Healthcare Transformation GroupSupply Chain Summit
May 3, 2011
H T G
> Geisinger > Kaiser Permanente > Intermountain Healthcare > Mercy Health System > Mayo Clinic >> Kaiser Permanente > Intermountain Healthcare > Mercy Health System > Mayo Clinic > Geisinger >> Intermountain Healthcare > Mercy Health System > Mayo Clinic > Geisinger > Kaiser Permanente >> Mercy Health System > Mayo Clinic > Geisinger > Kaiser Permanente > Intermountain Healthcare >> Mayo Clinic > Geisinger > Kaiser Permanente > Intermountain Healthcare > Mercy Health System >
Welcome and Introductions• Welcome & Housekeeping• What is HTG?• Why is our work important – Quality & Efficiency• Expectations
• Working meeting – focus on the common good• Our work in no single entities issue – cross bounds• Focus on what we can agree – variation reduction• All issues will not be resolved – much work to do
• Outcome• Clear and common understanding of the issues• Exposure of hidden issues and concerns• Commitment to work on issues• Better understanding of success timeline
Anti-Trust and Code of Conduct
Anti-Trust and Code of Conduct
HTG follows all US laws relating to antitrust and competition and there shall be no conduct that could artificially increase price, reduce output, or result in any type of boycott. If anyone believes the discussions are approaching antitrust boundaries, please say so and the discussion will be halted while a HTG participant checks with legal counsel before proceeding.
You are also reminded that the Code of Conduct requires we respect one another’s differences in opinion, act professionally and engage to work together for the common good of the community.
Anti-Trust and Code of ConductThis means:• Participation must be voluntary, and failure to participate shall not be used to
penalize any company.
• There shall be no discussion of prices, allocation of customers or products, boycotts, refusals to deal, or market share.
• If any participant believes the group is drifting toward impermissible discussion, the topic shall be tabled until the opinion of counsel can be obtained.
• Meetings shall be governed by an agenda prepared in advance, and recorded by minutes prepared promptly after the meeting. Agendas, where appropriate, and minutes are to be reviewed by counsel before they are circulated.
• Tests or data collection shall be governed by protocols developed in consultation with and monitored by counsel.
• The recommendations coming out of a HTG committee, task force, work group or task group are just that. Individual companies remain free to make independent, competitive decisions.
• Any standards developed must be voluntary standards.
Day 1
12:00-12:10 Welcome and Introduction Vance Moore, Brent Johnson, Deb Templeton
12:10-12:45 Lunch All
12:45-1:15 Why Collaboration Lynn Britton - Mercy
1:15-3:45 Provider Report OutProviders to report out on current status in adoption of GS1 Standards
Providers
3:45-4:00 Break All
4:00-5:00 Using the GTIN Beyond Point of Care Natalia Wilson - ASU
5:00-5:30 Wrap-up and Review Day 2 Agenda Curtis Dudley - ROi
6:30-8:30 Dinner at Villa Farotto All
H T G ROUPAGENDA
HTG Group SummitTuesday, May 3
Agenda
Day 2
7:30-8:00 Breakfast at Corporate Plaza All
8:00-8:30 Suppliers and Providers Enablement to use GS1 Standards
MJ Wylie - GHX
8:30-9:00 Software Vendor ReadinessSoftware providers to report out on readiness to adopt GS1 Standards
Keith Lohkamp - Lawson
9:30-10:00 Supplier Best Practice of GS1 Standards Dennis Black – Becton Dickinson
10:00-10:15 Break All
10:15-11:45 Suppliers Report Out on Readiness Suppliers
11:45-12:00 Conclude Meeting HTG Sponsors
12:30-2:30 HTG members working session and lunch HTG Members and Sponsors
H T G ROUP AGENDAHTG Group SummitWednesday, May 4
Agenda
Source to Consumption Vision – Michael Innes/Curtis Dudley
Source to Consumption
Vision
Source to Consumption Vision – Michael Inness/Curtis Dudley
The application of the GS1 standards will be used in all areas in the Source to Consumption model…
Pay Consume / CompareReceiveOrderSource
Data Synch
• Perfect Order• EDI / xML Orders• Replenishment• One Shot / Off Contract• 4 way validation
• Enables electronic invoice processing
• Speeds payment process• Reduces discrepancies• Enables account statement
reconciliation
• Point of Care Optimization
• Electronic Health Records• Standardization• Product Recalls• Comparative
Effectiveness• Reimbursement• Patient Safety
• Product Identification• Distribution Method• Supplier identification• Demand / Forecasting• Data Transparency
• Correct identification of product
• Transportation & Logistics• Error Identification• Pick Pack and ship• Kitting• Reverse Logistics
• Enables transactional accuracy
• Reduces labor cost• Enables end to end
process efficiency
Enables end to end transactional efficiency
Master Data Synchronization
Source to Consumption Vision – Michael Inness/Curtis Dudley
Vision Breakdown by Area
Source to Consumption Vision – Curtis Dudley
ProviderSupplier
Supply Chain
System
Supply Chain
System
GTIN
GDSNData Pool
GTIN
GLN Healthcare RegistryGLN GLNGLNGLN
Price / Contract Update
Pay Consume / CompareReceiveOrderSource
Data Synch
Master Data Synchronization
Source to Consumption Vision – Curtis Dudley
• Mater data synchronization enables supply chain transactional accuracy
• GS1 standards enable accurate data synchronization
• Elimination of transactional errors will reduce the investment of labor for both providers and suppliers
Pay Consume / CompareReceiveOrderSource
Data Synch
Master Data Synchronization
Source to Consumption Vision – Brent Johnson
Source, Order, Receive, Pay & Consume• Data Synch – Tying it together• Source - Visibility drives accuracy• Order – Speed & Accuracy• Receive – Catching errors • Pay – Eliminating the touch points• Consume – Driving patient safety
