Appendix Booklet

White Paper

Hospital Automation Solutions

Hospital pharmacy automation | Optimizing safety and efficiency

INTRODUCTION
Preventing a medication incident in an
often chaotic hospital environment is a key
concern for doctors, administrators and
governments. Patient safety and wellbeing
may be dependent on the accurate and
timely dispensing of a treatment regimen
that is often contingent upon effective drug
therapy.
With thousands of medications at the
disposal of practitioners, many of which
are varying compounds of the same
medication, error in the type and dosage
of medication is not uncommon within a
hospital pharmacy.
Thankfully, not all errors result in an
adverse event for the patient; however,
ineffective treatment can result in
prolonged illness, side effects or the
presence of new symptoms.
In a recent survey, nearly one in ten adult
Canadians with health problems reported
receiving the wrong medication or the
wrong dose when filling a prescription at a
pharmacy or when hospitalized within the
previous two years. i
The Canadian Adverse Events Study found
that the administration of drugs and

AcuDose-Rx

fluids frequently causes harm to patients

in Canadian hospitals ii and harmful
medication incidents have received
extensive media coverage.
Protecting the patients health is the
number one concern of hospitals and their
pharmacies across the country. Technology,
when used effectively, can reduce
medication errors and improve operational
efficiency in the health care system, while

curtailing financial losses due to inventory,

dosage and dispensing issues.
In fact, in the Canadian Hospital Pharmacy
2015 (CSHP 2015) Goals and Objectives
for Pharmacy Practice in Hospitals and
Related Healthcare Settings to Be Achieved
by 2015 document, Goal 5 has been set at
increasing the extent to which hospitals
and related healthcare settings apply
technology effectively to improve the safety
of medication use. iii

By examining the chief demands affecting

hospital pharmacies, this white paper
will propose a scalable solution that will
improve the capacity of Canadian hospital
pharmacies and increase their resilience in
an over-extended health care system often
dependent upon medication to sustain
patient health.
The intent of this white paper is to present
an integrated pharmacy automation
solution that will help overcome the
challenges in hospital pharmacy operations
and alleviate the possibilities of human
error by automating processes in areas
where patients will benefit most.
CURRENT HOSPITAL PHARMACY
CHALLENGES
Throughout the country greater demands
are being made on our health care system.
Medical facilities are being asked to do
more with less. A shortage of qualified
medical staff, an overextended medical
infrastructure and a growing population
needing care are developing into the perfect
storm.
Hospital pharmacies, within the health
care system are also navigating through
a sea of challenges as a result of the high
cost of medical treatment. The inefficient
use of resources (personnel, space and
technology), managing their inventory
and the availability of certain drugs while
ensuring patient safety, are key areas of
concern.
Health Care Costs
The Fraser Institute noted in 2011, across
Canada, government spending on health
has grown faster (8.1% annually) on average
than GDP (6.7% annually) since 1975. As of
2011, provincial health spending in Ontario
and Quebec currently consumes more than
50% of total revenues. iv
With limited resources available, hospitals
are being asked to optimize their resources,
without jeopardizing the safety of their
patients. Hospital pharmacy operations
are a significant component of a hospitals
service and, as such greatly impact their
costs.
Supplies and drugs account for
approximately 30-35% of a hospitals
operating budget. v Staffing, which
2

represents close to over 60% of the

remaining cost, must work with the
hospitals given medication processing
system. Unfortunately manual pharmacy
management operations experience
inherent losses when medications expire
or dosage issues require disposal of
medications that would otherwise have
benefitted hospital patients. Misplaced,
lost or stolen medications on the ward or in
the pharmacy not only affects the hospital
financially, both in drug cost and personnel
time, but can also be dangerous to users.
Resource Issues
As effective members of the health care
team, pharmacists are educated to play
a key role in the care and treatment of
patients admitted to health care facilities,
however, according to a 2008 study by
the Canadian Association of Pharmacy
Students and Interns (CAPSI), only 19.2%vi
of their time was related to direct patient
care. According to the Hospital Pharmacy
in Canada 2011/2012 Report released in
2013, over 50% of hospital pharmacists
time continued to be involved in nonpatient centered activities. vii Significant
gaps still exist in medication management,
counselling and reconciliation towards
CSHP 2015 targets.
Time and personnel restraints are causing
resource issues that if unmanaged, result
in a reduction in patient care and possible
errors in their treatment. Pharmacists and
technicians are often underutilized in their
areas of expertise due to administrative and
logistical tasks that consume their time.
Inventory and availability of medication
With less hospital space attributed to
storage and inventory and the vast array
of medications and compounds available

An adverse event
represents an
unintentional
harm to a patient
arising from any
aspect of healthcare
management.

for doctors to prescribe, the drug managing

and ordering process is a complex, yet critical
element in the efficiency of
patient care.
Ensuring the right medications are in stock and
available and in the correct doses when and
where they are necessary, can sometimes mean
the difference between effectively treating a
patient and delaying their care.
Efficient inventory control and intuitive ordering
can often prevent the negative results of a drug
shortage.
In the 2010 Canadian Drug Shortages Survey
Final Report, 93.7% answered yes on a national
level to the question In the last week, did
you have trouble locating medications to fill a
prescription? viii. Of those respondents 69.8%
noted that their patients were adversely affected
by the shortage in the following ways:
Patients are stressed, confused, angry, frustrated,
and experience a loss of trust in medication and
the pharmacist
Disruption in the continuity of care
The alternative drugs have been less effective,
especially as 3rd or 4th line alternatives are used
Antibiotics and anesthesics have been in short
supply
There have been no alternative medications
available
Alternatives cause side effects, allergies, and/or
adverse events
Patients have stopped taking the medications
Patient safety
The traditional hospital pharmacy model is
prone to human error that may result in an
adverse medical event. Defined as an error that
causes an injury to a patient as the result of a
medical intervention rather than the underlying
medical condition, it represents an unintentional
harm to a patient arising from any aspect of
healthcare management.

According to David E. Attarian, MD,

Most adverse events are multifactorial,
resulting from an overlap of system and
human errors. Some adverse events may
be new or unanticipated, due to changing
technologies. Systems failuressuch as
poor management decisions, dysfunctional
corporate cultures, poor communications,
inadequate resources, poor staffing, poor
documentation, or a lack of safeguards and
check pointsgenerally facilitate human
errors. Human errors may be knowledgebased, skill-based, fatigue-based, or
may result from a failure to follow rules,
technical mistakes, and/or an inability to
cope with the complexities or demands of
the healthcare system. ix
Hospitals and their pharmacies must do
all to ensure exemplary patient safety
and remove elements that contribute to
shortages or errors. Human fallibility and
errors caused by a misunderstanding of a
doctors prescriptions due to handwriting
or other factors can be eliminated when
technology is used to order and dispense
medication.
MCKESSONS PHARMACY AUTOMATION
SOLUTIONS
Simply fixing parts of the supply chain is
not the solution. It requires a concerted
effort throughout the entire process:
Decision support There is a need
for collaboration and connectivity in
the continuum of care to ensure best
outcomes for patients and optimal use of
time and human resources.

Simply fixing parts

of the supply chain is
not the solution.
intrinsically reinforces medication
safety at each step of the medication
use and supply processes. By increasing
communication between nursing and the
hospital pharmacy, improving medication
safety and optimizing productivity, costs
in hospitals of all sizes are significantly
reduced.
Through the use of robotics, bar-code
scanning automation, and Webbased virtual technologies, McKesson
Automations array of pharmacy solutions
enhance medication ordering, dispensing,
administration, charge capture and
inventory management processes.
The functionality and features of each
product drive the medication safety process
deeper into the normal workflow patterns
of pharmacists, technicians, nurses and
clinicians. McKesson Automation Solutions
free them from time-consuming, repetitive,
manual tasks so they can focus on clinical
activities and improve the quality of
patient care; an issue that plagues medical
professionals across the country.
The McKesson suite of automated solutions
can enhance the performance of any
hospital pharmacy, whether the system
is fully centralized, decentralized or a
hybrid combination of the two. Moreover,

McKesson Automation Solutions are

completely modular, integrating or
interfacing respectively with McKessons
and other vendors product lines; allowing
all previous investments to be fully utilized;
a feature unique to the McKesson solution.
The following products comprise the
McKesson suite of automation solutions
and can function together or separately,
and can be interfaced with most competitor
systems to develop an effective hybrid
solution:
AcuDose-Rx automated medication
dispensing cabinets offer smart choices
for medication storage, balancing safety,
accountability, accessibility and economy
for drug dispensing on the ward or unit.
Medication is there when needed. The
exclusive RightStock feature monitors
and dynamically adjusts inventory levels,
per medication and per cabinet.
PACMED packager brings intelligent,
formulary level management capabilities
to high-speed, oral solid medication
packaging. The multi-tasking PACMED
Server Plus software could standalone,
interface with other existing pharmacy
automation equipment or be integrated
with the McKesson Connect-Rx software
platform to electronically process orders for
specific patients, for AcuDose-Rx cabinets,
and for the MedCarousel, ROBOT-Rx, and
MedShelf-Rx systems.

