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RE-ENGINEERING OF WORKFLOW AT THE OUTPATIENT PHARMACY, UMMC

GURSHARAN SANDHU

Pharmacy Department

University Malaya Medical Centre

2017

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INTRODUCTION - UMMC

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COVERAGE AREA OF UMMC

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  • Outpatient Pharmacy

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INTRODUCTION – OPENING HOURS

7.30am

7.15pm

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MODEL OF GOOD CARE

  • Validity and appropriateness of treatment regime
  • Charging for payment

Dispensing

  • Check against Medication History
  • Check sufficiency of supply
  • Generate labels
  • Pack as according to the labels generated
  • Final check 🡪 Check Rx against label and medication
  • Counseling
  • 5Rs

Screening

Keying-In

Packing

Checking

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SELECTION OF OPPORTUNITIES FOR IMPROVEMENT

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INCONSISTENT ACHIEVEMENT OF QUALITY OBJECTIVE

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Longer waiting time

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QUALITY OBJECTIVE

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75%

of outpatients receive their medication within

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QUALITY OBJECTIVE FOR YEAR 2014 TILL JUNE 2015

75%

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2015

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PROBLEM STATEMENT

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Literature Review

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One of the specific factors identified as barriers to medication adherence among patients is the long wait times at the pharmacy.

Kripalani S, Henderson LE, Jacobson TA, Vaccarino V. Medication use among inner-city patients after hospital discharge: patient-reported barriers and solutions. Mayo Clin Proc. 2008;83(5):529-535

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Prolonged waiting times in many district hospitals result in many dissatisfied patients, overworked and frustrated staff, and poor quality of care because of the perceived increased workload.

Naidoo L, Mahomed OH. Impact of Lean on patient cycle and waiting times at a rural district hospital in KwaZulu-Natal. African Journal of Primary Health Care & Family Medicine. 2016;8(1):1084. doi:10.4102/phcfm.v8i1.1084.

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FACTORS CONTRIBUTING TO PROBLEM STATEMENT

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BRAINSTORMING SESSION

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PROCESS

Non sequential call queue

Long Paying Queue

Patient Awareness

Medication that are not ready to be dispensed

HUMAN

Time consuming packing

Lack of Stock Monitoring

Shifts: On call/Night shift

Stress/work fatigue

Lack of awareness

Cyclical rotation

Inappropriate Scheduling

Lack of Staff

LONG WAITING TIME FOR DISPENSED MEDICINES

≥ 30 MINUTES

Poor training

New staffs

Emotional pressure

De-motivated

ENVIRONMENT

Infrastructure

Non Conducive Atmosphere

Loud noises

Old pharmacy layout

Unpleasant waiting area

Lighting

Non strategic

Space constraint

EQUIPMENTS

Poor Maintenance

Networking

Non Ergonomic Furniture

QMS calling pad

Printers/PCs

Internet/Intranet

Insufficient working tools

Barcode scanner

Unorganised inventory

Medication error

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PROCESS

Non sequential call queue

Long Paying Queue

Patient Awareness

Medication that are not ready to be dispensed

HUMAN

Time consuming packing

Lack of Stock Monitoring

Shifts: On call/Night shift

Stress/work fatigue

Lack of awareness

Cyclical rotation

Inappropriate Scheduling

Lack of Staff

LONG WAITING TIME FOR DISPENSED MEDICINES

≥ 30 MINUTES

Poor training

New staffs

Emotional pressure

De-motivated

ENVIRONMENT

Infrastructure

Non Conducive Atmosphere

Loud noises

Old pharmacy layout

Unpleasant waiting area

Lighting

Non strategic

Space constraint

EQUIPMENTS

Poor Maintenance

Networking

Non Ergonomic Furniture

QMS calling pad

Printers/PCs

Internet/Intranet

Insufficient working tools

Barcode scanner

Unorganised inventory

Medication error

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STAFF FEEDBACK ON IMPROVEMENT

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1) MANPOWER

~ 25 Pharmacy personnel

~ 2400 Prescriptions / Day

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Ratio 1 staff : ~100 Rx

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PRESCRIPTIONS THROUGH THE YEARS

2012

2016

≈15% ↑Rx a year

≈25 Personnel

Rx

Rx

Rx

Rx

Rx

2013

2014

2015

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DISTRIBUTION OF STAFF

NO SHIFTS – ALL STAFF CLAIM OVERTIME

7.30AM – 4.15PM (Working hour)

MOST STAFF WORK EXTRA HOURS!!!

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2) Awareness of the Service Performances

3100

Nombor sekarang 3000�12.00pm

10/3/16

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Screening

Key In

Intervention

Packing

Checking

Dispensing

NO OBSERVANCE of�Current Waiting TIME!

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3) Time consuming packing method

TIME CONSUMING!!!

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SCREENING

KEY-IN

PACKING

CHECKING

DISPENSING

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4) Single Queue Numbering System

10 Counters – Dispensing All Types of Prescriptions

NO Difference in �Waiting TIME!

All Patients Wait Equally LONG!