Pay Consume / CompareReceiveOrderSource
Data Synch
Source to Consumption Vision – Karen Wolfe
Value Points• Product Identification• Distribution Method• Supplier identification• Demand / Forecasting• Data Transparency
Strategic sourcing starts with data transparency giving insight into product utilization. A common data standard will provide clarity to what is used, from whom and how much allowing providers to intelligently analyze and predict future use
Pay Consume / CompareReceiveOrderSource
Data Synch
Use of GS1 Standards brings transparency to the Demand Forecasting process enabling;
• An understanding into variables impacting product usage
• Application of forecasting models• Enterprise wide applications
Demand Forecasting
Source to Consumption Vision – Karen Wolfe
Pay Consume / CompareReceiveOrderSource
Data Synch
Product OrderProduct Order utilizing Data Synch
• Order processing speed within Supply Chain
• Order processed to correct supplier entity
• Correct product at the correct time at the correct location
Pay Consume / CompareReceiveOrderSource
Data Synch
Source to Consumption Vision – Karen Wolfe
Source to Consumption Vision – Karen Wolfe
• Price management allowing for correct order pricing
• Improved rebate reconciliation• Improved end-user confidence• Patient Safety and Satisfaction
Product Order utilizing Data Synch
Pay Consume / CompareReceiveOrderSource
Data Synch
Source to Consumption Vision – Mark Olson
Receiving• Correctly identify product by utilizing
GTIN
• Accurate receiving speeds the payment process
• Enables providers to quickly identify shipping errors
• Enables line level reconciliation against the purchase order
• Possibility to receive on ASN
Pay Consume / CompareReceiveOrderSource
Data Synch
Source to Consumption Vision – Mark Olson
Payment
• Touch less – no labor points• Supplier is paid sooner• Increased Payment Discount
Eligibility• Possibility to eliminate invoice –
ERS (evaluated receipts settlement)
Pay Consume / CompareReceiveOrderSource
Data Synch
Source to Consumption Vision – Mark Olson
EA or PK or PC
PaymentPain Points• Catalog- order catalog # does not match the shipped catalog # which does not match the invoice catalog # (3643 Invoice lines touched for catalog errors in the past 12 months)
Provider sent PO with catalog 45687Supplier invoices catalog 45687IL or 45687KY depending on where it the product shipped from
• Unit of Measure – often the invoice unit does not match the purchase unit (3715 Invoice lines touched for UOM errors)
Pay Consume / CompareReceiveOrderSource
Data Synch
Source to Consumption Vision – Mark Olson
PaymentPain Points Continued
•Price – Price on the PO doesn’t match price on Invoice (8929 Invoice lines touched for price errors)
Pay Consume / CompareReceiveOrderSource
Data Synch
Source to Consumption Vision – Mark Olson
Payment
Pay Consume / CompareReceiveOrderSource
Data Synch
Consumption (consume) starts at the Point of Care (POC) and moves beyond the four walls of an organization supporting patient safety throughout the delivery of care and beyond
Pay Consume / CompareReceiveOrderSource
Data Synch
Source to Consumption Vision – Michael Innes
Value Points• Data standardization • Enablement of process optimization • Streamlining product recalls and tracking
Application of GS1 Standards to medical devices, items & implants consumed at POC will drive data
standardization;
• Preference card standardization• Increase charge capture opportunities • Activity Based Costing model for procedures• Population of patient logs• Shortened cash to cash cycle• Medical records portability
Pay Consume / CompareReceiveOrderSource
Data Synch
Source to Consumption Vision – Michael Innes
Application of GS1 standards enable process optimization opportunities in the following areas;
• Barcode Scanning• Consistent application of product attributes• Reduces ‘Supply on the Fly’ requests• Reduced manual intervention to close Patient logs
Free up clinicians time to provide patient care
Pay Consume / CompareReceiveOrderSource
Data Synch
Source to Consumption Vision – Michael Innes
GS1 standards will streamline the product recall tracking process ensuring patient safety at the
POC and beyond
• Eliminates need for translation among all parties• Ability to track at and beyond the POC• Claims facilitation
Pay Consume / CompareReceiveOrderSource
Data Synch
Source to Consumption Vision – Michael Innes
Source to Consumption Vision – Deb Templeton / Kevin Capatch
Scorecard
Source to Consumption Vision - Scorecard
• Reason for Scorecards• GS1 Scorecards• HTG Scorecards
• Provider Group• Supplier Group
• Examples• Geisinger – GLN & GTIN• ROi – Perfect Order
Source to Consumption Vision - Scorecard
"If you're not keeping score, you're just
practicing“
~Vince Lombardi
Source to Consumption Vision - ScorecardGS1 Supplier Scorecard
Source to Consumption Vision - ScorecardGS1 Provider Scorecard
Source to Consumption Vision - ScorecardGS1 Software Suppliers
Source to Consumption Vision - ScorecardGLN Transactions
Source to Consumption Vision - ScorecardGTIN Transactions
A Perfect Order is defined by SMI as a purchase order processed electronically (from order to payment) without
human intervention, which is delivered to the correct location, on time, undamaged, at the correct price – i.e., the provider’s
purchase order price matches the supplier invoice price -with the desired quantity, on the first attempt. When a trading relationship is able to consistently achieve Perfect Orders, all partners will be efficiently utilizing their available resources through elimination of errors and maximization of available
technology.