Accountability Recording and tracking

of medications throughout the supply
chain to ensure proper dispensing,
administering, and availability of
medications and to identify and
eliminate diversion.
Safety By automating supply, storage,
inventory and dispensing of medication,
human errors and drug shortages are
minimized, thereby improving patient
outcomes and safety.
Inefficiencies Financial losses, time
spent by pharmacists and nurses
checking, dispensing, ordering give
rise to inefficient operations and
management of time and resources.
McKesson Canada offers a suite of
automation solutions that dramatically
improves workflow, reduces costs and
AcuDose-Rx
3

 Adverse Events
Based on a study evaluating preventable
adverse event rates by Norton and Baker in
2004 and comparing case studies of similar
sites, NHS would attribute $2.5M yearly in
added expense as a result of adverse drug
events and increased length of hospital stay. x
Inventory and Tracking
40% of all drugs distributed came from a
traditional ward stock, and was manually
accessed by nurses with little to no tracking.
No inventory intelligence was acquired,
resulting in inconsistent drug fulfillment and
frequent overstock situations.
Inefficient Use of Resources

MedCarousel

MedCarousel system automates the

management of restock, first dose, and
scheduled medications with as much as a
60% reduction in footprint requirement.
The bar-code-based scanning and pickto-light technologies increase picking
accuracy and speed. By prioritizing orders
for technicians to user specifications, the
MedCarousel increases staff efficiencies
and decreases unit-based cabinet stock
outs.
The ROBOT-Rx system is the worlds
leading hospital pharmacy robotics system.
Using bar-code scanning technology,
ROBOT-Rx automates the storage, picking,
returning, restocking, and crediting of more
than 90 percent of a hospitals daily unitdose medications.
The McKesson suite of automated solutions
will provide decision support to ensure
safety and availability of medication to
improve patient outcomes with a high
level of accountability while reducing
inefficiencies and freeing clinical staff to
use their time where it is needed most; with
the patient. In fact, we are the only vendor
with the complete solutions set to ensure a
closed loop.
Moreover, efficiency gains, reductions
of expired or wasted drugs and costs
associated with medication shortages result
in a rapid return on investment (ROI) that
is sure to be of interest to any hospital
administrator.

CASE STUDY
Niagara Health System (NHS) : Ontarios
largest multi-site hospital amalgamation
comprised of six sites across the 12
municipalities making up the Regional
Municipality of Niagara.
Managing a hospital pharmacy drug
distribution system, ensuring that correct
medication is available when and where
it is required and in the proper dosage, is
a manpower intensive exercise prone to
human error. Proper medication tracking,
recycling or disposal of expired or unused
unit dosages and standardized drug
distribution practices are required by
Canadian government bodies.
Recommendations made by Accreditation
Canada in 2006, prompted the NHS to
review its drug distribution system.
The Regional Director of Pharmacy of
Niagara Health Services, had a critical
situation on hand:
Financial Losses
In their current traditional, multi-day
dispensing system it was estimated
that over $100,000 worth of non-unit
dose oral solids were not recyclable
and discarded. A substantial cost, this
amount did not include the costs of
overstocking in a manual, stock-ondemand system, which would add over
$200,000 worth of medication waste a
year due to expiration and loss.

Nursing staff spent anywhere from 50-70%

of their time dealing with medication
related tasks. This included skilled nursing
staff in the OR and ICU where there was
already an acute shortage of personnel.
Ward clerks and nursing staff performed
manual order transcription onto the
medication administration record and
checking while 85-90% of drug orders were
already processed by the pharmacist in the
Pharmacy Information System.
Standard medication administration times
were used but there was an opportunity
to improve pharmacy and nursing
communication. There were multiple
medication locations for nursing staff to
access for any single patients medication
administration.
In need of a systems-based (or system-wide)
solution, the Regional Director solicited the
expertise of McKesson Canada to propose a
solution that would integrate with their Meditech
clinical software.
The goal was to support hospital staff with
recognized state of the art proven technology
to reduce human and drug costs and reinvest
savings to continually improve pharmacy
services by centralizing purchasing and the
provision of a 24- hour unit dose cart fill at the
St. Catharines General, which would service the
NHS.
Additionally, the selected solution needed to
support decentralized nursing practices on
the ward for first dose, narcotic/controlled drugs
and PRN, as needed medication dispensing.
By investing in pharmacy automation that
maximized the utilization of nursing and
pharmacist clinical skills while improving the
staffs quality of work life, recruitment and

retention, NHS would reap the benefit of

exponential pay back in improved nursing
efficiency and patient outcome.
Finally, the solution needed to bring
NHS pharmaceutical service level to the
forefront of best practices and be prepared
to set the stage in closing the loop on
medication safety within a three year
time frame, as identified in the Canadian
Hospital Pharmacy 2015 (CSHP 2015) Goals
and Objectives for Pharmacy Practice in
Hospitals and Related Healthcare Settings.
By reviewing NHSs actual processes,
analyzing acquired data and discussions
about the alignment of their vision of an
effective distribution system, McKesson
proposed a hybrid solution that would
centralize purchasing, medicine tracking
and distribution to the wards, while
decentralizing a controlled access for first
dose, narcotic/controlle and PRN nurse
dispensing.
This proposed solution maximizes the
effectiveness of their Meditech clinical
software by interfacing it with a single
automation backbone, Connect-Rx, that
would keep manual process to a minimum.
McKessons approach was to share and
communicate the strategic plan with key
stakeholders to obtain their requirements,
input and buy-in to the new methods being
proposed.

In order to ensure the greatest impact in

resolving the identified issues, McKesson
proposed the unit dose packaging of the
top 10 expensive non-ward stock oral drugs
to cut down on discard costs immediately.
This was done as a stop-gap before any
proposed automation equipment was
brought in. This was soon followed by
the roll out of NHSs first PACMED-500,
IntelliShelf-Rx (replaced by MedShelf-Rx
today) and 48 AcuDose-Rx throughout
NHS.
With the initial implementation
operational, NHS augmented their
investment to deliver a solution that was
able meet all of NHS needs and offer both
centralized and decentralized capabilities
to the pharmacy and to the ward. In 2013
when a new hospital site was opened in St.
Catharines, the following components were
implemented in this hybrid solution:
Two MedCarousels, which allowed
for the centralized automation and
management of restock, first dose,
and scheduled medications. The barcode-based scanning and pick-to-light
technologies increased picking accuracy
and speed while managing the hospitals
medication inventory in real-time.
A second PacMed 500, which provided
centralized intelligent, formulary level
management capabilities to high-speed,
oral solid medication packaging.
The multi-tasking PACMED Server Plus
software integrated with the McKesson
Connect-Rx software platform to

electronically process orders for specific

patients, for AcuDose-Rx cabinets,
and for the MedCarousel and crediting
functions systems.
AcuDose-Rx cabinets decentralized on
critical care, expensive or high narcotic
usage areas including OR, with up to 15
drawers with three security levels that
allowed for decentralized medication
dispensing for nurses to administer first
dose, narcotic/controlled substances
or PRNs, with secure tracking and
accountability.
Together, this integrated solution allowed
for the automation necessary to improve
the efficiencies of hospital resources
through centralized decision support,
inventory management and accountability
while assuring patient service and safety on
the ward.
According to Susan Cubelic, the current
Regional Director of Pharmacy of Niagara
Health System, this scalable solution
provided outstanding results to our
hospital sites. From a medication safety
perspective, pharmacy automation has
put us on a successful path to meet our
overall goal of an integrated medication
management system that closes the loop
from when a patient medication order
is obtained to when that medication is
administered.
The return on investment (ROI) was less
than three years with the initial phase,
which allowed us to reinvest in additional
components to further automate our
pharmaceutical practices, improve patient
outcomes and allow our staff to perform
more valuable activities more directly
related to patient care.
CONCLUSION
Almost 10 years ago the Baker Norton
Canadian Adverse Events study uncovered
several shocking statistics:
The three most common areas for
adverse events to occur include surgery,
medication, and infection.
1 out of 13 adult patients admitted to a
Canadian hospital encounter an adverse
event.
1 out of 9 adults will potentially be
given the wrong medication or wrong
medication dosage.
5

