OptiFlex are trademarks of Omnicell, Inc. in the United States and internationally. All other trademarks and trade names are the property of their respective owners. ©2013 All rights reserved.