Source to Consumption Vision - Scorecard
Perfect Order
Source to Consumption Vision - ScorecardPerfect Order
Provider Status – Individual Report Outs
Provider Report Out
• Largest vertically integrated IDN• 8.5m members• 164K employees• $42B Revenue• California, Georgia, Hawaii, Mid Atlantic States, Ohio, Oregon, & Colorado
• 36 Hospitals, 449 Medical Office Buildings• 2nd Largest employer in Calif.• 2nd largest real estate owner in the Calif.• 5th largest construction company in the U.S. • Average vendor spend individually ~$40M • Cumulatively ~ $500m
FactsProvider Status – Kaiser Permanente
Provider Status – Kaiser PermanenteKP see the use of GS1 data standards as a pillar
in our Supply Chain Transformation;
• Demand Forecasting Capabilities• Core Procurement (eHub) • Point of Care
The Supply Chain extends into the Point of Care andand supports patient care and safety
Manufactures / Suppliers
GPO
Product Info(incl. GTIN)
(PSOC)
Product(incl. GTIN)
Item Master Info.(incl. GTIN)
Interface
OneLink (PeopleSoft)
Interface
Currently Component Interface willhandle upload of GTIN info. MassLoader Phase II will incorporateGTIN functionality
DataCleansingServices
HealthConnect
Change Request has beensubmitted to accommodate GTINFlow into KPHC
Leveraging HTC subgroup to beginGTIN labeling and pass thru of dataprior to 2012 Sunrise
GDSN(Global Data Synchronization
Network)
GTINGTIN
Provider Status – Kaiser Permanente
Kaiser’s continues to build momentum around GS1 standards from the clinical side of our business and will drive implementation from both
the clinical and the business side
Provider Status – Kaiser Permanente
Core Procurement
Danville, PA
Wilkes Barre, PA
Provider Status – Geisinger
Provider Status – Geisinger
Implementation Team
• HSCSC Member• GLN pilots started in 2008• Currently utilizing the GLN registry• Lawson ERP upgrade complete 5/1/11• GTIN – Test pilots• Track & Trace
• RX – Bedside• Barcoding & E-Pedigree • UDI – Unique Device Identifier
• Implications for RFID / RTLS
Provider Status – Geisinger
Supply Chain services contribution to patient safety via bedside barcode utilization and data integrity for Electronic Health Record
Provider Status – Geisinger
• Headquarters in Salt Lake City, UT• Largest employer in the state – more than
32,000 employees• Created in 1975 when LDS Church “gifted”
hospitals to the community• Modern Healthcare #1 or #2 for the last seven
years• Hospital Network
• 23 Hospitals; 2,500 + Licensed Beds• Medical Group
• 800 Employed Physicians; 150 Clinics• Select Health – Health Plans
• 500,000 Direct Enrollees• $3.1 Billion in Net Patient Services Revenue• $5 Billion in Assets• AA+ Standard & Poor’s; Aa1 Moody’s
• only system to receive highest rating from both S&P and Moody’s
• Average Spend per Supplier in Attendance $18 Million annually
Provider Status – Intermountain HealthcareAbout Intermountain
Healthcare
Brent T. JohnsonVice President Supply Chain & Imaging ServicesChief Purchasing OfficerIntermountain [email protected] 1100005442719GS1US – Intermountain Executive Sponsor
Cynthia ShumwayManager Supply Chain Systems and InformationIntermountain [email protected] 1100005442719GS1US – GDSN, GTIN, GLN
Mark OlsonSupply Chain AnalystIntermountain [email protected] 1100005442719GS1US - GTIN
Heidi TrimbleSupply Chain SpecialistIntermountain [email protected] 1100005442719GS1US – GLN
Provider Status – Intermountain Healthcare
Implementation Team
• Self Distribution (IMAT)
• Touchless (Perfect Order) - Source to Settle with out touching the Price File, PO, PO Acknowledgment and Invoice.
• Ability to Scan in the OR’s will drive efficiency, and patient safety.
Provider Status – Intermountain Healthcare
Intermountain Healthcare is adopting the GS1 Standards and envisions these standards as best business practices.
Provider Status – Intermountain Healthcare
Provider Status – Mayo Clinic
• 23 Hospital Organization about 3500 beds• Campuses:
• Rochester, MN• Jacksonville, FL• Scottsdale/Phoenix, AZ• 70 communities in the upper Midwest through Mayo Clinic Health
System
• 55,900 personnel caring for more then half a million people per year
• Primary Value The needs of the patient come first.