 187,500 out of 2.5 million patients

admitted annually to acute care hospitals
experience an adverse event.
Between 9,000 and 24,000 patients die
per year due to adverse events.
37% of adverse events are highly
preventable.
24% of preventable adverse events are
related to medication error. xi
The effective use of technology can
considerably improve these statistics
by reducing human intervention in the
ordering, packaging and dispensing of
medication. With the implementation of
proven automation technology, medication
errors can be significantly reduced.
Better yet, precious medical resources such
as nursing staff, hospital pharmacists and
technicians can be more effectively used
in the direct treatment of patients. The
quality of their work lives, as well as better
patient outcomes are important end results
of hospital pharmacy automation.
Moreover, scarce hospital space is
maximized in the inventory and storage
of medication, allowing it to be most
effectively used by stocking medication that
is required for immediate patient care and
providing the decision support necessary
for just in time delivery.
These benefits not only result in better
patient care and outcomes, better
utilization of human and real estate
resources, but also produce important
financial savings for the institution by
eliminating misplaced, improperly dosed
or expired medication, maximizing use of
available space and by reducing hospital
patient stays by providing a more accurate
level of care. ROI, in most cases, is rapid
and the solution can be implemented in
phases, to ensure budget constraints are
respected and hospital finances remain on
track.

Bibliography
Commonwealth Fund 2008 International
Health Policy Survey of Sicker Adults. May
2008
http://www.commonwealthfund.org/~/
media/Files/Surveys/2008/The%20
2008%20Commonwealth%20Fund%20
International%20Health%20Policy%20
Survey%20of%20Sicker%20Adults/
IHP2008_CMWF__DSQ_for_web%20pdf.pdf
i

Baker GR, Norton PG, Flintoff V, et al.

The Canadian Adverse Events Study:
the incidence of adverse events among
hospitalized patients in Canada CMAJ
2004;170 (11)
ii

Canadian Hospital Pharmacy 2015 (CSHP

2015) Goals and Objectives for Pharmacy
Practice in Hospitals1 and Related
Healthcare Settings to Be Achieved by 2015
iii

Brett J. Skinner and Mark Rovere.

Canadas Medicare Bubble- Is Government
Health Spending Sustainable without Userbased Funding? April 2011
iv

Versha, K (May 2009) Developing an

Optimal Distribution Model, Amrita
Institute of Medical Sciences
v

About McKesson Canada

Founded more than 100
years ago, McKesson Canada
is dedicated to delivering
vital medications, supplies,
information technologies
and clinical care
management that enable
the health care industry to
provide patients better, safer
care.
Our solutions empower
pharmacies, manufacturers,
hospitals and other health
care institutions by enabling
them to get closer to the
millions patients they serve
every single day, while
contributing to the quality
and safety of care in Canada.

Ascentum Inc.Dr. Neil J. MacKinnon.

Moving Forward-Pharmacy Human
Resources Challenges and Priorities:The
Perspective of Canadas Pharmacy Students
April 2008
vi

Hospital Pharmacy in Canada Editorial

Board. Hospital Pharmacy in Canada
2011/2012 Report
vii

Canadian Pharmacists Assossiation,

Canadian Drug Shortages Survey FINAL
REPORT December 2010

McKesson Canada

viii

David E. Attarian, MD, What is a

preventable adverse event?
http://www.aaos.org/news/aaosnow/may08/
managing6.asp
ix

Dr. Norton and Dr.Baker CMAJ May 25,

2004, 170 (100)
x

xi

Head Office

4705 Dobrin Street

Saint-Laurent, Qubec
H4R 2P7

For inquiries, please contact us:

robot@mckesson.ca
www.mckesson.ca

Hospital News July 2004

Copyright 2013 McKesson Canada
All rights reserved.
Novembre 2013

AcuDose-Rx
Nurses get the meds they need,
when they need them

Helps improve turnaround time

for medication delivery
Supports increased accuracy and
medication safety
Helps reduce costly medication
stock outs and diversion
Optimizes inventory through
dynamic restocking
Allows pharmacy labor to be
redeployed to clinical activities

AcuDose-Rx is one of many

solutions McKesson oers to help
hospitals and health systems
improve outcomes, build better
businesses and manage change.

McKesson Automation Solutions

4705 Dobrin Street
Saint-Laurent QC H4R 2P7
www.mckesson.ca
robot@mckesson.ca

2013 McKesson Corporation and/or one of its

subsidiaries. All Rights Reserved.
AcuDose-Rx, RightStock and FastEntry Biometrics are
trademarks of McKesson Corporation and/or one of its
subsidiaries.
AUTO106_6/13
* Anticipated for availability November 2013
Any product images or descriptions of future functionality
reflect current product direction, are for informational
purposes only and do not constitute a commitment to
provide specific functionality. Timing and availability
remain at McKessons discretion and are subject to change
and applicable regulatory approvals.

McKessons AcuDose-Rx
automated dispensing cabinet
oers exibility, capacity and easyto-use technology that gets nurses
in and out faster while freeing
pharmacy to focus on clinical activities. Inventory is optimized and
automatically managed in ways
that help minimize errors, improve
missing medication rates and
reduce costly stock outs. AcuDoseRx helps hospitals achieve better
patient care and safety while
improving speed, eciency and
accuracy in medication delivery.
Medication is there when needed
The exclusive RightStock feature
monitors and dynamically adjusts
inventory levels, per medication
and per cabinet, to better optimize
inventory. When specied meds
dip below PAR, the intelligent
restocking feature triggers an automatic reorder, helping to prevent
potential stock outs before they
happen. Inventory levels can
be adjusted at the pocket level,
providing tighter control and
helping to keep the right medications when and where they are
needed, while reducing instances of
expired medications. Technicians
are able to place the right amount
of inventory in the right place at the
right time so nursing submits fewer
rell requests and technicians
spend less time lling cabinets.

Fast and easy to use

AcuDose-Rx is built on an intuitive
workow designed to get nurses in
and out fast. Cabinets are quickly
accessible through FastEntry
Biometrics, a single-touch, secure
logon that requires no secondary
ID, password or ID badge scan.
Smart View Tab View Navigation
organizes patient medications,
helping nurses to quickly nd what
they need. The exclusive Dispense
By Time feature enables nurses to
view actual medication due times,
pulled from the clinical order
in real-time, which is the safest
method for dispensing scheduled
doses.
Flexible and safe storage
AcuDose-Rx cabinets feature
a wide variety of drawer sizes
and storage pockets, with three
security levels oering room
for more secure line items. To
support medication safety, only
the selected storage pocket can
be accessed during dispensing
and restocking, helping to reduce
picking errors; and bar-code
scanning on restock keeps items
stocked in their assigned location.
These enhanced safety features
help to minimize medication
errors at every step of the process.

Anesthesia-Rx
Providers choice for a fast, intuitive workflow

Complements existing OR
workflow
Supports fast, reliable access
to medication
Improves synergy between
Pharmacy and OR
Increases safety and compliance

Anesthesia-Rx is one of many

solutions McKesson offers to help
hospitals and health systems
improve outcomes, build better
businesses and manage change.

