Simulating pharmacy operations to increase medication therapy management

Hamdy Salman, Olufunmilola Abraham, Brayan Norman

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

Abstract

Patient safety and medication adherence are critical challenges in healthcare environments that have led to numerous interventions to improve safe and effective use of medicines. One effective intervention is providing Medication Therapy Management (MTM) programs to patients. This research focuses on providing more MTM for patients at community pharmacies in order to improve their medication understanding. The key challenge is that MTM can only be provided by a pharmacist who is responsible for oversight of all dispensing of medications in any community pharmacy. Therefore, a simulation model was built to evaluate different prescription filling strategies that affect pharmacist utilization and these strategies are evaluated with the objectives of minimizing patient waiting time, maximizing the number of patients serviced, and providing as much MTM as possible. A number of important variables are taken into account including patient arrival patterns, staff schedules, and prescription abandonment. Prescription abandonment is something that has become a significant issue with the shift towards electronic prescriptions (the number of e-prescriptions received in community retail pharmacies increased from only 29 million in 2007 to over 9.7 billion in 2015). The simulation model is also used to evaluate the value of obtaining varying degrees of prescription information such as likelihood of abandonment and expected pickup times.

Original languageEnglish
Title of host publication67th Annual Conference and Expo of the Institute of Industrial Engineers 2017
EditorsHarriet B. Nembhard, Katie Coperich, Elizabeth Cudney
PublisherInstitute of Industrial Engineers
Pages512-517
Number of pages6
ISBN (Electronic)9780983762461
StatePublished - 2017
Event67th Annual Conference and Expo of the Institute of Industrial Engineers 2017 - Pittsburgh, United States
Duration: May 20 2017May 23 2017

Publication series

Name67th Annual Conference and Expo of the Institute of Industrial Engineers 2017

Conference

Conference67th Annual Conference and Expo of the Institute of Industrial Engineers 2017
CountryUnited States
CityPittsburgh
Period05/20/1705/23/17

Keywords

  • Community pharmacy
  • Discrete event simulation
  • Medication Therapy Management
  • Pharmacist

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