Providing quality healthcare while holding the line on costs continues to be a priority throughout much of the life sciences industry. Watching expenses is a critical task at Group Health as well, where the company's Seattle facility handles mail-order prescriptions and serves as a central fill location for its 26 pharmacies located in both Washington and Idaho. Marking its 60th year, Group Health Cooperative is an innovative, consumer-governed, nonprofit healthcare system that integrates care and coverage.
Since adding a Maverick Enterprises UPM B/T (Universal Packaging Machine with Bottle and Tote infeed), Group Health has reduced its labor needs, improved efficiency within its confined 7,000 sq' area, and readied itself to handle growing sales volume. In turn, those benefits help to hold down Group Health member costs.
Tom Colleran, Group Health's associate director of pharmacy systems, explains that fundamental changes in the company's business helped drive the need for the automation that's provided by the Maverick machine.
"We used to produce 95 percent of our work for pharmacist orders from our Group Health centers," Colleran says, with 5 percent mail-order prescriptions. "Now, it's 55 percent mail-order and 45 percent for our central filling of prescriptions. We do about 10,000 prescriptions a day, and the trend to more mail-order prescriptions continues."
That trend is understandable, given that mail-order scripts are typically mailed directly to a patient's home, so there's no need to drive to a pharmacy. That's especially appealing when gasoline prices are high. It's also an option for those who may be "transportation-challenged." And purchasing mail-order drugs often allows patients to order 90-day quantities, something that may not always be possible at their local pharmacy.
The challenge of fulfilling mail-order prescriptions, Colleran explains, is that they require more printing and packaging than is necessary for scripts picked up by patients at the pharmacy. "As we moved more to mail orders, technicians at our facility had to print more patient information and put in literature and leaflets that they didn't need to do much of before, so it slowed down our process and required more people," he explains. Another challenge: Mail orders require more physical space to store materials and pack them.
Following the process
Prescriptions are filled upstream of the Maverick machine on an AutoMed OptiFill Gen IV prescription dispensing and processing system. "It takes an order from our Pharmacy system, labels it, and fills the product into a white high-density polyethylene bottle," from O-I. The bottle is then routed to a pharmacist for verification.
In the past, a packaging technician would scan the bar code on the bottles to verify accuracy and completeness of the order. This would generate a packing label for the bag and any paperwork needed. The technician would then put these items into the bag with the package label on it, scan the packing label to complete the process, and place the package onto a Dorner belted conveyor. The conveyor carries the package downstream where workers sort packages for mail-order shipment or distribution to one of Group Health's 26 pharmacies.
Before adding the Maverick machine, Group Health had one technician at each of eight manual packing stations. Each person could do about 90 packs an hour. With the mail-order business growing, says Colleran, "We believed that this was an area that was right for automation because it was a totally manual process and had been a bottleneck.
"We didn't have a large-enough tote volume just to have a totes-based system," he adds. "We also didn't have a large-enough volume for a bottle-only system. It wasn't until Maverick developed an integrated product for both bottles and totes that it made sense for us to move in that direction." The Maverick system became operational at Group Health by July, 2006.
The Maverick process
Group Health's system is unique in that it handles both multi-order bottles as well as totes filled with unit-of-use products or combination orders. The pharmacy computer system sends order information to the Maverick database, and the packaged products are conveyed to the Maverick UPM B/T packaging machine.
Once bottles and totes arrive (at two different areas on the machine), bottles are packaged first. The Maverick system reads each bottle's unique vial identification bar code with a scanner positioned just upstream of the UPM. The machine's software interfaces with the pharmacy's software to determine what packaging label information and/or patient-specific printed material, including FDA medical guides, are required with the prescription. The pharmacy's software transmits that data to the Maverick, which stages the information for printing. Material for staged orders is printed six orders in advance of packaging using four high-volume paper printers.
Bottles are then conveyed past another bar-code scanner that reconfirms each bottle's bar code against printed literature, thermally printing the customer label and bar code on the outside of the bag. This label includes the customer address for the mail order or the store information for a central fill. Literature is folded and inserted into the bag. A bottle chute opens and drops the bottle and literature into the bag, which is automatically heat-sealed. Sealed bags are then sorted into either mail-order or central-fill orders and conveyed to shipping.
For totes, the process is similar, beginning with totes leaving the pharmacist verification station. From there, they pass through a transfer station that sorts order types and directs totes appropriate for the Maverick packaging machine to a bar-code reader, where each tote is scanned. The order-specific information is then transmitted from the pharmacy software to the Maverick system. The information is staged and prioritized with the bottle-only orders. When the printed literature is complete and inserted into the waiting bag, the totes are mechanically flipped with products automatically inserted into the waiting bag. Bags are then sealed and sorted. Finished product is again conveyed to downstream shipping.
