NEW AUTOMATION PRODUCTS Pharmacy Informatics Conference June 20, 2012 Marian Daum, Pharm D...

NEW AUTOMATION PRODUCTSPharmacy Informatics ConferenceJune 20, 2012

Marian Daum, Pharm DCoatesville VA Medical CenterCoatesville, PA

June 2012

VETERANS HEALTH ADMINISTRATION

NEW AUTOMATION PRODUCTSOBJECTIVES

• 1. Name one new type of automation available for use within VA Pharmacies.

• 2. Construct a needs grid and use the grid for product evaluation

• 3. Name one feature that may make installation of a technology impossible within a VA Pharmacy.

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NEW AUTOMATION PRODUCTS UNIT DOSE

Machine Overall Score

Help Desk

Repair & PM

Timeliness of Service

Choose Again?

Fastpak/Exp (40) 3.55 3.53 3.51 3.47 67.5%

Talyst Autopak (27) 3.42 3.16 2.95 2.95 52.6%

TCGRx (6) 4.5 3.83 4 4 83.3%

PacMed (4) 3 4 4 4 50%

Safetypak (1) 3 4 4 4 100%

Auto-print (1) 4 4 3 3 0%

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NEW AUTOMATION PRODUCTS UNIT DOSE

Fastpak/Exp Talyst Autopak TCGRx PacMed Safetypak

Speed 63/min 60/min 63/min 60/min 60/min

Interface

Ease of Use

Canisters 20 free/yr Additional Cost

Make your own

Additional Cost

Additional Cost

Service ContractCost

Other VA

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NEW AUTOMATION PRODUCTS AUTOMATED DISPENSING CABINETS


Help Desk

Repair & PM


Choose Again?

Pyxis Profile (35) 4.35 4.18 4.15 4.21 97.14%

Omnicell (31) 4.23 3.93 4 3.86 100%

Accu-Dose (10) 3.2 3.2 3.5 3.5 40%

Med-Select (2) 3.5 3.5 3.5 3.5 100%

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NEW AUTOMATION PRODUCTS CONTROLLED SUBSTANCE STORAGE


Help Desk Repair & PM


Choose Again?

Pyxis C-II Safe (7) 4.58 4.14 4.29 4.26 100%

Omnicell Secure Vault (7)

4 3.6 3.6 3.6 100%

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NEW AUTOMATION PRODUCTS INVENTORY MANAGEMENT SYSTEMS




Choose Again?

McKesson MedCarousel (3)

4.3 3.67 4.3 4 100%

Omnicell Pharmacy Central (2)

3.5 3.5 3.5 3.5 50%

Talyst Med Carousel (1) 5 4 4 3 100%

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NEW AUTOMATION PRODUCTS OUTPATIENT DISPENSING ROBOTS




Choose Again?

ScriptPro (65) 4.3 4.29 4.22 4.22 98.5%

Optifill (10) 4.3 4 4 3.9 90%

Parata/McKesson (10) 2.5 2.2 2.4 2.3 10%

Fast Fill (1) 4 4 4 4 100%

A-Frame (1) 4 4 4 4 100%

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NEW AUTOMATION PRODUCTS OUTPATIENT DISPENSING ROBOTS

Machine Vial Conversion Cost Comments

ScriptPro SP50,100 = $7965/machineSP200 = $11,800/machine

Parata/McKesson Mini, Max, Rexam or RC to Kerr = $15,000/machineMini, Max, Tristate to Kerr = $3,000/machine

The RDS cannot support Kerr vials and cannot be converted.

Optifill (Automed) Currently does not have a recalibration option

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Sites may apply for a waiver to contract compliance. Contact Joe Canzolino at Joe. [email protected]



Help Desk

Repair & PM


Choose Again?

ADDS (11) 3.27 2.9 2.9 2.9 45.5%

Pickpoint LXS (4) 3.5 3.75 3 3.5 50%

SPUD (1) 3 4 4 4 100%

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NEW AUTOMATION PRODUCTS QUEUING SYSTEMS

MACHINE OVERALL REPAIR TIMLINESS OF SERVICE

REPURCHASE?

Q-Matic (21) 3.86 3.46 3.25 85.7%

Nemo-Q (1) 4 3 4 100%

Q-Flow (1) 3 2 3 0%

Turn-O-Matic 4 0%

Take a Number-Matic 4 4 100%

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NEW AUTOMATION PRODUCTS MARKET RESEARCH

1. Market Research : GSA Advantage Section 65 IIA

- Automation Friday Presentations- Automation Survey Results.

Ex. Unit Dose Repackager

- Wanted a high speed machine (60-65 packets/min)

- Wanted to keep setting trays to a minimum

- Wanted a Class 1 interface

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NEW AUTOMATION PRODUCTS MAKING YOUR CHOICE

Machine Speed Interface Canister Change

Production Trail

Talyst Autopak 63/min Class 3 No No

Automed Fastpak/EXP 65/min Class 1 20/yr No

Omnicell Safetypak 60/min Class 3 No No

TCGRx ATP 63/mn Class 1 Make as needed

Yes

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NEW AUTOMATION PRODUCTS ACQUISITION

• Sole Source Justification

• APPROPRIATE

Product cannot be suppliedby another vendorVendor’s product has anadvantage to the facility

• NOT APPROPRIATE Product/Service can be

supplied by more than one GSA vendor Selection based on personal

preference with no distinct advantage to the facilty.

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NEW AUTOMATION PRODUCTS SERVICE CONTRACT

• Statement of Work– How long does the warranty last?– How many preventative maintenance sessions are you entitled to?– Is there a “first responder discount” if your local Biomedical

Engineering is trained to service the machine?- Do you get software upgrades included?- How long does service personnel have to respond to your service call?- Do you get other items such as free canister changes,?- Can you upgrade computers/other ancillary hardware or must these

items be repurchased?- Does the vendor support older versions of their machines?- Estimating contract cost

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NEW AUTOMATION PRODUCTS SERVICE CONTRACT

• What if the terms and conditions of a service contract are set as part of the vendor’s FSS contract?

– Sole source justification letter should be generated.

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Microsoft Office Word 97 - 2003 Document


NEW AUTOMATION PRODUCTS NEW PRODUCTS

• Some Considerations:

– Does the system under consideration use a portable device?

– Doe the portable device store patient information

– Does system store VA patient information on the vendor’s server?

– Does the system transfer patient information using a wireless network.

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• But what if you REALLY WANT a new device? Where to you start?

– How do you work with the vendor to see if the device can be installed within VA

– Will the vendor be willing to modify some parts of the system to make it work?

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• New device/software evaluation

– Go through the assessment with the vendor and your IRM and Biomedical Engineering Services so that you don’t have to explain to your facility’s Director late on a Friday how a virus got downloaded onto your network and apologize for the overtime clear up the problem.

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Microsoft Office Word 97 - 2003 Document


NEW AUTOMATION PRODUCTS ON THE HORIZON

• IV Preparation Machine

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A self contained IV preparation robot that can be set up to prepare syringes, IV admixtures or chemotherapy

Meets all USP 797, NIOSH and OSHA requirements


NEW AUTOMATION PRODUCTS ON THE HORIZON

• Chemotherapy Preparation Machinery

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Prepares Chemotherapy in an ISO 5 Environment with barcode technology to prevent error

Prevents Operator Exposure to Hazardous Chemotherapeutic Material

Seals waste in containers for proper disposal of hazardous material


NEW AUTOMATION PRODUCTS

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Any Questions?

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