U.S. patent application number 13/935694 was filed with the patent office on 2014-12-04 for method for ensuring correct dispensing of prescription orders.
The applicant listed for this patent is GSL Solutions, Inc.. Invention is credited to Stephen A. Garrett, Joseph Intile, Shelton Louie.
Application Number | 20140358572 13/935694 |
Document ID | / |
Family ID | 44225229 |
Filed Date | 2014-12-04 |
United States Patent
Application |
20140358572 |
Kind Code |
A1 |
Louie; Shelton ; et
al. |
December 4, 2014 |
METHOD FOR ENSURING CORRECT DISPENSING OF PRESCRIPTION ORDERS
Abstract
A method of distributing a filled prescription order from a
worker of a to a customer includes providing a computer-readable
memory device having saved thereon a first identifier of the
customer and a second identifier of the customer. The method also
includes requesting the first identifier from the customer and
requesting the second identifier from the customer. Also, the
method includes inputting the first and second identifiers into an
input device by at least one of the worker and the customer.
Moreover, the method includes confirming an identity of the
customer by confirming that the first and second identifiers input
correspond satisfactorily with the first and second identifiers
saved on the memory device. Still further, the method includes
limiting transfer of the filled prescription order from the worker
to the customer until confirming the identity of the customer.
Inventors: |
Louie; Shelton; (Vancouver,
WA) ; Garrett; Stephen A.; (Vancouver, WA) ;
Intile; Joseph; (Tualatin, OR) |
|
Applicant: |
Name |
City |
State |
Country |
Type |
GSL Solutions, Inc. |
Vancouver |
WA |
US |
|
|
Family ID: |
44225229 |
Appl. No.: |
13/935694 |
Filed: |
July 5, 2013 |
Related U.S. Patent Documents
|
|
|
|
|
|
Application
Number |
Filing Date |
Patent Number |
|
|
13050308 |
Mar 17, 2011 |
8479988 |
|
|
13935694 |
|
|
|
|
12268389 |
Nov 10, 2008 |
|
|
|
13050308 |
|
|
|
|
11213321 |
Aug 25, 2005 |
7448544 |
|
|
12268389 |
|
|
|
|
09715439 |
Nov 16, 2000 |
7672859 |
|
|
11213321 |
|
|
|
|
13027075 |
Feb 14, 2011 |
8474716 |
|
|
13050308 |
|
|
|
|
10223308 |
Aug 18, 2002 |
7887146 |
|
|
13027075 |
|
|
|
|
61444062 |
Feb 17, 2011 |
|
|
|
60605274 |
Aug 26, 2004 |
|
|
|
60313305 |
Aug 18, 2001 |
|
|
|
Current U.S.
Class: |
705/2 |
Current CPC
Class: |
G16H 40/20 20180101;
G06Q 10/10 20130101; G07F 17/0092 20130101; G16H 20/13 20180101;
G07G 1/0036 20130101; G07F 11/44 20130101; G06Q 10/087 20130101;
G07F 9/002 20200501 |
Class at
Publication: |
705/2 |
International
Class: |
G06F 19/00 20060101
G06F019/00 |
Claims
1. A method for preventing incorrect dispensing of a filled
prescription order from an authorized worker to a customer
comprising: providing a computer-readable memory device having
saved thereon a first identifier of the customer and a second
identifier of the customer; requesting the first identifier from
the customer; requesting the second identifier from the customer;
inputting the first identifier and the second identifier into an
input device by at least one of the authorized worker and the
customer; confirming an identity of the customer by confirming that
the first and second identifiers input correspond satisfactorily
with the first and second identifiers saved on the memory device;
and limiting transfer of the filled prescription order from the
worker to the customer until confirming the identity of the
customer.
2. The method of claim 1, wherein the memory device also has saved
thereon the identity of a storage area where the filled
prescription order is stored, and wherein limiting transfer of the
filled prescription order includes revealing the identity of the
storage area where the filled prescription order is stored to the
worker only after confirming the identity of the customer.
3. The method of claim 2, further comprising tracking a
prescription order that results in the filled prescription order
with a tracking system, the tracking system including a tag that is
secured for movement with the prescription order, the tracking
system also including a tag reader that tracks the location of the
tag to thereby track the location of the prescription order.
4. The method of claim 3, wherein the tag and tag reader
communicate via radio waves.
5. The method of claim 2, wherein revealing the storage area
includes emitting at least one of a light and a sound from a
transducer.
6. The method of claim 5, wherein emitting at least one of a light
and a sound includes changing a color of the light by the
transducer.
7. The method of claim 2, wherein revealing the storage area
includes unlocking the storage area.
8. The method of claim 2, wherein revealing the storage area
includes displaying the location on a display.
9. The method of claim 1, wherein the authorized worker includes a
lower-authority worker and a higher-authority worker, wherein
requesting of the first and second identifiers is performed by at
least one of the lower-authority worker and the higher-authority
worker, and wherein transferring the filled prescription includes
transferring of the filled prescription order by the
higher-authority worker instead of the lower-authority worker.
10. The method of claim 9, further comprising confirming that the
filled prescription order has a special status, and wherein
transferring of the filled prescription or by the higher-authority
worker instead of the lower-authority worker occurs only when the
filled prescription order has been confirmed as having the special
status.
11. The method of claim 1, wherein the first identifier and the
second identifier are chosen from a group consisting of a name of
the customer, an address, a date of birth, a phone number, a
doctor's name, a name of the filled prescription order, a military
rank, a military serial number, a password, a pin, and a code that
has been chosen by the customer.
12. The method of claim 1, wherein inputting the first identifier
and the second identifier includes manually inputting at least one
of the first identifier and the second identifier using the input
device.
13. The method of claim 1, wherein said storage area is located
within a pharmacy.
14. The method of claim 13, wherein said pharmacy is a retail
pharmacy.
15. The method of claim 13, wherein said pharmacy is located within
a healthcare facility.
16. The method of claim 1, wherein said customer is a customer at a
retail pharmacy.
17. The method of claim 1, wherein said customer is a patient at a
healthcare facility.
18. The method of claim 1, wherein said storage area is located
within a movable cart.
19. The method of claim 18, wherein said authorized worker is a
healthcare worker and said customer is a patient in a healthcare
facility.
20. The method of claim 1, wherein said authorized worker is a
retail pharmacy worker.
Description
[0001] This application is a continuation of U.S. patent
application Ser. No. 13/050,308, filed Mar. 17, 2011, which claims
the benefit of U.S. Provisional Patent Application No. 61/444,062,
filed Feb. 17, 2011, and which is a continuation-in-part of U.S.
patent application Ser. No. 12/268,389 filed Nov. 10, 2008, which
is a continuation of U.S. patent application Ser. No. 11/213,321,
filed Aug. 25, 2005, now U.S. Pat. No. 7,448,544, which claims
priority to U.S. Provisional Patent Application No. 60/605,274,
filed Aug. 26, 2004, and which is a continuation-in-part of U.S.
patent application Ser. No. 09/715,439, filed Nov. 16, 2000, now
U.S. Pat. No. 7,672,859. Each of these applications is entirely
incorporated herein by reference.
[0002] application Ser. No. 13/050,308, filed Mar. 17, 2011 is
additionally a continuation-in-part of U.S. patent application Ser.
No. 13/027,075, filed Feb. 14, 2011, which is a continuation of
U.S. patent application Ser. No. 10/223,308, filed on Aug. 18,
2002, now U.S. Pat. No. 7,887,146, which claims priority to U.S.
Provisional Patent Application No. 60/313,305 filed on Aug. 18,
2001. Each of these applications is also entirely incorporated
herein by reference.
FIELD
[0003] The present disclosure relates to a system for tracking a
prescription in a pharmacy and, more particularly, to a system for
tracking, filling and storing a prescription and dispensing the
filled prescription after verifying the customer's identification
to ensure that the proper prescription is transferred to the
intended customer. This application claims the benefit of U.S.
Provisional Application No. 61/444,062, filed on Feb. 17, 2011, the
entire disclosure of which is hereby incorporated by reference.
BACKGROUND
[0004] A typical local retail pharmacy fills thousands of
prescription orders per week. Moreover, as the general population
ages and new beneficial drugs are introduced, prescription order
volumes to be filled at retail pharmacies are expected to double
within the next few years. This present and expected increase in
order volume places enormous pressure on pharmacists and other
pharmacy workers, who strive to fill each order efficiently,
accurately and quickly.
[0005] Most customers have a limited view of how a typical retail
pharmacy works. They often think that when they present a written
prescription order to a local retail pharmacy, such as at their
corner drugstore, a pharmacist will personally greet them, review
their order, complete and file the necessary paperwork required by
applicable laws, fill the prescription order, and present the
filled order to the customer, all within a few minutes. However, in
addition to increasing volume, the traditional retail pharmacist is
now faced with a large variety of additional tasks, including
obtaining proper insurance payment authorization, and in some cases
verifying the refillabilty of a particular prescription order.
Moreover, orders may now enter the pharmacy through a wide variety
of mediums, such as via facsimile, phone call, and e-mail.
