gs1 uk healthcare conference - masterclass presentation - chris slater and graham medwell
TRANSCRIPT
Scan4SafetyDemonstratorSite:aviewfrominside
ChrisSlater,HeadofSupplies&ProcurementGrahamMedwell,eBusinessManagerLeedsTeachingHospitalsNHSTrust
eProcurement
in Action
790,000 order
lines a year
GS1PEPPOL
£550m AP Spend
£18mInventory
630,000 invoice lines a year
Thescan4safetyJourney• Earlyadoptersofe-Procurementsystems• CustomerSegmentation• SupplierSegmentation• UseofKeyEnablerspreGS1• UseofGS1standards• DemonstratorSiteExperience• Themovefromtransactionaltostrategicc-Suiteinvolvement
HighLevelDeploymentTimeline
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug
Phase2Phase1PatientIdentificationPhase4
Phase2Phase3Phase4
ProductIdentification
Phase2Phase1
PurchasetoPay
Phase4Phase3Phases1and2LocationIdentification
Phase2Phase3Phase4
Phase1
Phase1
Phase1
Phase4Phase3Phase2
ProductRecall
InventoryManagementPhase4Phase3
Phase3
2016 2017
Mob Phases1 Phases2 Phases3 Phases4
HighLevelDeploymentTimeline
GS1&PEPPOLAdoptionJourneyFrom To
GS1identifiersareavailablebutonlyusedinsupplies,varyingsystemsandmethodsofidentifyingphysicalandfinanciallocationsacrosstheTrust.
Asinglelocationidentificationsystemthatcanbeelectronicallyidentifiedandispublishedtoanationaldatabase
AwellpopulatedcommoncatalogueforthemajorityofmedicalconsumableproductsacrosstheTrustisinplace.
Allproductsidentifiers,forallproductsandtheirattributesarepulledfromanationalsystemandpricingisoverlaidlocally.
Arelativelyefficientprocessbutlimitedcoordinationwiththesupplierbasetoimprovetransactionefficiency
Improvedprocessingefficiencywiththemajorityoftransactionsbeingdrivenwithouthumaninterventionwhilemaintainingcontrol
Welldevelopedinventorymanagementpracticeinmanyareasbutsomekeygaps
Aninventorymanagementprocessthatleveragestheenablers,todrivereplenishmentfromthepointofadministration
PatientidentificationisinplacebutnotcurrentlyGS1compliant
PatientwristbandsthatcanbereadbyallrelevantsystemsusingastandardidentifierbothwithintheTrustandaroundtheNHS
Aprocessisinplacehoweverrequiresalotofmanualeffortandintervention.
Almostrealtimeabilitytopinpointstockonshelvesthatrequiresarecall.
AdoptGlobalLocationNumberingsystemacross
allphysicalpoints
StandardiseTrustdatasourcesandincreasecataloguecompliance
WorkingwiththeePPMprogram,useaISB
standardidentifierforallpatients
Standardisetoonecommonprocessacross
LTH
Implementmachinetomachineprocessing
throughouttheprocess
StandardisetheprocessandutilisethetoolattheTrustsdisposalasaresult
ofGS1adoption
Transformation
Locatio
nIden
tification
Catalogue
Man
agem
ent
Patie
nt
Iden
tification
Inventory
Man
agem
ent
Purcha
seto
Pa
yProd
uct
Recall
LocationIdentificationWhatwillweachieve?• Primaryobjective– SingleelectronicrepositoryofGLN-driven,locationidentificationfor
eachroomandareawithintheTrustpublishabletoanationaldatabase.• Bonus- consolidationofdisparateactivitiesinourorganisation.
Whatwearedoing?• AllreceivingentitieshavebeenallocatedGLNssince2009andanorganisationalreview
ofEstatesandPharmacyhasbeenundertaken.• Workingwitheachareatounderstandvariancesandconcentrateonphysicalspaces.• Mappingofover25,000GLNtoMICADlocationswithinEstatesacrosstheTrust.
What’snext?• Identificationandrefinementofbestpractices–GLNGovernance.• AlllocationstohaveGLNbarcode.• ReviewBedSpacesandLinktoOccupants,• AssetTracking,RoomBookingetc.
LocationID:GLNCompliance
CatalogueManagement:WorkstreamWhatwillweachieve?• Primaryobjective– asingleelectroniccatalogueofproductsandservices(holding
attributesidentifiedbytheDH)linkedtocontractinginformationidentification.
