Group 4

Union Hospital opens in 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.

 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.

 Operates on an IS called MediTech  Pharmacy operates on the PYXIS system - has allowed for decentralization - more efficient - more accurate - reduce cost

 How it helps  What its focus is  How Union uses it  Supply Chain Management

 Automated wireless remote temperature tracking system for pharmaceuticals  Benefits

 Transmit data between hospital systems  Included Systems  Categories of messages: ADT, BAR, ORM, ORU, SIU

 Physician Order Management System  Designed For a Number of Reasons  Many Benefits

 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

PYXISCONNECT ScanStation(s) PYXISCONNECT Base System

 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

 Medication dispensing boxes  In every drawer of the PYXIS Station  Hold medications  Only one opens at a time

Medstation

Orders Faxed/Tubed Medstation

Pharmacist O/E into Pharmacy IS Orders Faxed/Tubed Medstation

Orders Picked and Loaded into Point Specific Cassette Pharmacist O/E into Pharmacy IS Orders Faxed/Tubed Medstation

Pharmacist O/E into Pharmacy IS Rx Checks Cassette Orders Faxed/Tubed Medstation Orders Picked and Loaded into Point Specific Cassette

Pharmacist O/E into Pharmacy IS Rx Checks Cassette Medications Delivered to Floor Orders Faxed/Tubed Medstation Orders Picked and Loaded into Point Specific Cassette

Pharmacist O/E into Pharmacy IS Rx Checks Cassette Medications Delivered to Floor Rx Technician Restocks Pyxis & Exchanges Medication Cart Orders Faxed/Tubed Orders Picked and Loaded into Point Specific Cassette

Pharmacist O/E into Pharmacy IS Rx Checks Cassette Medications Delivered to Floor Nurse Administers Medication Nursing Removes Medications ~35% in Medstation Orders Faxed/Tubed ~65% in Medication Cart Orders Picked and Loaded into Point Specific Cassette

Pharmacist O/E into Pharmacy IS Rx Checks Cassette Medications Delivered to Floor Nurse Administers Medication Nursing Returns Unused Medications Orders Faxed/Tubed Orders Picked and Loaded into Point Specific Cassette

Pharmacist O/E into Pharmacy IS Rx Checks Cassette Medications Delivered to Floor Return/Credit Medications to Patient Orders Faxed/Tubed Medstation Orders Picked and Loaded into Point Specific Cassette Nurse Administers Medication

Pharmacist O/E into Pharmacy IS Rx Checks Cassette Medications Delivered to Floor Nurse Administers Medication Return/Credit Medications to Patient Orders Faxed/Tubed Pharmacy Orders Medications Medstation Orders Picked and Loaded into Point Specific Cassette

Pharmacist O/E into Pharmacy IS Rx Checks Cassette Medications Delivered to Floor Nurse Administers Medication Return/Credit Medications to Patient Orders Faxed/Tubed Distributor EDI Medstation Orders Picked and Loaded into Point Specific Cassette

Pharmacist O/E into Pharmacy IS Rx Checks Cassette Medications Delivered to Floor Nurse Administers Medication Return/Credit Medications to Patient Orders Faxed/Tubed Distributor EDI Medstation Orders Picked and Loaded into Point Specific Cassette Manually Received

Orders Scanned PyxisConnect Medstation Safety Net

Orders Scanned Pharmacist O/E Pharmacy IS Medstation Safety Net PyxisConnect

Orders Scanned Pharmacist O/E Nursing Removes Medications 90-95% Medications Available Bio-ID PyxisConnect

Orders Scanned Pharmacist O/E Nursing Removes Medications 90-95% Medications Available Bio-ID Lexi-Comp On-line Drug Information PyxisConnect

Orders Scanned Pharmacist O/E Nursing Removes Medications 90-95% Medications Available Veri5 Bedside Verification of Medications Bio-ID Lexi-Comp On-line Drug Information PyxisConnect

Orders Scanned Pharmacist O/E Veri5 Medication Administration is Documented Bio-ID Medstation Safety Net Lexi-Comp On-line Drug Information PyxisConnect

Orders Scanned Pharmacist O/E.com EDI/XML Bio-ID Medstation Safety Net Lexi-Comp On-line Drug Information Bedside Verification of Medications PyxisConnect Veri5

Orders Scanned Pharmacist O/E.com Distributor Bio-ID Medstation Safety Net Lexi-Comp On-line Drug Information Bedside Verification of Medications EDI/XML PyxisConnect Veri5

Low Unit of Measure Delivery Orders Scanned Pharmacist O/E.com Distributor Cardinal Assist Bio-ID Medstation Safety Net Lexi-Comp On-line Drug Information Bedside Verification of Medications EDI/XML PyxisConnect Veri5

Orders Scanned Pharmacist O/E.com Barcode Replenishment Distributor Bio-ID Medstation Safety Net Lexi-Comp On-line Drug Information Bedside Verification of Medications EDI/XML Cardinal Assist Low Unit of Measure Delivery PyxisConnect Veri5

Orders Scanned Pharmacist O/E.com Barcode Replenishment eReceiver Distributor Bio-ID Medstation Safety Net Lexi-Comp On-line Drug Information Bedside Verification of Medications EDI/XML Cardinal Assist Low Unit of Measure Delivery PyxisConnect Veri5

Orders Scanned Pharmacist O/E.com Barcode Replenishment Distributor Electronic Receipt of Pharmacy Inventory Bio-ID Medstation Safety Net Lexi-Comp On-line Drug Information Bedside Verification of Medications EDI/XML Cardinal Assist Low Unit of Measure Delivery eReceiver PyxisConnect Veri5

 Drug Disposal System  Scan Barcode  Proper unit opens  Dispose of drug  ml ml