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Revolutionizing Medication Access: Lockers, Micro-Pharmacies, and Home Delivery

Healthcare Business Review

Kelley Curtis, PharmD, MBA, Vice President & Chief Pharmacy Officer at St. Luke’s Health System
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In today’s fast-paced world, where convenience and efficiency are not just valued but expected, the healthcare sector is undergoing a transformative shift. This shift is most evident in the way patients access their medications—a critical aspect of healthcare that has seen significant innovation in recent years. Traditional pharmacy models, while foundational to healthcare delivery, often do not fully address the needs of all patient populations, particularly those in remote locations, with limited mobility, or those constrained by time. To bridge this gap, St. Luke’s Health System in Idaho is increasingly adopting medication lockers, establishing micro-pharmacies in clinics, and enhancing home delivery services. These advancements are not merely augmentations to the existing system; they are revolutionary steps towards a more accessible, efficient, and patient-centered approach to medication distribution.


One of the more significant innovations in recent years is the introduction of medication lockers. These are secure, automated storage units that allow patients to collect their prescriptions at any time, day or night. St. Luke’s has implemented 6 medication lockers, 3 within 3 of the 8 hospitals and 3 with a grocery store partner that is open 24/7. These medication lockers offer a convenient solution for individuals who cannot visit one of our 4 retail pharmacies or other community pharmacies during traditional hours due to work schedules, caregiving responsibilities, or other commitments.


The process is straightforward and user-friendly: prescriptions are filled by one of our retail pharmacies and a pharmacy technician delivers the medications and places them securely in the locker. The patient then receives a notification with a unique code, which they use to access their medications from the locker at their convenience. This system not only provides flexibility and privacy but also significantly reduces the potential for medication errors and theft. For our pharmacies, medication lockers offer an efficient way to manageprescriptions, freeing up staff to focus on direct patient care and consultation. We plan to implement 3 more lockers in the grocery chain within the next 12 months and will continue to expand this footprint into areas where pharmacy desserts exist.


The integration of medication lockers, micro-pharmacies, and home delivery services represents a significant advancement in the way medications are distributed and accessed in our health system


Parallel to the use rise of medication lockers is our health system strategy with the implementation of micropharmacies within clinics and healthcare facilities. These small-scale retail pharmacies are owned by the health system and integrated directly into some of our busier clinics. The goal is to offer a seamless transition from consultation to prescription fulfillment. Patients can have their prescriptions filled immediately after their doctor’s visit, eliminating the need to make a separate trip to a pharmacy. These pharmacies also offer vaccinations that are billed through PBMs vs medical. In addition, these pharmacies are staffed by pharmacy technicians and remotely managed by pharmacists so 1 pharmacist can support more than 1 micro-pharmacy at a time making this solution more affordable. There are 2 micro-pharmacies live today with 4 more planned in the next 12 months.


For many patients, especially those with chronic conditions, mobility issues, or those living in underserved areas, the ultimate solution for medication access is home delivery. This service, which has seen a significant increase in demand in recent years, especially during the COVID-19 pandemic, ensures that patients receive their medications directly to their doorstep.


Home delivery services are a new offering within our health system and targeted, today, supporting the virtual urgent care program so those that are sick at home and need a medication will have it delivered to their home the same day. For individuals at higher risk of complications from diseases like COVID-19, home delivery minimizes the need to visit crowded pharmacies, thereby reducing exposure to potential health risks. This method of medication distribution not only enhances convenience but also plays a crucial role in ensuring medication adherence, as patients are less likely to miss doses when their prescriptions are delivered to them.


The integration of medication lockers, micro-pharmacies, and home delivery services represents a significant advancement in the way medications are distributed and accessed in our health system. These innovations address a critical need for more flexible, patient-centered healthcare solutions, catering to the diverse needs and circumstances of the patient population.


The continued adoption and development of medication lockers, micro-pharmacies, and home delivery services in our system are pivotal in ensuring that all patients, regardless of their location or circumstances, have timely and convenient access to their medications. These innovations are more than just conveniences; they are essential components of a more accessible, equitable, and patient-centered healthcare system.


In conclusion, as these technologies continue to evolve and become more integrated into our health system, they promise to make significant strides in ensuring that every patient has the resources they need to manage their health effectively.


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