Our Pharmaceutical Solutions segment consists of the following businesses:
Pharmaceutical Distribution, McKesson Canada Corporation, Automation, Medical
Management, Specialty Pharmaceutical Services and ZEE' Medical. We also have
a 22% interest in Nadro, S.A. de C.V. ('Nadro').
U.S. Pharmaceutical Distribution. This business supplies pharmaceuticals and
other healthcare related products to more than 40,000 customers in three primary
customer segments: national and regional retail chains, institutional providers,
and retail independent pharmacies.
The U.S. Pharmaceutical Distribution business operates and serves over 30,000
locations through a network of 28 distribution centers, as well as a master
distribution center and a repackaging facility, serving all 50 states. We invest
in technology and other systems at all of our distribution centers to enhance
safety, reliability and the best product availability for our customers. For
example, in all of our distribution centers we use Acumax' Plus, a Smithsonian
award-winning technology, which integrates and tracks all internal functions,
such as receiving, put-away and order fulfillment. Acumax' Plus uses bar code
technology, wrist-mounted computer hardware, and radio frequency signals to
provide our customers with industry leading order quality and fulfillment at
up to 99.9% accuracy. Closed Loop DistributionSM, which integrates portable
Palm technology with Acumax' Plus to give customers complete ordering and inventory
control, and Supply Management OnlineSM, an Internet-based ordering, purchasing,
third-party reconciliation and account management system, help ensure that our
customers have the right products at the right time for their facilities and
patients.
Our investment in operational performance also includes Six Sigma ' an analytical
methodology that emphasizes setting high quality objectives, collecting data,
and analyzing results to a fine degree in order to improve processes to reduce
costs and errors. Furthermore, we are implementing information systems to help
achieve greater consistency and accuracy both internally and for our customers.
The U.S. Pharmaceutical Distribution business' major value-added offerings,
by customer group, include the following:
Retail Chains (drug stores, food/drug combinations, mail order pharmacies,
and mass merchandisers) ' Business solutions that help chains increase revenues
and profitability:
Rx-PakSM ' Bulk repackaging leverages our purchasing power and supplier relationships,
offers pharmaceuticals at reduced prices, helps increase inventory turns and
reduces working capital investment;
Central Fill ' Improves pharmacy productivity and reduces costs by managing
prescription refill volume remotely;
Inventory Management Solutions ' Reduces inventory carrying costs through forecasting
integrated with automated replenishment technologies; and
Re-Distribution Centers ' Two large facilities which offer access to inventory
for single source purchasing, including pharmaceuticals and biologicals.
Retail Independent Pharmacies ' Marketing, merchandising, operational efficiencies
and industry leadership that help pharmacists focus on patient care while improving
profitability:
Valu-Rite' and Health Mart' ' Networks of independent pharmacies that leverage
group branding and purchasing power;
AccessHealth ' Saves time and costs through comprehensive managed care and
reconciliation assistance services;
McKesson OneStop Generics SM ' Helps pharmacies maximize their cost savings
with a broad selection of rebate-eligible generic drugs, lower up-front pricing
and one-stop shopping; and
Pharma 360 ' Profitability analysis tool that helps pharmacists measure and
compare results with their local and national competitors.
Institutional Providers (hospitals and health systems, integrated delivery
networks, clinics and other acute-care facilities, and long-term care providers)
' Electronic ordering/purchasing and supply chain management systems that help
improve efficiencies, save labor and improve capital:
Fulfill-RxTM ' Streamlines pharmacy inventory replenishing, automates inventory
re-ordering, and optimizes medication cabinet inventory to easily value the
pharmacy's total inventory investment;
Asset Management ' Comprehensive program designed to deliver improved inventory
management controls; and
Medication Management ' Complete pharmacy management focused on improving patient
outcomes by increasing drug safety, developing pharmacy staff, and streamlining
administrative processes.
International Pharmaceutical Distribution. Consists of McKesson Canada Corporation
(formerly Medis Health and Pharmaceutical Services, Inc.), a wholly-owned subsidiary,
the largest pharmaceutical distributor in Canada. We also have a 22% equity
interest in Nadro, the leading pharmaceutical distributor in Mexico.
Automation. Manufactures and markets automated pharmacy and supply management
systems and services to hospitals through its McKesson Automation Inc. unit
and to retail pharmacies through its McKesson Automation Pharmacy Systems unit.
Key products and services include:
McKesson Automation Inc.:
ROBOT-Rx' system, a robotic pharmacy dispensing and utilization tracking system
that enables hospitals to lower pharmacy costs while significantly improving
the accuracy of pharmaceutical dispensing;
AcuDose-Rx', a unit-based cabinet that automates the storage, dispensing and
tracking of commonly used drugs in patient areas;
Admin-Rx', a system that records, automates, and streamlines drug administration
and medication information requirements through bar code scanning at the patient's
bedside;
Fulfill-Rx', software that streamlines pharmacy inventory management and replenishment
through connection with McKesson pharmaceutical distribution; and
SupplyScanSM, a solution that tracks consumption of medical supplies through
secure cabinetry and bar-code scanning at point-of-use.
McKesson Automation Pharmacy Systems:
A wide range of pharmacy counting and weighing technologies including Baker
Cells', Baker Cassettes' and AccuMed' powered by AutoLink', modular counting
and dispensing units, and the Baker Universal 2010' and AccuCount' , counting
and weighing prescription scales;
AutoScript III' and AccuScript' ' Robotic dispensing system designed for accuracy
and throughput with new, modular, variable capacity design;
Pharmacy 2000' ' Productivity workflow software system that provides stand-alone
reporting and prescription tracking value. It also drives automation systems
in a logical task order to improve productivity throughout the prescription
fulfillment process;
Productivity Station' ' An easy-to-use interactive workstation system for customers
desiring a compact, multi-tasking automation unit; and
All APS technologies are designed for bar-coded accuracy, efficiency, productivity,
reliability, speed and ease of use by the pharmacy staff.
