UNION HOSPITALGroup 4

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 medically-necessary 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 ScanStation(s)

PYXISCONNECT Base System

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

OrdersFaxed/Tubed

Medstation

Pharmacist O/E into

Pharmacy IS

OrdersFaxed/Tubed

Medstation

Orders Picked and Loaded into Point Specific Cassette

Pharmacist O/E into

Pharmacy IS

OrdersFaxed/Tubed

Medstation

Pharmacist O/E into

Pharmacy IS

Rx ChecksCassette

OrdersFaxed/Tubed

Medstation

Orders Picked and Loaded into Point Specific Cassette

Pharmacist O/E into

Pharmacy IS

Rx ChecksCassette

Medications Delivered to Floor

OrdersFaxed/Tubed

Medstation

Orders Picked and Loaded into Point Specific Cassette

Pharmacist O/E into

Pharmacy IS

Rx ChecksCassette

Medications Delivered to Floor

Rx Technician RestocksPyxis & ExchangesMedication Cart

OrdersFaxed/Tubed Orders Picked and

Loaded into Point Specific Cassette

Pharmacist O/E into

Pharmacy IS

Rx ChecksCassette

Medications Delivered to Floor

Nurse Administers Medication

Nursing RemovesMedications

~35% in Medstation

OrdersFaxed/Tubed

~65% in Medication Cart

Orders Picked and Loaded into Point Specific Cassette

Pharmacist O/E into

Pharmacy IS

Rx ChecksCassette

Medications Delivered to Floor

Nurse Administers Medication

Nursing Returns Unused Medications

OrdersFaxed/Tubed Orders Picked and

Loaded into Point Specific Cassette

Pharmacist O/E into

Pharmacy IS

Rx ChecksCassette

Medications Delivered to Floor

Return/Credit Medications to Patient

OrdersFaxed/Tubed

Medstation

Orders Picked and Loaded into Point Specific Cassette

Nurse Administers Medication

Pharmacist O/E into

Pharmacy IS

Rx ChecksCassette

Medications Delivered to Floor

Nurse Administers Medication

Return/Credit Medications to Patient

OrdersFaxed/Tubed

Pharmacy OrdersMedications

Medstation

Orders Picked and Loaded into Point Specific Cassette

Pharmacist O/E into

Pharmacy IS

Rx ChecksCassette

Medications Delivered to Floor

Nurse Administers Medication

Return/Credit Medications to Patient

OrdersFaxed/Tubed

DistributorEDI

Medstation

Orders Picked and Loaded into Point Specific Cassette

Pharmacist O/E into

Pharmacy IS

Rx ChecksCassette

Medications Delivered to Floor

Nurse Administers Medication

Return/Credit Medications to Patient

OrdersFaxed/Tubed

DistributorEDI

Medstation

Orders Picked and Loaded into Point Specific Cassette

ManuallyReceived

Orders Scanned

PyxisConnect

MedstationSafety Net

Orders ScannedPharmacist O/E

Pharmacy IS

MedstationSafety Net

PyxisConnect

Orders ScannedPharmacist O/E

Nursing Removes Medications90-95% Medications Available

Bio-ID

PyxisConnect

Orders ScannedPharmacist O/E

Nursing Removes Medications90-95% Medications Available

Bio-ID

Lexi-CompOn-line DrugInformation

PyxisConnect

Orders ScannedPharmacist O/E

Nursing Removes Medications90-95% Medications Available

Veri5 Bedside Verificationof Medications

Bio-ID

Lexi-CompOn-line DrugInformation

PyxisConnect

Orders ScannedPharmacist O/E

Veri5 MedicationAdministrationis Documented

Bio-ID

MedstationSafety Net

Lexi-CompOn-line DrugInformation

PyxisConnect

Orders ScannedPharmacist O/E

.com

EDI/XML

Bio-ID

MedstationSafety Net

Lexi-CompOn-line DrugInformation

Bedside Verificationof Medications

PyxisConnect Veri5

Orders ScannedPharmacist O/E

.comDistributor

Bio-ID

MedstationSafety Net

Lexi-CompOn-line DrugInformation

Bedside Verificationof Medications

EDI/XML

PyxisConnect Veri5

Low Unit ofMeasure Delivery

Orders ScannedPharmacist O/E

.comDistributor

CardinalAssist

Bio-ID

MedstationSafety Net

Lexi-CompOn-line DrugInformation

Bedside Verificationof Medications

EDI/XML

PyxisConnect Veri5

Orders ScannedPharmacist O/E

.com

BarcodeReplenishment

Distributor

Bio-ID

MedstationSafety Net

Lexi-CompOn-line DrugInformation

Bedside Verificationof Medications

EDI/XML

CardinalAssist

Low Unit ofMeasure Delivery

PyxisConnect Veri5

Orders ScannedPharmacist O/E

.com

BarcodeReplenishment

eReceiverDistributor

Bio-ID

MedstationSafety Net

Lexi-CompOn-line DrugInformation

Bedside Verificationof Medications

EDI/XML

CardinalAssist

Low Unit ofMeasure Delivery

PyxisConnect Veri5

Orders ScannedPharmacist O/E

.com

BarcodeReplenishment

Distributor Electronic Receipt of Pharmacy Inventory

Bio-ID

MedstationSafety Net

Lexi-CompOn-line DrugInformation

Bedside Verificationof Medications

EDI/XML

CardinalAssist

Low Unit ofMeasure Delivery

eReceiver

PyxisConnect Veri5

VESTARA/ECOREX Drug Disposal System

Scan Barcode Proper unit opens Dispose of drug

http://www.vestara.com/html/vestara_video.html