[0006] In light of the increasing demands and obligations placed on
retail pharmacies, they are evolving into more efficient
organizations having numerous employees performing individual tasks
associated with filling each prescription order. For example, when
a customer presents a prescription to the pharmacy, a clerk may
take the prescription order and enter it into a computer system
that verifies insurance information. If approved, he or she may
then prepare a prescription label to be placed on the package that
will ultimately contain the prescribed drug. The clerk may then
present the prescription order and label to a technician, usually
stationed at another location within the pharmacy, who will
physically fill the prescription by placing the appropriate
quantity of the prescribed drug within the bottle and attach the
label. Pursuant to applicable laws, a registered pharmacist then
reviews the technician's work, and approves the dispersal of the
completed prescription order to the customer. A clerk may then
place the filled prescription in a storage area to await customer
pick-up. Upon customer pick-up, the clerk files the written
prescription order and any other appropriate paperwork related to
the transaction, such as signed insurance forms and any informed
consent paperwork. This type of system allows the pharmacy to
quickly, efficiently, and economically fill numerous prescription
orders.
[0007] In addition, a growing number of retail pharmacies are using
remote filling stations to process some prescription orders. In
general, the retail pharmacy receives an order from a customer, and
completes the necessary steps to fill the prescription. However,
instead of filling the prescription order in-house, the request is
transferred, usually electronically, to a remote filling station,
that fills the order and ships the filled order back to the
pharmacy for distribution to the client. Usually, all the orders
processed from a particular remote filling station are shipped to
the retail pharmacy in one container, and considerable paperwork
usually accompanies the container to document the filling of each
prescription order. Accordingly, considerable pharmacy worker time
and effort is spent processing the bulk shipment of filled
prescriptions and related paperwork, such as entering information
into the retail pharmacy's computer system, and distributing the
filled prescription orders to a storage area for individual
customer pick-up.
[0008] Given the high volume of prescription orders being filled,
the large number of people performing individual tasks associated
with filling each prescription order, and the numerous locations
within and outside of the pharmacy that a prescription order can be
positioned as it is being filled, it is important that the
prescription order, and ultimately the filled prescription, be
easily located and identified throughout the process. For example,
if a particular prescription order is denied payment by insurance,
a clerk may hold the prescription order aside while the customer is
contacted. If the customer presents himself to another clerk at the
pick-up window, while the first clerk is attempting to call the
customer at home, the second clerk often has no way of knowing the
current status of the prescription order, or where it is in the
order filling process. Accordingly, the second clerk is forced to
search each location within the pharmacy.
[0009] In addition, should a prescription order be inadvertently
misplaced within the pharmacy, it is often difficult to find,
thereby needlessly delaying the filling process and wasting worker
time to locate it. Similarly, it is desirable for pharmacy workers
to be able to easily identify and locate particular prescription
orders that meet predefined criteria, such as having fallen behind
a promised customer pick-up time.
[0010] Some pharmacy vendors have attempted to overcome these
problems by offering systems that manually track prescription
orders within a pharmacy. In particular, they require the worker at
a given station to manually enter into a computer the fact that
they have received a particular prescription order at that
particular location. However, in addition to the lost time
associated with manually entering this information at each station,
evidence suggests that many workers find this repetitive task
cumbersome, and as a result, they often fail to manually enter such
information. Accordingly, these types of tracking systems are
rendered useless.
[0011] Similarly, some pharmacy vendors have attempted to automate
the prescription filling aspect of a pharmacy by incorporating an
automatic assembly line process for filling prescription orders. In
particular, an operator enters a prescription order into a computer
system, which causes a conveyor-type system to deliver an empty
vial to an automated drug dispenser. The filled vial is then
automatically matched with a label and presented to a pharmacist
for final review and approval. While these types of devices
facilitate the quick and efficient filling of prescription orders,
they are expensive for use in a retail pharmacy environment, and
they occupy a large amount of limited space within the pharmacy.
Moreover, they still require pharmacy workers to perform manual
tasks such as verifying insurance and renewability of the
prescription, and processing the various forms of prescription
orders before and after they are entered into the automated system.
Accordingly, they do not permit the easy location of prescription
orders as they travel within the automated pharmacy environment, or
easy identification of the prescription orders that have fallen
behind a predetermined timeframe established for the pharmacy to
fill the prescription order.
[0012] Moreover, once the prescription order has been filled, the
prescriptions are often organized and stored in one or more
collection bins for pick-up. Oftentimes, the prescriptions are
organized in alphabetical order according to the patient's last
name. This can lead to confusion and/or risk of dispensing the
prescription to the wrong patient. For instance, if there are two
patients with substantially similar names, the prescriptions are
likely to be stored next to each other, and the pharmacy worker may
inadvertently dispense a prescription to the wrong person without
adequately confirming the customer's identity.
SUMMARY
[0013] Despite the known pharmacy prescription order identification
and tracking systems, there remains a need for a method of
distributing a filled prescription order from a worker of a
pharmacy to a customer. The method includes providing a
computer-readable memory device having saved thereon a first
identifier of the customer and a second identifier of the customer.
The method also includes requesting the first identifier from the
customer and requesting the second identifier from the customer.
Also, the method includes inputting the first and second
identifiers into an input device by at least one of the worker and
the customer. Moreover, the method includes confirming an identity
of the customer by confirming that the first and second identifiers
input correspond satisfactorily with the first and second
identifiers saved on the memory device. Still further, the method
includes limiting transfer of the filled prescription order from
the worker to the customer until confirming the identity of the
customer.
[0014] Furthermore, a system for distributing a filled prescription
order from a worker of a pharmacy to a customer is disclosed. The
system includes a computer system with a computer-readable memory
device having saved thereon a first identifier of the customer and
a second identifier of the customer. The system also includes an
input device operable for inputting the first identifier and also
operable for inputting the second identifier by at least one of the
customer and the worker. The computer system is operable for
confirming an identity of the customer by confirming that the first
and second identifiers input correspond satisfactorily with the
first and second identifiers saved on the memory device. The
computer system is also operable for limiting distribution of the
filled prescription order from the worker to the pharmacy until the
identity of the customer has been confirmed.
[0015] Moreover, a method of tracking and distributing a
prescription order that results in a filled prescription order in a
pharmacy is disclosed. The pharmacy has a plurality of physically
spaced apart locations for manual filling and storing the
prescription order. The plurality of spaced apart locations are
positioned along a workflow stream leading to an array of
compartments. A storage area for the filled prescription order is
defined by one of the array of compartments. The prescription order
is moved between the plurality of spaced apart locations by one or
more pharmacy workers by hand. The method includes receiving the
prescription order from the customer at a first location upstream
of the storage area. The method also includes operably securing an
RFID tag to the prescription order upstream of the storage area.
The RFID tag has a unique identifier that is machine-readable by a
first location tag reader in proximity to the RFID tag regardless
of the orientation of the RFID tag relative to the first location
tag reader. Additionally, the method includes associating the
unique identifier of the RFID tag with a first and second
identifier of the customer stored in computer-readable memory
device of a computer system. Still further, the method includes
moving the prescription order by hand to a second location within
the pharmacy for manual filling upstream of the storage area. The
second location has a second location tag reader in communication
with the computer system. The method additionally includes
automatically detecting the presence of the prescription order at
the second location by reading the unique identifier of the RFID
tag with the second location tag reader regardless of the
orientation of the RFID tag and automatically recording at the
computer system the location of the prescription order at the
second location for the manual filling. Also, the method includes
moving the filled prescription order by hand to the storage area
defined by the one of the array of compartments. Each compartment
has a corresponding compartment tag reader that is in communication
with the computer system and is operable to read the unique
identifier of the RFID tag on the filled prescription order
regardless of the orientation of the RFID tag, wherein associating
the unique identifier of the RFID tag with the first and second
identifiers and automatically detecting the presence of the
prescription order are performed by or under control of the
computer system. The method further includes requesting input of
the first identifier of the customer by the one or more pharmacy
workers. Moreover, the method includes requesting input of the
second identifier of the customer by the one or more pharmacy
workers. The method also includes confirming an identity of the
customer by confirming that the first and second identifiers input
match the first and second identifiers saved on the memory device.
Also, the method includes revealing the storage area to the one or
more pharmacy workers only after confirming the identity of the
customer, thereby allowing the one or more pharmacy workers to
obtain the filled prescription order and transfer the filled
prescription order to the customer.
[0016] Additional objects and advantages of the present disclosure
will be apparent from the detailed description of the preferred
embodiment thereof, which proceeds with reference to the
accompanying drawings.
BRIEF DESCRIPTION OF THE DRAWINGS
[0017] FIG. 1 is a schematic diagram of an identification tag in
accordance with an embodiment of the present disclosure.
[0018] FIG. 2 is a schematic diagram of an exemplar retail pharmacy
using a remote filling station to fill one or more prescription
orders, and return the filled prescriptions to the retail pharmacy
for distribution.
[0019] FIG. 3 is an isometric view of simultaneous scanning of a
plurality of prescription orders in accordance with an embodiment
of the present disclosure.
[0020] FIG. 4 is an isometric view of a prescription order having a
tag operably secured thereto with the tag having a plurality of
transducers thereon.
[0021] FIG. 5 is a schematic view of a prescription order tracking
system used in a remote pharmacy in accordance with a preferred
embodiment of the present disclosure.
