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Frequently asked questions

MEDICAL DISPENSER DISTRIBUTION OPPORTUNITIES

Distribute Medical Dispenser in your country

Our products are already sold in Spain, Portugal, France, Chile, Panama and the Czech Republic. Currently, we are working intensively on making new trade agreements in other countries.

If you are involved in the healthcare profession, whether as a pharmaceutical laboratory, pharmaceutical equipment company, private health insurance company or any other agent interested in patients’ treatment adherence, feel free to contact us; maybe we can work together.

FAGOR HEALTHCARE

Who are we?

Fagor Healthcare S.Coop. is a cooperative of MONDRAGON CORPORATION, which strives to improve people’s health and quality of life with the development and sale of its products.

ISO 9001:2015

Bureau Veritas Certification has certified that Fagor Healthcare’s Management System has been audited and found conforming to the requirements of the ISO 9001:2015 standard. The management system applies to the design, manufacturing and marketing of systems for the improvement of patients’ treatment adherence.

MONDRAGON CORPORATION

MONDRAGON is the product of the cooperative movement begun in 1956, the year the first industrial cooperative was created in the city of the province of Gipuzkoa bearing the same name. Today it is made up of 268 entities, nearly 75,000 employees and 15 innovation and R&D centres.

MONDRAGON is the tenth most important Spanish corporate group, with over 50 years of experience, and it has become a worldwide leader in cooperative work.

MEDICAL DISPENSER

SYSTEM FOR IMPROVING TREATMENT ADHERENCE

What is Medical Dispenser from Fagor Healthcare?

The Medical Dispenser system ensures that the medication preparation service which is generally offered by community pharmacies to their patients with low treatment adherence is carried out with all the guarantees possible. With Medical Dispenser, the preparation of medication in blister packs is done more quickly, safely and cleanly than with any other system on the market. The system consists of a machine and software for pharmacists to manage treatments, weekly blister packs for patients and a mobile app to prevent patients from forgetting to take their medication, therefore improving their pharmacological treatment adherence.

Is Medical Dispenser only for pharmacies?

No, Medical Dispenser is also a magnificent tool for rest homes and day hospitals that need to organise their institutionalised patients’ medication safely and efficiently, and for hospitals that need to organise the medication of their chronic and polymedicated patients managed in the outpatient pharmacy.

What commercial and technical support do customers have?

Our local partners are responsible for offering commercial and technical support in each country. They are in charge of the system installation, technical support and commercial advice. You can consult the complete list of partners in: Where are we?

BLISTER PACK PREPARATION MACHINE

How does the blister pack preparation machine work?

Once the machine receives the blister pack loading order from the software (whether Medical Dispenser software or other integrated software for pharmacies), the screen displays the steps that the pharmacist must take to make the blister pack correctly. First, the bubble is introduced in the machine and then the medications are introduced one by one in the order proposed by the machine.

For greater safety, the medications are scanned with the Data Matrix reader and then the number of pills indicated by the machine must simply be introduced one by one. The machine will count them and request all the medications needed until treatment is completed. Once this loading process is finished, the blister pack is closed and the corresponding labels are attached. These are automatically printed after the loading process.

Do you need a lot of experience to prepare the blister packs with this machine?

No. Operation is extremely simple. You only need to follow the instructions that the machine displays on the screen. With the training provided upon acquiring Medical Dispenser, it can be operated from the very beginning with complete peace of mind.

Where should the machine be located?

Before installing Medical Dispenser, it is important to select the correct location based on the following characteristics:

  • No direct light. For halogen lights, the machine must be placed over half a meter from the light source.
  • Adequate ventilation.
  • Temperature of the room never lower than 0ºC or higher than 40ºC.
  • Away from any heat source.
  • Over any hard and correctly levelled surface.

What are the dimensions of the machine?

The machine is 39.8 cm long, 26.4 cm wide and weighs 2.5 kg. With these dimensions, it is clear that Medical Dispenser will not pose any problems for our customers in regard to space.

MEDICAL DISPENSER SOFTWARE

What does the Medical Dispenser Software offer the pharmacy?

automatic MDS service, whether they are institutionalised in a rest home or they live at home. Our software is the product of our continuous collaboration with pharmacists, thus making it software made by pharmacists for pharmacists.

