20Ways Winter Hospital 2022

20Ways Hospital: Improving Patient Care & Pharmacy Cost Containment

IMPROVING PATIENT

C A R E & P H A R M A C Y

COST CONTAINMENT

H E A L T H S Y S T E M & I N F U S I O N E D I T I O N

WINTER 2022

Defying Drug

Diversion

A Case Study From Medacist

pg. 42

20 Unique

Products

& Services

Discover 20 products and services

that will help your pharmacy improve

patient care or contain costs.

Refrigeration

Industry Expert Q&A, Market

Leaders Buyer’s Guide, and More

pg. 58

New Features

The Evolving Role of

Compounding Pharmacies

pg. 66

Trends to Watch as

340B Turns 30

pg. 87

4 Case Studies

CPS Solutions, Leiters, Wolters

Kluwer Health, and More

Brian O’Neal, PharmD, MS, FASHP

Senior Vice President

~ Allied Health at Children’s Mercy Kansas City

Welcome to the cold zone!

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We offer a broad range of cold storage options that provide practical,

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WINTER 2022 I HEALTH SYSTEM • INFUSION

Contents

Leiters. We Are

Compounding

Health™

Leiters is a trusted FDA-

registered 503B outsourcing

provider of compounded

sterile preparations committed

to providing healthcare

professionals and their patients

with the highest-quality

medications.

COMPOUNDING HEALTH™

www.leiters.com | 800.292.6772

Helping you deliver

better medicine to

more people.

With increasing regulatory pressure

and drug shortages, access to quality

medicine is more important than ever.

Leiters is an FDA-registered 503B

outsourcing provider of high-quality,

compounded sterile preparations

including:

ƒ Pre-filled syringes, IV bags and vials

ƒ ON-Q* Pain Relief System fill services

ƒ Opioid-free surgical pain services

medications

ƒ Ophthalmology medications and

services including FDA-compliant

repackaged Avastin®

ON-Q* is a registered trademark of Avanos Medical, Inc., or its affiliates.

Avastin® is a registered trademark of Genentech, Inc.

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page 29

Point-of-Sale

to Simplify Your

Pharmacy Operations

— Retail Management

Solutions

Pharmacy point-of-sale should

work for you, not the other way

around. Meet the solution that

helps you improve patient

outcomes, streamline operations,

and use your choice of pharmacy

management systems.

customized

software

turnkey

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innovative

training

24/7 US-based

support

w w w . r m - s o l u t i o n s . c o m

MEET

YOUR

NEXT STAR

EMPLOYEE.

page 31

Verity Solutions

— Your Invested

Partner for 340B

Partner with us to simplify

340B administration,

confidently optimize federal

pricing benefits, and benefit

from the dedication and

knowledge of our expert team.

Results you can believe in.

1.800.581.1378 | info@verity340b.com | www.verity340b.com

© 2022 Verity Solutions Group, Inc.

Innovative. Invested. Proven.

Partner with us so that you can dedicate fewer resources

to your 340B program administration and more time to

community wellness.

SPLIT BILLING | CONTRACT PHARMACY | VERISAVE TM

SPECIALTY CONTRACT PHARMACY | COMPLIANCE MANAGEMENT

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For all healthcare systems who are challenged with the process of selecting the optimal drug that would

reduce spend, Verisave automatically selects the best priced product before your order is placed. With patented

technology, Verisave reduces tedious manual processes and dramatically decreases your drug spend.

page 27

Meeting Your USP<797> Requirements

Veltek Makes it Simple

CLEANING AND

DISINFECTING PRODUCTS

CLEANING AND

DISINFECTING PRODUCTS

ENVIRONMENTAL

MONITORING

EQUIPMENT

ENVIRONMENTAL

MONITORING

EQUIPMENT

GOWNING

GOWNING

Veltek Associates, Inc.

15 Lee Boulevard

Malvern, PA 19355-1234

1-888-4-STERILE

www.sterile.com

VAI covers every aspect necessary for full compliance including:

■ Consultation on setting up and maintaining aseptic processes

■ SimpleMix® – our easy to use disinfectants in pre-measured containers

■ Easy2Gown sterile garment system

■ Easy to use portable SMA air samplers

■ RTU Sterile & Non-Sterile cleaners & disinfectants available in a large assortment

of packaging sizes

With VAI’s innovative product line, Meeting USP<797> requirements

is just a phone call away…IT’S THAT SIMPLE!