About Mayo Clinic
Provider Status – Mayo Clinic
• Supply Chain Informatics• Procure to Pay• Reporting and Analytics• Supply Chain Operations• GPO• Distributor• Supplier
GS1 Standards Implementation Team
Provider Status – Mayo Clinic
• Started with GLN Implementation 2008 with a current number of 40 Suppliers
• GTIN/GDSN Project kickoff 4thQ 2010 with implementation 2ndQ 2012. P2P process Upgrade Lawson ERP to utilize GS1 Standards Starting with 140 Johnson and Johnson Health Care
Systems Inc products purchase through Cardinal Health Additional product implementation shortly after the 2012
go live
Implementation
Provider Status – Mercy Health
26 ACUTE CARE HOSPITALS
3 HEART HOSPITALS
4,367 LICENSED BEDS
35,580 CO-WORKERS
385 PHYSICIAN PRACTICE LOCATIONS
4,626 MEDICAL STAFF MEMBERS
1,245 INTEGRATED PHYSICIANS
$4.05 Operating Revenue (Billions)
Provider Status – Mercy Health
• Our point of care project is driving our need for standards
• Quality of care• Efficiency
• New model of care requires increased coordination
• Our Perfect Order project has led to many discoveries and helped us realize the need for supplier integration
Mercy utilizes the GLN and GTIN in all transactions from order to consumption but only for suppliers that support the standards
Provider Status – Mercy Health
Summary
What do we need from Suppliers?
All HTG members are focused on the same target with common application…
Summary – What do we need from Suppliers
Summary – What do we need from Suppliers• Share your standards strategy• Subscribe to GLN registry and integrate into
operations• Begin GTIN enumeration and apply to products
at unit of use• Register your products with the GDSN• Prepare for FDA regulations on UDI• Commit to working with HTG group to resolve
issues and move forward quickly with full adoption
Parking Lot Issues
• Can we utilize GLN to track raw material providers
• How do we handle a GTIN that is not unique
• Should GTIN replace mfg catalog number
• How do we handle non-packaged products
• Can we auto populate product data in provider systems
• How do we handle different attribute standards across different countries
• How do we get to common / industry standard definition of unit of use
Baxter Healthcare
Update on GS1 Standards
HTG (Health Transformation Group)
May 2011
Program Team
Nathan Habeck – Program Manager – GS1 Global Leadership
Barb Zenner – Project Manager – GS1 Transaction Implementation
Marcia Kafkakis – Project Manager – Product Marking Implementation
Baxter
• Baxter is a Global Company that develops, manufactures and markets products
that save and sustain lives of people with hemophilia, immune disorders,
infectious diseases, kidney disease, trauma, and other chronic and acute
medical conditions.
– Manufactures Products in 27 Countries
– Markets in over 100 Countries
– 56 Manufacturing Plants Worldwide
Baxter Confidential Product Identification Deployment Plan DRAFT
– 56 Manufacturing Plants Worldwide
– Employ’s approximately 49,700 people Globally
Baxter’s Current Status – Standards Subscribed
Baxter has publically announced the support and direction of moving to GS1
standards:
Doing Business with Baxter
Baxter endorses and strongly supports the GS1 standards for healthcare. We
believe that industry-wide adoption of these standards will improve patient
safety and will drive increased efficiency and integrity within the healthcare
system.
Baxter Confidential Product Identification Deployment Plan DRAFT
system.
Customers, suppliers, providers, distributors and other supply chain
participants interested in learning more about Baxter's involvement and
adoption of GS1 standards can contact the Center for One Baxter at 800-422-
9837 (800-4Baxter) or 847-948-4770.
Baxter Sustainability
Baxter Training and Knowledge
Knowledge/Education
• Established a Baxter Global Council
• Internal Website – GS1 Global Standards
• Key Components
• Who is GS1?
Training
• Commercial Operations fully aligned with GS1 transactions
Baxter Confidential Product Identification Deployment Plan DRAFT
• Commercial Operations fully aligned with GS1 transactions
• Global attendance at GS1 Workgroup sessions
• Internal Website Under Development for Educating Baxter teams globally
Baxter GS1 Implementation – Sponsorship and Support
Executive Level Steering Committee (C-Level)
V.P. Global Manufacturing
V.P. Global Supply Chain
V.P. Quality
V.P. Regulatory/Safety Affairs
V.P. Government Affairs
Corporate Services
Executives at each Business Units (BioScience, Renal, Medication Delivery)
Baxter Confidential Product Identification Deployment Plan DRAFT
Functional Workgroup Support (SMEs and Steering Committee)• Supply Chain
• Finance
• Sales and Marketing
• Manufacturing
• eCommerce
Baxter’s Planned Pilot’s in the Procure to Pay Process
Status of GS1 Standards
• GLN (Global Location Number)
• GLN stored in Master Data at Account number that is searchable
• GLN used in EDI cross reference file to receive electronic transactions
• GLN returned on EDI transactions if received in EDI transactions
• GLN accepted for manual transactions if stored at account number
• GLN will be returned on paper invoices – rollout of ERP complete globally
• GLN process past pilot, live with approximately 6 customer IDNs
• Currently Reconciling with 5 providers
Baxter Confidential Product Identification Deployment Plan DRAFT
• Currently Reconciling with 5 providers
• GTIN (Global Trade Item Number)
• GTIN stored in Item Master
• GTIN map under development for ‘UK’ segment to be received and sent for
all electronic transactions
• GTIN accepted for manual and electronic transaction –ERP rollout
complete globally
• GTIN currently returned on paper (printed) invoices
• GTIN pilot will be conducted when electronic maps available – ERP rollout
Baxter’s GTIN Program and Approach for US
• Committed to meeting the GTIN requirements for sunrise
• Approximately 80% of Baxter Products have GTINs assigned today in ERP
• All Drugs have GTINs marked on unit of use and selling unit
• Assessed manufacturing current state for devices, waiting UDI ruling
• Most devices have GTIN today, waiting if variable information that will need to
be added based on ruling
Baxter Confidential Product Identification Deployment Plan DRAFT
be added based on ruling
• Upgrade path and cost have been presented to C-level steering committee
• Refining priorities to meet the needs of products based on risk level
Baxter Master Data Synchronization (GDSN, Flat File, etc….