McKesson Automation Solutions

4705 Dobrin Street
Saint-Laurent QC H4R 2P7
www.mckesson.ca
robot@mckesson.ca

2013 McKesson Corporation and/or one of its

subsidiaries. All Rights Reserved.
Anesthesia-Rx is a trademark of McKesson Corporation
and/or one of its subsidiaries.
AUTO180_6/13

McKessons Anesthesia-Rx
automated medication cart complements existing OR workflow
to provide quick access to medication with just a few touches of the
screen. The mobile cart, designed
in collaboration with anesthesia
providers, enhances communication between pharmacy and the
OR while helping to support safety
and regulatory compliance.

Improves synergy between OR

and pharmacy
As medications are stocked, dispensed, returned and wasted,
pharmacy is able to view reports
to efficiently track and optimize
inventory levels to help reduce
stockouts. Expiration Date Tracking
provides the ability to remove
expired medications from the cart to
avoid medication errors.

Anesthesia-Rx helps hospitals

achieve better patient care and
safety while improving access,
speed and accuracy in medication
delivery.

Anesthesia-Rx improves security

through drug utilization accountability. The cart captures transactions, making controlled substance
utilization and waste verification
more efficient. The ability to
monitor drug inventory and
document individual access helps
reduce controlled substance
discrepancies and prevent and
detect diversion, while supporting
regulatory compliance.

Complements workflow with

fast, reliable access
Anesthesia-Rx helps expedite medication delivery to the patient by
offering a variety of features to
help users quickly find and dispense medications. An intuitive,
easy-to-use interface and touchscreen reduces the time spent
interacting with the cart, allowing
providers to focus on the patient.
Secure, large capacity drawers
are designed so medications,
including controlled substances,
are easily accessible, while high
capacity drawer lids accommodate
larger items such as Propofol vials.
Anesthesia-Rx eliminates the
need for manual documentation,
through an electronic data collection process that helps to
improve charge capture, waste
capture and controlled substance
reconciliation. In the pharmacy,
the workload for checking, charging
and restocking is minimized,
making documentation much
easier to manage and significantly
reducing the amount of paperwork.

Supports safety and compliance

Anesthesia-Rx features an integrated
color label printer that reduces the
time anesthesia providers spend
preparing medications, and helps
improve regulatory compliance and
patient safety. When a medication
is dispensed, a color label can be
automatically printed with all of the
necessary information to meet regulatory guidelines. Color coding allows
for easy identification to reduce medication identity confusion.
Lockout prevention options allow
providers to quickly access medications in the event of an emergency.
These include a Manual Lock that
will not lock once a case has begun, a
Manual Override Button designed for
emergency access, a traditional key
lock for back up access, and an uninterrupted power supply to maintain
access during a power outage.

PACMED
Advanced High-Speed Packaging
for Oral Solid Medications

Reduces oral solid packaging

labour by 65%
Standardizes bar-code formats
to facilitate bedside scanning
Shrinks cabinet fill time by 70%
The Robot-Rx Ready Model only
offered by McKesson:
Increases Robot-Rx packaging
productivity by 300%
Optimizes ROBOT-Rx
inventory by reducing
offline inventory

PACMED brings intelligent, formulary

level management capabilities to
high speed, oral solids medication
packaging.

PACMED is one of many solutions

McKesson offers to help hospitals
and health systems improve
outcomes, build better businesses
and manage change.

McKesson Automation Solutions

4705 Dobrin Street
Saint-Laurent QC H4R 2P7
www.mckesson.ca
robot@mckesson.ca

2013 McKesson Corporation and/or one of its

subsidiaries. All Rights Reserved.
PACMED, Connect-Rx, AcuDose-Rx, Robot-Rx, Singulator,
MedCarousel and PACVision are trademarks or registered
trademarks of McKesson Corporation and/or one of its
subsidiaries.
ACAN101_07/13

Flexible and scalable to need

The multi-tasking PACMED with
Server Plus software combined with
the McKesson Connect-Rx software
platform will electronically process
orders for specific patients, for
AcuDose-Rx cabinets, and for the
MedCarousel and Robot-Rx systems.
PACMED with Core software can also
be used stand-alone interfaced
directly with a wide range of
Pharmacy Information Systems.
Automated packaging uses significantly less labor, optimizes inventory
levels, and enables bulk medication
buying. PACMED scalability (accommodating from 60 to 500 line items)
and flexibility (three sizes of storage
canisters and three or two sizes of
packages two with the Robot-Rx
Ready model - ) make it ideal for
pharmacy environment.
Optimizes Inventory
Technicians weigh the bulk medication storage canisters to verify
quantities restocked. Inventory is
linked with other PACMED data to
give you exact inventory at all times
and receive alerts when medication
reaches predefined levels.
Maximizes space with multiple
package sizes
Maximize space efficiency in
cabinets, using half-height sizes
that enable 50 percent more doses
to fit into cabinet pockets.
PACMED produces three sizes:
Single dose:
70 mm W x 45 mm H
70 mm W x 55 mm H
Multi-dose:
70 mm W x 55 mm H
70 mm W x 75 mm H

ROBOT-Ready PACMED model

produces two type of package sizes,
amber-film-type also:
63.5 mm W x 75 mm H
with stacker rod hole
63.5 mm W x 37.5 mm H
Automates unique doses
The Special Tablet System tray
enables advance preparation of
unique/exceptional doses, such as
half doses or low-volume medication.
Allows for packaging for a variety
of operational needs, including,
patient-specific, unit-dose or multidose packaging, batches, unit-dose
packaging for cabinet replenishment,
and packaging for multiple sites.
Creates customized package design
The intuitive, drag-and-drop tool
enables customized package design.
Print medication, patient, order data
and bar-code symbologies on each
package in a variety of font styles
and sizes.
Helps track lot numbers and
expiration dates
Track lot numbers and expiration
dates automatically. Sort and filter
customized Crystal-based reports.
Fast and certified canister
calibration
McKesson Canada calibrates bulk
medication canisters in Montreal,
Quebec. It is the only certified
canister calibration facility in Canada.
PACMED Options
PACVision saves time on verification of
pouches. Fully integrated with PACMED, the
pouch verification device helps save up to
75% on verification time. PACVision is based
on an advanced pill recognition system that
verifies the shape and color of every pill. This
fast, reliable, compact and secure machine
verifies the content of each pouch in less than
one second.
Singulator automates the cutting and
stacking of ROBOT-Ready packages for
transfer to ROBOT-Rx or offline inventory,
freeing technicians to focus on other
pharmacy activities.

