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Pharmacy Technology - A Way Ahead

Whether you like it or not - change is on your doorstep! The rate of change in technology occurring at present means pharmacists can either get on the wagon, or be left behind in the dust wondering just where everyone else has gone. This article will give you an idea of some of the technology is presently available to retail and hospital pharmacists to make your life easier, and save you time (a most valuable resource that pharmacists have little of!).

There are a range of technology options available to todays' pharmacist, and you don't have to have a computer science degree to be able to use them. Most systems come with excellent back up, so even if you do test the "fool-proof" system to the max., there will be someone to haul you out.

Technology can be divided broadly into three sections:

  • Hardware
  • Software
  • Web-based/Internet/Intranet

Web addresses are listed where available for further information. 

1. HARDWARE

The decision to upgrade your computer is usually made based on the software you choose to purchase for your shop/dispensary system. The term "hardware" covers wide range of products such as Automated drug dispensing systems, information kiosks, EFTPOS terminals and scanners.

a) Automated Drug Dispensing Systems :

Pyxis Medstation 2000 :  www.pyxiscorp.com

The Pyxis Medstation 2000 is an advanced system that automates the distribution, management and control of medications.

Using a password, authorised users obtain medications from the Medstation in accordance with the ward-specific set up. Patient name, description and quantity of medications is automatically recorded for restocking and accounting purposes. This has removed the necessity for the manual recording of controlled drugs and approval for its use has been given under the Misuse of Drugs Regulations for the Taranaki Hospitals.

Benefits so far:

  • reduced staff time in managing pharmaceuticals
  • complete satisfaction with the regulatory aspects of the storage and handling of medications, product quality, interfacing, support, technology, and functionality of the stations.
  • averaged 82% reduction in reported nurse - administration related medication errors.
  • significant reductions ( averaged 26%) in cost per patient per occupied bed/day
  • returning the first years' investment in under 6 months.

The introduction of this type of technology has meant a major commitment to change. The system forces nursing staff compliance in relation to the administration of medicines and requires education and nursing commitment to the project.

b) EFTPOS terminals:  www.eftpos.co.nz

EFTPOS New Zealand Limited have recently launched an innovative new product, PC EFTPOS Lite. PC EFTPOS Lite enables any pharmacy to integrate their PC-Windows based point-of-sale system with their EFTPOS terminal. This provides retailers with the ability to keep an electronic journal eliminating the need for receipt copies, and process transactions cheaper, as EFTPOS receipt and sales receipts are printed by one printer. PC EFTPOS Lite has the ability to run multiple EFTPOS lanes from a single telephone line, as well as increasing counter space due to a compact pinpad unit and no need for a separate printer.

c) Bar Code Scanners - The main types of scanners used in the retail environment are Laser Scanners and CCD scanners. Both types scan automatically and can be initiated by either a trigger switch, or automatically using flash mode.

Main differences are :

  • Laser scanners read bar codes over short to medium distances ( most types up to 1 metre ), and are in the upper price range .
  • CCD scanners can read barcodes only over small distances - usually not more than 25mm.They are less expensive and more robust than the laser scanners.

New technology which should be available to the pharmacy market in the near future is wireless scanners which will have uses for stocktaking, and potentially as a useful tool in dispensing and checking prescriptions.

2. SOFTWARE

There are two main pharmacy software programmes :

(i) LOTS (Harvey Lockie):  www.healthsoft.co.nz

LOTS is designed to be 100% Windows compliant. You can have multiple windows open, for example, while dispensing also have open orders, and Point of Sale (PoS) for instant access. If you have both dispensing and OTC modules, the two systems are integrated to combine ordering and interactions(ie between OTC purchases and prescription medicines), and also customer accounts.

LOTS uses sales forecasting and stock management formulae which have been shown to allow some 15% more turnover for the same stock compared to common computer systems, with about 50% less out-of-stocks and dead stock. LOTS has as a feature the "Compliance chart" that presents the whole of the last 12 months history of a patient in visual form on screen. It is a very popular features, and most pharmacists say that it is allows a major advance in their professional services.

(ii) TONIQ :  www.toniq.co.nz

Toniq is a Windows-based program, with both dispensing and retail

modules available. Toniq has electronic communications used as frontline support, which means any time you have a software problem, Toniq aim to resolve it for you while you are on the phone, using modems and the pcAnywhere program to control your computer from their office in Christchurch and work on the problem for you. Help is available anytime you need it.

Toniq has a comprehensive database of medicines, including a large range of Hospital only medicines. The medicine file update is available for download to registered users from their website.

This year Toniq is introducing a number of new features-Web based education and on-line forums, modules for assisting patient compliance. The program prepares a patient guide, which assist the patient to understand dose times, the medication and expected pick up dates for repeats. Data sharing tools are also being introduced, to allow transfer of retail information within a group.

Other software available to assist in areas of pharmacy practice includes-

a) MAQS: www.ultrx.co.nz/maqs

MAQS is a document control program, intended to simplify compliance with HFA and other contracts with specific performance requirements. It can be used in both retail and hospital environments.

MAQS was developed to produce the necessary paperwork to satisfy audit requirements in the smallest amount of time, with minimal input required by busy pharmacists. It streamlines the documentation process, by automatically producing and printing each day a "to do" list, so staff complete the required tasks, sign and file it. Documents can be assigned individual review times, so you are automatically notified of reviews that are due to be done. This takes the pressure off when the audit letter arrives, as the system makes you review procedures on a regular basis.

MAQS will also have applications to assist in the day to day running of your pharmacy- as it controls the following :

  • Policies and Procedures
  • Job Descriptions
  • Staff Training
  • Daily Task Recording
  • Document Review processes

b) pcAnywhere:  http://www.symantec.com/

Pharmacies can use a program such as pcAnywhere to allow staff to work off-site, accessing the pharmacy computer via a modem connection. pcAnywhere is password protected, so staff can only access areas that they are assigned to. Stobo's pharmacy in Oamaru employ a staff member who works from home to process inwards goods. This streamlines the processing of orders, and frees up shop staff to be available to customers. Their Dispensary Manager also accesses the MAQS program from home to review documents using pcAnywhere, without the interruptions of a normal busy day.

3.INTERNET/INTRANET

With the many applications available through the Internet, it is rapidly becoming an essential business tool. Security becomes an issue with internet access, and must always be kept in mind.

Many pharmacies are now advancing in e-commerce, and launching on-line stores. Pharmacy groups, such as Amcal and Unichem, recognise IT as important directions for growth, and have dedicated IT departments.

Amcal :  www.amcal.co.nz

The Amcal website has a number of features which give pharmacies in this group a presence on the Internet.

Each Amcal pharmacy has its' own on-line store, an e-zine ( an e-zine is an internet newsletter, if you're not familiar with the term ) which is generated centrally, but personalised when sent to the customer, a section where customers can enter their repeat prescription details and a fax is sent to their pharmacy ( which customers select from a drop-down list), with all the details, including delivery or collection time . This means Amcal pharmacists can have the prescriptions ready for the patients before they come in.

Amcal also utilises Intranet technology ( which means all members are linked via an independent line ) to run a point of sale system called AdvanceRetail, which centralizes product maintenance & sales information, and is used create a national sales picture of what is happening in each pharmacy.This allows measure of how successful a particular promotion has been, and other important feedback.

Unichem

Unichem launched their IT department 6 months ago, focussing on setting up an Intranet system which was launched in Nov 2000, the first in a number of technology projects the Board are committed to. It caters to the three franchises, Unichem, Unichem Life, and Dispensary First, with each franchise only accessing information relevant to them.

The Intranet is named "Splash " and allows Unichem members to "dive" into four different sections of information technology - News, Knowledge, Discussion and Trade.

The News area has general news pertaining to pharmacy, such as industry news - both local and international, suppliers' news, conference and marketing information. The Knowledge area contains logos and templates for advertising, training information, marketing promotions, and reference articles. This frees up the Head Office staff from repetitive tasks to allow them to concentrate on other issues, as well as allowing pharmacies to access information in their own time, as often as they like. This flexibility, as well as ease of content editing is essential for the success of Splash.

The discussion area is proving popular for discussion on issues such as Society and new Government initiatives, as is the Trade area, giving pharmacists the opportunity to exchange dead stock.

Primenet:  www.primenet.co.nz

Primenet is a secure on-line information network and communications package. With 50% ownership by the Pharmacy Guild and the remaining 50% owned by pharmacists, Primenet will bring pharmacy to the fore in the ownership of medicine data collection and feedback, putting a stake in the ground for pharmacy to be the correlators of patient care.

The system has nationwide application, and so far , 763 pharmacies have shown interest in joining the Primenet network. A number of IPA groups have also shown interest in the system, recognising the value of feedback on issues such as patient compliance, as well as prescribing habits and correlation with costs.

Primenet offers a complete communication package, allowing savings to be made on existing telecommunication and operating costs. Savings will also be made through access to medical reference material, reducing the necessity for purchasing these items. Finding and retrieving information will be quick and easy with high speed, secure Internet access.

Of particular importance to pharmacy are the security protocols that have been built into Primenet, to ensure an exceptionally high level of security. Being a secure intranet for the medical community, usage is restricted to registered health professionals with authorised access. While the protection of data is provided through a layer of encryption processes and network firewalls.

Probably the most exciting benefit that Primenet offers is the glimpse of future directions and uses the Primenet system will offer. Data collection and exchange - not only prescription details, but also clinical information such as test results will give pharmacists meaningful data to assist in patient care, and the tracking of any alterations in therapy made through PRS.

 IPA budget spending can already be tracked for individual IPA groups and categorised into 144 Therapeutic groups. Meaningful data is collected, with not only funded medicines being analysed, but also prescription items that are presently "lost"in the pharmaceutical system such as NSS items and Under$15 scripts. Being able to extract, analyse and correlate this type of data will improve doctor-pharmacist relations, as has already been shown where these type of systems have been trialed.

Orange Exchange : www.orangex.net

Orangex is an online ordering portal established to streamline purchasing for pharmacists and help improve their ever-reducing margins. By accessing their secure web site, pharmacists can view a suppliers' current promotions and order any of their products, which are then either processed directly by the supplier, or through a pharmacists preferred wholesaler.

Suppliers may also provide additional benefits to those who use the Exchange. For example, Orange Distribution currently offers unique promotions, prompt payment rebates and standard prices that are significantly cheaper.

Pharmacists can also sell or purchase surplus stock, listing it in the Stock Exchange area with the medicine, product description, quantity, expiry date, and value entered . When a pharmacist purchases a listed product, the selling pharmacist is e-mailed the purchasing pharmacist details. It is then up to the pharmacists to arrange the exchange of the product(s) and payment.

Information

Internet technology has brought the world to your doorstep, and there are so many information sites available it is astounding to say the least, so I've put together a short list of sites that you may find useful.

www.pgnz.org.nz- The Pharmacy Guild web site - it has a great links page with links to the best resources on the Internet, such as BNF online, Medscape, Government departments relevant to pharmacy.

www.library.otago.ac.nz/guides/pharmacy.html  - Otago University Pharmacy Resources web site.

www.pharmweb.net - UK pharmacy resource web site - online since 1994 and has many great resources.

www.govt.nz - The Gateway to the New Zealand Government - a comprehensive list of all government agencies.

www.ncbi.nlm.nih.gov - This American website is focussed towards biochemistry, and allows search of a large number of medical journals through the PubMed page.

www.ecommerce.govt.nz - This site is the e-commerce site of the New Zealand government and a valuable source of information for pharmacies delving into the e-commerce scene.

Copyright 2001. All rights reserved. No part of this web site may be reproduced without written permission of the author.


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Copyright 2000. All rights reserved.

All the information published in this website is true and accurate to the best of the authors' knowledge and should not be a substitute for legal advice. No liability is assumed by the authors or publisher for any losses suffered by any person relying directly or indirectly on this website.

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