"The Maverick is a packing system that replaces manual packers," explains Colleran. "It prints paper and verifies that the paper goes with the order, verifies that the drugs go with the order, prints the packing information onto the bag, whether it's for a pharmacy or the customer's mailing address. It then puts the items or bottles into the plastic bag and seals the package." ...Read more
Since adding a Maverick Enterprises UPM B/T (Universal Packaging Machine with Bottle and Tote infeed), Group Health has reduced its labor needs, improved efficiency within its confined 7,000 sq' area, and readied itself to handle growing sales volume. In turn, those benefits help to hold down Group Health member costs.
Tom Colleran, Group Health's associate director of pharmacy systems, explains that fundamental changes in the company's business helped drive the need for the automation that's provided by the Maverick machine.
"We used to produce 95 percent of our work for pharmacist orders from our Group Health centers," Colleran says, with 5 percent mail-order prescriptions. "Now, it's 55 percent mail-order and 45 percent for our central filling of prescriptions. We do about 10,000 prescriptions a day, and the trend to more mail-order prescriptions continues."
That trend is understandable, given that mail-order scripts are typically mailed directly to a patient's home, so there's no need to drive to a pharmacy. That's especially appealing when gasoline prices are high. It's also an option for those who may be "transportation-challenged." And purchasing mail-order drugs often allows patients to order 90-day quantities, something that may not always be possible at their local pharmacy.
The challenge of fulfilling mail-order prescriptions, Colleran explains, is that they require more printing and packaging than is necessary for scripts picked up by patients at the pharmacy. "As we moved more to mail orders, technicians at our facility had to print more patient information and put in literature and leaflets that they didn't need to do much of before, so it slowed down our process and required more people," he explains. Another challenge: Mail orders require more physical space to store materials and pack them.
Following the process
Prescriptions are filled upstream of the Maverick machine on an AutoMed OptiFill Gen IV prescription dispensing and processing system. "It takes an order from our Pharmacy system, labels it, and fills the product into a white high-density polyethylene bottle," from O-I. The bottle is then routed to a pharmacist for verification.
In the past, a packaging technician would scan the bar code on the bottles to verify accuracy and completeness of the order. This would generate a packing label for the bag and any paperwork needed. The technician would then put these items into the bag with the package label on it, scan the packing label to complete the process, and place the package onto a Dorner belted conveyor. The conveyor carries the package downstream where workers sort packages for mail-order shipment or distribution to one of Group Health's 26 pharmacies.
Before adding the Maverick machine, Group Health had one technician at each of eight manual packing stations. Each person could do about 90 packs an hour. With the mail-order business growing, says Colleran, "We believed that this was an area that was right for automation because it was a totally manual process and had been a bottleneck.
"We didn't have a large-enough tote volume just to have a totes-based system," he adds. "We also didn't have a large-enough volume for a bottle-only system. It wasn't until Maverick developed an integrated product for both bottles and totes that it made sense for us to move in that direction." The Maverick system became operational at Group Health by July, 2006.
The Maverick process
Group Health's system is unique in that it handles both multi-order bottles as well as totes filled with unit-of-use products or combination orders. The pharmacy computer system sends order information to the Maverick database, and the packaged products are conveyed to the Maverick UPM B/T packaging machine.
Once bottles and totes arrive (at two different areas on the machine), bottles are packaged first. The Maverick system reads each bottle's unique vial identification bar code with a scanner positioned just upstream of the UPM. The machine's software interfaces with the pharmacy's software to determine what packaging label information and/or patient-specific printed material, including FDA medical guides, are required with the prescription. The pharmacy's software transmits that data to the Maverick, which stages the information for printing. Material for staged orders is printed six orders in advance of packaging using four high-volume paper printers.
Bottles are then conveyed past another bar-code scanner that reconfirms each bottle's bar code against printed literature, thermally printing the customer label and bar code on the outside of the bag. This label includes the customer address for the mail order or the store information for a central fill. Literature is folded and inserted into the bag. A bottle chute opens and drops the bottle and literature into the bag, which is automatically heat-sealed. Sealed bags are then sorted into either mail-order or central-fill orders and conveyed to shipping.
For totes, the process is similar, beginning with totes leaving the pharmacist verification station. From there, they pass through a transfer station that sorts order types and directs totes appropriate for the Maverick packaging machine to a bar-code reader, where each tote is scanned. The order-specific information is then transmitted from the pharmacy software to the Maverick system. The information is staged and prioritized with the bottle-only orders. When the printed literature is complete and inserted into the waiting bag, the totes are mechanically flipped with products automatically inserted into the waiting bag. Bags are then sealed and sorted. Finished product is again conveyed to downstream shipping.
"The Maverick is a packing system that replaces manual packers," explains Colleran. "It prints paper and verifies that the paper goes with the order, verifies that the drugs go with the order, prints the packing information onto the bag, whether it's for a pharmacy or the customer's mailing address. It then puts the items or bottles into the plastic bag and seals the package." ...Read more
