pharmacy automation innovation in medicine access€¦ · steve biko academic hospital helen joseph...
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PHARMACY AUTOMATIONInnovation in Medicine Access
Presented by Fanie Hendriksz (BPharm NWU)Managing Director – Right ePharmacy
High Demand Shortage ofPharmaceutical
Services
MedicineAvailability
Manual Patient Information Records
Overburdened Facilities Patient Experience
Negative EconomicImpact
Negative Impact on Adherence
Poor Healthcare Outcomes
Limited Infrastructure
Healthcare Challenges: Public Sector
Pharmacy Automation: The Journey
Understanding of
Patient Challenges
Need for Differentiated
Model of Care
Patient-centric
Focus & Care Solutions
Technology Solutions,
Innovated & Developed
In-pharmacy
Automated System Project
Implementation Through
Key Partnerships & Collaborations
Steve Biko Academic HospitalB
efo
re
Afte
r
Project Milestones: In-Pharmacy Automation
Project activities include:
• Establishment of temporary pharmacy
• Stock Master File: build and maintaining
• Infrastructure changes and Installation of robotics,
• Electronic patient management and dispensing system,
• Staff Training, Change management & Support
• Stabilization and continuous technology maturing
• Monitoring and maintenance
• Data generation and management reporting
• Data analyses & learnings
Integrated dispensing software for:
• Electronic demographic data maintenance
• Electronic medicine record maintenance
• Stock inventory cataloguing – stock master
• Stock inventory consumption monitoring,
tracking & reporting (orders & planning)
• Compact Medicine Storage Unit (CMS)
activation
• Medicine label printer activation per script
• Management, Stock & Staff monitoring and
reporting
In-Pharmacy Tech Stack Integrated Technology Element Highlights
Integrated dispensing software activated robotics
Customised shelving & storage
Automated stock rotation
Real-time stock monitoring & reporting
Electronic temperature monitoring and control
Bar-code scanning product identification
High-speed robotic arm
Scalable solution
Increased Storage & Space capabilities (60%)
Technology Back-end Compact Medicine Storage Units
Thembalethu ARV Clinic: (Jhb) In Pharmacy Automation
Steve Biko Academic Hospital: (Pta)In Pharmacy Automation
Helen Joseph Tertiary Hospital: (Jhb)In Pharmacy AutomationLive Oct 2016
In-pharmacy Automation:Public Health Footprint
Scripts Dispensed per Automated Facility* Data from Jan 2016 - 13 Aug 2018
Outcomes: Dispensing Metrics* Data from Jan 2016 - 13 Aug 2018
Dispensing Metric
Total Patients
Total Scripts
Avg. Scripts/Week
Avg. Scripts/Month
Total Items
Avg. Items/Script
Avg. Scripts/User/Day
ThembaLethu Clinic
22,117
171,617
3,300
14,301
0.5mill
3.00
158
Steve Biko Academic Hospital
66,047
341,860
6,574
28,488
1.7mill
5.10
130
Helen Joseph Hospital
86,892
416,117
8,002
34,676
2mill
4.90
166
All Facilities
175,056
929,594
17,877
77,466
4.2mill
4.60
151
Outcomes: Demographics * Data from Jan 2016 - 13 Aug 2018
Nationality - All Facilities
68.07% 31.93%Other / Undefined Nationalities
200 000
Script Contribution / Age Band - All Facilities
20 000
40 000
80 000
140 000
120 000
100 000
160 000
180 000
60 000
< 34 34 – 44 45 – 54 55 – 64 65 – 74 > 74
17.29% 17.12%
18.72%
20.47%
16.71%
9.69%
Years old
Years old
Years old
Years old
ThembaLethu Clinic
Steve Biko
Academic Hospital
Helen Joseph Hospital
All Facilities 41- 40%42- 60%
Years old
4342
Years old
3435
Years old
4649
Years old
Patient Average Age / Gender
Female Male
Dispensing Trends - Time of the Day
20 000
200 000
Dispensing Trends - Day of the Week
20 000
40 000
80 000
140 000
120 000
100 000
160 000
180 000
60 000
220 000
240 000
0.00%
20.55%21.20%
20.68%21.97%
15.23%
0.37%
Sun Mon Tues Wed Thu Fri Sat
40 000
60 000
80 000
100 000
120 000
140 000
3-4
4-5
5-6
6-7
7-8
8-9
9-1
0
10
-11
11
-12
12
-13
13
-14
14
-15
15
-16
16
-17
17
-18
18
-19
19
-20
20
-21
21
-22
22
-23
23
-0
0.0
0%
0.0
0%
0.0
6%
0.0
9%
0.0
3%
0.0
1%
0.0
0%
0.0
0%
0.0
0%
11
.60
%
10
.42
%
11
.07
%
8.5
2%
1.9
8%
0.3
6%
4.5
4%
12
.29
%
13
.31
%
12
.38
%
12
.97
%
0.3
6%
Outcomes: Dispensing Trends - ALL Facilities* Data from Jan 2016 - 13 Aug 2018
Popular Time of DayPopular Dispensing Day
Outcomes: Top 5 Medicine Categories (ATC) * Data from Jan 2016 - 13 Aug 2018
TOTAL: ALL SITES 100.0%
Other Analgesics And Antipyretics 9.9%
Lipid Modifying Agents, Plain 6.6%
Drugs For Peptic Ulcer And Gastroesophageal Reflux Disease (Gord) 5.1%
Inhibitors Plain 5.0%
Direct Acting Antivirals 4.5%
Others 69.0%
TOTAL: HELEN JOSEPH 100.0%
Other Analgesics And Antipyretics 12.2%
Lipid Modifying Agents, Plain 7.0%
Drugs For Peptic Ulcer And Gastroesophageal Reflux Disease (Gord) 5.8%
Ace Inhibitors Plain 5.4%
Selective Calcium Channel Blockers With Mainly Vascular Effects 5.1%
Others 64.5%
TOTAL: STEVE BIKO 100.0%
Other Analgesics And Antipyretics 9.3%
Lipid Modifying Agents, Plain 5.3%
Ace Inhibitors Plain 5.3%
Drugs For Peptic Ulcer And Gastroesophageal Reflux Disease (Gord) 5.2%
Opioids 5.2%
Others 69.6%
TOTAL: THEMBALETHU CLINIC 100.0%
Direct Acting Antivirals 38.0%
Lipid Modifying Agents, Plain 9.1%
Vitamin B-Complex; Incl. Combinations 5.6%
Sulfonamides And Trimethoprim 5.4%
Other Plain Vitamin Preparations 4.7%
Others 37.1%
Helen Joseph Hospital: 100.0%
Steve Biko Academic Hospital: 100.0%
ThembaLethu Clinic : 100.0%
All Facilities: 100.0%
Independent Research: Steve Biko: Waiting Times vs Scripts
* Data from Jan 2015 - Aug 2017
Independent Research: Steve Biko: Patient Burden Increase
* Data from May 2016 - June 2018
Personalised
Labelling
Electronic
Demographic,
Dispensing
Records
Electronic Stock
& Staff Monitoring
After-hours
Automated Stock
Replenishment
Automation Benefits: General Benefits
Electronic
Prescribing
Capability
Dispensing
Accuracy
+98%
Improved
Capacity
+50%
Enhanced
Process Flow
& Efficiency
Before After
Before After
Products and Projects
Products and Projects
“ Without Innovation and Collaboration,We Cannot Advance”
Right ePharmacy
Thank YouSiyabonga
Dankie