• Approximately 32 GTINs stored at GDSN for Baxter US
• Uploaded via spreadsheet to data pool (Health ConneXion)
• Approximately 7 providers have requested synchronization
• Approximately 14 GTINs loaded in data pool for Baxter Canada
• Uploaded via spreadsheet
• Healthcare attributes have been established in Baxter’s GE (Global Enterprise)
item master
Baxter Confidential Product Identification Deployment Plan DRAFT
item master
• Additional country attributes will/or have been established at the regional level
• Baxter has an on-line product catalog export available with GTIN’s supplied
• Goal for 2012 is to use GS1xml to send Baxter data globally to our data pool
Global Enterprise
(Product Data)
Baxter’s Strategy of Loading Product Information to GDSN
Baxter Confidential Product Identification Deployment Plan DRAFT
AllSource GDSN FDA UDI
Data Pool
Health
ConneXion
Contact Information:
Barb Zenner
Baxter Healthcare
(847) 847-3922
Baxter Confidential Product Identification Deployment Plan DRAFT
(847) 847-3922
1
Adoption of GS1 Standards Adoption of GS1 Standards
Healthcare Transformation GroupSt. Louis, Missouri
5/04/11
Dennis BlackDirector, [email protected]
Agenda: Adoption of GS1 Standards
� Introduction
� Industry Sunrise Dates
� GLNs
� GTINs
� GDSN
� Practical Implementation Steps
� Discussion
2
Agenda: Adoption of GS1 Standards
� Introduction
� Industry Sunrise Dates
� GLNs
� GTINs
� GDSN
� Practical Implementation Steps
� Discussion
BD Overview
BD is a leading global medical technology company that develops, manufactures and sells medical devices, instrument systems and reagents. The Company is dedicated to improving people's health throughout the world. BD is focused on improving drug delivery, enhancing the quality and speed of diagnosing infectious diseases and cancers, and advancing research, discovery and production of new drugs and vaccines. BD's capabilities are instrumental in combating many of the world's most pressing diseases. Founded in 1897 and headquartered in Franklin Lakes, New Jersey, BD employs approximately 29,000 associates in more than 50 countries throughout the world. The Company serves healthcare institutions, life science researchers, clinical laboratories, the pharmaceutical industry and the general public. For more information, please visit www.bd.com.
BD Influx™ Flow Cytometry System
BD Viper™ System with XTR Technology
BD Vacutainer® Push ButtonBlood Collection Set
BD PosiFlush™ Flush Syringe
BD Nexiva™ Closed IV Catheter System
BD SurePath™PAP Collection System
BD™ Insulin Syringes
3
BD Participation in Data Standards
• Member of GS1 Healthcare
• Member of GS1 US Healthcare
• BD participates in many GS1 Workgroups
• Focus has been on eliminating waste and errors
BD’s journey with GS1 and bar codes began in 1972
What is BD’s interest in Data Standards?
• Meet Customer Needs
- Patient Care/Safety
- Operational
• Perfect Order
• Reduce Operating Costs
• Meet Regulatory Requirements
4
Everyday Use of Standards
Data Standards = Collaboration/Efficiencies and Patient Safety
Data Standards Can Enable Tremendous Opportunities
Manufacturer Product # Distributor Product # Hospital Product #Hospital Product #Hospital Product #Hospital Product #
Product Data Product Data Product Data Product Data Product Data Product Data
Location Data Location Data Location DataLocation DataLocation DataLocation Data
Artwork Courtesy of GS1
5
Potential Benefits of Using GS1 Data Standards(Fully Adopted State)
• Reduce errors
• Reduce back office, non-value added activity
• Optimize supply chain
• Growth of e-Business transactions
• Patient safety initiatives
• More accurate transactional data
• Global harmonization of products/labels
We will not see a benefit without complete adoption
Dust off the EHCR Study
EHCR Assumptions:
• $83B of applicable Products/Services
• $23B in Process Costs
• 48% of Process Costs Considered Waste
Annual Supply Chain Costs: EHCR Estimate
Product Cost
(72.29%),
$60,000,000,000
Process Waste
(13.25%),
$11,000,000,000
Process Cost
(14.46%),
$12,000,000,000
Product Cost (72.29%)
Process Cost (14.46%)
Process Waste (13.25%)
The Three Strategies are: The Four Enablers are:
-Efficient Information Sharing -Partnership and Alliances
-Efficient Product Movement -Change Management
-Efficient Order Management -Information Technology-Activity-Based Costing
EHCR
6
Agenda: Adoption of GS1 Standards
� Introduction
� Industry Sunrise Dates
� GLNs
� GTINs
� GDSN
� Practical Implementation Steps
� Discussion
© GS1 US 2010
*December 2010
2010 GLN Sunrise
“Adoption of GLN in Healthcare by 2010*”
Global Location Numbers (GLNs)
� GLNs are assigned by location owners
� GLNs are used in appropriate business transactions and processes between trading partners
� GLN hierarchy is defined and maintained by location owners
� GLN Registry for Healthcare® is used to facilitate correct location identification
7
© GS1 US 2010
* December 2012
2012 GTIN Sunrise
“Adoption of GTIN in Healthcare by 2012*”Global Trade Item Numbers (GTINs)
� GTINs are assigned to healthcare products
� GTINs are used in business transactions
� GTINs are marked on appropriate packaging levels
� GTINs are scanned at points-of-delivery to enhance clinical process
� GTINs are used in product returns and recalls
� GTINs are registered in a GS1 GDSN-certified Data Pool
Agenda: Adoption of GS1 Standards
� Introduction
� Industry Sunrise Dates
� GLNs
� GTINs
� GDSN
� Practical Implementation Steps
� Discussion
8
Challenge: Location Identification
• St. Michaels
• St Michaels
• St. Michael’s
• Saint Michaels
• 100084547
• JAOE
• CA2053
• 50003000431
• Etc.