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Opportunities for change

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IN SUMMARY

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Key Measures for Improvement

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INDICATORS & STANDARDS

FACTOR

KEY MEASURES FOR IMPROVEMENT

STANDARD

PACKING TIME

Duration of Packing (min)

50 Rx/day

< 3 min

PATIENT SATISFACTION

Satisfied Patients

50 Rx Dispensed/ counter

80%

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OBJECTIVES

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METHODS

A Retrospective / prospective �study involving all prescriptions

EXCLUDING Dangerous Drugs and Psychotropic Substances because the time needed to process each prescription is unique and irregular

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DATA COLLECTION

DATA

LOCATION

METHOD

QUALITY OBJECTIVE

Out Patient Pharmacy

  • Daily Average from July 2015 to March 2016

PACKING TIME

Out Patient Pharmacy

  • Average packing time for 50Rx/day
  • For 2 days per week for 2 months

VS

  • Packing of Ready-To-Dispensed (RTD) medications
  • Same number of Rx and duration

PATIENT’S SATISFACTION

Out Patient Pharmacy

  • Average of 50 patients / counters
  • 5 counters in total
  • 250/ day
  • 2 days per week for 2 months

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GANTT CHART

July

August

September

October

November

December

January

February

March

April

Data

Collection

Topic Selection

Data Analysis

Assessment of

Effect /

The Next Step

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Planned

Execution

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STRATEGIES FOR CHANGE

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1) IMPLEMENTATION OF STAGGERED WORK HOURS

IMPLEMENTATION OF STAGGERED TIMING

8.00AM – 4.45PM

9.00AM – 5.45PM

10.15AM – 7.00PM

±25

During Peak Hours

11AM – 4PM

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2) Awareness of Current Waiting Time

CURRENT WAITING TIME

COUNTER 1 05 MINUTES

COUNTER 2 12 MINUTES

COUNTER 3 18 MINUTIES

DISCHARGES 15 MINUTES

ALL STAFF ARE AWARE OF THE �CURRENT WAITING TIME

TEAM WORK TO ACHIEVE THE WAITING TIME

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2) Awareness of Current Waiting Time

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R: 15.74 Minutes

N: 17.25 Minutes

E: 6.67 Minutes

D: 12.27 Minutes

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2) Awareness of Current Waiting Time

R: 15.74 Minutes

N: 17.25 Minutes

E: 6.67 Minutes

D: 12.27 Minutes

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3) READY TO DISPENSE (RTD) MEDICATION

Medications readily packed in appropriate quantities to ease the filling and dispensing process in a pharmacy

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4) SEPARATION OF COUNTERS

Counter 2�Chronic Long Term�Prescriptions

Counter 1�Fast Track�≤ 3 items

Counter 3�Discharge�Prescriptions

Counter 4�Repeat �Prescriptions

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EFFECT OF INTERVENTIONS

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QUALITY OBJECTIVE FOR YEAR 2014 TILL JUNE 2015

75%

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1) QUALITY OBJECTIVE AFTER IMPROVEMENT

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AFTER INTERVENTION

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75%

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2) PATIENT SATISFACTION (WAITING TIME) SURVEY

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3) PATIENT SATISFACTION SURVEY

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3) PACKING TIME AFTER RTD

33%

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4) AVERAGE WAITING TIME PER RX

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COST SAVING

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Average Payout

RM 20,350/month

Total Payout in �Year 2014 till July 2015:�RM 386,494.65!!!!

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Total Overtime (RM) Claimed Year 2014 vs Year 2015

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Total Pay Out in 2014:�RM 315,683.40

Total Pay Out in 2015:

RM 70,811.25

Savings:

RM 244,872.15

77% ↓�in Payout!

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THE BEST COMPLIMENT WE RECEIVED WAS…

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NOVEMBER 2015

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What did we learn?

YOU CAN DO MORE WITH LESS

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SUSTAINABILITY – Quality objective

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75%

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SUSTAINABILITY – Patients satisfaction

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SUSTAINABILITY – Payout

Total Payout in �Year 2016RM 56,781.15

Total Payout in �Year 2015RM 70,811.25

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THEN

NOW

EVOLUTION

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PharmaSELF

- Patient with repeat prescription is to collect their medication supplies via PharmCARE services

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ACKNOWLEDGEMENT

PHARMACY STAFF OF UMMC

PATIENTS OF UMMC

HIGHER MANAGEMENT OF UMMC

QUALITY IMPROVEMENT DEPARTMENT

QUALITY IMPROVEMENT TEAM

JABATAN TEKNOLOGI MAKLUMAT UMMC

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REFERENCE

  • BAHAGIAN PERKHIDMATAN FARMASI, KKM, POLISI OPERASI FARMASI AMBULATORI, 2011
  • REQUIREMENT FOR THE DEVELOPMENT OF PHARMACY FACILITIES, MOH, 2009
  • Reducing wait time in a hospital pharmacy to promote customer service, Slowiak JM1Huitema BEDickinson AM. 2008
  • Effects of a pharmaceutical care model on medication adherence and glycemic control of people with type 2 diabetes, Wen Wei Chung,1,2 Siew Siang Chua,1 Pauline Siew Mei Lai,3 Siew Pheng Chan4

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Thank you

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