AUTOMATED
AUTOMATED

POUCH

AUTOMATED

POUCH
POUCH

TECHNOLOGY
TECHNOLOGY
TECHNOLOGY
TECHNOLOGY

HUMAN
HUMAN
HUMAN
HUMAN
HUMAN

TECHNOLOGY
TECHNOLOGY
LOGY

AUTOMATED
AUTOMATED

TECHNOLOGY

POUCH

HUMAN

POUCH
POUCH
POUCH
POUCH
POUCH
UCH

AUTOMATED
AUTOMATED
AUTOMATED
AUTOMATED
AUTOMATED
AUTOMATED

TECHNOLOGY
TECHNOLOGY
TECHNOLOGY
TECHNOLOGY

HUMAN
HUMAN
HUMAN
HUMAN
HUMAN

TECHNOLOGY
LOGY

HUMAN

POUCH
POUCH
POUCH
POUCH
POUCH
UCH

AUTOMATED
AUTOMATED
AUTOMATED
AUTOMATED
AUTOMATED
AUTOMATED

TECHNOLOGY
TECHNOLOGY
TECHNOLOGY
TECHNOLOGY
TECHNOLOGY
LOGY

HUMAN

TECHNOLOGY

POUCH

TECHNOLOGY

POUCH

AUTOMATED

TECHNOLOGY

POUCH

HUMAN

AUTOMATED

POUCH

AUTOMATED

HUMAN
HUMAN

AUTOMATED

HUMAN

AUTOMATED

HUMAN

HUMAN
HUMAN
HUMAN
HUMAN
HUMAN
HUMAN

POUCH

TECHNOLOGY
TECHNOLOGY
TECHNOLOGY

AUTOMATED

HUMAN

POUCH

TECHNOLOGY

AUTOMATED

HUMAN

POUCH

TECHNOLOGY
TECHNOLOGY

POUCH

HUMAN
HUMAN
HUMAN

AUTOMATED

TECHNOLOGY
TECHNOLOGY

AUTOMATED
AUTOMATED

POUCH
POUCH
POUCH

TECHNOLOGY
TECHNOLOGY

POUCH

HUMAN
HUMAN
HUMAN

AUTOMATED

TECHNOLOGY
TECHNOLOGY

AUTOMATED
AUTOMATED

POUCH
POUCH
POUCH

TECHNOLOGY
TECHNOLOGY

POUCH

HUMAN
HUMAN
HUMAN

AUTOMATED
AUTOMATED
AUTOMATED
AUTOMATED

HUMAN

POUCH
POUCH
POUCH
POUCH
POUCH
POUCH
UCH

AUTOMATED
AUTOMATED
AUTOMATED
AUTOMATED

TECHNOLOGY
TECHNOLOGY
TECHNOLOGY
TECHNOLOGY
TECHNOLOGY

TECHNOLOGY

AUTOMATED

POUCH
POUCH
POUCH
POUCH

HUMAN
HUMAN
HUMAN
HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN
HUMAN
HUMAN
HUMAN
HUMAN

POUCH

TECHNOLOGY
TECHNOLOGY
TECHNOLOGY
TECHNOLOGY

AUTOMATED
AUTOMATED
AUTOMATED
AUTOMATED

HUMAN
HUMAN

POUCH
POUCH
POUCH
POUCH

AUTOMATED
AUTOMATED
AUTOMATED
AUTOMATED
AUTOMATED

TECHNOLOGY
TECHNOLOGY
TECHNOLOGY
TECHNOLOGY

TECHNOLOGY

AUTOMATED

POUCH
POUCH
POUCH
POUCH

HUMAN
HUMAN
HUMAN
HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN
HUMAN
HUMAN
HUMAN
HUMAN
HUMAN
HUMAN

POUCH
POUCH

AUTOMATED
AUTOMATED
AUTOMATED
AUTOMATED

POUCH

TECHNOLOGY
TECHNOLOGY
TECHNOLOGY
TECHNOLOGY

AUTOMATED
AUTOMATED
AUTOMATED
AUTOMATED

TECHNOLOGY
TECHNOLOGY

AUTOMATED

POUCH
POUCH
POUCH
POUCH
POUCH

TECHNOLOGY
TECHNOLOGY
TECHNOLOGY
TECHNOLOGY
TECHNOLOGY

AUTOMATED

HUMAN

POUCH

TECHNOLOGY
TECHNOLOGY
TECHNOLOGY
TECHNOLOGY

TECHNOLOGY

TECH

AUTOMATED

POUCH

HUMAN

AUTOMATED

HUMAN
HUMAN
HUMAN
HUMAN
HUMAN
HUMAN
HUMAN
HUMAN

POUCH

POUCH

POUCH

AUTOMATED

AUTOMATED

HUMAN

POUCH
POUCH

TECHNOLOGY

TECHNOLOGY

HUMAN

TECHNOLOGY

POUCH
POUCH

POUCH

TECHNOLOGY

TECHNOLOGY

TECHNOLOGY

AUTOMATED

TECHNOLOGY

TECH

AUTOMATED

POUCH

HUMAN

TECH

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH
POUCH

AUTOMATED
AUTOMATED

POUCH

HUMAN
HUMAN

AUTOMATED

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

TECH

AUTOMATED

POUCH

HUMAN

AUTOMA

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY
LOGY

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

UCH

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

AUTOMATED

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

LOGY

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

AUTOMATED

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

HUMAN

TECHNOLOGY

AUTOMATED

TECHNOLOGY

TECHNOLOGY

HUMAN

AUTOMA

TECHNOLOGY

HUMAN
POUCH

AUTOMATED

POUCH

HUMAN

POUCH

AUTOMATED
AUTOMATED

POUCH

HUMAN

HUMAN

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN
POUCH

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

AUTOMATED

TECHNOLOGY

HUMAN
POUCH

POUCH

HUMAN

POUCH

AUTOMATED

AUTOMA

TECHNOLOGY

POUCH

AUTOMATED

TECHNOLOGY

HUMAN

POUCH

POUCH

HUMAN

POUCH

TECHNOLOGY

HUMAN

TECHNOLOGY

AUTOMATED

TECHNOLOGY

AUTOMATED

AUTOMATED

AUTOMATED

POUCH

HUMAN

POUCH

UCH

AUTOMAT
TECHNOLOGY

AUTOMATED

TECHNOLOGY

HUMAN

AUTOMATED

HUMAN

POUCH

AUTOMATED

TECHNOLOGY

TECHNOLOGY

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN
TECHNOLOGY

POUCH

LOGY

TECHNOLOGY

HUMAN

HUMAN

TECHNOLOGY

AUTOMATED

TECHNOLOGY

HUMAN

POUCH

AUTOMATED

POUCH

HUMAN

AUTOMAT

AUTOMATED

HUMAN

HUMAN

AUTOMATED

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

POUCH