Meeting Your USP <797> Requirements

Veltek Makes It Simple

CLEANING AND

DISINFECTING PRODUCTS

Saturated

WiperS

GOWNING

USP

800

Gown

Cleanroom

Garments

VAI covers every aspect necessary for full compliance including:

Consultation on setting up and maintaining aseptic processes

SimpleMix® – Veltek’s easy to use disinfectants in pre-measured RTU containers

Easy2Gown sterile garment system

Ready-to-use and saturated Process2Wipe® IPA70 wipes

Sterile cleaners & disinfectants available in a large assortment of packaging sizes

SCAN HERE

TO CONTACT US

HEALTHCARE

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USP <797> & <800>

Solutions From Veltek

Associates, Inc.

Combining experience,

innovation, performance, GMP

manufacturing, GLP testing

services, and unrelenting service

has propelled VAI® as the ultimate

innovative leader in the market.

page 39

© 2022 Helmer Inc. All rights reserved.

GX Solutions Medical-grade Cold Storage

Pass-thru Refrigerators

Access from both sides of the unit for more

convenient access to stored products and

enhanced work flows

i.Lock™ interlock door technology available to

meet USP <797> clean room requirements

Extensive testing to provide optimal storage of

ambient product loads

Best-in-class temperature management of

uniformity, stability, and recovery

ENERGY STAR® certified and up to 50% more

energy efficient than conventional medical-grade

refrigerators and freezers

Workflow efficiency and

regulatory compliance for

clinical pharmacies

Learn More

helmerinc.com/gx-solutions

© 2022 Helmer Inc. All rights reserved

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GX Solutions

Pass-Thru

Refrigerators Offer

Clinical Pharmacy

Workflow Efficiency

Helmer Scientific offers the

only medical-grade pass-thru

refrigerator that meets the

proposed changes to

USP <797> for use in

cleanroom applications.

page 33

page 34-37

Case Study:

Strategic Partnerships

Drive Inpatient &

Outpatient Pharmacy

Performance

From CPS Solutions.

CASE STUDY

www.cps.com

STRATEGIC PARTNERSHIPS DRIVE

INPATIENT AND OUTPATIENT

PHARMACY PERFORMANCE

A DECADES-LONG PARTNERSHIP

Holzer Health System traces its roots back more than a century to when Dr. Charles E.

Holzer Sr. opened the first private hospital in southeastern Ohio. Located in Gallipolis, that

small, seven-bed hospital has grown into the multi-facility healthcare system it is today.

This includes a medical center and care center in Gallipolis, a medical center in Jackson,

and numerous walk-in clinics, retail pharmacies, wellness centers, and post-acute care

services, among other resources, across the region.

Holzer has remained true to the philosophy set forth by their founder — “The Patient is

at the Center of All We Do.” It is this outlook that led Executive Vice President and Chief

Operating Officer for Holzer, Todd Fowler, to continue building on the foundation of their

fruitful partnership with CPS for inpatient and specialty pharmacy management services.

Over the 20+ year relationship, CPS has consistently driven value for Holzer through

initiatives supporting clinical performance, cost savings, and operational expertise.

A RELATIONSHIP THAT CONTINUES TO EVOLVE

The partnership between Holzer and CPS, one of the country's largest pharmacy and

hospital services providers, reaches back to 1998 when CPS began helping the health

system manage its inpatient pharmacy operations. As the system has grown, CPS has

continued to deliver incremental value to Holzer’s leadership and staff. Based on these

successes, when Holzer chose to streamline their three retail pharmacies in Gallipolis,

Jackson, and Athens in 2014, they turned again to CPS as a partner.

Everything CPS brings to Holzer is focused on growing the impact of their partnership

while providing ongoing positive financial and quality outcomes for the health system.

One way the company drives value on a continual basis is through its Comprehensive

Pharmacy Assessment (CPA), a proprietary tool that audits over 450 points of a

pharmacy's operational health. During the company’s most recent analysis, they found

Holzer had successfully improved compliance metrics, decreased regulatory risk, and

increased alignment with ISMP best practices. Through the CPA, CPS helps the health

system maintain visibility to the performance of its pharmacy in accordance with current

Todd Fowler

Executive Vice President and

Chief Operating Officer

~ Holzer Health System

R E F R I G E R AT I O N

As health systems expand outside acute settings, you need

a partner that can help to optimize outpatient medication

management and drive clinical and business outcomes. Omnicell’s

Specialty Pharmacy Services brings together dedicated services

to launch, operate and optimize your specialty pharmacy program.

This comprehensive, turnkey solution delivers:

A Improved access to specialty medications to enhance care

and support patient outcomes

A Financial outcomes through a value-based service model

A Technology, services, and expertise to support medication

management from hospital to home

Learn More at Omnicell.com/products/specialty-pharmacy-services

Optimize Outcomes

with Specialty

Pharmacy Services

page 49

Capital Inventory, Inc.

