pharmacy automation

  • Thread starter Thread starter imkim01
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imkim01

I am not sure if this subject had been talked about before but I do have a concern about the pharmacy automation. I was a programmer and am switching my career to pharmacy because of a lot of reasons and currently working at Walgreens. As I have observed how retail pharmacy operates for last a couple of monthes, I do believe that the automation is possible in few years.

So I am kind of worried that pharmacist will have a hard time to find job in near future since more than 60% jobs are retail.

What do you guys think? Am i moving into a wrong career? I have chosen pharmacy because of many reasons.... (not just money but i don't want to say money was not a factor.)
 
I dont think you would be heading into the wrong career. Pharmacy is a great career choice right now. I also cant help but see automation occuring in the near future, but that does not mean pharmacists will be out of jobs. Pharmacists will be in consulting roles, and still in hospitals and clinics. Medication management is where the PharmD. will find their "niche". Patients will and are already asking for this type of service and insurance plans like HMO,PPO,MEDICAID,MEDICARE will eventually see this service as an integral part of a persons well-being. Notice I said eventually and esp. w/ medicaid. I also strongly feel that most hospitals will have PharmD's on staff reviewing ALL or most meds prescribed. Esp. with those patients on multiple meds. More and more hospitals are seeing this advantage to patient outcomes and lowering drug costs by having a reviewing and interventional pharmacist. Remember, theres not many professions, or any on the top of my head, that offer an almost guarentee to a 80k-90k salary right and I mean immediately out of 6 yrs. of schooling. 4th yr. students already have jobs lined up at the moment. Must be nice to be 24 and be driving that new 5 series BMW. 😀

Jon N. CPhT.
 
If anything, automation would be most welcome. In most pharmacist jobs where the chain supplies you with enough technician help, the pharmacist just checks technician work, manage inventory and technicians, and counsels patients. Automation would hurt technician jobs if anything. Even then, technicians will still be needed to maintain these machines.

I've worked at several pharmacies that use RapidScript "robot" automation that count and label the top 200 drugs. Believe you me, it's a huge waste of money. They usually cost $30,000 to just install. All it can do is count out the drugs -- and only the really popular ones anyway. It can't answer the phone, help customers with questions, deal with insurance, work the register, enter in prescription information, etc. I'd rather have human help...

Automation right now is such a big buzzword that I just don't see panning out as quickly as the sales reps would have you think. I've been to lectures where they hype it up as freeing pharmacist time. I don't see that happening quite as ideally in practice. I actually prefer the light counters for counting pills since they allow you to multi-task better. Automation should not be something to be feared. Pharmacists are no longer just pill counters. Hopefully we can push the profession and retail in particular forward to fill the need for our cognitive services.
 
imkim01 said:
I am not sure if this subject had been talked about before but I do have a concern about the pharmacy automation. I was a programmer and am switching my career to pharmacy because of a lot reasons and currently working at Walgreens. As I have observed how retail pharmacy operates for last a couple of monthes, I do believe that the automation is possible in few years.

So I am kind of worried that pharmacist will have a hard time to find job in near future since more than 60% jobs are retail.

What do you guys think? Am i moving into a wrong career? I have chosen pharmacy because of many reasons.... (not just money but i don't want to say money was not a factor.)


Yeah..automation will take over the pharmacy. You should reconsider your move to pharmacy.
 
:meanie:
bananaface said:
Oh come on. Legit users ask these questions, not just trolls.
:meanie:

Pharmacy automation is already in place... ScriptPro being one...

My 4th year pharmacy administration project in 1995 was on Pharmacy Automation for Refills...for Kaiser. Kaiser didn't have it in place..which I thought was little goofy. But VA West LA had a Mail Order Refill automated Pharmacy cranking out 8000 scripts a day...I believe they may have quadrupled the numbers...

I still think Kaiser stole my idea...bastids.. :meanie:

Pharmacy automation for retail and inpatient is nothing new... I've installed Inpatient automation at 3 different hospitals.. I have not lost a single FTE.

We'll be implementing the Barcode system...I'm going to have to add 1 full time pharm tech to just barcode all unit dose drugs..
 
I think the impact of automation will be more profound on techs. You still need pharmacists to check the outgoing scripts and answer therapeutic questions. Automation replaces tech work, not the pharmacist's responsibility. That's just my speculation.
 
Interesting question....luckily I just finish an independent study on the influence of technology/automation on pharmacy practice so I can put my two cents into this equation.

In terms of implementing automation, I think retail is going at a faster rate than hospital due to finicial reasons. (Correct me if I am wrong, b/c I think retail has a lot more $$ to throw around than any hospital).

In terms of affecting pharmacy practices, it is nice to see that most of the articles I read so far, actually do the opposite. Many might think that by cutting down the dispensing load of pharmacist = cutting down on the # employed. However, I think retail is aiming to use the additional manpower to complete patient consuling activities. So if you are making a move to pharmacy for the patient interaction that would be a good choice, but not good if you want to do "old school" filling.

In terms of pharmacy technician, this is a little gray area right now. Due to the push to increase the education/certifications of techs. One path they can travel down, would be the actual inventory person that pharmacist used to be way back in the day. And on the other hand, they can be elminated by automation.

Also I think automation is a nice addition to the workforce.
 
ZpackSux said:
Yeah..automation will take over the pharmacy. You should reconsider your move to pharmacy.

Is there any problem on my question?? I am going to apply for pharmacy school this year and I am very very serious about changing my career. Trying to look at the entire picture of the future and getting some advise from pharmacy students is bad???
 
Well, as far as I know, most pharmacies have 1 pharmacist on duty at a time. Since every (I think) state (federal?) law requires a pharmacy to have a pharmacist on duty, I don't see them even being able to fire pharmacists if they want to stay in business.