The software follows the patient’s complete circuit: file, pharmacological treatment, preparation, delivery, return and compliance. Moreover, it includes a large number of functions such as work by categories, requirements calculation, patient inventory management, auditing and traceability.

Is Medical Dispenser integrated with other pharmacy management software?

Yes. There are increasingly more and more software packages that are integrated with Medical Dispenser in the different countries where it is available. Contact your regular software provider and ask if Medical Dispenser is integrated with your software or if it will be in the near future. If not, suggest that they speak with us and we will start working on its integration so that it may be available as soon as possible.

What are the minimum requirements needed to implement the system?

The Medical Dispenser software requires a PC with the following characteristics:

  • Windows XP, Windows 7, Windows 8 or Windows 10 operating system.
  • Minimum display resolution of 1024 × 768.
  • Printer capable of printing on DIN A5 size paper.
  • 1 GB of RAM memory.
  • 400 MB of free space on the hard disk.
  • Ethernet RJ45 connector for direct connection to the machine.
  • Ethernet network connection for the PC.

MEDICATION BLISTER PACK

Why are Medical Dispenser blister packs special?

The type of blister pack used by Medical Dispenser is the only one on the market with a circular shape. This design makes it easier and more intuitive for patients to use, as they only have to move clockwise to take their next medications.

There are two people at our house that use blister packs. Can they be easily distinguished?

Yes, our personalised blister packs can be printed with the patient’s photo, which facilitates their identification in a very simple way, so patients do not have to read the information on the label.

MEDICAL DISPENSER QR MOBILE APP

What is the Medical Dispenser QR mobile app for?

On the blister front label there is a QR code that when scanned on the Medical Dispenser QR mobile app (free and available on Android and iOS), the corresponding alarms are generated to remind the patients to take their medication on time. The patients only need to configure when they want the alarms to sound for taking medication at breakfast, lunch, dinner and night-time.

What personal information is transmitted to the application by scanning the QR code?

None. The information that is transmitted to the application when scanning the code corresponds to which alarms are generated and for what time. There is no personal or medical information (patient’s treatment).

What must the patient do when the alarm sounds?

When the alarm goes off, the patient may:

  • ACCEPT the alarm. This is interpreted as the patient taking the medication immediately after the notification. That is, the medication is nearby and can be taken immediately.
  • DELAY the alarm. The system enables you to set the delay time when an alarm is activated. Therefore, if a patient does not have the medication on hand, it may be delayed and the mobile phone will repeat the reminder in a few minutes to take the medication.
  • DISMISS the alarm. The patient will select this option when the medication will not be taken for whatever reason.

What happens if a patient dismisses the alarm?

When the patient dismisses the alarm, the system registers that the medication has not been taken and the percentage of pharmacotherapeutic compliance or treatment adherence is reduced.

TREATMENT ADHERENCE

MONITORED DOSAGE SYSTEM (MDS)

What is the MDS?

The MDS or Monitored Dosage System (also known as DAA or Dose Administration Aids Service) is the name in Spain for a blister pack-type device that is sealed with pockets where the medication is distributed in a pharmaceutically solid way, following the prescribed therapeutic regimen.

It has been designed specifically to facilitate the administration of medications to patients, helping them follow the pharmacological treatment correctly and in a much simpler way so as to prevent errors. The MDS or DAA is a pharmaceutical care service (since there is a medication-patient relationship) and it is dedicated to the process.

What is the MDS for?

The MDS has been designed to facilitate the administration of medications to patients, helping them improve treatment adherence, as the medication is perfectly organised so as to prevent errors when taking medications.

Who is it for?

  1. Patients with reduced autonomy
  2. Patients cared for by family members and/or caregivers
  3. Polymedicated patients who live alone and have problems organizing medications
  4. Patients who have complex prescriptions
  5. Patients recommended by their doctor
  6. Patients who are included in state-assisted programmes with the healthcare administrations

Who prepares the Monitored Dosage System or MDS?

In the pharmacy MDS service, the pharmacist takes on the responsibility of preparing the blisters ahead of time, providing the information about the medication for the patients, including the delivery of the corresponding directions, and contacting the doctor or patient/caregiver in the event any problem is detected.

MEDICAL DISPENSER

Why should I choose Medical Dispenser over other MDS preparation systems?