Whatwearedoing?• IntheabsenceofanationalPIMwehavebeencollaboratingwithotherTruststoobtain
andshareGTINsandHIBCdatafromSuppliers&Distributors• UtilisingexistingNexusCatalogueManagementsolutionandcontactswithinsupplier
Community.• WorkingwithPharmacytounderstandvariances.• LearningfromtheexperienceofstakeholdersintheUSandEurope.
What’snext?• Identificationandrefinementofbestpractices.• Allproductstohavebarcodeforscanning.
ShapingtotheeProcurement Strategy
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SUPPLIERMASTERDATA
SOURCEDATAPOOL
LOCALUKDATAREPOSITORY
HOSPITALCATALOGUE
ENDUSERPROCUREMENT
SYSTEM
Leeds/J&Jproductdataflowtoday– utilisingGS1GlobalDataSynchronisation Network(GDSN),UKdatarepositoryandlocalcataloguemanagement
PublishData RequestData
ManageDataMasterData
UseData
PRODUCTINFORMATIONMANAGEMENT
SYSTEM
CleanData
LeedsTeachingHospitalandJ&JContentDistributionNetwork
Productinformationpublishedto
GDSNdatapool,locatedinUSA
• Cleandata,sourcedfromGDSNetwork
• OnlyproductdatarelevanttoLeedspulledfromUKdatarepository
DatafilteredandpassedtoLeeds TH
cataloguemanagementsystem
• FeedfromglobalGDSNnetwork
• PullingGTINsandGLNs• Allrequiredattributesto
Tradenow&intheFuture
Dataimportedintorepository,
locatedintheUK
Product data held in J&J repositories can bemade directly available to requisitioners inLeeds Teaching Hospital through systems thatare available in themarket today.
AnExample
GTINscannedatChapelAllerton,LTH
Stockautomaticallyreplenishedwithoneclick
Requisitiongenerated,sentandapprovedelectronically
OrdersenttoJ&JviaUKExchange(PEPPOLAccessPoint)
1 2
4 3
£
AnExampleAuto-emailconfirmationsentbacktoLeeds
Goodsdespatched&receiptedinLeedsstores
ElectronicinvoicefromJ&Jreceived
3-Wayelectronicdocumentmatchcompleted
5 6
8 7PO
Receipt
Invoice
ContentDistributionNetwork
ContentDistributionNetwork• ProductattributesheldinGDSN• GHXRepositoryimport• LeedsNexuscatalogueimport• Powergate InventorySynchronisation• GTINscannedinTheatre• Stockautomaticallyreplenished• Requisitioncreatedandapproved• OraclePOsentviaGHXExchange• OrderconfirmationreceivedinLeeds• Goodsdespatchedandreceipted• 3–waymatch
ThisisthesameprocesswithJohnson&Johnson…
OrderEntryWarehouseManagement
Reporting
GlobalProductFile
Manufacturing
Regulatory
Contract&CatalogueManagement
Financial
Logistics
CookMedical:GS1Usage
GLNsestablishedforallCookentitiesglobally.
GTINsestablishedforallproductsatthesaleableanduseablelevels.
Barcodes onallproducts attheuseablelevel.
SaleableGTINscanbeprovidedincatalogues.
Electronicproduct catalogue inGDSN includingpricedata.Products soldinU.S.areavailableintheGDSN.Products soldinAustraliaareavailable intheGDSN.
GS1based transaction processing,GTIN&GLNinU.S.andAustralia.
GLN
GTIN
Barcode
Catalogues
GDSN
Transactions
✔
✔
✔
✔
CookMedical:GS1UKImplementation
• All8,000productsavailableinUKhaveaGS1-14barcodeonlabel.
• Baserequirementsinplace.
• WorkunderwaytoplanforDOHrequirements.
CookMedical:GTINUKImplementation
BunzlHealthcareGS1Readiness• Boardlevelsupport&sponsor• FulltimeGS1projectleadappointed&workingpartyformed• EstablishedlinkswithDH/GS1/Leeds&Salisburydevelopmentsites• Workstreams:
– Internalsystems&datareview– Partnerselection–GDSN/PEPPOLprovider,supportproviders– Businessprocessreviews– Datacollection– CustomerCommunication&support– Suppliercommunication&support
• Distributorcomplexity– 23,000Skus – explodesto64,000withsellingunitsx97dataattributes=6.2mdata
items!– Werelyonmanufacturersforthedata– c.600suppliers– Keycomponentofourpropositionisbreakingpackstosingles– disconnectwith
supplierGTINlevels?
