Pharmacy Service Improvement at Cvs Case Analysis

Goal three by the National Patient Safety Goal for 2014 is to use medicines safely. Many errors occur regularly with medications which is why communication is so important with the doctors, nurses and patients. One process that Joint Commission requires in accredited HCO’s is medication reconciliation “creating the most accurate list possible off all medications a patient is taking, including drug name, dosage, frequency, and route, and comparing that list against the physician’s admission, transfer, and/or discharge orders with the goal of providing correct medications to the patients at all transition points within the hospital (Finkelman & Kenner, 2012, p. 388)”. Ensuring medication reconciliation to the patient, health providers and any new consults that are

CVS Health happens to be one of the largest pharmacies serving people in every community. In fact, there is a CVS across the street from just about every hospital, on every major interception, and are within a 2-mile radius of one another. This is the way it has been since the company was founded “in Lowell, Massachusetts by brothers Stanley and Sidney Goldstein and partner Ralph Hoagland” in 1963, and it’s the way the company plans to keep expanding the company in a proximity to one another. They have even gone as far as expanding the size of the store to fit the community. All in an effort, to be responsive and committed enough to meet the needs of not only the customers, but the clients and the community as well (CVS Health, 1999-2016). Especially, since the company admits that over the past fifty years, they have changed to better service people in their health.

It’s not simply the particular giving of the medications that fare up all the time. It is checking the medical record with the hand written prescriptions, grouping the varied medications and also the instrumentation for giving them, and ensuring all the patients safety measure are covered.

3. Medication errors, handoff process and information quality. Chiru, Alina M; Baxter, Ryan. Business Process Management Journal 19.2, (2003): 2011-2016

Taking 30 seconds to update a patient profile will be such a small task in the grand scheme of things. I will make sure that all the technicians have patients verify name, birthday, and address because I’ve witness patients being given the wrong medication more times than I would like to actually admit to. As a practicing pharmacist you should inform your technicians that making sure the patient is given the right medication is very crucial to you. Regardless of how of busy your pharmacy may be, you must ensure that patients are given the correct

CVS's retail pharmacy operations are functioning poorly and dissatisfying customers. Many customers are defecting as a result. A pharmacy service improvement team has documented the current prescription fulfillment process, its exception rates, and the problems generated by exceptions. The company must now decide how to change this process, and what information system changes to make in support of the redesigned process.

This is a journal study to investigate the perceptions and opinions of the professional community pharmacy staff about the causes of dispensing errors and strategies to prevent these errors. A survey was completed by pharmacists and pharmacy technicians in 49 community pharmacies and the response rate was 90.9% (Lopes, Joaquim, Matos & Pires, 2015). Handwritten prescriptions were the most single cause of medication errors 51.5% and drugs with similar packages 45.6% (Lopes et al., 2015). Checking prescriptions and confirmation of drugs through barcodes was 97% which were the most agreed prevention methods (Lopes et al., 2015). This article would not only be useful to pharmacy personnel but to other health practitioners or students performing research. In addition, a study similar to this could serve as an example (initiative) that may benefit management. Such initiative would be implemented to help improve medication

Encourage the use of computer-generated or electronic medication administration records. Plan for the implementation of computerized prescriber order entry systems. Consider the use of machine-readable code (i.e., bar coding) in the medication administration process. Use computerized drug profiling in the pharmacy. Be a demanding customer of pharmacy system software; encourage vendors to incorporate and assist in implementing an adequate standardized set of checks into computerized hospital pharmacy systems (e.g., screening for duplicate drug therapies, patient allergies, potential drug interactions, drug/lab interactions, dose ranges, etc.)”. (Association,

The pharmacist will scan the medication again and the picture of the drug will pop up with other information pertaining to the patient and drug on the screen. The pharmacist will then open the vial to inspect again that it is the correct medication dispensed and check the quantity. By allowing the pharmacist to check the medication again after the previous step ensures that the medication is double checked and that it went through two different people. Once it is checked the pharmacist will now finish processing the prescription and pack the medication into a bag and is now ready for patients to come pick up the

One of many administration burdens to physicians and medical office staff is the nees to respond to prescription refill requests. E-Prescribing gives providers acess to review, authorize and transmit several refill authorizations in a matter of seconds. In case of emergency a refill can be quickly done to aid a patient that is traveling and out of

The findings suggested positive impact of CPOE systems in reducing or eliminating disadvantages of manual prescription. Implementation of CPOE systems has improved medication error rates attributed to prescribing (Armada et al., 2014; Helmons et al., 2009; Roberts et

Electronic-prescribing, often referred to as e-prescribing, is a fairly new, innovative way for physicians and other medical personnel to prescribe medications and keep track of patients’ medical history. Not only has e-prescribing enabled prescribers to electronically send a prescription to the patients’ pharmacy of choice, in the short amount of time it has been available, it has significantly reduced health care costs, not only for the patient, but for the medical facilities as well. In 2003, e-prescribing was included in the Medicare Modernization Act (MMA) which jumpstarted the role of e-prescribing in healthcare. It has proven to significantly reduce the yearly number medication errors and prescription fraud, and its widespread

We would like to thank you so much for all the hard work that you all have been doing. As Walgreens still continue being one of the top largest retail pharmacy in the United States. Our goal and vision has always been; to be America's most loved pharmacy-led health, wellbeing and beauty retailer and to champion everyone’s right to be happy and healthy and that also include our employees. With that being said we really appreciate your loyalty and the excellent work that you continue to do despite our current predicament.

Set-up and workflow of my pharmacy is pretty good for patient centered care. Patient does not have to wait too long for their prescriptions to be filled. Patients can call for their refills via telephone or online, which makes their life easy as they don’t have bother coming in-person for refills. Patient profile shows all medication history as well as number of refills remaining. This makes it easy for pharmacist to know whether to refill a prescription or call doctor for refill request. After confirming to fill a prescription pharmacist runs claim through insurance and print label after claim is successful. All medication is arranged alphabetically on shelves, thus it is easy and quick to retrieve. Then after technician fills medication and then pharmacist checks it. This workflow is quite smooth and quick to process. Final check is done by pharmacist, who confirms right medication for right patient as well as the NDC dispensed, amount dispensed, direction for use, and day supply. All these steps of process take place on working table in sequential order, which helps to reduce errors in filling and have effective prescription filling. Once the prescription is filled pharmacist do all paper

The data entry stage has two major problems. The first problem is drug utilization review (DUR). As showed by PSI team for the pharmacy fulfillment process, DURs arise frequently and pharmacists must waste time to intervene. CVS’s central database of customer fails to update and understand customers’ newest condition, so that the issue of DUR triggers customer’s dissatisfaction and wastes a lot of time for pharmacists. The second problem in the data entry stage is no refill allowance. Many customers may lose track of how many refills that were allowed and drop off an ineligible script