There are other systems on the market for the preparation of medication for chronic patients with the blister pack format. There is a very wide range available, from completely manual preparation to large robots with an investment starting at € 50,000 and on up to € 300,000, depending on the references (medications) that can be stored.

In our niche, semi-automatic preparation, there is not a lot of variety, except for some guided systems with LEDs or light projections indicating the pockets in which to introduce the pills. These systems, although similar in price range, are not as similar in regard to features, as the pharmacist must still put the pills in the pockets. With Medical Dispenser, the machine itself counts the pills and places them in the correct pockets.

Moreover, ambient humidity and temperature are controlled to ensure that the medications do not come out of their primary packaging, unless there are guarantees for this.

All in all, Medical Dispenser is an ideal tool for any pharmacy that wishes to offer its patients a service for improving pharmacotherapeutic compliance, without making large investments, but with full guarantees.

Why is the DAA administered in the pharmacy?

The community pharmacy is a healthcare establishment that is in close proximity to the patients. Thanks to their capillary action and proximity, many times pharmacists become the healthcare professional with which patients have more interaction. The chemist’s shop does not only provide medicine, but there are also a series of pharmacy services in which pharmacists share healthcare knowledge for the benefit of the patients’ health. The Dose Administration Aids Service or DAA is one of the most requested pharmacy services.

INTERESTED PARTIES

PHARMACIES

What advantages and benefits does the MDS have for the community pharmacy?

  • It facilitates treatment adherence for its polymedicated patients
  • It helps to minimise errors in patients’ medicine taking
  • It helps increase patient loyalty
  • It enhances your value as a professional and expert in the medication
  • It improves communication with other healthcare professionals: doctors and nurses

PATIENTS

What advantages and benefits does the MDS have for patients?

  • The patient’s medication is organised
  • It prevents confusion in regard to the handling and storage of medications
  • It reduces the stock of medications stored in the home
  • There is greater control of the treatment
  • All this contributes to improving pharmacotherapeutic compliance and by extension health and quality of life

DOCTORS

What advantages and benefits does the MDS service have for doctors?

  • Doctors have a tool for controlling their patients’ treatment monitoring
  • They also have information on all the medications that their patients take
  • It improves communication and collaboration with the pharmacist
  • They receive information on incidents with the medication

How can doctors improve their patient’s treatment adherence?

Primary care doctors play an important role in their patients’ treatment adherence. They can identify problems patients have with their medication and prescribe the personalised dosing service offered by community pharmacies. It is very important that doctors know about this service and recommend it to patients who need it, just like when they prescribe physical exercise, for example.

FAMILY MEMBERS / CAREGIVERS

What advantages and benefits does the MDS have for the patients’ family members and caregivers?

  • It facilitates the administration of patients’ medication
  • It reduces the risk of medication errors
  • It provides peace of mind, knowing that the patients have their medication organised and controlled by a pharmacist

How can I help my family member to correctly manage so much medication?

We all have family members and/or friends who could be benefited by receiving help when it comes to preparing and managing their medication. Pharmacies offer pharmacotherapeutic monitoring services and prepare medication in weekly blister packs so that the patients have all their medicine together and organised by medication-taking times.

HEALTHCARE CENTRES / REST HOMES

What advantages and benefits does the DAA have for healthcare centres and/or rest homes?

  • They achieve optimisation in the prescription, dispensing and administration of their patients’ medications.
  • Greater safety (fewer errors in preparation and administration)
  • Economic savings by externalising the preparation service
  • Reduction of the nurses’ time in managing medication

GOVERNMENT AGENCIES

What advantages and benefits does the MDS have for healthcare administrations?

  • It improves patients therapeutic compliance
  • It reduces the number of DRPs and medication errors
  • It reduces primary care visits and hospital admissions
  • All of this results in enormous savings for the healthcare system
  • It also increases patients’ satisfaction and improves their health and quality of life

How can treatment adherence be improved?

There are different strategies or initiatives that are being implemented, to a greater or lesser extent, in Spain as well as in other countries. These strategies include interventions such as phone calls, reminders, continued monitoring, family therapy, etc. and in many cases there are combinations of several of them. In recent years, the MDS (Monitored Dosage System) is gaining ground and demonstrating its effectiveness. Monitoring by pharmacists and those around the patients is vital, especially in cases where the patient’s autonomy is reduced.