The reason pharmacies are becoming abundant is because they are so profitable, and this will only _increase_ the profitability of retail pharmacies. Pharmacies won't be closing down due to this.

The biggest threat I think are the mail-order pharmacies. However, the world is a place of instant gratification where we complain if we have to wait 5 minutes for our drive-through food. People would rather go to a retail outlet, especially for drugs which another person whose purpose is to save your life told you to take. General retail outlet sales are doing fine these days. The internet hasn't caused brick and mortar retailers to close up shop like everyone said in 1998.

Mail-Order and Automated Order-Filling isn't all its cracked up to be, at least these days in business-to-consumer market segments. Sure, in manufacturing automation has worked well, but people don't want to interact with a computer when they're paying you. It would be ridiculously trivial and cheap to put a touchscreen ordering system in every fast-food restaurant, but I've yet to see a single one. There are "Express" computerized lanes at the movie theatre (those money-sucking scum, I now just go to concerts for the same price) and the supermarket (those monopolizers!), but most people still prefer to see a warm-blooded it seems. ATMs seem to be doing okay, but for anything more complex than withdrawing money, most only trust a teller. I think I'm the only person that deposits cheques into ATMs. Anyone can guess what (especially old) people will trust their drugs to.

The only mail-order pharmacy use I think we('ll) see are by low-income and those with crappy insurance. Good insurance companies already/will advertise that they do _not_ require you to use their (mail-order) pharmacies.

Another potential threat would be governments allowing those with less credentials into the profession. For example, in the medical profession, Physician's Assistants. However, you can see that NO MD is losing their job, I think it was legitimately done for the purposes of preventing a dangerous shortage. On the plus side, if the profession takes a beating, we'd likely look pretty good to the PA adcoms 😉 .

Zpack: Could you possibly enlighten us as to what tasks hospital pharmacists have? (Hopefully more than just checking the technician's bottle-filling work!)
 
in some places there is already tech check tech and tech check machine in place.

mail order really is a bigger threat than i think people realize because even good insurance companies allow 1 copay for 3 months vs. 1 copay for 1 month.
it is cheaper to have my rxs filled mail order but i refuse because i want a job.

automation is an issue because where stores require 4 pharmacists they can go down to 1.
also you have to look at the possibility of flooding the market with pharmacists within the next several years and then add on the automation.

hospitals are automated as well... they have robots that fill the trays etc.
hospital pharmacists can do an array of things, fun stuff like charges and order entry, checking trays, allowing pyxis orders, et al. woo hoo....

clinical stuff would definitely be the better option in my opinion in the hospital but those jobs are limited and residencies are typically necessary.
 
imkim01 said:
I am not sure if this subject had been talked about before but I do have a concern about the pharmacy automation. I was a programmer and am switching my career to pharmacy because of a lot reasons and currently working at Walgreens. As I have observed how retail pharmacy operates for last a couple of monthes, I do believe that the automation is possible in few years.

So I am kind of worried that pharmacist will have a hard time to find job in near future since more than 60% jobs are retail.

What do you guys think? Am i moving into a wrong career? I have chosen pharmacy because of many reasons.... (not just money but i don't want to say money was not a factor.)

Scriptpro is a PITA. A sister store has one and they never use it. The Baker cells have been around forever and are wonderful as long as they have drugs in them. I never liked the automated mixing machines available in sterile products labs unless you were batching large runs of the same base fluid. THe IV admixture units were largely a waste of time.

The most elegant solutions thus far are low tech and low cost. NDC checking scales to weigh tablets. Syringe systems with no electronics to draw up admixtures in TPNs and the tried and true shake and roll to count tablets. The technology fielded thus far is a force mutiplier and will only just help the existing staff keep up with demand. Only just.

Someone must still service the machines and someone must still exercise professional judgement.The screening software is still pretty stupid.
 
imkim01 said:
Is there any problem on my question?? I am going to apply for pharmacy school this year and I am very very serious about changing my career. Trying to look at the entire picture of the future and getting some advise from pharmacy students is bad???

Uh...i think I am reading your first post correctly, given you have a programming degree of some sort. You will be well positioned as a pharmD if you plan to pursue things in the tech section of pharmacy (namely automation etc). So what exactly is your concern? Your daily script filling being replaced by mail order? if filling is what you want to do...pharmacy might not be a good carreer path.
 
Coming from the IT field myself, I've been told repeatedly that knowledge with Computers Systems and able to effectively communicate with lay people will put me in higher demand, not lower.

Do I believe that, not completely but there are seeds of Wisdom in there. Ultimately I would say follow your guy, leave programming if you want or stay, but don't let automation be the reason not to get into Pharmacy.
 
Zpack: Could you possibly enlighten us as to what tasks hospital pharmacists have? (Hopefully more than just checking the technician's bottle-filling work!)

Hospital pharmacy's main role is to ensure inpatient/hospitalized patients get the right medication at the right time most cost effectively.

Medication errors run rampant in our healthcare system. Actually, Walmart knows more about what item you bought at what time, where..and who checked you out at the counter than the most hospital knows about which patient got which medication at what time.

It's because the sophistication of automation in retail industry is light years ahead of healthcare. It's a shame.

Hospital pharmacists process physician orders into a pharmacy computer system which is interfaced with Automatic Dispensing Cabinets stocked with medications. IV and injectable medications are still prepared in the pharmacy by the technicians.

The clinical roles involve monitoring and dosing TPN electrolytes, pharmacokietic dosing of antibiotics, renal dosing, formulary substitutions etc.

And no...we don't use vials to dispense medications to patients in the hospital. Medications are already loaded into the automation.

The automation in pharmacy is much more advanced in the hospital settings than the retail.
 
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