— The Premier

Leader in Pharmacy

Inventory Services

Our decades of expertise, working

exclusively with pharmacies, makes

us uniquely qualified to provide

accurate and dependable inventory

valuations through a streamlined

process. Our clients can trust that

we will be transparent, supportive,

and reliable in every interaction.

Steri-Tamp®

Tamper-Evident

Sterile Seals by

Allied Pharmacy

Products, Inc.

The only single-use,

tamper-evident seal that

provides and maintains a

100% sterile barrier.

page 47

• Sterile & Paper Free (USP 797 Compliant).

• Maintains a 100% sterile barrier* with 3X greater adhesion.

*Tested in Nelson Labs, Salt Lake City, UT

• Helps prevent contamination of drugs and provides added protection to pharmacists.

• Will not fall off, even in cold storage conditions (down to -20 degrees centigrade).

• Patented dual-layer indicates true tamper-evidence, with “OPENED” marking.

The Most Innovative Tamper-Evident

Seals In Hospital Pharmacy Today

VIEW TRAINING VIDEOS HERE

steri-tamp.com

Visit Our Website to Request Samples

Made in the USA

Syringe Seals

IV Bag Port Seals

Belly Button

Bag Seal

Vial Seals

28mm

20mm

13mm

Contents

20Ways MISSION

To educate pharmacy management on

products and services that serve to improve

patient care or improve a pharmacy’s financial

bottom line, while distilling and presenting this

relevant information via 20 product profiles.

2022 CIRCULATION

Issue Focus: Hospital & Infusion

Issue Frequency: Summer & Winter

Circulation Per Issue: 12,200+

6,500+ Hospital Directors

2,200+ Clinical Consultants

2,500+ Industry Executives

1,000+ Trade Show Handouts

Issue Focus: Retail, Specialty, & LTC

Issue Frequency: Spring, Fall, & Winter

Circulation Per Issue: 26,500+

18,000+ Owners (Independents)

1,500+ Long-Term Care Pharmacies

2,500+ Retail Chain Executives

2,500+ Industry Executives

2,000+ Trade Show Handouts

QUARTERLY ISSUES

Visit 20Ways ONLINE at

RXinsider.com/20Ways

Health System • Infusion

IMPROVING PATIENT

C A R E & P H A R M A C Y

COST CONTAINMENT

H E A L T H S Y S T E M & I N F U S I O N E D I T I O N

SUMMER 2022

20 Unique

Products &

Services

Discover 20 products and services

that will help your pharmacy improve

patient care or contain costs.

Clean Air Technology

& Supplies

Industry Expert Q&A, Market Leaders

Buyer’s Guide, and More

pg. 54

New Features

NSF/ANSI 456 Vaccine

Storage Standard

page 46

CSTDs (Closed System

Transfer Devices)

pg. 84

3 Case Studies

CPS, Liberty Software,

and Rees Scientific

Follett Refrigerators are

Omnicell FlexLock-Ready

A 20Ways Profile by Follett pg. 43

Summer 2022

Community • Specialty • LTC

Pharmacy

Management

Software

Industry Expert Q&A, Market

Leaders Buyer’s Guide, and More

page 56

IMPROVING PATIENT

C A R E & P H A R M A C Y

P R O F I T A B I L I T Y

C O M M U N I T Y , S P E C I A L T Y , & L T C E D I T I O N

SPRING 2022

20 Unique

Products

& Services

Discover 20 products and services

that will help your pharmacy improve

patient care or increase profitability.

3 Case Studies

McKesson, Liberty Software,

and Innovatix

8 Thought Leaders

CPS, Micro Merchant Systems,

The Compliance Team, and Surescripts

Spring 2022

Community • Specialty • LTC

IMPROVING PATIENT

C A R E & P H A R M A C Y

P R O F I T A B I L I T Y

C O M M U N I T Y , S P E C I A L T Y , & L T C E D I T I O N

FALL 2022

20 Unique

Products &

Services

Discover 20 products and services

that will help your pharmacy improve

patient care or increase profitability.