GS1Compliance:GTIN
PatientIdentification:WorkstreamWhatwillweachieve?• Primaryobjective– GS1compliantpatientwristbands,providedtoallinpatients.• Pointofcarescanningisinplaceforpositivepatientidentificationandscanned
informationisstoredinarelevantsystem.
Whatwearedoing?• SourcingwristbandsthatareGS1compliantandplanningassociatedroll-out.• ReviewingAIDCtechnologyandhardware.• Policiesandtrainingplansindevelopmenttoroll-outpointofcarescanningforclinical
staff.
What’snext?• Roll-outofsystemsandtraining.• RelevantTrustsystemsreadytostore,receiveandtransmittopointofcarescanners.
InventoryManagement:WorkstreamWhatwillweachieve?• Primaryobjective– Trust-wideinventoryaverageholdingoflessthan3weekscover.• BatchorSerialnumbertrackingof50%ofrelevantproductstothepatientrecord.
Whatwearedoing?• Organisationalreviewofallpoliciesandprocesses.• UpgradingPowergatetoV5• WorkingwithCardinalHealthtolearnlessonsfromimplementationswithintheUS• Workingwitheachinventoryareatounderstandvariances.• MappingofPEPPOLaccesspointusageacrossorganisation.
What’snext?• Identificationandrefinementofbestpractices.• ImplementationofautoreplenishmentofinventoryusingGLNsandGTINs.• Consolidationofvaryingmethodologiesandtools.• AdoptionofGS1forconsolidatedbestpractice.
Inventory• Trauma,Neuro,Spines,MaxFax• ElectiveOrthopaedics• InterventionalRadiology,Fluoroscopy,
CTScanning• Cath Labs• UrologyRobotics
Powergate
Top-Up• Theatres&Wards• IntegratedwitheDC forDistributors
(NHHSC,Bunzl,Squadron)
CardinalHealthRFIDCabinets• CardiacHeartValves• PainManagement
VideoClip
Inventory:LeedsLiveSystems
Inventory:Wavemark RFIDExample
PurchasetoPay(P2P):WorkstreamWhatwillweachieve?• Primaryobjective- 60%oftheorganisationsPurchaseOrdersandInvoicesexchanged
viaPEPPOLaccesspoints.• Bonus- consolidationofdisparateactivitiesinourorganisation.
Whatwearedoing?• Organisationalreviewofallpoliciesandprocesses.• Workingwitheachprocuringareatounderstandvariances.• MappingofPEPPOLaccesspointusageacrossorganisation.
What’snext?• Identificationandrefinementofbestpractices.• Consolidationofvaryingmethodologiesandtools.• AdoptionofGS1/PEPPOLforconsolidatedbestpractice.
GHXNexus
GHXExchange
Suppliers&Distributors
Pointo
fDem
and
OracleR1
2Financials
POCreation,receiptandinvoicing
GS1compliantproductdataaccessed from
PIM/GDSN
Requisitions/POsGRNs(withGLN,
GTIN)
GLNonInv ToandShipTo+GTINs
GLNonInv ToandShipTo+GTINs
DataSynchronisation
TransparentPunch-Out
eRequisitioning
GHXPowerGateInventory
CardinalHealthRFIDCabinets
CustomerData:
Catalogues&LocalContractsenrichedwithGTINs
Non-CustomerData:
Repository&RegionalContractsprovidingGTINs
PEPPOLCompliant Exchange
Suppliers&Distributors
PO PO
INV ASNINV ASN
P2P:NetworkofSystems
P2P:PEPPOLCompliance
TheLTHalongwithAbbottandGHXsuccessfullytestedPEPPOLmessagingstandardsinMay- June2015.
ProductRecall:WorkstreamWhatwillweachieve?• Primaryobjective– Almostrealtimeabilitytotrackandtraceproductforrecall
Whatwearedoing?• Organisationalreviewofallpoliciesandprocesses.• Workingwitheachclinicalareatounderstandvariances.
What’snext?• Identificationandrefinementofbestpractices.• Consolidationofvaryingmethodologiesandtools.• AdoptionofGS1forconsolidatedbestpractice.
ProductRecall:J&JExample
ProductRecall:CardinalHealth
ProductRecall:ExamplefromFDA
EnsuringPatientsafetythrough:• The ability to identify clinical usage from procedure topatient, on a micro to National level.
EnablingTheTrustto:• Effectively measure and efficiently source goods andservices at the optimum cost.
Releasingtimetocareby:• Theautomationandsimplificationofnonclinicaltasksfromadministrationtolocating inventory.
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