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Implementing a Barcode System in Pharmacy Jerry Fahrni, Pharm.D. IT Pharmacist Kaweah Delta Medical Center Visalia, California

Barcoding Solution In Pharmacy June2009

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Page 1: Barcoding Solution In Pharmacy June2009

Implementing a Barcode System in Pharmacy

Jerry Fahrni, Pharm.D.IT PharmacistKaweah Delta Medical CenterVisalia, California

Page 2: Barcoding Solution In Pharmacy June2009

Kaweah Delta Medical Center

Located in the San Joaquin Valley of California

460 bed acute care facility Offers a variety of services

Inpatient Outpatient

New tower opened April 2009

Page 3: Barcoding Solution In Pharmacy June2009

Kaweah Delta Medical Center

Visalia, California

Page 4: Barcoding Solution In Pharmacy June2009

Medication Error Reduction Plan Task force created in July 2005 8 nurses and 2 pharmacists as part of the

facilities MERP Purpose = develop a model to reduce risk of

errors Implement technology at different steps in the

medication use process Heavy use of barcode technology

Page 5: Barcoding Solution In Pharmacy June2009

Bar Coding Plan All medications will have a readable bar code

prior to dispensing Create an error free Pyxis fill Increase Pyxis fill efficiency Automate wholesaler ordering Automate inventory

Page 6: Barcoding Solution In Pharmacy June2009

Barcode Equipment Implementation Pharmacy Remodel

Phase I completed in February 2008 Designed around automation

Phase II completed in December 2009 Designed around clean room and dispensing

Phase III completed in June 2009 Designed around work space

Page 7: Barcoding Solution In Pharmacy June2009

Pharmacy Remodel - Phase IAutoPackAutoPack

Implemented February 2008

Page 8: Barcoding Solution In Pharmacy June2009

Pharmacy Remodel - Phase I“Design the pharmacy around the technology”

AutoCarousel AutoCarousel Implemented March 2008

Page 9: Barcoding Solution In Pharmacy June2009

AutoPack Unit-dosing solution for

bulk tablets 500 canister model Interfaced with AutoPharm Interfaced with carousel Currently have 122

medication canisters. “Back-fill” model vs.

“Primary-fill” model

Page 10: Barcoding Solution In Pharmacy June2009

AutoCarousel Inventory management and storage solution for

barcoded medications Medications placed in the carousel MUST be

barcoded Integrated into our pharmacy system (Siemens) Integrated into Pyxis

Replenishment PARx OMNL

Integrated to AutoPack

Page 11: Barcoding Solution In Pharmacy June2009

Pyxis PARx Technology Implemented April

2008 (Pyxis 3500) OMNL Replenishment Manual pull Significant

decrease in error rates

Page 12: Barcoding Solution In Pharmacy June2009

Extending AutoPharm’s Reach Storage outside the carousel

Chemotherapy Large, bulky items with high turnover

Increasing storage within the carousel Refrigerated Storage “Other” locations

Remote ordering

Page 13: Barcoding Solution In Pharmacy June2009

Storage Outside the Carousel

For large items with high turnover

Take advantage of barcode

Take advantage of inventory tracking

Mimic carousel shelving

Page 14: Barcoding Solution In Pharmacy June2009

Increasing Storage Space

Page 15: Barcoding Solution In Pharmacy June2009
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Remote Ordering

Page 17: Barcoding Solution In Pharmacy June2009

Lessons Learned Devoting a pharmacist to the project KEY Identify at least one pharmacy technician to be part

of the transition Identify at least one pharmacy technician to take

ownership Conduct training sessions close to “Go-live” Do as much integrated testing as possible Build a clean formulary and standardize whenever

possible

Page 18: Barcoding Solution In Pharmacy June2009

Was it worth the effort? Benefits

Error Reduction Improved patient safety

First dose dispensing (scan on first dose) Scan on Pyxis pull / Pyxis stock / restocking /

Improved inventory management Improved Efficiency

Page 19: Barcoding Solution In Pharmacy June2009

Thank you - Questions?