Pharmacy

Automation

& Robotics

Technology

Industry Expert Q&A, Market Leaders

Buyer’s Guide, & More

Pg. 48

8 Thought Leader Videos

Micro Merchant Systems, Surescripts,

The Compliance Team, & CPS

Zebra Case Study

A Success Story with

Altru Specialty Pharmacy

Pg. 37

Fall 2022

Qimedical.com

info@qimedical.com Tel. 800.837.8361

Media Fill

Hazardous Drug

Handling Validation

Surface and

Fingertip Testing

Sterility Testing

USP <797> USP <71> USP <800>

Your partner in pharmacy

compliance since 1992

FDA Registered | Iso Certified

Left: GM7030 PATT2®, Personal Aseptic Technique test kit, 3mL

ampules, 20mL vials, 100mL partially flled minibag.

Below: ET1000 EnviroTest® TSA with Lecithin & Tween 80 growth

media paddles for surface, air, or glove fngertip sampling.

Q.I. Medical, Inc.™

Your Partner in USP

<797> Pharmacy

Compliance

Providing quality assurance

products to hospitals and

pharmacies practicing sterile

compounding, with a singular

focus on pharmacy compliance.

page 42-45

Case Study:

Defying Drug

Diversion

The pharmacy executive,

nurse executive, and drug

diversion analyst tell how.

Sponsored by Medacist.

CASE STUDY

www.medacist.com

• Receive insights from Senior Vice President of Allied Health, Brian O'Neal, PharmD, Children's

Mercy Kansas City.

• Understand how nursing deals with diversion given unprecedented challenges from Retired

Chief Nurse Officer, Barbara Jacobs, MSN, at Anne Arundel Medical Center.

• Learn about analytics when managing a drug diversion program from Retired Drug Diversion

Surveillance Analyst, Patricia Penland, RN, at Wake Forest Baptist Health.

Diversion threatens patient safety and a hospital's reputation. According to the National Council of

State Boards of Nursing, approximately 15% of healthcare workers struggle with drug dependence

at some point in their careers. Drug diversion among healthcare workers is substantially

underestimated, undetected, and underreported.

And if diversion hasn’t wreaked enough havoc, healthcare professionals have endured upheaval like

never before because of an unprecedented pandemic. Hospitals were already dealing with rising

stress levels, burnout, and staff shortages, which can exacerbate drug diversion.

Diversion poses risks to patients, including inadequate pain relief and exposure to infectious

diseases from contaminated needles and drugs. A healthcare worker’s impaired state also creates

an unsafe environment.

However, solutions and strategies exist to combat it, and hospitals are winning the battle.

A pharmacy executive, chief nurse officer, and drug diversion analyst share insights on the state of

drug diversion and the tools to detect it.

Profile: Senior Vice President of Allied Health, Brian O’Neal, PharmD, Children's Mercy

Kansas City

Q. How does your role relate to preventing diversion and protecting patients?

My responsibility is to ensure we have the resources needed to stop anyone looking to divert drugs.

The likelihood is there. Prevention and detection are a priority for me.

My guidance is to focus on fundamentals, which means consistent quality checks, audits, and

reliance on a strong drug diversion system. But software doesn’t run itself. It takes personnel to

understand how it informs possible problems and how to pull the right data.

Q. Thoughts on the state of drug diversion at hospitals given COVID and staff shortages?

Our hospital, like the industry, is experiencing shortages, especially in pharmacy technicians, due

to the pandemic and job hopping. And how it correlates to diversion is not entirely clear because

we are still dealing with all those issues and current prevalence data. We are dealing with a gap in

scientific evidence.

Q. How does Children’s Mercy Kansas City deal with diversion?

We developed a controlled substance oversight council led by pharmacy and nursing that includes

members from security, human resources, and other hospital departments who meet regularly to

review transactions and approve policies.

DEFYING DRUG DIVERSION

Brian O’Neal, PharmD, MS, FASHP

Senior Vice President

~ Allied Health at Children’s Mercy

Kansas City, MO

Barbara Jacobs, MSN

Retired Chief Nurse Officer

~ Anne Arundel Medical Center,

Annapolis, MD

Patricia Penland, RN

Retired Drug Diversion

Surveillance Analyst

~ Wake Forest Baptist Health,

Winston-Salem, NC

The Pharmacy Executive, Nurse Executive, and Drug Diversion Analyst Tell How

Sponsored by an Educational Grant From Medacist

page 41

Health System • Infusion &

Community • Specialty • LTC

IMPROVING PATIENT

C A R E & P H A R M A C Y

P R O F I T A B I L I T Y

C O M M U N I T Y , S P E C I A L T Y , & L T C E D I T I O N

WINTER 2023

20 Unique

Products &

Services

Discover 20 products and services

that will help your pharmacy improve

patient care or increase profitability.