[0022] FIG. 6A is a block diagram of an exemplar health care
provider prescription order filling system showing a possible
remote pharmacy filling process.
[0023] FIG. 6B is a schematic diagram of an exemplar health care
provider prescription order filling system showing a possible
distribution of a prescription order from the remote pharmacy of
FIG. 6A to the health care provider for further distribution to a
patient or resident.
[0024] FIG. 7 is a block diagram of an exemplary computer system in
accordance with a preferred embodiment of the present
disclosure.
[0025] FIG. 8 is an exemplar schematic diagram of a multiplexed tag
reader array and related system in accordance with an embodiment of
the present disclosure.
[0026] FIG. 9 is an alternative exemplar schematic diagram of a
multiplexed tag reader array and related system.
[0027] FIG. 10 is a top plan view of an exemplar, planar, antenna
array card showing possible shielding encircling each antenna.
[0028] FIG. 11A is a front view of the antenna array card of FIG.
10.
[0029] FIG. 11B is a right, side view of the antenna array card of
FIG. 11A.
[0030] FIG. 11C is a back view of the antenna array card of FIG.
11A.
[0031] FIG. 12 is a front isometric, exploded view of a storage bin
having an antenna array card operably secured thereto.
[0032] FIG. 13 is a rear, isometric, exploded view of the storage
bin and antenna array card of FIG. 12.
[0033] FIG. 14 is a front, isometric view of a storage structure
having a plurality of antenna array cards operably secured
thereto.
[0034] FIG. 15 is a front, isometric view of the storage structure
of FIG. 14 showing a possible connection to a computing device.
[0035] FIG. 16 is a side view of the storage structure of FIG.
15.
[0036] FIG. 17A is an exemplar, isometric view of a possible
workstation having a substantially horizontally mounted planar
frame containing at least one tag reader antenna therein.
[0037] FIG. 17B is an alternative exemplar, isometric view of a
possible workstation having a substantially horizontally mounted
planar frame containing at least one tag reader antenna
therein.
[0038] FIG. 18 is a top view of the workstation of FIG. 17A.
[0039] FIG. 19A is a top view of an exemplar array of tag reading
antenna directed to define a common scanning space or scanning
tunnel.
[0040] FIG. 19B is a side view of an alternative exemplar array of
tag reading antenna directed to define a common scanning space or
scanning tunnel.
[0041] FIG. 20 is a front, isometric view of a portable
prescription order distribution cart in accordance with an
embodiment of the present disclosure.
[0042] FIG. 21 is a rear, isometric view of the portable
prescription order distribution cart in accordance with an
embodiment of the present disclosure.
[0043] FIG. 22 is a schematic view of a health care provider
prescription order tracking system in accordance with an embodiment
of the present disclosure.
[0044] FIG. 23 is an exemplar flow chart of a possible verification
system process that automatically verifies that a particular
patient within a healthcare facility has been given the correct
prescription order for that patient.
[0045] FIG. 24 is an exemplar prescription order storage cabinet
locking system in accordance with an embodiment of the present
disclosure.
[0046] FIG. 25 is a schematic diagram of an exemplar biologically
activated tag operably secured to a medication.
[0047] FIG. 26 is a schematic view of a scanning wand in accordance
with an embodiment of the present disclosure.
[0048] FIG. 27 is a right, side view of the scanning wand of FIG.
26.
[0049] FIG. 28 is a cross-sectional view of the scanning wand of
FIG. 26 taken along line 28-28 of FIG. 26.
[0050] FIG. 29 is a top view of a preferred conductive portion of
the scanning wand of FIG. 26.
[0051] FIG. 30 is exemplar control logic for using the scanning
wand of FIG. 26 with the tracking system of the present
disclosure.
[0052] FIG. 31 is a flowchart illustrating a system and method of
distributing a prescription order according to exemplary teachings
of the present disclosure.
DETAILED DESCRIPTION OF PREFERRED EMBODIMENTS
[0053] A prescription order 12 tracking and distribution system 10
that uses a scanning wand 500 (FIGS. 7, 19, 20, 26-30) and can
include a portable cart 11 (FIGS. 20 & 21) having a plurality
of individually identified cubbies therein is disclosed in FIGS.
1-31.
[0054] In general and as shown in FIGS. 5, 6A, 6B, and 20, a
prescription order 12 is presented to the remote pharmacy 14 by a
healthcare provider or other agent (hereafter collectively referred
to as a "healthcare provider") for a patient. Referring to FIG. 6A,
the remote pharmacy or the healthcare provider assigns an
identification tag 16 to the prescription order 12. Tag reading
devices 18 are positioned at key locations throughout the pharmacy
14 (FIG. 5) and the healthcare provider's facility 17 (FIG. 21) and
in communication with a computer system 20 having a display 22,
such that the movement of the prescription order 12 throughout the
pharmacy 14 and/or the healthcare provider's facility 17
automatically detects and records the location of the tag 16
without further worker input. A plurality of tags may be
simultaneously tracked, thereby facilitation bulk processing and
distribution of prescription orders, particularly those received
from the off-site facility 15. Moreover, each tag preferably
includes read-writable memory that is preferably coded with key
information about the prescription order, such as the customer's
name, identifying information, prescribed drug, insurance
information, directions for use, National Drug Control ("NDC")
number, and the like. Accordingly, a pharmacy worker within the
pharmacy, a worker at the healthcare provider's facility or even a
worker at a third remote location can quickly and easily determine
all relevant information about a particular prescription order
without necessarily having to first correlate a tag identification
code with a computer system database.
[0055] In addition, a worker can easily determine the location of
the prescription order 12 within the pharmacy and/or the healthcare
provider's facility 17 by entering commands in the computer system
20 with a user input device such as a keyboard 120 to display the
location of the prescription order 12 on the computer display 22.
The individual elements forming the present disclosure are
discussed in greater detail below.
A. TAGS
[0056] Preferably, one or more readers 18 locate tags 16 through
electromagnetic interrogation of a spatial region to determine the
presence of an object. One such system is disclosed in U.S. Pat.
No. 6,057,756 to Engellenner, the disclosure of which is hereby
incorporated by reference. In general, the tag 16 is an
electromagnetic antenna and/or signal receiver which responds
either passively or actively to announce the presence (or absence)
of an object within a controlled region defined by a broadcasted
electromagnetic interrogation signal. Preferably, each tag 16
includes a coding mechanism for uniquely identifying it with
respect to other tags in the system.
[0057] FIG. 1 discloses an exemplar tag 16 and related components
for locating a prescription order 12 in a pharmacy 14. The computer
system 20 is operably connected to a transceiver 60a, such as for
example, a conventional Radio-Frequency Identification ("RFID")
tag, that transmits a signal 42 to a plurality of tags 16. Each tag
16 is assigned to travel with a unique prescription order 12, and
includes a transceiver 60b for receiving the signal and internal
circuitry such as a processor 48, power source 50 and memory 52
which contains a unique identifier for that tag and control logic
to preferably activate one or more transducers 17, which serve as
the worker signaling device when the tag 16 receiving a unique
signal 42 from the transmitter 40. Such transducers 17 may also be
operably secured to the tag reader 18 or some other structure as
needed to assist a worker.
[0058] Preferably, the transducer 17 are either a light 17a (FIG.
4) or audio speaker 17b (FIG. 4). More preferably, there are a
plurality of transducers 17 that can be individually activated on
each tag 16. For example, there can be three lights of different
colors (i.e. red, yellow, and green), which can be activated either
alone or in combination to identify the status of that prescription
order 12, with a different status being denoted by a different
transducer being activated.
[0059] More preferably, the memory 52 on the tag is read-writable
that is preferably coded with key information about the
prescription order, such as the customer's name, identifying
information, date of birth, social securing number, prescription
number, proper storage instructions, known side-effects, expiration
date, prescribed drug, insurance information, directions for use,
National Drug Control ("NDC") number, and the like.
[0060] The computer system 20 includes appropriate application
programs 136 (FIG. 7) and memory 122 (FIG. 7) to correlate a
customer's identifying information such as their name, phone
number, and the like, with the unique identifier and/or other
information in the memory of the tag traveling with that
prescription order. Accordingly, when a pharmacy worker wishes to
locate a customer's prescription order, he or she may find the
customer's identifying information on the computer system 20, and
cause the computer system to transmit the unique signal 42 through
the transceiver 60a to wirelessly activate one or more transducers
17 on the tag 16 associated with the customer's prescription order
12. For example, the tag's audio speaker 17b may make an audible
sound, or one or more lights 17a on the tag 16 may light and/or
blink.
[0061] Preferably, a plurality of fixed or handheld transceivers,
which are collectively referred to as tag readers 18 herein, are
spaced apart from each other and positioned at desired locations
within the pharmacy 14 to define spaced-apart interrogation zones
within the pharmacy. Each tag reader 18 includes a front-end
transmitter 62 that generates a digitally encoded signal 64.
Preferably, the signal 64 is chosen to facilitate a response from
only one uniquely coded tag 16. The receiver portion 66 of the tag
reader 18 can induce a coded signal detector that senses the
transponder signal 64 and correlates it with a stored code to
identify that the tag 16 is present in a particular interrogation
zone, thereby also determining the tag's location within the
pharmacy.
