Identifying and Adopting an Integrated Solution that best fits you!!! Kumaravelu Country Manager

Transcription

1 Identifying and Adopting an Integrated Solution that best fits you!!! Kumaravelu Country Manager

2 Medication Management Manual Process Pharmacy Controlled Substance cupboard 5% of medications Ward-stock 5%-40% of Medications Medication Trolley 3-days Supply Doctor s Prescription Nurse obtain medication medication administration

3 Typical Nursing Units workflow and issues Central Pharmacy Controlled Drugs Management in Wards Ward Stock of Nursing Units 5% - 40% of med orders 3-days Supply upon request from Wards 50% - 75% of Med orders Challenges faced by Pharmacy and Nursing 1. Frequent Stock-outs Reduced quality of patient care 2. Frequent Calls/Faxes to Central Pharmacy for urgent top-up Disruption of work 3. Loss of charge capture 4. Inventory discrepancies 5. Increased workload of Nurses/Pharmacists charge capture and reconciliation on top of patient care 6. Traceability Omnicell, Inc.

4 Scope Existing Inpatient Automation Solutions and Trends Key Factors for a Successful Implementation Project Case Studies

5 Existing Inpatient Automation Solutions Centralised Medication Distribution Model Decentralised Medication Distribution Model Hybrid Medication Distribution Model Point-of-Care Medication Distribution Model

6 Centralised Medication Distribution Robotic repackaging machines in the Central Pharmacy Supply Multi-Dose Patient-Specific Medications to Nursing Units Advantages Picking of Medications done by Pharmacy Decreases Nursing workload Centralised Inventory Control Disadvantages Cannot handle ICUs, Operating Theatres etc Unable to handle DDs and special drugs Pharmacy workload increases tremendously Unable to cope with high-turnaround of medication orders

7 Decentralised Medication Distribution Automated Dispensing Cabinets at Nursing Units 70% - 80% of Medications kept in specific Nursing Units Advantages Pharmacy Workload decreases tremendously Nursing workload decreases in inventory management Medications are readily available to patient Pharmacy can remotely monitor inventory levels Can handle all Nursing Units including ICUs and OTs Disadvantages Medication picking done by Nursing Slight increase in inventory initially Pharmacy is not automated

8 Hybrid Medication Distribution Robotic repackaging at Central Pharmacy Automated Dispensing Cabinets at Nursing Units Advantages Handles all nursing units Medications are readily available at Nursing Unit Handles all medications Disadvantages High capital investment Largely Dependent on Centralised robot

9 Point-of-Care Medication Distribution Closed-Loop-Medication-Management Unit-dose repackaging at Central Pharmacy Automated Dispensing Cabinets at Nursing Units Barcoded Medication Administration at Bedside Complete paperless solution Computerised Physician Order Entry (CPOE) by doctors Medication Order Verification by Pharmacy ADCs Centralised Control with Decentralised Distribution Electronic Medication Administration Record by Nursing

10 CPOE Prescribing Pharmacy Verification Unit-Dose Repackaging Barcoded Medication Administration Integrated Mobile Carts Secure Medication Storage

11 Trends in Automation Solution Medication Ordering Systems Medication Distribution Models Unit-Dose Repackaging Systems Automated Dispensing Cabinets BCMA (Barcoded Medication Administration) Pharmacy Purchasing and Products 8 th Annual State of Pharmacy Automation Survey reveals that automation expertise remains key to quality management

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15 Trends in Existing Automation Solution Medication Ordering Systems Medication Distribution Models Unit-Dose Repackaging Systems Automated Dispensing Cabinets BCMA (Barcoded Medication Administration)

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19 Trends in Existing Automation Solution Medication Ordering Systems Medication Distribution Models Unit-Dose Repackaging Systems Automated Dispensing Cabinets BCMA (Barcoded Medication Administration)

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21 Trends in Existing Automation Solution Medication Ordering Systems Medication Distribution Models Unit-Dose Repackaging Systems Automated Dispensing Cabinets BCMA (Barcoded Medication Administration)

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25 Trends in Existing Automation Solution Medication Ordering Systems Medication Distribution Models Unit-Dose Repackaging Systems Automated Dispensing Cabinets BCMA (Barcoded Medication Administration)

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28 Scope Existing Inpatient Automation Solutions and Trends Key Factors for a Successful Implementation Project Case Studies

29 A Successful Implementation Project Introduction of Automation Requirements for Success Critical Success Factors Within Hospital Hospital Roles and Responsibilities

30 Introduction of Automation Why Automate? omedical Tourism?? Accreditation??? Savings/ROI??? oenhancing Patient Safety through Operational Efficiency Be sure of owhere you are heading?? owhat is required of you??

31 Requirements for Success People Processes Technology

32 Critical Success Factors Within Hospital Cooperative involvement from all key stakeholders Willingness to consider change Accurate pre-implementation data IT systems and support

33 Hospital Roles and Responsibilities Project Steering Committee (Key Decision-Makers) Ownership of the project Project Manager and System Administrator Development of Policy and Procedure

34 Hospital Roles and Responsibilities Pharmacy Provide pharmacy leadership to the project Provide system manager and support staff Restock process and staff Policy and procedure development Master drug list electronically Drug usage history for specific wards Nursing IT Provide nursing leadership to project Nurse Unit Managers from selected areas Policy and procedure development Staff training program and resources IT leadership to the project Linkage with HIS/PIS Vendors Interface assistance Network points and IP addresses Assist in providing remote access

35 Scope Existing Inpatient Automation Solutions and Trends Key Factors for a Successful Implementation Project Case Studies

36 Case Studies Sidra Medical and Research Center, Qatar Medical Tourism / Patient Safety / Operational Efficiency Carolinas Medical Center NorthEast, USA Patient Safety / Operational Efficiency / Charge Capture Guy s and St Thomas s Hospital, UK Charge Capture / Operational Efficiency King s College Hospital, UK Charge Capture / Operational Efficiency

37 Sidra Medical and Research Center Headed by the Queen of Qatar Premier women s and children s facility 400 Bedder To provide world-class patient care and help build Qatar's scientific expertise and resources Fully digital facility, incorporating the most advanced information technology applications in clinical, research and business functions Automated Dispensing Cabinets, Anaesthesia Work Stations, Mobile Carts

38 Carolinas Medical Center NorthEast Part of Carolinas Healthcare System 3 rd largest healthcare system in US Central Pharmacy Automation Carousel + Unit-Dose Repackager CPOE, Automated Dispensing Cabinets, Anaesthesia Work Stations 95% of medications readily available at Nursing Units 17% increase in charge capture ROI in 12 months

39 Guy s and St Thomas s London, UK 2 hospitals: beds Stock saving - 651,950 Further opportunity - 1,987,501 Consumption saving - 1,188,630 Time saving - 857,805 Interface with Oracle and Tomcat ROI 266%

40 Kings College Hospital London, UK 900-bed hospital Total transformation of 7 Operating Areas/Theatres Stock saving - 708,353 Further opportunity - 1,128,625 Consumption saving - 653,227 Time saving - 191,253 ROI 243%

41 Enhancing Patient Safety through Operational Efficiency Thank You Kumar Hp: