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Reducing Repackaged Medication Waste in the Pharmacy Department

Reducing Repackaged Medication Waste in the Pharmacy Department. Objectives. Discuss a process for decreasing repackaged waste Describe methods to streamline the distribution of repackaged medications. Project Charter. Project Name : Reducing Repackaged Medication Waste in Pharmacy

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Reducing Repackaged Medication Waste in the Pharmacy Department

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  1. Reducing Repackaged Medication Waste in the Pharmacy Department

  2. Objectives • Discuss a process for decreasing repackaged waste • Describe methods to streamline the distribution of repackaged medications

  3. Project Charter • Project Name: Reducing Repackaged Medication Waste in Pharmacy • Problem Statement : Waste is defined as the Total Units Ordered minus Total Units Charged to the Patient. It has been identified that 34% of the Top 25 Repackaged Brand Medications ordered annually by the pharmacy department ends up as waste. Repackaged Branded Medication waste cost the Pharmacy department over $10,000 in 2010 . • Project Objective: The objective of the project is to decrease the percentage of repackaged medications wasted by 10% . • Scope: To look at the processes of the repackaged solid medications (start point: when ordered to end point: drug expires)

  4. Justification • By identifying how to prevent repackaged oral solid medication waste in the Pharmacy Department the potential benefits: • Save the department/facility $5,000 +annually • Change processes to minimize repackaged waste • Manage inventory in automated dispensing cabinets

  5. Process Steps 1 • Determine Top 25 Medications 2 • Create Par Levels 3 • Ordering • Repackaging 4 • Stocking 5

  6. Determine Top 25 Medications 1 • Review formulary • Run reports:80/20 wholesaler report by dollars • Perform a physical inventory on the Branded bulk • solid oral medications • Review waste records (if available) • Run reports of usage from automated dispensing • machines • Run charge reports for 25 medications identified

  7. TOP 25 MEDICATIONS

  8. TOP 5 MEDICATIONS

  9. D Define M Measure A Analyze I Improve C Control

  10. Create Par Levels • Run a report on products ordered in the last • quarter • Classify par levels based on history or how • many days of inventory on hand you desire • Create your definition of slow medium or fast • moving products 2

  11. Ordering • Review order for high dollar solid oral • medications • Run report for current orders • Do an inventory count in RX and Cabinets • Only order if you have less that 3 days worth • of medication 3

  12. Repackaging • Only repackage slow moving items for 2-3 • days quantity needed • Repack medium and fast movers based upon • Par levels 4

  13. Stocking • Determine if product should be stocked • outside Pharmacy • If stocking in automated machine set PAR • levels for 2 days 5

  14. Conclusion • Create Par levels for all bulk oral solid products • Create ordering system that includes total inventory levels and charges • Unused stock outside the Pharmacy should be returned to Pharmacy on a routine basis • Stock outside the Pharmacy should be rotated in machines • Create guidelines for repackaging to reduce waste

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