Covid 19
The COVID 19 epidemic has had a profound financial impact on LTC facilities and the Closed Door Pharmacies that provide pharmaceuticals for their residents. These providers are forced to confront the challenge of reduced revenues, coupled with increased expenses.
To address this financial challenge, it is critical that Close Door Pharmacies reduce their operational expenses. One substantial, but the manageable expense, is related to the order fulfillment and delivery of “not previously prescribed medicines.”
To assist Closed Door Pharmacies in the effort to reduce cost, Cost Control Solutions offers its Analytics and Acute Inventory Management System for the management of medicines in remote locations such as EKits and ADM units. The goal of both is to reduce operational expenses while improving resident care and safety.
ANALYTICS
The Management of Not Previously Prescribed Medicines
A significant challenge for Closed-Door Pharmacies is providing “not previously prescribed medicines” to residents in their client LTC facilities. These medicines were not included in the resident’s regiment of prescribed medicines, and thus, must be provided via the Closed Door Pharmacy’s EKits or ADMs, and if not available in either, through the costly STAT or Back-Up fulfillment process.
To address the challenge of reducing STAT and Back-Up fulfillment, Cost Control Solutions offers its Analytics and Acute Inventory Management System.
The purpose of the Analytics is to identify the optimum contents of EKits and ADMs through historical data of medicines, resulting in the identification of medicines as:
- Dispensed,
- Not dispensed,
- Quantities of those dispensed,
- Medicines and quantities proved through STAT or Back-Up fulfillment
The following are sample reports from the analytics of Closed Door Pharmacy activities related to the delivery of “not previously prescribed medicines.” All Reports are specific to:
- Pharmacy
- Serviced Facilities
- Medicine description, strength, and quantit
Sample of Pharmacy Stat Orders 1Q20
| Total number of STAT orders 1Q20 | 373 | |
| STAT medicines that are also in EKits | 82 | 21.9% |
| STAT medicines that are also in ADM | 45 | 12.0% |
| STAT medicines in EKits different strength | 61 | 16.3% |
| STAT medicines in ADM different strength | 18 | 4.8% |
| STAT medicines that are not in EKits | 124 | 33.2% |
| STAT medicines that are not in ADM | 44 | 11.7% |
Sample of E-Kit 1Q20 Analysis Drug & Antibiotic Medicines
| Number of medicines in EKit | 83 | % |
| Number of medicines not dispensed from EKit | 59 | 71.0% |
| Number of medicines dispensed from EKit | 24 | 29.0% |
| Number of non-drug items in EKit | 2 |
Sample Dispensing History – Not Previously Prescribed Medicines
| Medicines |
Backup |
E-Kit |
ADM |
STAT | Total |
| Lorazepam |
1 |
11 |
8 |
9 |
29 |
| Oxycodone HCL |
9 |
5 |
10 |
24 |
|
| Hydrocodone-Acetaminophen |
9 |
12 |
13 |
34 |
|
| Warfarin Sodium |
7 |
48 |
2 |
57 |
|
| Doxycycline Hyclate |
7 |
52 |
1 |
60 |
|
| Oxycodone-Acetaminophen |
5 |
15 |
17 |
37 |
|
| Nitrofurantoin Mono-Macro |
5 |
18 |
23 |
||
| Tramadol HCL |
2 |
5 |
6 |
6 |
19 |
| Cephalexin |
1 |
4 |
25 |
30 |
|
| Azithromycin |
4 |
18 |
22 |
Cost Reductions Through Reformulation
Reformulating products, strengths and quantities within EKits and ADMs will reflect the anticipated demands of LTC residents which will substantially reduce,
- Fill charges
- Administration fees
- Labor costs of pharmacy personnel
- Courier and Transportation costs
All while improving resident care and safety
AIMS
Acute Inventory Management System
A cloud-based system with mobile technology for the management of pharmaceuticals in remote locations. Enables the identification of medicines by facility, EKits, ADMs, trays within each, quantities, expiration dates and lot numbers.
The management of Cost Control Solutions has over 75 years of combined experience in the management of pharmaceuticals in remote locations . . . EKits, ADMs, Emergency Carts, and unique locations where pharmaceuticals reside. Our expertise, coupled with our ability to develop custom systems to support your inventory management challenges, will make us a valued partner in your efforts to reduce costs, while providing superior resident and patient care.
Coming Soon
AIMS View
Medicines within EKits and ADMs can be viewed by all the participants in the fulfillment process including facility, pharmacy and call center personal, in addition to, primary care physicians, practitioners and medical directors. To facilitate the timely dispensing of medicines, AIMS View enables prescribers of medicines to search available medicines by therapeutic category or other approved categories.
This is critical for the reduction of costly STAT and Back-Up order
Down Load Presentation { .pdf }
AIMS Reformulation
Allows Pharmacy Directors to reformulate the contents of EKits and ADMs by identifying medicine usage from these remote devices and medicine fulfillment through STAT and Back Up. This enables Pharmacy Director to quickly reformulate the contents . . . deleting, adding or changing quantities of medicines to better reflect the fulfillment needs based on historical data.
Inventory Valuation – Provides the cumulative product inventory in EKits and ADMs by Division, Pharmacy and Facility, medicines and quantities. Inventory valuation calculated by weighted average or current acquisition costs. Reduces administrative labor while improving inventory accuracy and valuation.
Identifying product and their quantities will facilitate the ability to adjust inventory levels to reduce the cost of goods