7/27/2011. Automated Pharmacy Workflow: Analyze, Optimize and Maximize Productivity An Industrial Engineering g Perspective. Faculty Information

Transcription

1 Automated Pharmacy Workflow: Analyze, Optimize and Maximize Productivity An Industrial Engineering g Perspective Keith Overfield, BS Director of Consulting Services Parata Systems LLC Durham, North Carolina 1 Faculty Information Presenter: Keith Overfield, BS Director of Consulting Services Parata Systems LLC Durham, North Carolina Moderator: Nikhil Patel, RPh, PharmD Director, Scientific Affairs Pharmacy Times Office of Continuing Professional Education This activity is supported by an educational grant from Emdeon. 2 Educational Objectives Upon 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 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 3 1

2 Disclosures Keith 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. 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. 4 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 CEU) under the ACPE universal program number L04-P. This program is available for CE credit through July 21, Type of Activity: Knowledge-based. 5 Automated Pharmacy Workflow: Analyze, Optimize and Maximize Productivity: An Industrial Engineering Perspective 6 2

3 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 services Process focused services Staff focused services Equipment optimization services Markets: Retail pharmacy LTC pharmacy and facility 7 Introduction Technical Sciences workflow productivity efficiency work sampling time study IE ROI labor cost/script inventory management profitability Economic Sciences ergonomics staff utilization balancing workload management tools Human Sciences 8 Presentation Objectives Examine 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 healthcare management Explore the benefits these technological applications create for expanding clinical pharmacy services Identify opportunities to improve pharmacy processes today with existing resources 9 3

4 ANALYZE 10 Our World Today 11 The Web of Data Patient Data 12 4

5 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. 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. 13 The Benefits of HIE Decrease in patient prescribing pesc errors Increases convenience and workflow efficiency Improve quality of care, timeliness and patient safety Enhances communication between all patient providers Improves access to test results and referral consultations Improve privacy and security of patient health 14 Standard Pharmacy Process 15 5

6 Future Pharmacy Processes 16 OPTIMIZE 17 Upstream Technology Adaptability In-Pharmacy Efficiency $ 18 6

7 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 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 19 E-Prescribing A prescriber's ability to electronically send an accurate, errorfree and understandable prescription directly to a pharmacy from the point-of-care Reduces callbacks to physician practices Decreases manual entry, providing time savings 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 20 Target High-Impact Areas for High Return Non-Productive 14% Break 3% Script Filling 24% Administrative 18% Immunizations 4% Register 14% Refill Processing 9% New Script Processing 14% 21 7

8 Pharmacy High Impact Areas Filling 62% Pick Up 16% Drop off/entry 22% 22 Automation Solutions Counters/Scales Semi-Automation Full Automation 23 MAXIMIZE 24 8

9 HIE Impact on Pharmacist Time PV1: First Verification Prevents medication prescription errors, look-alike or sound-alike drugs, incorrect dosing, drug allergy reactions, duplication of drugs Reduces time spent on data-entry by Technicians and Rph during Drug Utilization Review (DUR) Reduces calls to doctors for illegible handwriting Reduces fraud and crime Alerts pharmacy/prescriber of overdue prescriptions 25 Automation Impact Pharmacist Time PV2: Second verification Automation ensures right drug and dose more efficiently/accurately than humans Reduces wait times of patients for 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. 26 Automation Benefits Automated counting 99.99% 95% 90% Grow Without Hiring Inventory Management Reduce Shrinkage 27 9

10 Technology to Increase Revenue Automatic Refills Time Savings MTM Immunizations 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 28 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 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? 29 CASE STUDY 30 10

11 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 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 31 Educational Objective Review Examine 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 healthcare management Explore the benefits these technological applications create for expanding clinical pharmacy services Provide ideas to improve pharmacy processes today with existing resources 32 Question-and-Answer Session [Pre-recorded] recorded] 33 11

12 Automated Pharmacy Workflow: Analyze, Optimize and Maximize Productivity An Industrial Engineering Perspective THANK YOU! For any questions regarding this activity, contact: 34 12