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Governing for Results 6 - Washington State Digital Archives

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Department of Social and Health Services<br />

Improving Medication Distribution at Western <strong>State</strong><br />

A Western <strong>State</strong> Hospital pharmacy and nursing staff team focused on improving<br />

the process of refilling patient medications. Be<strong>for</strong>e this project, each patient’s<br />

medications were refilled once a month, a process that <strong>for</strong> the 40 wards took 200<br />

hours of pharmacy staff time. Ward medication nurses had to deliver and pickup<br />

the containers to be refilled requiring 33 hours per month. Wards were without<br />

the medications about six hours each month while being refilled in the pharmacy.<br />

Packaging of refills was not consistent. Many packages were physically difficult<br />

to open. Thirty days supply of medications took up a lot of ward space and<br />

increased the potential <strong>for</strong> errors. To improve the process, a machine was<br />

purchased that automatically fills prescriptions with 99% accuracy using easy-toopen<br />

packets. With the time saved, pharmacy staff could refill medications<br />

weekly, deliver the refills to the wards and still take less time than the prior<br />

process.<br />

<strong>Results</strong><br />

★ Eliminated the need to hire five additional pharmacy staff who would have<br />

been required in order to manually fill prescriptions on a weekly schedule,<br />

thereby saving annually 10,570 hours of staff time and $254,254 in salaries.<br />

★ Saves 84 hours of existing pharmacy staff time per year in filling and<br />

delivering refills while increasing the number of refills.<br />

★ Packaging medications by machine saves approximately $40,000 dollars a<br />

year in drug costs.<br />

★ More patient care time (396 hours) is available each year due to nurses not<br />

needing to deliver or pick up medications from the pharmacy.<br />

★ Over 70% of the nurses rated the prescription refilling process and the new<br />

packaging as convenient as or more convenient than the previous process.<br />

Team Name: WSH Medication Distribution Team<br />

Team Members: Stacia Gahms, PhT, (Team Leader); Julie Neff, RPH; Joni<br />

Rudin, PhT; Don Dicks, CAP4; Wanda Ray, LPN; Cliff Stewart, LPN; Connie<br />

Roth, RN3; Pat Pickett, ADNS; Katy Williams, Pharm.D.; Judy Miller, LPN;<br />

Pauline Montances, LPN; Suzette Reyes, RN3; Jessica Grant, RPh; Dan<br />

San<strong>for</strong>d, RN3; Amos Brinkley, LPN<br />

CONTACT: Carol Knobel-Ames, (360) 902-0832<br />

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