Just 1 Hospital
Sales Tracing/RebatesSales Tracing/Rebates
Provider GPO Distributor
Order Placement
Order PlacementDrop Ship
GPO Membership
Rebates
Pricing
Administration Fees
Product ShipmentProduct Shipment
Manufacturer
GLN: Simple Concept/Difficult Implementation
Contracting
9
Agenda: Adoption of GS1 Standards
� Introduction
� Industry Sunrise Dates
� GLNs
� GTINs
� GDSN
� Practical Implementation Steps
� Discussion
Current Product Numbers are Not Unique
Other SupplierBD ProductCat #
CARL ZEISS 305905 FLOORSTAND S-1
COMPLETE, W/ARTICULATED ARM
SYSTEM FOR OPMI & ACCESS 2.5-7 KG.
305905 - 3 mL BD SafetyGlide™ syringe
with 23 G x 1 in. shielding intramuscular
injection needle, regular bevel, regular wall. Detachable needle. (50/sp, 400/ca)
305905
Codman 371073 DEBAKEY BULLDOG
CLAMP RING HANDLE ANGLED 90?
STRAIGHT SHAFT 41MM JAW 4 3/4''
(120MM)
371073 - BD E-Z Scrub™ surgical scrub
brush impregnated with 4% CHG. Color
coded red. (30/sp, 300/ca)
371073
Mallinckrodt 3817-05 CHEMICAL DRY
SODIUM PHOSPHATE DIBASIC
381705 - 18 G x 1.16 in. BD Angiocath™
Autoguard™ shielded IV catheter (1.3
mm x 30 mm) made of FEP polymer.
(50/sp, 200/ca)
381705
Dentsply 03-822-68 SS GLD 018X022
14IN PKG 10
382268 - 14 G x 3.25 in. BD Angiocath™
peripheral venous catheter (2.1 mm x 83
mm) made of FEP polymer. (10/sp,
50/ca)
382268
10
777127218Vendor Catalog NumberAMERICAN MEDICAL DEPOT
FSC1482679CSVendor Catalog NumberGOVERNMENT SCI SOURCE
777127217Vendor Catalog NumberAMERICAN MEDICAL DEPOT
FSC1482679PKVendor Catalog NumberGOVERNMENT SCI SOURCE
00382903294619GTINBD
30382903294610 GTINBD
50382903294614GTINBD
VWR INTERNATIONAL
THOMAS SCIENTIFIC
THOMAS SCIENTIFIC
ALLIANCE JOINT VENTURE
OWENS & MINOR
OWENS & MINOR
CARDINAL HEALTH
BD
Business Name
888021932 Vendor Catalog Number
8938M25Vendor Catalog Number
8938M28Vendor Catalog Number
0723329461PV Order Number
0722329461PV Order Number
BD329461Vendor Catalog Number
BF329461
329461
Item Number
Mfg Catalog Number
PV Order Number
Item Number Type
Distributors and Hospitals Assign Additional
Product Numbers
Agenda: Adoption of GS1 Standards
� Introduction
� Industry Sunrise Dates
� GLNs
� GTINs
� GDSN
� Practical Implementation Steps
� Discussion
11
10-20%5-15%3-12%0%Incomplete Item Descriptions
20-25%5-10%5-10%0%Missing Product Brand Names
5-15%1-8%2-5%0%Obsolete Products
30%1-4%2-5%0%Manufacturer Name Problems
2-5%2%1%<1% 0%Hard “Packaging Quantity” Errors
15-25%20-25%1-4%2% <1%Missing Middle Levels of Pkging
CustomerGPODistributorBD
(Before/After)
Challenge: Product Data Synchronization(Sample Results: DoD Data Synchronization Study)
Challenge: Manufacturer Identification
BD HOSPITAL DIVBD BIOSCIENCES PHARMIGEN
BDB-D SHARPS DISPOSAL SYSTEMS
B-D BIOSCIENCES
BD FALCONBD BIOSCIENCESBBECTON DICKINSON
B-D PRIMARY CARE DIAGNOSTICS
B-D BIOSCIENCE
BD ELASTIC HEALTH SUPPORT
BD BIOSCIENCE PHARMIGEN
BBD DIAGNOSTIC SYSTEMS
B-D PRIMARY CARE DIAGNOSTI
B-D ACUTECARE DIV. OF B-D
BD DIAGNOSTIC SYSTEMS
BD BIOSCIENCEBAUER & BLACKB-D PRIMARY CARE DIAG
B-D / VISITEC
BD DIAGNOSTIC INSTRUMENT SYST
BD BIO SCIENCESBARD-PARKER RESPIRATORY SYSTEMS
B-D PRIMARY CAREB-D
BD DIAGNOSTICBD BIO SCIENCEBARD-PARKERB-D MICROBIOLOGY SYSTEMS
B&D
BD DBA BECTON DICKINSON AND CO
BD ACUTECARE DIV.BARD PARKERB-D MICROBIOLOGYB DICKINSON
BD CRITICAL CAREBD ACUTECARE DIVB.D. MICROBIOLOGY SYSTEMS
B-D MICRO BIOLOGY SYSTEMS
B D DIAGNOSTIC
BD CONVENTION NEEDLES
BD ACUTECAREB-D VASCULAR ACCESS
B-D LABWAREB D ACUTECARE
BD BLOOD COLLECTION PRODUCTS
BD / ELASTIC HEALTH SUPPORT
B-D SUP CHAIN SVCSB-D DIAGNOSTICSB D VACUTAINER DIV.