[0062] The computer system 20 can also use conventional
triangulation techniques to determine the location of the tag
within the pharmacy. In which case, only two spaced-apart tag
readers 18 need be placed within the pharmacy. Alternatively, using
quasi-sonar-type locating techniques, a single tag reader 18 could
be used determine the location of the tag within the pharmacy.
[0063] Each tag 16 can be either passive or active. In the passive
mode, the tag circuitry accumulates and then returns a signal, if
the interrogation signal matches a predefined code sequence stored
in memory in the tag's circuitry. In an active mode, each tag
further includes a power source 50 that assists with signal
amplification, detection and/or wave forming.
[0064] More preferably and as shown in FIG. 25, miniature tags are
also operably secured to individual doses of medication.
Preferably, such miniature tags are no larger than a grain of rice,
and they are operably secured to the medication, say for example by
being received within the casing of a pill or the like.
Accordingly, tag readers, which are in communication with a
computer system, are positioned near the patient's stomach or near
the waste of the patient, to detect the presence of a tag thereby
indicating the medication has been consumed by the patient.
[0065] In institutional environments where a large number of
residents consume medications on a regular basis, a tag reader can
be positioned along a common waste removal path, such as a sewage
pipe or the like exiting from the facility. Accordingly, the tag
reader can detect each tag as it exits the facility along the waste
path, thereby providing non-evasive verification of consumption
medication for all patients within the facility.
[0066] Preferably, unique tags are also operably secured to each
worker and the patient themselves. Accordingly, the computer system
correlates the prescription orders, patients, and worker
information to determine if a particular patient has been given
their prescription order, if the correct prescription order was
distributed, which worker administered it, and if the medication
was indeed consumed by the patient.
[0067] More preferably, tags operably secured to the medications
are biologically activated, say for example, by interacting with
stomach acids or digestive processes to activate them to thereby
further serve to confirm proper ingestion of the medication. One
such biologically activated structure includes impeding an
activation switch of the tag within an ingestible material, such as
calcium carbonate or the like, that dissolves in stomach acid. The
switch is biased to an on position, but imbedded in the ingestible
material in an off position. As the ingestible material dissolves,
the switch is released and thereby seeks its on position to
activate the tag.
[0068] Other examples of biologically activated structures include
encasing the tag within an ingestible electromagnetic shielding
material, such as a human safe metal or the like. The shielding
material prevents the tag from communication with a tag reader.
However, as the shielding material dissolved in a patient's stomach
acid, the tag and tag reader are able to communicate. Also, a
biologically activated structure can also be a tag having a current
passing through a small amount of ingestible, conductive material
that dissolves in stomach acid thereby defining a resistor. As the
ingestible, conductive material dissolves, the resistance provided
by the resistor is reduced. The tag detects this change in
resistance and activates itself to communicate with a tag reader
accordingly.
[0069] Individually tagged pills and the like provide several
additional benefits. For example, they reduce the likelihood of
counterfeit medications being dispensed, they can include
monitoring sensors that track environmental conditions such as
temperature, humidity, light levels and the like, to alert a worker
or potential user that a particular dose had been stored in
improper conditions and the effectiveness of the dose may therefore
have been compromised, and they help stop "shrink" or other
diversion of the medication.
[0070] In addition, they facilitate accurate counting of
medications and assist with preventing inadvertent dispensing of
medications. For example, pills can become lodged within the shots
of traditional automated pill counters. Such pills can become
dislodged during the filling of a new prescription and
inadvertently fall into a bottle for a different patient.
Individual pill tracking can detect such errors and validate
quantity simply by scanning a filled prescription bottle at any
time prior to dispensing it to a customer.
B. PRESCRIPTION ORDER TRACKING
[0071] Tags 16 may also be used to track the location of the
prescription order as it travels throughout the off-site pharmacy
14 an off-site prescription filling center 15 and/or a healthcare
facility 17. For example and referring to FIG. 5, a prescription
order 12 is presented to the pharmacy 14 and assigned an
identification tag 16, preferably with one or more transducers 17
thereon. Tag readers 18 are positioned at key locations throughout
the pharmacy 14 and in communication with the computer system 20
having a display 22, such that the movement of the prescription
order 12 throughout the pharmacy 14 automatically detects and
records the location of the tag 16 without further worker input. In
addition to, or alternatively, the transducers 17 can be operably
secured to a tag reader 18 or some other object.
[0072] Accordingly, a worker can easily determine the location of
the prescription order 12 within the pharmacy by entering commands
in the computer system 20 with a user input device such as a
keyboard 120 to display the location of the prescription order 12
on the computer display 22. Alternatively, the computer system can
detect the identity of a customer based on predetermined criteria
such as by detecting a tag operably secured to the customer, or
through bio-medical detection techniques such a retina or
fingerprint scanning, and initiating retrieval of the detected
customer's prescription order.
[0073] Each tag reader 18 is placed in communication with the
computer system such that information regarding the customer, his
prescription order position, and the status of his order can be
readily displayed on the computer display 22, and thereby
facilitating location of the prescription order 10 within the
pharmacy 14.
[0074] Preferably, the identification tags 16 are attached to the
prescription label, detachably secured to the prescription order,
or rigidly secured to a carrier 46 (FIG. 4) containing these
documents and other materials related to filling the prescription.
The tags themselves can be either rigidly or detachably secured to
the prescription order. For example, the tags can be directly
secured to the prescription with adhesive or secured within a
prescription lid. Also, the tags can be secured to a fastener, such
as a paperclip, that is detachably secured to the prescription
order.
[0075] 1. Pharmacy Prescription Order Filling Procedure
[0076] Referring specifically to FIG. 6A, an exemplary pharmacy,
which is preferably a remote pharmacy for filling prescription
orders for a healthcare facility 300 (FIG. 22) prescription order
filling procedure is disclosed. In step P1, the healthcare facility
presents a prescription order, which could include a written
prescription form, a renewable prescription label, or any other
tangible medium documenting a request for a prescription by a
health care provider is presented to the pharmacy either in person,
via facsimile, via phone, or via a computer transmission, such as
e-mail. A pharmacy worker then reviews the prescription order and
attaches a unique tag 16 (FIG. 4) to it that is readable by a tag
reader 18 (FIG. 4) to determine its location within the pharmacy
14.
[0077] As shown in Step P2, the pharmacy worker then determines if
the prescription order is for a new prescription. If not, the
worker determines if the prescription is refillable (Step P5). If
the prescription is not refillable, the pharmacy worker will
typically contact the physician or the physician's office to
determine if the prescription should be refilled (Step P6). If the
physician denies a refill, the customer is informed (Step P12). If
the physician does not answer the customer is notified and the
pharmacy typically holds the prescription order until the physician
calls back (Step P13).
[0078] If the pharmacy worker ultimately determines that the
prescription order is fillable, by the answers to any of Steps P2,
P5, or P6 being affirmative, the pharmacy worker then must
typically determines if the prescription order is able to be sent
to a remote filling facility or if it will be filled onsite within
the pharmacy itself (Step P20).
[0079] a. Onsite Filling of Prescription Order
[0080] If the pharmacy worker determines that the prescription
order is to be is filled onsite, he or she first conducts an
initial review (Step P3) which includes checking the available
inventory for the prescribed drug (Step P4), determining if there
is available insurance (Step P7) and if required, obtaining
approval from the insurer and preparing the label and necessary
billing and information disclosure paperwork (Step P8).
[0081] Regarding Step P4, if the inventory is not in stock, the
pharmacy worker typically informs the customer and offers the
customer an opportunity to special order the prescribed drug (Step
P14). If there is only a partial amount of the prescribed drug in
stock, the pharmacy worker will typically initiate a procedure for
filling only a partial order (Step P15). This procedure typically
includes preparing additional paperwork to alert the customer that
only a partial order has been filled, and ordering additional
quantities of the prescribed drug.
[0082] Regarding Step P7, if the insurance coverage is denied, the
prescription order is typically held in an area pending the
customer being contacted to request authorization to proceed (Step
P16). If the insurer cannot be contacted, the pharmacy has the
option to either fill the prescription and alert the customer upon
pick-up, or hold the prescription order pending a response from the
insurer (Step P17).
[0083] After the initial review is complete, the prescription order
and related paperwork is presented to a technician for data entry
(Step P8) and filling (Step P9), the technician fills the
prescription order and attaches the label. The technician then
presents the filled prescription order and related paperwork to a
registered pharmacist for verification (Step P10).
[0084] Following verification, the filled prescription is placed in
a storage area pending delivery to the healthcare provider (Step
P11). Preferably, the healthcare provider has many patients needing
prescription orders therein, and the remote pharmacy fills a
plurality of prescription orders, usually for different patients,
for the healthcare facility. In such case, these orders for a
common healthcare provider are preferably individually identified,
but grouped together in a common tote or the like, so that they may
all be transported to the healthcare provider in the same shipment
or delivery run.
[0085] Preferably, the totes are delivered to the healthcare
provider by a courier, such as a driver or the like as shown in
step P23. In such case, the driver receives the totes and a related
manifest of the prescription orders and their related patient
identifying information therein. This manifest is preferably in a
computer readable medium. The driver usually verifies the totes and
signs that he or she has received them. The driver then organizes
the totes for delivery (Step P24). More preferably, the totes and
the delivery vehicles include tags and/or tag readers in
communication with the computer system to allow tracking of
prescription orders through this phase of the distribution
process.