Pharmacy

Returns

Services

Industry Expert Q&A, Market

Leaders Buyer’s Guide, & More

Pg. 48

8 Thought Leader Videos

Micro Merchant Systems, Surescripts,

The Compliance Team, & CPS

Noritsu Pharmacy

Case Study

Automating Long-Term Care

Pharmacy Services

Pg. 37

Winter 2022/2023

IMPROVING PATIENT

C A R E & P H A R M A C Y

COST CONTAINMENT

H E A L T H S Y S T E M & I N F U S I O N E D I T I O N

WINTER 2022

Defying Drug

Diversion

A Case Study From Medacist

pg. 42

20 Unique

Products

& Services

Discover 20 products and services

that will help your pharmacy improve

patient care or contain costs.

Refrigeration

Industry Expert Q&A, Market

Leaders Buyer’s Guide, and More

pg. 58

New Features

The Evolving Role of

Compounding Pharmacies

pg. 66

Trends to Watch as

340B Turns 30

pg. 87

4 Case Studies

CPS Solutions, Leiters, Wolters

Kluwer Health, and More

Brian O’Neal, PharmD, MS, FASHP

Senior Vice President

~ Allied Health at Children’s Mercy Kansas City

Pre-assembled kits and a la carte components

for infusion pharmacists.

Compliance was never so easy!

Hardy Diagnostics is a proud

Corporate Member of the National

Home Infusion Association.

Contact us today for more information about our HardyVal™ products!

800.266.2222 Sales@HardyDiagnostics.com

HardyDiagnostics.com/HardyVal

Member

USP <797> changes are coming.

Are you ready?

Take a closer look at all the benets a PraxiJect™ SF 0.9% NaCl

prelled syringe offers you.

PraxiJect™ SF 0.9% NaCl prelled syringes set the standard for

quality and safety.

No other company offers you all these advantages in a cost

effective product. Manufactured according to internationally

recognized technical standards, current Good Manufacturing

Practices and ISO 13485 Quality Management System require-

ments.

Discover the advantage many of the largest hospital institutions

have realized work best for them.

Syringes that set the standard

for quality and safety

Precise graduation

Pharmaceutical

grade plunger

Color coded

cap and label

PraxiJect SF

0.9% NaCl Prelled Syringes

Designed for use in a sterile eld

Precise graduations

Meets USP specications

Latex and preservative free

Screw on luer lock cap for additional safety

Terminal sterilization, provides the highest degree

of sterility available

Easy glide piston. No lock effect or inadvertant

solution leaking during priming.

Features & Benets

Zero reux

design

Respects ISO

specication

Praxiject.com

INNOVATING FOR HEALTH

SECONDARY

Engineering

Control

(SEC)

For BUD > 12 hrs

ENGINEERING CONTROL REQUIREMENTS

for USP-797 and USP-800 Compliance

ALSO AVAILABLE FROM ESCO

Sterile Non-Hazardous

Cleanroom Pass Boxes

Non-Sterile Hazardous

Downflow Booth

Sterile Hazardous

503B cGMP Isolators

PRIMARY

Engineering

Control

(PEC)

Esco Models:

LHG (Horizontal): General compounding

LVG (Vertical): Put large machine inside

Esco Models:

PW1 (Compact): Single exhaust HEPA

ADC (Full-sized): Double exhaust HEPA

Esco Model:

DFB: Downflow Booth

Esco Models:

AC2 (Compact): Low ceiling, Mobile labs

LA2 (Full-sized): Best comfort & safety

DRUG TYPE

USP 797: Applies to Non-hazardous and Hazardous Drugs

USP 800: Additional Requirements for Hazardous Drugs

Horizontal Laminar Flow

Cabinet

Powder Weighing Station

with Ducting

Class II A2 Biosafety

Cabinet w/Ducting

Esco Models:

EPB-SS: Passbox, Full Stainless Steel

BIOPASS: Passbox, with H2O2 Decon

Esco Models:

GPPI: General Processing Isolator

ACTI: Aseptic Containment Isolator

215-441-9661 • Horsham, PA, USA • ETI.Admin@escolifesciences.com • www.escolifesciences.com

Compounding

Ventilated

Enclosure

Biosafety

Cabinet,

Ducted

Laminar

Flow

Cabinet

ISO 7 buffer

12 ACPH

0.01-0.03 “WG

neg. pressure

ducted

ISO 7 buffer

30 ACPH

0.02 “WG

positive

pressure

ISO 8 ante

20 ACPH

0.01 “WG

positive

pressure

ISO 7 buffer

30 ACPH

0.01-0.03 “WG

neg. pressure

ducted

ISO 7 ante

30 ACPH

0.02 “WG

positive

pressure

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