How many ways can you spell BD?
12
Multiple Manufacturer NamesMultiple Manufacturer Names
What you “see” may not bewhat you want or get
What you “see” may not bewhat you want or get
Bad Data Leads to Multiple Supply Chain Problems
What is it?What is it?
Difficulty in orderingDifficulty in ordering
Order 50 receive 500
or
Order 20 cases, receive 20 boxes
Order 50 receive 500
or
Order 20 cases, receive 20 boxes
Multiple Product NumbersMultiple Product Numbers
Inconsistent Item DescriptionsInconsistent Item Descriptions
Packaging IssuesPackaging Issues
Old Product DataOld Product DataAttempting to orderobsolete products
Attempting to orderobsolete products
Agenda: Adoption of GS1 Standards
� Introduction
� Industry Sunrise Dates
� GLNs
� GTINs
� GDSN
� Practical Implementation Steps
� Discussion
13
BD is Not Interested In:
• Overreaching Product ID Requirements
• Impractical/Premature Location ID Requirements
• Non-Value Added Data Requirements
Accelerating Adoption
How can we move past the theoretical discussions and move forward?
Criteria Should Include:
• Eliminate Waste/Improve Processes
• Improve Patient Care
Can we focus on the “basics” without over-engineering
future solutions or requirements?
14
Agenda: Adoption of GS1 Standards
� Introduction
� Industry Sunrise Dates
� GLNs
� GTINs
� GDSN
� Practical Implementation Steps
� Discussion
Project Planning: Prioritization
• Healthcare needs clarity on scope/prioritization
• There is a real relationship
between Schedule, Scope, and Resources
• Can implementation help to clarify needs and set priorities?
Scope
Schedule
Resources
Is NotIs
Boston Scientific Report Out
Healthcare Transformation Group SummitHealthcare Transformation Group Summit
May 3-4, 2011
GS1 Standards Implementation Team
Boston Scientific is committed to the GS1 standards initiative as it is
instrumental to improving patient care and benefits our customers in
their respective supply chain.
• BSC has been actively involved in GS1, UDI Pilots, USAN, and has
strong expertise in labeling, bar code standards, and e-Commerce
• 2010 Corporate Team established
Boston Scientific Confidential -- For Internal Use Only. Do Not Copy, Display or Distribute Externally 2
• 2010 Corporate Team established
– Executive Oversight
– Quality Management Board
– Sponsored by Corp Operations
– Cross-Functional, Global
• Site and Business Unit
involvement continuing
to expand throughout 2011
Project
Manager
K. Usher
Regulatory
Corporate Sales /
International Sales
e-Commerce &
Customer
Fulfillment
Global
Supply
Chain &
Distribution
Corporate
Labeling
D. Knox
F. Patel
J. Penta /
L. DeRosaD.
Stevens /
R. Jensen
G. Olen /
C.
Griffeth
K. Desjardins/
S. Geddes
B. Cooley
Information
Systems
BSC is meeting current and upcoming GLN needs in 2011-2012.
Starting to see GLN uptake which will require IS system changes.
Current:
• eCommerce [EDI] Department handles GLN requests case-by-case with GLN numbers in place of BSC proprietary account numbers:– Accepting EDI orders [850] and Providing confirmations [855]
• Hospitals and Facilities Live GLN users with BSC EDI:
Current Status of GLN
Boston Scientific Confidential -- For Internal Use Only. Do Not Copy, Display or Distribute Externally 3
• Hospitals and Facilities Live GLN users with BSC EDI: – Mayo Foundation (2010), and Intermountain and Ohio Health (2011)
– Scheduled in 2011: Franciscan Alliance, Wellspan, and Geisinger
• GPO requests to include GLN numbers of member hospitals on the Sales & Tracing Reports [867], can be done manually as requested.