[0086] Upon delivery of the tote to the healthcare facility, a
healthcare worker usually inspects the prescription orders and
related manifest to determine if these materials are in order (Step
P25). If so, the healthcare worker signs that he or she has
received them, and then transfers the individual prescription
orders to a holding area for distribution to individual patients
within the healthcare facility (Step P26).
[0087] If not, the healthcare worker has a number of options
including preparing an exceptions list (step P27), notifying the
remote pharmacy of the discrepancy (step P28), and/or determining
the criticality of the discrepancy (step P29). If the discrepancy
is critical, the pharmacy can refill the missing or erroneous
prescription order (step P8). If the discrepancy is not critical,
steps P30 through P36 or the like can be taken.
[0088] b. Filling at Remote Filling Facility
[0089] If in Step P20, the pharmacy worker determines that the
prescription order should be filled at an off site remote filling
facility, the prescription order is transmitted to an off-site
facility, usually electronically as shown in FIG. 2. In such case,
the remote filling facility will attach a new tag to the
prescription order, and if equipped with one, may code the tag's
read-writable memory 52 (FIG. 1) with appropriate drug identifying
and other information about the prescription order.
[0090] At the remote filing facility, the prescription order is
filled in compliance with traditional filling practices, procedures
and regulations, including conducting an initial review, checking
insurance, labeling, data entry, filling, and verification (Step
P21). The filled prescription order is then combined with other
filled prescription orders to be delivered to the pharmacy and
transported essentially in bulk to the pharmacy as shown in FIG. 2.
Alternatively, the filled prescription orders may be delivered
directly to the healthcare provider's facility (step P11)
preferably though a delivery system substantially similar to those
previously described in steps P23-P36.
[0091] Upon arrival at the pharmacy or healthcare provider's
facility, the bulk shipment of filled prescription orders are
preferably positioned in bulk within an interrogation zone of the
computer system (Step 22), which simultaneously reads the tag 16 on
each prescription order in the bulk shipment as shown in FIG. 3,
and updates the computer system's records with this information,
including any new information added by the remote filling facility
to the tag's memory 52 (FIG. 1).
[0092] More preferably, and referring to FIG. 26, the interrogation
zone includes a scanning wand 500 in communication with the
computer system. This communication can be provided by a wired link
between the wand and the computer system or the wand can be
wireless connected to the computer system using known technology
such as wireless fidelity (WiFi) or Bluetooth technology or the
like. In one preferred embodiment, the wand is hand-held.
[0093] Preferably, in cases where the tags are radio frequency
identification tags, the scanning wand 500 can be an antenna from a
Radio Frequency Identification Tag reader. Preferably, the loop is
diamond shape and positioned at the distal end of the wand.
Alternatively, the tag reader can be operably secured within the
wand itself, say for example, by securing it within the handle
portion of the wand.
[0094] More preferably and referring to FIGS. 26-29, the wand 500
includes a circuit board 501 with related circuitry thereon and a
power source to activate one or more transducers 504 thereon in
response to predetermined criteria. For example, the transducers
can includes a speaker 504a and/or lights 504b that are activated
by the computer system in response to the detected presence or lack
thereof of one or more prescription orders from the bulk shipment.
Alternatively, the transducers can be spaced apart from the wand,
such as being positioned on a separate consol, pad, mini-console,
or the like. The feedback provided by the transducers allows a
worker to be away from a computer terminal or the like and still
obtain meaningful information about the scanned shipment.
[0095] If desired, the wand can be slid into a holster or cradle
(not shown) adjacent to the interrogation zone. Accordingly, it
need not be held over the items to be scanned. Rather, the items to
be scanned can simply be placed near the wand. If desired, a
plurality of wands can be positioned along an area so as to define
a tunnel through which all prescription orders entering the
pharmacy or healthcare facility must pass upon arrival. This
plurality of wands can be multiplexed together as described
elsewhere herein.
[0096] As shown schematically in FIG. 30, the scanning wand 500 and
related computer system can be used to verify that a bulk shipment
503 (FIG. 26) of prescription orders arriving at a pharmacy or
healthcare facility conforms to a manifest of that shipment. First,
a manifest is provided to the pharmacy or health care facility
(Step 600). This manifest can arrive through a variety of ways. For
example, it can be transmitted from the remote pharmacy 702, be
provided on a computer readable media along with the shipment 704,
or it can be obtained from one or more read/write identification
tags contained within the shipment.
[0097] A worker then places the entire shipment in the
interrogation zone of the scanning wand. (Step 602), wherein the
identification tags of each prescription order is detected and read
by the computer system. The computer system then compares the
detected prescription orders with the manifest and determines if
all items on the manifest are present in scanned order (Step
604).
[0098] If all the items in the manifest are present, the computer
system and/or wand alert the worker that the scan conformed to the
manifest (Step 606). This can be accomplished by activating one or
more transducers, such as by giving an affirming chime or the like.
If one or more items in the manifest are missing from the scanned
items, the computer system and/or wand alert the worker of this
discrepancy (Step 608). This can be accomplished by activating one
or more different transducers, such as by initiating a warning
siren and/or lighting a red light. Accordingly, a worker can
instantly know if a particular shipment is complete simply by
performing one global scan of the shipment.
[0099] Preferably, the computer system also tracks and records each
detected individual prescription order as having arrived at the
pharmacy and/or healthcare facility.
[0100] 2. Pharmacy Tracking Zones
[0101] In practice and referring specifically to FIG. 5, it is more
efficient to perform the various steps noted above at spaced apart
locations, or zones, throughout the pharmacy. For example,
prescription order intake (Step P1 of FIG. 6) and initial review
(Step P3 of FIG. 6) can be performed at location 21 (FIG. 5). Label
printing and data entry (Step P8 of FIG. 5) could be accomplished
at location 27 (FIG. 5). Prescription orders waiting from some form
of call back either from the customer, the insurer, or the health
care provider could be placed at location 27 (FIG. 5). Orders
waiting to be filled could be placed at location 28 (FIG. 4),
orders waiting pharmacist review and approval could be place at
location 23 (FIG. 4), and approved filled prescription orders could
be stored at location 30 (FIG. 4). Obviously, additional zones (24
& 28) could be added to accommodate a particular pharmacy's
practices and procedures.
[0102] Preferably each station includes a tag reader 18 in
communication with the computer system 20 for automatically
detecting the arrival of the tag 16 attached to the prescription
order 12 as it enters each location. More preferably, the tag
reader 18 detects both the arrival of the tag 16 in that station,
and the departure of that tag 16 from that station, with the time
interval at that station being determined and recorded there
from.
[0103] Each tag reader 18 is preferably fixed at a particular
location so that detecting the presence of a tag near the device
also automatically indicates the location of that tag 16 within the
pharmacy. The tag readers 18 can be rigidly mounted to a work area
or station, or portable (i.e. handheld) devices that are operably
connected to the station so that it can indicate a location within
the pharmacy of a detected tag. Such portable devices facilitate
scanning of prescription orders that are compiled in bulk, such as
a container of filled prescriptions arriving from an off-site
filing facility (Step P22, FIG. 6). Since each prescription order
in the container has a unique tag 16 the tag reader 18 can
simultaneously detect and record the location of multiple
prescription orders, a pharmacy worker can wave the tag reader 18
over the container to record the location of all prescription
orders in the container and obtain information recorded in the
read-writable memory of each tag.
[0104] Similarly, a healthcare worker at a healthcare facility can
use the same or a similar system within the healthcare facility to
wave a tag reader over a container to record the location of all
prescription orders in the container and obtain information
recorded in the read-writable memory of each tag.
[0105] 3. Storage Bin
[0106] Space and efficiency can be optimized by storing filled or
prescription orders 12 to be held for bulk distribution to the
healthcare facility 17 a common storage bin 30, preferably
containing a plurality of individually identified cubbies
therein.
[0107] 4. Portable Prescription Order Distribution Cart and Storage
Bin
[0108] Preferably, and as best shown in FIGS. 6A & 6B, the
filled prescription orders for a particular healthcare facility are
preferably distributed in bulk to the healthcare facility where
they are separated and individually administered to the correct
patients. Preferably, the healthcare facility includes tag readers
in communication with either their own computer system or the same
computer system of the pharmacy to allow the information associated
with the tags to be transmitted to the healthcare facility along
with the filled prescription orders. Alternatively, if the tags
include read-writeable memory, the memory of each tag includes
appropriate identifying information to correlate each filled
prescription order with a particular patient.
[0109] Preferably, the healthcare facility has either a storage bin
or a portable storage cart for easy storage, location, and removal
of each patient's filled prescription order upon receipt from the
remote pharmacy. Both of these storage devices are discussed in
greater detail below.
