pharmacy automation innovation in medicine access€¦ · steve biko academic hospital helen joseph...

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PHARMACY AUTOMATION Innovation in Medicine Access Presented by Fanie Hendriksz (BPharm NWU) Managing Director Right ePharmacy

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Page 1: PHARMACY AUTOMATION Innovation in Medicine Access€¦ · Steve Biko Academic Hospital Helen Joseph Hospital All Facilities 42 - 60% 41 - 40% Years old 42 43 Years old 35 34 Years

PHARMACY AUTOMATIONInnovation in Medicine Access

Presented by Fanie Hendriksz (BPharm NWU)Managing Director – Right ePharmacy

Page 2: PHARMACY AUTOMATION Innovation in Medicine Access€¦ · Steve Biko Academic Hospital Helen Joseph Hospital All Facilities 42 - 60% 41 - 40% Years old 42 43 Years old 35 34 Years

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

Page 3: PHARMACY AUTOMATION Innovation in Medicine Access€¦ · Steve Biko Academic Hospital Helen Joseph Hospital All Facilities 42 - 60% 41 - 40% Years old 42 43 Years old 35 34 Years

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

Page 4: PHARMACY AUTOMATION Innovation in Medicine Access€¦ · Steve Biko Academic Hospital Helen Joseph Hospital All Facilities 42 - 60% 41 - 40% Years old 42 43 Years old 35 34 Years

Steve Biko Academic HospitalB

efo

re

Afte

r

Page 5: PHARMACY AUTOMATION Innovation in Medicine Access€¦ · Steve Biko Academic Hospital Helen Joseph Hospital All Facilities 42 - 60% 41 - 40% Years old 42 43 Years old 35 34 Years
Page 6: PHARMACY AUTOMATION Innovation in Medicine Access€¦ · Steve Biko Academic Hospital Helen Joseph Hospital All Facilities 42 - 60% 41 - 40% Years old 42 43 Years old 35 34 Years

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

Page 7: PHARMACY AUTOMATION Innovation in Medicine Access€¦ · Steve Biko Academic Hospital Helen Joseph Hospital All Facilities 42 - 60% 41 - 40% Years old 42 43 Years old 35 34 Years

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

Page 8: PHARMACY AUTOMATION Innovation in Medicine Access€¦ · Steve Biko Academic Hospital Helen Joseph Hospital All Facilities 42 - 60% 41 - 40% Years old 42 43 Years old 35 34 Years

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

Page 9: PHARMACY AUTOMATION Innovation in Medicine Access€¦ · Steve Biko Academic Hospital Helen Joseph Hospital All Facilities 42 - 60% 41 - 40% Years old 42 43 Years old 35 34 Years

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

Page 10: PHARMACY AUTOMATION Innovation in Medicine Access€¦ · Steve Biko Academic Hospital Helen Joseph Hospital All Facilities 42 - 60% 41 - 40% Years old 42 43 Years old 35 34 Years

Scripts Dispensed per Automated Facility* Data from Jan 2016 - 13 Aug 2018

Page 11: PHARMACY AUTOMATION Innovation in Medicine Access€¦ · Steve Biko Academic Hospital Helen Joseph Hospital All Facilities 42 - 60% 41 - 40% Years old 42 43 Years old 35 34 Years

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

Page 12: PHARMACY AUTOMATION Innovation in Medicine Access€¦ · Steve Biko Academic Hospital Helen Joseph Hospital All Facilities 42 - 60% 41 - 40% Years old 42 43 Years old 35 34 Years

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

Page 13: PHARMACY AUTOMATION Innovation in Medicine Access€¦ · Steve Biko Academic Hospital Helen Joseph Hospital All Facilities 42 - 60% 41 - 40% Years old 42 43 Years old 35 34 Years

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

Page 14: PHARMACY AUTOMATION Innovation in Medicine Access€¦ · Steve Biko Academic Hospital Helen Joseph Hospital All Facilities 42 - 60% 41 - 40% Years old 42 43 Years old 35 34 Years

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%

Page 15: PHARMACY AUTOMATION Innovation in Medicine Access€¦ · Steve Biko Academic Hospital Helen Joseph Hospital All Facilities 42 - 60% 41 - 40% Years old 42 43 Years old 35 34 Years

Independent Research: Steve Biko: Waiting Times vs Scripts

* Data from Jan 2015 - Aug 2017

Page 16: PHARMACY AUTOMATION Innovation in Medicine Access€¦ · Steve Biko Academic Hospital Helen Joseph Hospital All Facilities 42 - 60% 41 - 40% Years old 42 43 Years old 35 34 Years

Independent Research: Steve Biko: Patient Burden Increase

* Data from May 2016 - June 2018

Page 17: PHARMACY AUTOMATION Innovation in Medicine Access€¦ · Steve Biko Academic Hospital Helen Joseph Hospital All Facilities 42 - 60% 41 - 40% Years old 42 43 Years old 35 34 Years

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

Page 18: PHARMACY AUTOMATION Innovation in Medicine Access€¦ · Steve Biko Academic Hospital Helen Joseph Hospital All Facilities 42 - 60% 41 - 40% Years old 42 43 Years old 35 34 Years

Products and Projects

Page 19: PHARMACY AUTOMATION Innovation in Medicine Access€¦ · Steve Biko Academic Hospital Helen Joseph Hospital All Facilities 42 - 60% 41 - 40% Years old 42 43 Years old 35 34 Years

Products and Projects

Page 20: PHARMACY AUTOMATION Innovation in Medicine Access€¦ · Steve Biko Academic Hospital Helen Joseph Hospital All Facilities 42 - 60% 41 - 40% Years old 42 43 Years old 35 34 Years

“ Without Innovation and Collaboration,We Cannot Advance”

Right ePharmacy

Thank YouSiyabonga

Dankie