1. Group 4

2. 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.

3.  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.

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

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

7.  Automated wireless remote temperature tracking system for pharmaceuticals  Benefits

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

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

12.  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

13. PYXISCONNECT ScanStation(s) PYXISCONNECT Base System

14.  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

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

18. Medstation

19. Orders Faxed/Tubed Medstation

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

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

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

23. 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

24. 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

25. 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

26. 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

27. 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

28. 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

29. 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

30. 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

31. Orders Scanned PyxisConnect Medstation Safety Net

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

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

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

35. 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

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

37. 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

38. 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

39. 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

40. 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

41. 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

42. 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

43.  Drug Disposal System  Scan Barcode  Proper unit opens  Dispose of drug  http://www.vestara.com/html/vestara_video.ht ml http://www.vestara.com/html/vestara_video.ht ml