[0110] a. Storage Bin
[0111] As best shown in FIGS. 14-16, the storage bin 30 preferably
includes a plurality of cubbies 32, with each cubby 32 being sized
to receive a prescription order 12 and associated filled
prescription therein. Each cubby is uniquely identified 34, such as
by being individually numbered, and includes a tag reader 18, which
is preferably an economical antenna or the like operably secured to
a common tag reading device by a switching device 36 (which is also
commonly known as a multiplexer) for determining whether a
particular tag 16 is received within it. Each tag reader 18 is
preferably periodically in communication with the computer system
20.
[0112] When a prescription order 12 is filled, the prescription
order 12 and filled prescription are simply inserted into an
available cubby 32. Accordingly, the tag reader 18 associated with
that cubby 32 sends a signal to the computer system 20 denoting the
particular location and cubby number where the prescription order
12 and filled prescription are held. When a customer arrives to
pick-up his or her filled prescription or when a healthcare
provider worker seeks to distribute a particular filled
prescription order to a patient, the worker enters the customer's
identifying information into the computer system 20, and the
particular bin number of the cubby containing the prescription
order 12 and filled prescription or the current location in the
filling process is displayed. The worker then locates and removes
the filled prescription from the identified cubby and presents it
to the customer or administers it to a patient as needed.
[0113] Alternatively, and/or in addition to determining the cubby
number in which the customer's filled prescription order is
located, the computer system can activate one or more transducers
17 positioned near the filled prescription order or on the tag 16
secured to the prescription order to alert the worker of its
location.
[0114] The removal of the prescription order 12 from that
particular cubby 32 is detected by the tag reader 18 and reported
to the computer system 20. The tag 16 can remain affixed to the
prescription order 12 when filed, thereby allowing it to be easily
located in the future. Alternatively, the tag 16 may be reused with
a new incoming prescription order.
[0115] b. Portable Prescription Order Distribution Cart
[0116] As best shown in FIGS. 20 & 21, the storage area 30
having a plurality of bins 32 therein can also be made portable,
such as by placing it on wheels or casters, thereby defining a
portable prescription order distribution cart 31 that may be
wheeled room-to-room throughout a healthcare facility 300 to allow
easy access to and distribution of filled prescription orders.
[0117] Preferably, the portable prescription order distribution
cart includes a source of power, such as a battery or the like, an
input device such as a mouse and/or keyboard, and a scanning wand
500, portable tag reader 18, and monitor in communication with the
computer system. The scanning wand 500 may be wired to the cart as
shown in FIG. 20, or have a wireless connection to the cart as
shown in FIG. 21. Accordingly, the cart serves as a stand-alone
structure for allowing a worker to easily locate a particular
patient's filled prescription orders within a particular bin and
administer the filled prescription to the correct patient.
[0118] c. Storage Bin Locking Structure
[0119] As shown schematically in FIG. 24, each bin, either in the
storage structure 30 or the cart 31 preferably includes a locking
structure 600 in communication with the computer system 20 to limit
access to filled prescription orders 16 placed therein. For
example, a locking tray 602 can operably receive a container 604
having the filled prescription 12 thereon. The tray 602 is sized to
secure the container 604 therein and to be slidably received within
a bin 32. One or more hooks 606 preferably extend from the tray.
The hooks 606 operably engage an electric lock 608 received within
or near the bin 32 thereby locking the tray 602 within the bin 32.
Accordingly, with the tray 602 locked to the lock 608 within the
bin 32 and the container 604 secured within the tray 602, the
container 604 cannot be removed from the bin 32.
[0120] The electric lock 608 is in communication with the computer
system 20 that controls the lock 608 so as to only unlock the tray
602 from the lock 608 when predetermined criteria are met. For
example, a worker 620 can wear an identification tag 16 that is
detected by a tag reader 18 placed near the bin 32 in which the
worker 620 seeks to unlock. The computer system 20 first verifies
that the worker 620 is authorized to have access to the items the
locked bin, and opens the lock 608 only if the detected worker 620
is authorized. This locking system allows commonly prescribed
medications, which are often referred to in the industry as "top
100" medications, to be securely stored within a healthcare
facility, but also remain easily accessible to authorized workers,
particularly during times when the pharmacy serving the healthcare
facility is closed.
[0121] In addition, the computer system 20 can release the lock 608
containing the filled prescription only if the patient 622
associated with the prescription order 12 is detected by a tag
reader 18 positioned near the locked bin 32 containing the
prescription order 12 therein. A tag worn 16 by the patient 622 or
some other biometric identification system can be used by the
computer system 20 to validate the patient's identity.
C. PROPER DISTRIBUTION VERIFICATION
[0122] Preferably, unique tags are operably secured to the
healthcare workers and the patients within a healthcare facility,
and these tags are detected by the tag readers positioned one or
near the portable cart or within each patient's room as shown in
FIG. 21. Accordingly, the information collected and compiled by the
computer system 20 can be used to verify that the correct
prescription order of a particular patient has been dispensed to
the correct patient. A block diagram of an exemplar process and
application performing this function is shown in FIG. 23.
[0123] The detailed description that follows is represented largely
in terms of processes and symbolic representations of operations by
conventional computer components, including a processing unit,
memory storage devices for the processing unit, and a display
device. These operations include the manipulation of data bits by
the processing unit and the maintenance of these bits within data
structures resident in one or more of the memory storage devices.
Such data structures impose a physical organization upon the
collection of data bits stored within memory and represent specific
electrical or magnetic elements. These symbolic representations are
the means used by those skilled in the art of computer programming
and the construction of computing devices to most effectively
convey teachings and discoveries to others skilled in the art.
[0124] For purposes of this discussion, a process is generally a
sequence of steps executed by a computing device leading to a
desired result. These steps generally require physical
manipulations of physical quantities. Usually, although not
necessarily, these quantities take the form of electrical,
magnetic, or optical signals capable of being stored, transferred,
combined, compared, or otherwise manipulated. It is conventional
for those skilled in the art to refer to these signals as bits,
values, elements, symbols, characters, terms, numbers, records,
files or the like. It should be kept in mind however, that these
and similar terms should be associated with appropriate physical
quantities for computing device operations, and that these terms
are merely conventional labels applied to physical quantities that
exist within and during operation of the computing device.
[0125] It should also be understood that manipulations within the
computing device are often referred to in terms such as adding,
comparing, moving, etc. which are often associated with manual
operations performed by a human operator. The operations described
herein are machine operations performed in conjunction with a human
operator or user that interacts with a control device. The machines
used for performing the operation of the preferred embodiment of
the present disclosure, as will be understood, include a control
device and other suitable input devices.
[0126] In general, in step C1, within range of a tag reader, a
healthcare worker removes a prescription order from a cubby within
the portable cart. The computer system detects the removal of the
prescription order from the cubby and determines the patient
associated with the removed prescription order. The prescription
order containing a tag is delivered to a patient within range of a
tag reader. In step C2, the computer system detects the tag
associated with the patient and the tag associated with the
prescription order and determines the identified patient is the
correct patient to receive the identified prescription order. If
so, transducers, such as lights or sounds, on the portable cart can
operate to signal the correct relationship between the prescription
order and patient (Step C3). If not, the transducers can operate,
usually much more significantly, to indicate an error has been made
(Step C4).
[0127] If desired, the computer system can also automatically track
the time interval between the present prescription order delivery
and any prior delivery of the same prescribed medication and
compare this time with a predetermined time limit to alert the
worker and/or patient that the medication to is being administered
too soon or too late. Similarly, the computer system can track all
medications dispensed to a particular patient and alert a worker
and/or the patient if any counter-indicated prescription order
combinations have been prescribed to a particular patient.
[0128] Also, the computer system can record, or chart, the
administration of the prescription order to a patient, thereby
saving the healthcare worker time and avoiding the need for the
pharmacy worker to manually prepare such reports or charts (Step
C5).
[0129] Alternatively, the computer system can first detect the
presence of a patient 622 within range of the tag reader 18
installed on the cart 31. It then consults an internal database to
determine the bin in which that identified patient's prescription
order is located, and it can activate one or more transducers
positioned on or near that bin to alert the worker of the location
of the identified patient's filled prescription order.
[0130] In cases where locking structures 600 are installed on the
bins 32, the computer system 20 can automatically unlock only the
bin associated with the identified patient's prescription order,
thereby further preventing inadvertent distribution of an improper
prescription order by the worker 620.
D. COMPUTER SYSTEM
[0131] Those skilled in the art will appreciate that an exemplary
embodiment of the present disclosure relies on and incorporates
several common features of modern personal computers. The general
use, operation, and construction of a computer system is known and
has been disclosed in numerous patients such as U.S. Pat. No.
5,818,447 to Wolf et al. and U.S. Pat. No. 5,752,025 to Shakib et
al.
[0132] Referring to FIG. 6, the following discussion is intended to
provide a brief, general description of a suitable computing
environment in which the invention may be implemented. Although not
required, the invention will be described in the general context of
computer-executable instructions, such as program modules, being
executed by a personal computer. Generally, program modules include
routines, programs, objects, components, data structures, etc. that
perform particular tasks or implement particular abstract data
types. Moreover, those skilled in the art will appreciate that the
invention may be practiced with other computer system
configurations, including hand-held devices, multiprocessor
systems, microprocessor-based or programmable consumer electronics,
network PCs, minicomputers, mainframe computers, and the like. The
invention may also be practiced in distributed computing
environments where tasks are performed by remote processing devices
that are linked through a communications network. In a distributed
computing environment, program modules may be located in both local
and remote memory storage devices.
