Presentation (Times are in PDT)

Effect of closed-loop medication administration on medication billing leakage: A case study

1:35 PM–1:55 PM May 21, 2020 (Conference Time: US - Pacific)

1:35 PM–1:55 PM May 21, 2020


Abstract: Sustainability is one of the critical issues in all healthcare systems. Correct invoicing of the service provided to the payment institution is fundamental for sustainability. Medications dispensed in inpatient facilities make up a considerable share of the total cost, but leaks persist for different reasons. Closed-loop medication administration (CLMA) has been found to provide beneficial consequences for healthcare quality. In this study, we analyzed invoicing leakage of medications dispensed in the inpatient facilities of a public hospital in Turkey. Then we compared the invoicing leakage before and after CLMA implementation. We found that invoicing leakage of medications decreased from 4.4% in 2015 to 0.5% in 2018 when CLMA was implemented entirely. Moreover, despite an increase in the number of drugs ordered in 2018, the loss of revenue due to billing leakage decreased by 83.8%. The results show that CLMA is not only beneficial for healthcare quality but also sustainability.

Describe the new knowledge and additional skills the participant will gain after attending your presentation.: Closed-loop medication administration in the inpatient facilities is a well known function with its benefits in healthcare quality and patient safety. This study is showing the positive effects of using CLMA on decreasing the medication billing leakage for the first time in the literature.


ZEHRA ERALTUG, Tire Public Hospital
GIZEM UZUMOGLU, Tire Public Hospital
Ozgur Bolat, Tire Public Hospital
ELIFE OZKAN, Tire Public Hospital
Nuran Aydin Ates, Istanbul Medipol University
ILKER KOSE (Presenter)
Istanbul Medipol University