AUTOMATED

POUCH

TECHNOLOGY

POUCH

TECHNOLOGY

HUMAN

POUCH

AUTOMATED

POUCH

HUMAN

AUTOMAT

AUTOMATED

HUMAN

POUCH

AUTOMATED

TECHNOLOGY

POUCH
UCH

TECHNOLOGY

HUMAN

TECHNOLOGY

AUTOMATED

HUMAN

TECHNOLOGY

AUTOMATED

AUTOMA
AUTOMATED

POUCH
D

POUCH

AUTOMATED

TECHNOLOGY

HUMAN

TECHNOLOGY

AUTOMATED

OMATED

HUMAN

AUTOMA

TECHNOLOGY

HUMAN
POUCH

AUTOMA

TECHNOLOGY

HUMAN
POUCH

AUTOMATED

TECHNOLOGY

HUMAN
POUCH

AUTOMATED

TECHNOLOGY

HUMAN
POUCH

AUTOMATED

TECHNOLOGY

HUMAN
POUCH

AUTOMATED

TECHNOLOGY

HUMAN
POUCH

AUTOMATED

TECHNOLOGY

HUMAN
POUCH

AUTOMATED

TECHNOLOGY

HUMAN
POUCH

AUTOMATED

TECHNOLOGY

HUMAN
POUCH

AUTOMATED

TECHNOLOGY

HUMAN
POUCH

AUTOMATED

TECHNOLOGY

HUMAN
POUCH

AUTOMATED

TECHNOLOGY

HUMAN
POUCH

AUTOMATED

TECHNOLOGY

HUMAN
POUCH

AUTOMATED

TECHNOLOGY

HUMAN

POUCH
AUTOMATED

HUMAN

POUCH

AUTOMATED

OMATED

TECHNOLOGY

HUMAN

POUCH
AUTOMATED

TECHNOLOGY

AUTOMAT

TECHNOLOGY

HUMAN

AUTOMATED

TECHNOLOGY

HUMAN

POUCH

AUTOMATED

HUMAN

POUCH

TECHNOLOGY

POUCH

TECHNOLOGY

POUCH

POUCH

TECHNOLOGY

AUTOMATED

TECHNOLOGY

HUMAN

POUCH

AUTOMATED

TECHNOLOGY

POUCH

AUTOMAT

TECHNOLOGY

HUMAN

AUTOMATED

HUMAN

POUCH

AUTOMATED

TECHNOLOGY

HUMAN

AUTOMATED

TECHNOLOGY

HUMAN

AUTOMATED

TECHNOLOGY

HUMAN

AUTOMATED

HUMAN

AUTOMATED

HUMAN

AUTOMATED

HUMAN

AUTOMATED

TECHNOLOGY

HUMAN

POUCH

TECHNOLOGY

POUCH

TECHNOLOGY

HUMAN

AUTOMATED

HUMAN

POUCH

TECHNOLOGY

POUCH

TECHNOLOGY

HUMAN

AUTOMATED

HUMAN

POUCH

TECHNOLOGY

POUCH

AUTOMATED

HUMAN

AUTOMATED

HUMAN

POUCH

AUTOMATED

HUMAN

AUTOMATED

HUMAN

AUTOMATED

TECHNOLOGY

POUCH

TECHNOLOGY

POUCH

AUTOMATED

TECHNOLOGY

POUCH

TECHNOLOGY

POUCH

TECHNOLOGY

HUMAN

AUTOMATED

HUMAN

AUTOMATED

AUTOMATED

TECHNOLOGY

TECHNOLOGY

HUMAN

POUCH

AUTOMAT

TECHNOLOGY

HUMAN

POUCH

AUTOMATED

TECHNOLOGY

HUMAN

POUCH

AUTOMATED

TECHNOLOGY

HUMAN

POUCH

AUTOMATED

TECHNOLOGY

HUMAN

POUCH

AUTOMATED

TECHNOLOGY

HUMAN

AUTOMATED

HUMAN

AUTOMATED

HUMAN

POUCH

TECHNOLOGY

POUCH

TECHNOLOGY

HUMAN

POUCH

AUTOMATED

TECHNOLOGY

HUMAN
POUCH

TECHNOLOGY

POUCH

TECHNOLOGY

POUCH

AUTOMATED

HUMAN

AUTOMATED

HUMAN

AUTOMATED

HUMAN

AUTOMATED

HUMAN

AUTOMATED

POUCH

TECHNOLOGY

AUTOMATED

TECHNOLOGY

POUCH

TECHNOLOGY

POUCH

TECHNOLOGY

POUCH

TECHNOLOGY

HUMAN

AUTOMATED

HUMAN

AUTOMATED

HUMAN

AUTOMATED

HUMAN

AUTOMATED

HUMAN

POUCH

TECHNOLOGY

AUTOMATED

OMATED

AUTOMATED

TECHNOLOGY

HUMAN
POUCH

POUCH

TECHN

AUTOMATED

Its simplicity and minimal need for interaction

reduces time spent performing verification
HUMAN
HUMAN
HUMAN
tasks by up to 75%. Automating with
PACVision will ensure that you and your staff
POUCH
POUCH
POUCH
can concentrate on what matters mostyour
patients.
AUTOMATED

AUTOMATED

POUCH

POUCH

POUCH

TECHNOLOGY

HUMAN

TECHN

AUTOMATED

POUCH

HUMAN

AUTOMATED

POUCH

TECHNOLOGY

TECHN

AUTOMATED

AUTOMATED

HUMAN

HUMAN

TECHNOLOGY

POUCH

TECHNOLOGY

POUCH

TECHNOLOGY

HUMAN

TECHNOLOGY

POUCH

AUTOMATED

TECHNOLOGY

AUTOMATED

POUCH

TECHNOLOGY

AUTOMATED

HUMAN

AUTOMATED

HUMAN

AUTOMATED

POUCH

AUTOMATED

TECHNOLOGY

TECH

AUTOMATED

POUCH

AUTOMATED

HUMAN
POUCH

AUTOMATED

TECHNOLOGY

POUCH

POUCH

HUMAN

OMATED

POUCH

AUTOMATED

AUTOMATED

POUCH

HUMAN

AUTOMATED

HUMAN

TM

AUTOMATED

HUMAN

TECHNOLOGY

AUTOMATED

AUTOMATED

OMATED

AUTOMATED

TECHNOLOGY

POUCH

AUTOMATED

POUCH

HUMAN

AUTOMATED

POUCH

POUCH

TECHNOLOGY

HUMAN

AUTOMATED

HUMAN

TECHNOLOGY

POUCH

HUMAN

TECHNOLOGY

POUCH

HUMAN

AUTOMATED

AUTOMATED

POUCH

POUCH

TECHNOLOGY

AUTOMATED

HUMAN

TECHNOLOGY

AUTOMATED

HUMAN

TECHNOLOGY

AUTOMATED

HUMAN

AUTOMATED

POUCH

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

POUCH

HUMAN

TECHNOLOGY

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

HUMAN
POUCH

TECHNOLOGY

POUCH

HUMAN

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

AUTOMATED

HUMAN

AUTOMATED

HUMAN

TECHNOLOGY

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

POUCH

Optimize the medication pouch verification

process with PACVision.