[0133] With reference to FIG. 7, an exemplary system for
implementing the invention includes a general purpose computing
system in the form of a conventional personal computer 20,
including a processing unit 121, a system memory 122, and a system
bus 123 that couples various system components including the system
memory to the processing unit 121. The system bus 123 may be any of
several types of bus structures including a memory bus or memory
controller, a peripheral bus, and a local bus using any of a
variety of bus architectures. The system memory includes read only
memory (ROM) 124 and random access memory (RAM) 125. A basic
input/output system 126 (BIOS), containing the basic routines that
help to transfer information between elements within the personal
computer 20, such as during start-up, is stored in ROM 124. The
personal computer 20 further includes a hard disk drive 127 for
reading from and writing to a hard disk, not shown, a magnetic disk
drive 128 for reading from or writing to a removable magnetic disk
129, and an optical disk drive 130 for reading from or writing to a
removable optical disk 131 such as a CD ROM or other optical media.
The hard disk drive 127, magnetic disk drive 128, and optical disk
drive 130 are connected to the system bus 123 by a hard disk drive
interface 132, a magnetic disk drive interface 133, and an optical
drive interface 134, respectively. The drives and their associated
computer-readable media provide nonvolatile storage of computer
readable instructions, data structures, program modules and other
data for the personal computer 120. Although the exemplary
environment described herein employs a hard disk, a removable
magnetic disk 129 and a removable optical disk 131, it should be
appreciated by those skilled in the art that other types of
computer readable media which can store data that is accessible by
a computer, such as magnetic cassettes, flash memory cards, digital
video disk, Bernoulli cartridges, random access memories (RAMS),
read only memories (ROM), and the like, may also be used in the
exemplary operating environment.
[0134] A number of program modules may be stored on the hard disk,
magnetic disk 129, optical disk 131, ROM 124 or RAM 125, including
an operating system 135, one or more application programs 136,
other program modules 137, and program data 138.
[0135] A user may enter commands and information into the personal
computer 20 through input devices such as a keyboard 140, pointing
device 142, tag readers 18, and scanning wand 500. Other input
devices (not shown) may include a microphone, joystick, game pad,
satellite dish, scanner, or the like.
[0136] These and other input devices are often connected to the
processing unit 121 through serial port interface 146 that is
coupled to the system bus, but may be connected by other
interfaces, such as a parallel port, game port or a universal
serial bus (USB). A display 22 or other type of display device is
also connected to the system bus 123 via an interface, such as a
video adapter 148. In addition to the monitor, personal computers
typically include other peripheral output devices (not shown), such
as speakers and printers.
[0137] The personal computer 20 may operate in a networked
environment using logical connections to one or more remote
computers, such as a remote computer 149. The remote computer 149
may be another personal computer, a server, a router, a network PC,
a peer device, a personal digital assistant ("PDA"), or other
common network node, and typically includes many or all of the
elements described above relative to the personal computer 20,
although only a memory storage device 150 has been illustrated in
FIG. 7. The logical connections depicted in FIG. 7 include a local
area network (LAN) 151 and a wide area network (WAN) 152. Such
networking environments are commonplace in offices, enterprise-wide
computer networks, intranets and the Internet.
[0138] When used in a LAN networking environment, the personal
computer 20 is connected to the local network 151 through a network
interface or adapter 153. When used in a WAN networking
environment, the personal computer 20 typically includes a modem
154 or other means for establishing communications over the wide
area network 152, such as the Internet. The modem 154, which may be
internal or external, is connected to the system bus 123 via the
serial port interface 146. In a networked environment, program
modules depicted relative to the personal computer 20, or portions
thereof, may be stored in the remote memory storage device. It will
be appreciated that the network connections shown are exemplary and
other means of establishing a communications link between the
computers may be used.
[0139] Preferably, a plurality of networked personal computers 20
are positioned within the pharmacy, one at the intake area (21,
FIG. 5), one at the customer pick-up area (29, FIG. 5), and one at
the data entry/label area (27, FIG. 5).
E. MULTIPLEXING TAG READER ARRAY
[0140] Referring to FIGS. 5, 8-17, and 20-22, a plurality of tag
readers 18, which are distributed throughout the pharmacy 14,
healthcare facility, storage device and/or portable cart, are
preferably integrated with a switching device 36 that periodically
monitors the status of each tag reader 18 and transmits that
information to the personal computer 20.
[0141] An exemplar multiplexing system 200 is disclosed in FIGS. 8
& 9. Preferably, the antenna 18' of each tag reader 18 is
operably secured to a multiplexer 36'. Such multiplexers 36' are
commonly known to those skilled in the art. A plurality of antenna
18' are operably secured to the multiplexer 36' such that the
multiplexer 36'connects each antenna 18' one-by-one to the tag
reader 18. Each antenna 18' is positioned at a specific location
within the pharmacy 14. For example, one or more antenna 18' can be
positioned adjacent to a particular work area 97 upstream of the
storage area 30, or can be positioned adjacent to a particular
cubby 32 in the storage area 30. A control register 202 monitors
which antenna 18' is connected to the tag reader 18 at a given time
and provides this information to the computer system 20, which also
detects a tracking signal from the tag reader 18 to determine the
presence and a tag and thereby determine its location within the
pharmacy 14.
[0142] Preferably, and as best shown in FIGS. 10-13, a plurality of
antenna 18' are formed onto a substantially planar frame 204 with a
signal shielding structure 206 encircling one or more antennas 18'.
For example, the antenna 18' can be a coil aligned on the planar
frame 204 and the signal-shielding structure 206 can be a short
circuit encircling the coil on the planar frame 204. Accordingly,
the interrogation field of the antenna 18' is directed
substantially perpendicular to the planar frame 204. Accordingly, a
large number of antenna 18' can be concentrated within a small
area, say for example, in a will-call storage device, with each
antenna detecting the presence of a tag only if placed within a
cubby immediately adjacent to the antenna 18'. Alternatively, the
shielding structure can be an electrically grounded frame that
surrounds an area in which an interrogation field of a tag reader
is directed.
[0143] Preferably, the tags operate at a relatively low frequency
band of around 13.56 megahertz (MHz). This frequency has been found
to allow a plurality of tags within a small area to each be
detected by a common tag reader. Moreover, tags operating at about
this frequency are able to penetrate through liquids and other
materials commonly found in a pharmacy without adversely affecting
the tracking performance of the tag.
[0144] Although less desirable, the tags operating at an ultra-low
frequency such as in the range of about 125 kilohertz (kHz) to
about 134.2 kilohertz (kHz) or in the ultra-high frequency band of
between about 860 megahertz (MHz) to 960 megahertz (MHz) can also
be used.
[0145] Alternatively, the planar frame 204 containing one or more
antenna 18' may be positioned substantially horizontally on a work
area 97a, 97b as shown in FIGS. 17a, 17b & 18 with the fields
of the antenna directed substantially upward (FIG. 17A) or downward
(FIG. 17B). In such case, the signal shielding structure 206 need
not necessarily encircle each individual antenna 18' on the frame
204 as shown in FIG. 10. Rather, if needed the shielding structure
206 can encircle the entire frame 204 as best shown in FIG. 18
thereby defining a particular work area 97a and preventing the
antenna 18' from inadvertently detecting the presence of a tag in
an adjacent work area 97b.
[0146] Moreover, and referring to FIGS. 19A & 19B, a plurality
of antenna can be positioned around a scanning area and all
directed within that area to form a defined space or tunnel 600 in
which tags placed therein are scanned by signals generated from a
plurality of antenna. Such a scanning tunnel allows for more
accurate detection of all tags, particularly when a plurality of
tags are grouped together, such as in a bulk shipment received from
a remote pharmacy or other off site location.
F. CUSTOMER IDENTIFICATION VERIFICATION
[0147] Referring now to FIG. 31, a system and method 70 of
distributing a filled prescription order 12 is illustrated
according to additional exemplary embodiments. As will be
discussed, the method 70 helps to ensure that filled prescriptions
are distributed only to the intended customer or patient. As a
safeguard, the system limits the ability of the pharmacy worker to
transfer the filled prescription order 12 to the customer until the
customer affirmatively inputs multiple types of identification.
[0148] For instance, in some embodiments, after the prescription
order 12 is placed with the pharmacy 14, the order 12 can be
tracked and filled in the various ways discussed above. The
location in which the filled order 12 is ultimately stored is
recorded. Then, once the customer attempts to pick-up the filled
order 12, the identity of the customer is confirmed using two or
more customer-specific identifiers. The customer-specific
identifiers can be chosen from various "patient or prescription
demographics" or information typically included on conventional
prescription labels (e.g., name of customer, date of birth,
address, phone number, doctor's name, name of prescription drug,
etc.). The identifiers can also include a unique password, pin, or
other code that has been chosen by the customer. In certain
military applications, the customer-specific identifiers can
include name, military rank, military serial number, or other
information often included on dogtags. Once the customer's identity
is confirmed, only then does the system inform the pharmacy worker
where the order 12 is currently stored. Thus, if the customer's
identity cannot be confirmed, then the location of the order 12 is
likely to remain hidden. On the other hand, if the customer's
identity is confirmed, the location of the order 12 is revealed,
and the worker can give the order 12 to the intended customer.
