I help long-term care pharmacies get their packagers running the way they should.

My background

I have worked as an implementation specialist at Omnicell since March 2022, installing multi-med pouch packagers at long-term care pharmacies. Each install runs from the planning calls months before the machine arrives, through the drug data, the IT work and staff training, to the first weeks of live production.

That work has put me on pharmacy floors across the country, alongside owners, operations and pharmacy directors, technicians and IT teams. My full work history is on LinkedIn.

The pharmacies I've worked in

I have worked with national and regional LTC pharmacy operators, from high-volume central fill operations to local pharmacies serving a handful of facilities. Some run a single packager. Others run several machines from different vendors side by side, each with its own cassettes, software and habits.

What I saw go wrong

The same problems came up at pharmacy after pharmacy. Teams underestimated the homework before the machine arrived: building the NDC list and the drug database so the pharmacy system knew which drugs to send to automation. I have seen NDC lists still being finished the week a machine was delivered, which meant the first weeks of production ran largely by hand.

The connection to FrameworkLTC needed dedicated IPs and firewall rules, which meant the pharmacy's IT team had work to do before go-live. When that work started late, there was little time left to test orders from end to end.

After go-live, reject rates were the problem. Most of those rejects traced back to cassette calibration and dust. A handful of poorly calibrated cassettes can account for a large share of a pharmacy's rejects, and the rejection reports usually show which ones they are.

Why I started Lenzner Advisory

Most of the problems I saw were not problems with the machines. They came from the setup: decisions made before the purchase, homework started too late, and rejection reports nobody had time to read closely. I started Lenzner Advisory to work with pharmacies on those parts directly, from the first decision to buy through to a machine running at the rate it was bought for.