Medical Management. The following suite of services and software products is
marketed to payors, employers and government organizations to help manage the
cost and quality of care:
Disease management programs to improve overall healthcare of a patient;
Nurse triage services to direct patients to the appropriate level of care;
Clinical and analytical software to support utilization, case and disease management
workflow;
Business intelligence tools for measuring, reporting and improving clinical
and financial performance; and
InterQual' Criteria for clinical decision support.
Specialty Pharmaceutical Services. This business' product-specific solutions
are directed towards manufacturers, payors and physicians to enable delivery
and administration of high-cost, often injectable, bio-pharmaceutical drugs
used to treat patients with chronic disease. The business facilitates patient
and provider access to specialty pharmaceuticals across multiple delivery channels
(direct-to-physician wholesale, patient-direct specialty pharmacy dispensing,
and access to retail pharmacy), provides clinical support and treatment compliance
programs that help patients stay on complex therapies, and offers reimbursement,
data collection and analysis services.
ZEE' Medical. North America's leading provider of first aid, safety, and training
solutions, providing services to industrial and commercial customers. This business
offers an extensive line of products and services aimed at maximizing headcount
productivity and minimizing the liability and cost associated with workplace
illnesses and injuries.
Medical'Surgical Solutions
Our Medical-Surgical Solutions segment provides medical-surgical supply distribution,
equipment, logistics and related services to healthcare providers that include
hospitals, physicians' offices, surgery centers, extended care facilities, and
homecare sites through a network of 35 distribution centers within the U.S.
This segment is the nation's third largest distributor of medical-surgical supplies
to hospitals (acute care) and is the leading provider of supplies to the full
range of alternate-site healthcare facilities, including physicians' offices,
clinics and surgery centers (primary care), long-term care facilities and homecare
sites (extended care). Supply Management On- LineSM, an electronic ordering
system, provides an advanced tool for ordering medical-surgical products over
the Internet, and the segment's Optipak' program allows physicians to customize
ordering of supplies according to individual surgical procedure preferences.
Information Solutions
Our Information Solutions segment provides a comprehensive portfolio of software,
support and services to help healthcare organizations improve patient safety,
reduce the cost and variability of care, and better manage their resources and
revenue stream. The segment markets its products and services to integrated
delivery networks, hospitals, physician group practices, home health providers,
managed care providers and payors. Approximately sixty percent of hospital-based
integrated delivery networks in the U.S. use one or more products from this
segment. The segment also sells its solutions internationally through subsidiaries
and/or distribution agreements in Canada, the United Kingdom, Ireland, France,
the Netherlands, Australia, New Zealand and Puerto Rico.
The product portfolio for the Information Solutions segment is organized into
three major solutions sets ' clinical management, revenue cycle management and
resource management ' with a variety of subsets of these solutions designed
to address specific healthcare business issues (e.g., physician access, medication
safety, etc.). To ensure that organizations achieve the maximum value for their
information technology investment, the Information Solutions segment also offers
a wide range of services to support the implementation and use of solutions
as well as assist with business and clinical re-design, process re-engineering
and staffing (both information technology and back-office).
Clinical management. The segment's clinical solutions are designed to enable
organizations to improve medication safety, accelerate physician utilization
of healthcare information technology and reduce variability in healthcare quality
and costs. The clinical management solution set, known as Horizon ClinicalsTM,
is built using architecture to facilitate integration and enable modular deployment
of systems. It includes a clinical data repository, document imaging, medical
imaging, real-time decision support, point-of-care nursing documentation, enterprise
laboratory and pharmacy, an emergency department solution and an ambulatory
medical record. Horizon ClinicalsTM also includes solutions to facilitate physician
access to patient information such as a Web-based physician portal and wireless
devices that draw on information from the hospital's information systems.
Revenue cycle management. The segment's revenue cycle solution is designed
to reduce days in accounts receivable, prevent insurance claim denials, reduce
costs and improve productivity for our customers. Examples of solutions include
contract management, electronic claims processing and coding compliance checking.
The segment's hospital information systems also play a key role in revenue cycle
management by working with these solutions to automate the operation of individual
departments and their respective functions within the inpatient environment.
Resource management. The segment's resource management solutions consist of
an integrated suite of applications that enhance an organization's ability to
forecast and optimize enterprise-wide use of resources (labor, supplies, equipment
and facilities) associated with the delivery of care. These solutions help automate
and link resource requirements to care protocols designed to increase profitability,
enhance decision-making, and improve business processes.
In addition to the product offerings described above, the segment offers a
comprehensive range of services to help organizations derive greater value from,
and enhance satisfaction and return on investment throughout the life of the
solutions implemented. The range of services includes:
Technology Services. The segment has worked with numerous healthcare organizations
to support the smooth operation of their information systems by providing the
technical infrastructure designed to maximize application accessibility, availability,
security and performance.
Professional Services. Professional services help customers achieve business
results from their software investment. The segment offers a wide array of quality
service options including consulting for business process improvement and re-design,
as well as implementation, project management, technical, and education services
relating to all products in the Information Solutions segment.
Outsourcing Services. The segment helps organizations focus their resources
where needed while the segment manages their information technology or revenue
cycle operations through outsourcing. Outsourcing service options include managing
hospital data processing operations, as well as strategic information systems
planning and management, revenue cycle processes, payroll processing, business
office administration, and major system conversions.
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