POUCH

AUTOMATED

AUTOMATED

OMATED

OUCH

OLOGY

OUCH

OLOGY

AUTOMATED

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

TECHNOLOGY

HUMAN

HUMAN

HUMAN

POUCH

AUTOMATED

TECHNOLOGY

OUCH

OLOGY

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

TECHNOLOGY

POUCH

AUTOMATED

AUTOMATED

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

TECHNOLOGY

HUMAN

POUCH

AUTOMATED

HUMAN

HUMAN

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

POUCH

AUTOMATED

TECHNOLOGY

TECHNOLOGY

FOR VERIFICATION

POUCH

AUTOMATED

TECHNOLOGY

HUMAN

POUCH

AUTOMATED

TECHNOLOGY

OUCH

OLOGY

POUCH

HUMAN

TECHNOLOGY

TECHNOLOGY

HUMAN

HUMAN

POUCH

AUTOMATED

AUTOMATED

HUMAN

TECHNOLOGY

TECHNOLOGY

HUMAN

POUCH

AUTOMATED

HUMAN

TECHNOLOGY

HUMAN

POUCH

AUTOMATED

TECHNOLOGY

POUCH

A NEW VISION
POUCH

AUTOMATED

AUTOMATED

POUCH

HUMAN

AUTOMATED

TECHNOLOGY

HUMAN

POUCH

AUTOMATED

TECHNOLOGY

HUMAN

POUCH

AUTOMATED

TECHNOLOGY

OUCH

OLOGY

AUTOMATED

HUMAN

POUCH

AUTOMATED

TOMATED

AUTOMATED

HUMAN

POUCH

AUTOMATED

POUCH

AUTOMATED

TECHNOLOGY

HUMAN

POUCH

HUMAN

POUCH

AUTOMATED

TECHNOLOGY

HUMAN

POUCH

AUTOMATED

TECHNOLOGY

HUMAN

POUCH

AUTOMATED

TECHNOLOGY

HUMAN

POUCH

TOMATED

POUCH

POUCH

AUTOMATED

TOMATED

AUTOMATED

POUCH

AUTOMATED

POUCH

HUMAN

POUCH

AUTOMATED

TECHNOLOGY

HUMAN

POUCH

AUTOMATED

TECHNOLOGY

HUMAN

POUCH

TOMATED

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

HUMAN

POUCH

TOMATED

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

TOMATED

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

POUCH

TECHNOLOGY

TECHN

AUTOMATED

PACVISION

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

ED

POUCH

HUMAN

TECHNOLOGY

ED

HUMAN

TECHNOLOGY

ED

HUMAN

TECHNOLOGY

TECHNOLOGY

TECHN

AUTOMATED

POUCH

HUMAN

TECHN

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

ED

POUCH

TECHNOLOGY

HUMAN

TECHNOLOGY

ED

POUCH

HUMAN

ED

OUCH

OLOGY
TECHNOLOGY

TECH

PACVISION

TM

BENEFITS

TECHNOLOGY
TECHNOLOGY
TECHNOLOGY
TECHNOLOGY

HUMAN
HUMAN
HUMAN
HUMAN
HUMAN

TECHNOLOGY
LOGY

HUMAN

POUCH
POUCH
POUCH
UCH

AUTOMATED
AUTOMATED
AUTOMATED

TECHNOLOGY
TECHNOLOGY
TECHNOLOGY
LOGY

HUMAN
HUMAN

TECHNOLOGY

POUCH
POUCH
POUCH

AUTOMATED
AUTOMATED

HUMAN

TECHNOLOGY
TECHNOLOGY

HUMAN

POUCH
POUCH

HUMAN

AUTOMATED

TECHNOLOGY

POUCH

HUMAN

TECHNOLOGY

POUCH
POUCH

AUTOMATED
AUTOMATED
AUTOMATED

POUCH

TECHNOLOGY
TECHNOLOGY
LOGY

POUCH

AUTOMATED
AUTOMATED

HUMAN
HUMAN
HUMAN

AUTOMATED

HUMAN

POUCH

HUMAN

TECHNOLOGY

POUCH
UCH

UCH

POUCH

TECHNOLOGY
TECHNOLOGY

HUMAN
HUMAN

AUTOMATED

TECHNOLOGY

POUCH

AUTOMATED
AUTOMATED

HUMAN

TECHNOLOGY
TECHNOLOGY

HUMAN

POUCH

AUTOMATED
AUTOMATED

HUMAN

TECHNOLOGY
TECHNOLOGY

POUCH
POUCH

POUCH

HUMAN

AUTOMATED

AUTOMATED

TECHNOLOGY

TECHNOLOGY
TECHNOLOGY

AUTOMATED

POUCH
POUCH

POUCH

AUTOMATED
AUTOMATED

TECHNOLOGY
TECHNOLOGY
TECHNOLOGY

AUTOMATED

HUMAN
HUMAN

TECHNOLOGY

POUCH
POUCH

HUMAN
HUMAN

TECHNOLOGY

HUMAN

POUCH
POUCH

AUTOMATED

TECHNOLOGY

POUCH

AUTOMATED

POUCH
POUCH

AUTOMATED
AUTOMATED
AUTOMATED

TECHNOLOGY
TECHNOLOGY

HUMAN
HUMAN
HUMAN

TECHNOLOGY

HUMAN

POUCH

POUCH

TECHNOLOGY

HUMAN

HUMAN
HUMAN

TECHNOLOGY

AUTOMATED

POUCH

TECHNOLOGY

TECH

AUTOMATED

POUCH

HUMAN

TECH

AUTOMATED

POUCH

HUMAN

AUTOMATED

TECHNOLOGY

POUCH

TECHNOLOGY
TECHNOLOGY

POUCH

HUMAN

TECH

AUTOMATED

POUCH
POUCH

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECH

AUTOMATED

POUCH
POUCH

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

AUTOMATED
AUTOMATED

POUCH

HUMAN

TECHNOLOGY
LOGY

TECHNOLOGY

AUTOMATED

POUCH
UCH

POUCH

HUMAN

TECHNOLOGY

HUMAN

AUTOMATED

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

POUCH

HUMAN

POUCH

HUMAN

TECHNOLOGY

AUTOMATED
AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED
AUTOMATED

TECHNOLOGY

AUTOMATED
AUTOMATED

TECHNOLOGY

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

LOGY

POUCH

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

HUMAN

TECHNOLOGY

AUTOMATED

POUCH
UCH

AUTOMATED

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

TECHNOLOGY

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

HUMAN

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

AUTOMATED

AUTOMAT
TECHNOLOGY

AUTOMATED

POUCH

HUMAN

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

LOGY

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

HUMAN

POUCH

HUMAN

TECHNOLOGY

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

POUCH

AUTOMAT

TECHNOLOGY

TECHNOLOGY

POUCH

POUCH
UCH

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

AUTOMATED

HUMAN

TECHNOLOGY

AUTOMATED

POUCH

HUMAN

AUTOMATED

POUCH

HUMAN

TECHNOLOGY

AUTOMATED

AUTOMATED

AUTOMATED

TECHNOLOGY

HUMAN

AUTOMATED

TECHNOLOGY

POUCH

TECH

AUTOMATED
AUTOMATED

HUMAN

TECHNOLOGY

AUTOMATED

AUTOMAT

TECHNOLOGY

HUMAN

AUTOMATED

TECHNOLOGY

HUMAN

POUCH

TECHNOLOGY

HUMAN

AUTOMATED

TECHNOLOGY

HUMAN

POUCH

AUTOMATED

HUMAN

POUCH

AUTOMATED

POUCH

TECHNOLOGY

HUMAN

AUTOMAT

TECHNOLOGY

HUMAN

POUCH

AUTOMAT

TECHNOLOGY

HUMAN

POUCH

AUTOMATED

TECHNOLOGY

POUCH

POUCH

TECHNOLOGY

AUTOMATED

TECHNOLOGY

HUMAN

AUTOMATED

HUMAN

HUMAN

POUCH

AUTOMATED

HUMAN

AUTOMATED

Multi-dose
Unit dose
Clear/white

TECHNOLOGY

TECHNOLOGY

POUCH

POUCH

TECHNOLOGY

HUMAN

HUMAN

AUTOMATED

HUMAN

POUCH

TECHNOLOGY

TECHNOLOGY

POUCH

POUCH

AUTOMATED

TECHNOLOGY

HUMAN

POUCH

AUTOMATED

TECHNOLOGY

HUMAN

AUTOMATED

TECHNOLOGY

TECHNOLOGY

AUTOMATED

AUTOMAT

TECHNOLOGY

HUMAN
HUMAN
TYPES
OF PACKAGING
VERIFIED
AUTOMATED

POUCH

AUTOMATED

AUTOMATED

HUMAN

POUCH

AUTOMATED

TECHNOLOGY

HUMAN

AUTOMATED

AUTOMATED

TECHNOLOGY

HUMAN

POUCH
AUTOMATED

TECHNOLOGY

POUCH

TECHNOLOGY

POUCH

POUCH

TECHNOLOGY

HUMAN

HUMAN

AUTOMATED

TECHNOLOGY

POUCH

POUCH

TECHNOLOGY

HUMAN

AUTOMATED

HUMAN

AUTOMATED

HUMAN

AUTOMATED

AUTOMATED

AUTOMATED

HUMAN

POUCH

HUMAN

TECHNOLOGY

POUCH

AUTOMATED

POUCH

AUTOMATED

TECHNOLOGY

HUMAN

AUTOMATED

HUMAN

AUTOMATED

TECHNOLOGY

TECHNOLOGY

Colour pictures allow easy

TECHNOLOGY
POUCH
on-screen checking
of
questionable pouches
HUMAN

AUTOMATED

TECHNOLOGY

HUMAN
POUCH

TECHNOLOGY

AUTOMATED

TECHNOLOGY

HUMAN

POUCH

AUTOMATED

HUMAN

POUCH

POUCH

AUTOMATED

TECHNOLOGY

HUMAN

AUTOMATED

HUMANVERIFICATION
ADDITIONAL
AUTOMATED

POUCH

TECHNOLOGY

HUMAN
POUCH

TECHNOLOGY

AUTOMATED

AUTOMATED

AUTOMATED

HUMAN

Checks
up to TECHNOLOGY
POUCH
65 pouches per minute

HUMAN

AUTOMATED

POUCH

TECHNOLOGY

HUMAN
SPEED

AUTOMATED

HUMAN

AUTOMATED

POUCH

TECHNOLOGY

HUMAN

POUCH

POUCH

TECHNOLOGY

AUTOMATED

TECHNOLOGY

HUMAN

AUTOMATED

HUMAN

AUTOMATED

HUMAN

POUCH

TECHNOLOGY

POUCH

AUTOMATED

TECHNOLOGY

HUMAN
POUCH

TECHNOLOGY

POUCH

AUTOMATED

HUMAN

POUCH

AUTOMATED

TECHNOLOGY

HUMAN

AUTOMATED

HUMAN

AUTOMATED

TECHNOLOGY

POUCH

TECHNOLOGY

TECHNOLOGY

HUMAN

HUMAN

AUTOMATED

TECHNOLOGY

HUMAN

POUCH

AUTOMATED

PACVISION JV-VZ10 SPECIFICATIONS

TECHNOLOGY

HUMAN

POUCH

TECHNOLOGY

HUMAN

POUCH

AUTOMATED

POUCH

TECHNOLOGY

AUTOMATED

TECHNOLOGY

HUMAN

AUTOMATED

HUMAN

POUCH

AUTOMATED

(W) 39
(H) 71POUCH
(D) 26.5

AUTOMATED

Fully integrated with PACMED to allow for seamless

operation.
Verifies the contents of each pouch in less than one
second,
regardless of paper
type.
POUCH
POUCH
POUCH
Footprint of less than 7 square feet.
Quick and simple implementation by qualified
HUMAN
HUMAN
HUMAN
McKesson APS technicians.
Service provided by the same qualified team of
POUCH
POUCH
POUCH
McKesson
APS technicians.

