Health Care -- Statistical Thinking in Health Care
The HMO pharmacy is inaccurately filling prescriptions. Prescribers blame pharmacy assistants, the assistants blame pharmacists and pharmacists blame prescribers. Analysis of their system show points ripe for change in order to improve accuracy. In addition, there are multiple measures that can be applied to substantially enhance the quality of the HMO pharmacy's work.
Process Map & SIPOC Analysis
Process Map of Prescription Filling Process
Process Map of Prescription Filling Process
Prescriber determines patient needs medication
Prescriber selects medication type
Prescriber selects medication dosage
Prescriber hand-writes prescription
Prescription delivered to pharmacy
Prescription entered into pharmacy computer system by pharmacy assistant
Pharmacist selects medication
Pharmacist measures medication
Pharmacist counsels patient about prescription
Medication delivered to patient
SIPOC Analysis of Business Process
SIPOC Analysis of Business Process
Supplier
Input
Process Steps
Output
Customer
Prescriber
Patient information
Determines need for medication
Determines type of medication
Determines dosage of medication
Hand-writes prescription
Handwritten prescription
Pharmacy Assistant
Pharmacy Assistant
Handwritten prescription
Receives handwritten prescription
Enters prescription information into computer system
Computer-entered prescription information
Pharmacist
Pharmacist
Computer-entered prescription information
Reads computer-entered prescription information
Selects medication
Measures medication
Counsels patient on prescription
Delivers medication to patient
Prescription
Counseling
Patient
3. Main Root Causes of Problems
a. Special Causes
The problem to be addressed is inaccurate prescriptions. The "special causes," those due to external or specific factors (Bright Hub Project Management, n.d.), include prescribers' sloppily handwritten prescriptions and incomplete instructions, pharmacy assistants' erroneous entry of prescriptions into the system and pharmacists' incorrect assumptions about their assistants' knowledge of medical terminology, brand names, known drug interactions, etc.
b....
Map of Prescription Filling at an HMO and SIPOC for Problem Analysis (Bertrand Filling prescriptions and the estimated time each activity takes consist of four steps in most pharmacies (Bertrand, 2012). The first is entering the prescription when received from two to 10 minutes. It may be longer according to the duration of the billing process and the ease or complicatedness of the prescription. The second is filling the medication,
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