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North Dakota Society

of Health-System Pharmacists

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Home medications

  • 07 Aug 2015 3:40 PM
    Quote
    Message # 3470125
    Anonymous member

    We have a process in which we try to discourage home meds for all of our patients, even the observation patients.  The problem with this is that we do get some complaints about the charges for self admnisterable meds.  I know some places allow/encourage home meds in these situations, but I don't like the fact that home meds bypass most of the safety features of our distribution system (unit dose, bar code scanning , etc).

    Does anyone have a system for dealing with home meds that incorporates the safety features of a modern distribution system?
  • 18 Aug 2015 10:49 PM
    Quote
    Reply # 3487060 on 3470125
    Anonymous member (Administrator)

    We've been discouraging Patient Own Meds (POM) at the Medical Center for the past 6 months.  We decreased our unit dose charge and then analyzed what the average outpatient charge would be.  The average figure was <$50/admission.  Also, we are a heavy nebulizer utilzer, rather than inhalers, and have been pushing this more, so inhalers aren't contributing to high charges.

    We label our POM with order specific barcodes.  Our Critical Access Hospitals (CAH) that use ADCs are utilizing the patient-specific bins.  It's definitely not "slick".  The omnicells that are using this, don't have your upgrade, though.

    What is your opinion on labeling POM with an NDC specific bar-code based on the tablet imprints rather than an order-specific barcode? What's the line of "relabeling"? 

    Last modified: 18 Aug 2015 10:55 PM | Anonymous member (Administrator)

   

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