PACVisionTM and PACMED are registered trademarks of McKesson Automation Canada Corporation.

POUCH

TOMATED

POUCH

AUTOMATED

TECHNOLOGY

HUMAN

DIMENSIONS
AUTOMATED

TECHNOLOGY

HUMAN

POUCH

TOMATED

TECHNOLOGY

HUMAN

AUTOMATED

TOMATED

TECHNOLOGY

HUMAN

POUCH

POUCH

AUTOMATED

TECHNOLOGY

HUMAN

AUTOMATED

HUMAN

POUCH

AUTOMATED

TOMATED

TECHNOLOGY

HUMAN

POUCH

TECHNOLOGY

POUCH

AUTOMATED

TOMATED

AUTOMATED

AUTOMATED

Checking packaged medication is a tedious

and repetitive taskPOUCH
that requires significant
POUCH
POUCH
attention and precious time. PACVision is a
pouch verification tool based on an advanced
HUMAN
HUMAN
HUMAN
system
of pill recognition.
This fast, reliable,
compact and secure machine fully integrates
POUCH
POUCH

with your PACMEDPOUCH

.
HUMAN

AUTOMATED

TOMATED

TM

PACVISION

TECH

MedCarousel
Gain efficiencies in dispensing and
inventory management

Faster cabinet replenishment

helps improve productivity
Helps increase inventory turns
and drive costs out
Helps to reduce dispensing
errors and improve safety
Optimizes space for better access
to medications

MedCarousel is one of many

solutions that McKesson offers to
help hospitals and health systems
improve outcomes, build better
businesses and manage change.

McKesson Automation Solutions

4705 Dobrin Street
Saint-Laurent QC H4R 2P7
www.mckesson.ca
robot@mckesson.ca

2013 McKesson Corporation and/or one of its

subsidiaries. All Rights Reserved.
MedCarousel, AcuDose-Rx, and Connect-Rx
are trademarks of McKesson Corporation
and/or one of its subsidiaries.
AUTO102_6/13

McKessons MedCarousel
is a vertical, automated medication
storage and dispensing system
thats ideal for pharmacies utilizing
any workflow, where greater
efficiency is needed. MedCarousel
helps optimize floor space and
medication inventory while
supporting replenishment of
automated dispensing cabinets,
patient-specific dispensing, or
both. Intelligent software increases
inventory turns, helping to drive
out costs, while automated
processes enhance workflow,
helping to reduce dispensing and
restocking errors and improve
safety and care.
Helps improve productivity
MedCarousel integrates with
McKessons AcuDose-Rx, as well
as other medication dispensing
cabinets, consolidating and
centralizing medications for a more
efficient and effective pharmacy.
MedCarousel expedites restocking
processes by replenishing cabinets
up to three times faster through the
advanced workflow of McKessons
Connect-Rx software. Orders
are prioritized for technicians
according to user specifications.
MedCarousels utilities include
cycle count, expiration date, and
satellite replenishment functions.
This streamlined workflow gives
pharmacy more time to focus on
other, more important tasks.
Optimizes inventory levels,
drives out cost
MedCarousel allows pharmacy to
gain more control over costs through
device-specific Dynamic Inventory
Optimization, which automatically
determines PAR/MAX inventory

levels for specified medications

based on historical usage. Inventory
turns increase by up to 65 percent,
while helping to reduce stockouts
and drive down the cost of drugs
on hand. Optimization drives low
inventory costs and high customer
satisfaction by helping to reduce the
incidence of expired medications
while helping to ensure the right
medications are on hand to meet
patient needs.
Helps reduce errors, increase
speed and accuracy
MedCarousel leverages bar code
scanning and pick-to-light technology to help reduce dispensing
and restocking errors by up to
96 percent. Faster, more accurate
restocking of unused medications
is achieved with bar-code scanning
to identify medications and verify
restock locations, while indicator
lights guide technicians to the
correct level and bin. MedCarousel
contributes significantly to
dispensing accuracy, helping to
improve regulatory compliance.
Greater storage capacity
optimizes floor space
With increased weight and line
item capacity and up to twelve
depths per bin, MedCarousel can
store thousands of medications,
helping to improve space efficiency
by as much as 60 percent over static
shelves. New hardware design
features include enclosed carriers,
lower power consumption, and
other design enhancements to
drive efficiency and economy.
MedCarousel offers substantial
workflow efficiencies, better cost
control and improved security
to support virtually any distribution model.

ROBOT-Rx
Increase safety, efficiency and inventory
control with pharmacy automation

Automates high dispensing

volume needs
Optimizes inventory to
drive out cost
Helps lower risk of
dispensing errors
Helps reduce labor for
improved process efficiencies

restocking to support the highest levels

of accuracy, control and compliance.
Most ROBOT-Rx users perform random
quality checks of medications
dispensed by ROBOT-Rx in lieu of
the standard 100 percent pharmacist
check, freeing pharmacists to perform
more valuable clinical tasks while
helping to comply with provincial
regulations.

Robot-Rx is one of many solutions

McKesson offers to help hospitals and
health systems improve outcomes,
build better businesses and manage
change.

McKesson Automation Solutions

4705 Dobrin Street

Saint-Laurent QC H4R 2P7
www.mckesson.ca
robot@mckesson.ca

2013 McKesson Corporation and/or one of its

subsidiaries. All Rights Reserved.
ROBOT-Rx and Connect-Rx are trademarks of McKesson
Corporation and/or one of its subsidiaries.

McKessons ROBOT-Rx, the leading

pharmacy robotic system, provides
the bar-code foundation for successful
Bar-Code Medication Administration
(BCMA) initiatives, supporting greater
control and helping to reduce risk
throughout the distribution process.
Helping to reduce manual dispensing
and checking tasks, ROBOT-Rx delivers
substantial workflow efficiencies while
optimizing inventory management.
Flexible dispensing support
Ideal for pharmacies with high daily
dispensing volumes, ROBOT-Rx
handles more than 90 percent of
medications dispensed from central
pharmacy, including tablets, capsules,
vials, ampoules, syringes, and other
odd form medications. Using advanced
workflow software, the robot performs
cart fill, first dose, STAT and multi-site
filling operations as well as unit-based
cabinet restocking. ROBOT-Rx can be
configured to meet a hospitals unique
space and operational needs, while
consolidating inventory.

AUTO100_6/13

* Anticipated for availability Summer 2013

Any product images or descriptions of future functionality
reflect current product direction, are for informational
purposes only and do not constitute a commitment to
provide specific functionality. Timing and availability
remain at McKessons discretion and are subject to change
and applicable regulatory approvals.

Supports accuracy, control and

compliance
With increased throughput, ROBOT-Rx
helps eliminate error-prone, timeconsuming manual tasks. Every
dose of medication is uniquely barcode-scanned during dispensing and

Helps reduce manual tasks

ROBOT-Rx reduces dispensing time
and more efficiently replenishes inventory for cabinets in point-of-care
areas. The system can operate without
continuous attendance, allowing pharmacy staff to multi-task and perform
other, higher-value duties. McKessons
Connect-Rx software platform uses
filling logic functionality to automatically prioritize incoming medication
orders and allocate them most efficiently to the McKesson automation
systems in the pharmacy, by order type
as specified by the pharmacy.
Real-time inventory management
drives out cost
Intelligent inventory management
helps drive out cost by eliminating
excess inventory and expired medications. The Connect-Rx platform offers
an enterprise-wide view of all medications stored, dispensed, credited,
and administered through the system.
Real-time reporting supports optimal
inventory levels, helping to reduce
stock outs, and increase inventory
turns for better cost control.
Designed for better workflow
ROBOT-Rx offers all new aesthetics
and enhanced acoustics*, updated
control systems*, more precise barcode scanning, and increased dose and
line item capacity with a new, extrasmall package option. A new envelope
design helps pharmacy and nursing
maintain accountability for dispensed
and unused medications.