[0149] In additional embodiments, the system limits the ability of
the worker to transfer the order 12 by preventing calculation of
the money owed to the pharmacy or otherwise limiting the
transaction until the customer's identity has been confirmed. In
this case, the filled prescription order 12 might be stored in an
area known to the worker (e.g., in a storage bin where the orders
12 are alphabetically arranged according to the customer's last
name), and yet the cash register or other device can limit
completion of the transaction until the customer's identity has
been confirmed.
[0150] FIG. 31 illustrates exemplary embodiments of the method 70
in detail. The method 70 can begin in step 71, wherein the order 12
is received from the customer. As discussed above, the order 12 can
be received at a prescription filling center 15 of a pharmacy 14.
Then, in step 72, an RFID tag 16 or other unique identification can
be secured to the order 12 (i.e., secured for movement with the
order 12) such that the order 12 can be tracked through the
pharmacy 14 during the process of filling the order 12.
[0151] Next, in step 73, the customer can provide identifying
information to the pharmacy 14. For instance, in some embodiments,
a pharmacy worker can inquire and record the customer's name (e.g.,
a first identifier) as well as the customer's date of birth,
address, or unique password (e.g., a second identifier). These
identifiers can be input by the worker manually using the keyboard
120 (i.e., input device) of the computer system 20. In other
embodiments, the customer can manually input the identifiers, for
instance, using the keyboard 120 so that the worker remains unaware
of the identifiers. In still other embodiments, at least one of the
identifiers can be input automatically (e.g., by scanning a barcode
on the customer's wristband, by scanning an RFID located on the
customer's prescription card, fingerprint scanner, retinal
eye-scan, etc.). These identifiers can then be saved in memory
(i.e., first and second saved identifiers) within the computer
system 20. It will be appreciated that the identifiers can be of
any suitable type for identifying the customer other than those
listed above. It will also be appreciated that there can be any
number of two or more identifiers that are taken in step 73.
[0152] Next, in step 74, the order 12 can be filled. As discussed
above, the order 12 can be filled by moving along a workstream
through the pharmacy 14. Also, the location of the order 12 can be
tracked as it moves through the pharmacy 14 and as it is filled,
for instance, using one or more tag readers 18 positioned
throughout the pharmacy 14. The location of the order 12 can be
tracked automatically using radio communications (e.g., RFID
tracking) that are communicated and saved in memory in the computer
system 20. The location of the order 12 can also be tracked using
more manual means (e.g., scanning of barcodes by the workers,
etc.).
[0153] Once the order 12 is filled, the order 12 can be placed in
storage (i.e., placed in its respective storage area) (step 75). As
discussed above, the filled order 12 can be placed in random order
within a respective one of the cubbies 32 of the storage bin 30
(FIG. 5). Then, in step 76, the storage area can be saved in memory
within the computer system 20. The storage area can be saved in the
same database containing the identifiers entered in step 73 such
that the storage area and the identifiers are associated together.
In some embodiments discussed above, the storage area can be
automatically detected using tag readers 18 positioned at the
respective cubby 32 (FIG. 5). In other embodiments, the worker can
manually place the order 12 in one of the cubbies 32 and manually
enter the particular cubby 32 into memory and/or utilize a barcode
system to record the storage area of the order 12.
[0154] It will be appreciated that soon after the order 12 is
placed in storage, the worker is likely to forget where the order
12 is located because the order 12 is likely to be arranged among a
large number of other orders. The orders 12 need not be
alphabetized or otherwise organized. Instead, the orders 12 can be
placed in any available cubby 32. The worker can rely on the
information saved in the database for locating the order 12 when
the customer comes to pick up the order 12.
[0155] Specifically, when the customer comes back to the pharmacy
14 to pick up the order 12, the worker requests identification from
the customer. In response, the customer affirmatively provides the
first identifier (i.e., first requested identifier) (step 77).
Likewise, in step 78, the customer affirmatively provides the
second identifier (i.e., second requested identifier). The customer
will attempt to provide the identifiers provided in step 73. Thus,
in some embodiments, the worker can ask the customer his or her
name (first identifier) and address, date of birth, or passcode
(second identifier), and the worker can input this information into
the computer system 20 manually using the keyboard 120. In other
embodiments, the customer can input the identifiers manually using
the keyboard 120. In other embodiments, at least one of the
identifiers can be entered automatically (e.g., by scanning a
barcode on the customer's wristband, scanning an RFID tag on the
customer's prescription card, retinal eye-scan, fingerprint
scanner, etc.)
[0156] Then, in decision block 79, it is determined whether the
identity of the customer is confirmed. The identity of the customer
is confirmed (i.e., block 79 answered affirmatively) if the first
and second identifiers requested in steps 77 and 78 correspond
satisfactorily (e.g., match exactly) with the identifiers gathered
in step 73. If the identifiers requested in steps 77 and 78 do not
match or otherwise correspond, then the customer's identification
remains unconfirmed (i.e., block 79 answered negatively).
[0157] If the customer's identity remains unconfirmed, step 80
follows, and the customer is denied the ability to pick up the
order 12. This is because the worker is most likely unaware of the
location of the filled order 12. However, if the customer's
identity is confirmed, step 81 follows, and the storage area of the
order 12 saved in step 76 is revealed to the pharmacy worker. As
discussed above, the transducer 17 can emit a light, change a color
of a light, can emit a sound, the display 22 of the computer system
20 can display the storage area, etc. in step 81. Also, the cubby
32 containing the order 12 can be automatically opened or unlocked
to reveal the storage area of the order 12. Thereafter, the order
12 can be located by the worker and transferred to the
customer.
[0158] In the embodiment shown, the orders 12 can be prioritized or
segregated in various ways. For instance, some orders 12 (e.g.,
highly addictive painkillers, highly hazardous chemicals, etc.) can
be distinguished as "special," and extra security measures can be
taken to ensure that these orders 12 are transferred to the
intended customer. Thus, as shown in decision block 82 of FIG. 31,
it is determined whether the order 12 is "special." If it is not a
"special" order 12, then a lower authority pharmacy worker can
transfer the order 12 to the customer (step 83). However, if the
order 12 is a "special" order 12, then the higher authority
pharmacy worker can transfer the order 12 to the customer (step 84)
instead of the lower authority worker. It will be appreciated that
the orders 12 can be segregated in any suitable fashion into any
number of categories. It will also be appreciated that the lower
authority workers can be those without a pharmacology degree,
without security clearance, etc. The higher authority workers can
be those with a pharmacology degree, security clearance, etc.
Furthermore, in some embodiments, either the lower- or
higher-authority worker can obtain the identifiers from the
customer, while only the higher-authority worker can transfer the
order 12 to the customer.
[0159] In other embodiments in which the filled prescription orders
12 are stored in a known area (e.g., alphabetically arranged), the
system can prevent the worker from completing the transaction until
the customer's identity is confirmed (i.e., until the customer
correctly provides the first and second identifiers). For instance,
the cash register at the pharmacy 14 can block the worker's ability
to calculate the money owed to the pharmacy 14 for the order 12
until the customer's identity has been confirmed. Also, the cash
register can block the worker's ability to record the transaction
in the pharmacy's records until the customer's identity has been
confirmed. However, once identity has been confirmed, then the
transaction can be completed and the filled order 12 can be
transferred to the customer.
[0160] In some embodiments, at least one of the customer's
identifiers remain hidden to the worker. For instance, while the
customer's name might be printed on the filled order 12, the other
identifier (customer's address, password, birth date, etc.) are not
included on the order 12. As such, the identifiers can be provided
only by the customer and the worker is unable to bypass the
safeguards discussed above.
[0161] Accordingly, the method 70 can ensure that the orders 12 are
transferred to intended customers. The method 70 can be employed in
a traditional pharmacy 14 or using a portable prescription
distribution cart of the types discussed above, or in any other
suitable prescription distribution center. Also, the "customer"
discussed above can be the actual patient that will be taking the
prescriptions, or the "customer" can be one that places the order
12 and/or picks up the order 12 on behalf of that patient. In
either case, the prescriptions are likely to be taken by the
intended patient instead of being inadvertently re-routed.
Moreover, the customer identifiers taken in step 73 can be
permanently stored in the database as a customer profile such that
the customer need not provide new identifiers every time the
customer places a new order 12 and/or attempts to get a
prescription order 12 refilled. In this regard, every time the
order 12 is filled, the filled order 12 can be tracked through the
pharmacy 14 and the storage area for that filled order 12 can be
associated with the customer identifiers previously saved within
the database.
G. CONCLUSION
[0162] In view of the wide variety of embodiments to which the
principles of the invention can be applied, it should be apparent
that the detailed embodiments are illustrative only and should not
be taken as limiting the scope of the invention. For example,
although the preferred tags have a read-write feature, a less
complex "read-only" tag may also be used in some situations. For
example, the computer system can correlate a particular "read only"
code on a tag with one or more aspects of the prescription order
and/or person to which it is associated with, and use this
correlation throughout the tracking system. Rather, the claimed
invention includes all such modifications as may come within the
scope of the following claims and equivalents thereto.
* * * * *