A Bar Code Case Study .

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A Bar Code Case Study Steve Braun Today’s Presentation Why Hospira Implemented Bar Coding Program Management Customer Communications From Bar Codes to RFID Keys to Success Lessons Learned Plum ® Infusion System with positive valving PCA Infusion System
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A Bar Code Case Study Steve Braun

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Today\'s Presentation Why Hospira Implemented Bar Coding Program Management Customer Communications From Bar Codes to RFID Keys to Success Lessons Learned

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Plum ® Infusion System with positive valving PCA Infusion System Omni-Flow ® IV Medication Management System National Hospital Pharmacy Quality Awards LifeShield ® CLAVE ® Connector Q 2 ™ Monitoring System LifeShield ® needle security frameworks presented Plum ® Infusion System included RS232 dataport Bar-coded IV and injectable items presented Needlestick Prevention Systems site propelled All unit-of-utilization injectables and IV arrangements bar-coded Carpuject ® syringe innovation obtained Remote correspondence ADD-Vantage ® System FirstChoice ® Premix arrangements SAFESET™ Blood Sampling System Label upgrades Nutritional compartments bar-coded Ansyr ® syringe Q 2 ™ Plus Monitor Plum A+ ® Infusion System LifeCare ® PCA3 Medication Management System Introduced with standardized tag ID of medication fixation Plum A+ ® Infusion System with improved wellbeing portfolio ASHP solution mistake diminishment stipends Oximetrix ® 3 Monitoring System Continuing instruction courses for MD, RPh, RN Hospira Advancing Wellness Through Innovation 1980s 1990s TODAY

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ADEs 6.5% Potential ADEs 5.5% 1.8% are preventable 2 Patients Not Exposed The Need to Improve Hospital Patient Safety 7,000 passings for each year 1 12% of Patients Exposed to an Adverse Drug Event (ADE) or Potential ADE 2 1. Phillips et al, Lancet . 1998. 2. Bates et al. JAMA. 1995.

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Medication Errors in the Hospital 51% of doctor\'s facility blunders happen amid organization 1. Leape LL, et al. JAMA . 1995. 2. Leape LL, et al. JAMA . 1995. 3. Bates DW, et al. JAMA . 1995.

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The Promise of Bar Codes Bar code-empowered frameworks have been appeared to diminish solution mistakes by 64.5% (at VA office) 1 by 71% (at North Colorado Medical Center) 2 1. Malcolm et al. 2000 Annual HIMSS Conference. 2. Pucket F. Am J Health-Syst Pharm . 1995.

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Customer Direction Group buying associations Contractual duties Wholesalers/merchants Leading suppliers St. Alexius VA Hospital Systems

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Manufacturing Plants Regulatory Affairs Graphic Studio Materials Management Label Control Quality Assurance Technical Operations Engineering Marketing Formed the Bar Code Team Hospira Bar Code Implementation Team

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Program Plan Over 5,800 bundles: 1,200+ medications Committed to a standard; UCC.EAN-128 Began with layer Low specialized obstacles Prioritized in view of client needs Incorporated with whatever other name changes 5 producing plants No monetary avocation

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Challenges Linear scanner tags too extensive 300 things too little for UCC.EAN-128 Including probably the most basic medications What standard would industry receive? Cost builds inadmissible to clients Unexpected issues (RSS) Verifiers Software Packaging levels

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RSS Technology UCC possessed innovation Hospira is the principal social insurance organization to utilize Reduced-Space Symbology (RSS) to scanner tag injectables and I.V. arrangement items RSS permits all data to fit in a zone as little as a pen top Trial run made in 2001 at St. Alexius demonstrated decipherability Expands open door for extra data

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Hospira Bar Code Initiative All injectables and I.V. arrangements named with standardized identifications at the unit of utilization Ten-Unit Pack Five-Unit Pack Single Unit

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FDA proposed control reported March 13, 2003 Hospira activity finished March 27, 2003 Initiative declared July 2002 Hospira Bar Code Initiative Encompasses more than 1,200 medication and I.V. items Critical mass for POC Medication Management System Outstanding client support and gratefulness

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Manufacturing With Bar Codes

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Moving Beyond Manufacturing How would you know whether an item has a scanner tag on the mark? Where is the database of UPN numbers and relating NDC numbers kept up? Is this an approved framework? What item identifier does your client use to request item? How are they connecting the item identifier for requesting with the UPN? How would you make all item identifiers known to clients? How would you redesign them on changes?

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Electronic Catalog Accessible from the corporate site

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Product Identification Updated every day May be downloaded into spread sheet

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Host System RFID Reader Radio Frequency Identification (RFID) Track and follow innovation versus straightforward distinguishing proof Opportunity for: Patient recognizable proof Pump or other gear locator Drug or other costly supply locator Narcotics posture test to track and follow (control) today

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From Bar Codes to RFID Supply channel esteem introductory objective Customer and the FDA will characterize usage timeline Will have requirement for both innovations EPC usage required Similar venture approach Shared/available electronic documents required

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Keys to Success Champion(s) Team approach Executive administration bolster FDA drew in Network of proficient specialists Listen to clients Frequent surveys

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Lessons Learned Education is imperative Risk versus remunerate Work with guidelines association Voice levels with change Build cooperations RSS programming (new innovation) may defer Understand the market Leadership brings rewards

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Hospira Advancing Wellness… Through the right individuals and the right items

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