Future:
• Additional eCommerce transaction (Projected 2012 Implementation):– Electronic invoices [810], Advanced ship notices [856], and Sales Tracing Report [867]
It is important to note Boston Scientific has applied unique device identifier (UDI) bar codes to all product labels for over 10 years.
HIBC/UPN:
• The majority of “Legacy” BSC products currently have Health Industry Bar Codes (HIBC) on the label.
• The company is actively engaged in a project to implement the GTIN
Current Status of Bar Code Standards
Boston Scientific Confidential -- For Internal Use Only. Do Not Copy, Display or Distribute Externally 4
• The company is actively engaged in a project to implement the GTIN on product labels for all “Legacy” product lines.
GS1/GTIN:
• The entire CRM product line is already fully compliant with the GS1 GTIN on the labels.
• Legacy BSC products do have a GTIN allocated, but are not yet labeled world wide.
• We are currently applying the GTIN to “Legacy” products as part of a relabeling activity to support the countries of Japan and Spain, as well as select customers in some other countries as required.
Changing from HIBC to GS1 is a major undertaking given the quantity of products Boston Scientific manufactures and distributes.
• Goal is 2012 completion.
• GS1 Implementation Workstreams– Leadership in each workstream
– Corporate oversight
– Customer transition
GTIN Implementation Program
Overall
Project
GS1Standards
Global Prod
Database
IS Systems Customer
Boston Scientific Confidential -- For Internal Use Only. Do Not Copy, Display or Distribute Externally 5
– Customer transition
• GS1 Implementation requires labeling system and changes– Recently completed global labeling system implementation
– Implementation of GS1 system changes to be complete by end of 2011
• Phased approach to implement GTINs on all labels– Classification, product families & manufacturing lines
• Product transitions will be underway by early 2012;
– Detailed product line completion timelines are not yet available.
GTINLabeling
Data Collection
IS SystemsReadinessGTIN/GLN
DatabaseCustomerTransition
Process
GLNProcess
BSC GlobalProduct Master Data
Master Data Synchronization Status
A Master Data Management Strategy will gather data from all BSC
Businesses and Sites to achieve a Global Approach.
Boston Scientific Confidential -- For Internal Use Only. Do Not Copy, Display or Distribute Externally 6
Status:
• An internal master data strategy is proposed
• Information feeds from across the organization
• Data gathering in 2011
• Data synchronization in 2012
GHX Health
ConneXion®
Allsource®GDSN
FDA UDI
Additional Information and Feedback
Customers who require additional information or would like
to provide their feedback on GS1 GLN/GTIN may contact:
Boston Scientific eCommerce (EDI) Department:
877-272-3340
Boston Scientific Confidential -- For Internal Use Only. Do Not Copy, Display or Distribute Externally 7
877-272-3340
Or Email: [email protected]
© Copyright 2011, Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.
May 4, 2011
Implementing Data Standards- Cardinal Health
Jan DwyerIT Manager
© Copyright 2011, Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.2
Purpose
• Objective: Review the Cardinal Health approach for
support of adoption of supply chain standards for the
Medical Segment
• Discussion Approach: • Cardinal Health Overview
• GS1 Implementation Team
• Data Standards Alignment
• Knowledge, Training
• Current and Planned Pilots
• GTIN
• Master Data Synchronization
© Copyright 2011, Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.3
• Leading provider of products and services across the healthcare supply chain
• Extensive footprint across multiple channels
• Serving >40,000 customers with renewed focus
• Approximately 30,000 employees with direct operations in 10 countries
• >$99B FY10 pro forma revenue*
• Number 17 on the Fortune 500
Cardinal Health Essential facts
*An estimate of the pro forma revenue for fiscal 2010 in accordance with generally accepted accounting principles
with adjustments expected to reflect each company as a stand-alone entity. The estimate is based on assumptions
that management currently believes are reasonable, but actual revenue may vary materially from the estimate.
Broadest view of the healthcare supply chain
© Copyright 2011, Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.
© Copyright 2011, Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.4
Essential role
Extensive offering of products and services
MedicalPharmaceutical
Two focused segments:
© Copyright 2011, Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.
© Copyright 2011, Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.5
Essential role
Medical Segment
Category Management Channel Management
© Copyright 2011, Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.
Global Manufacturing and Supply Chain
© Copyright 2011, Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.6
Medical Segment strategy
Integrated Supply Chain Excellence
Unique value creation for supplier partners and customers• Present throughout the care continuum • Unrivaled scale in distribution breadth• Leading clinically essential product portfolio • Significant consultative role
Generating value up and down the supply chain
6
Cardinal Health
Hospital
PhysicianofficeAmbulatory Care
LaboratoryScientific products
SurgerycenterAmbulatory Care
an
AmAmHomehealthcareAmbulatory Care
Private brand(Sourced)
Toll-manufactured
National brand
Self-manufactured
© Copyright 2011, Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.
© Copyright 2011, Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.7
GS1 Implementation Team – Medical
Cardinal Health’s Medical Segment GS1 Data Standards Implementation is a
multi-disciplinary approach which is lead by the IT organization.
Key Medical Segment Executive Project Sponsors
Mike Duffy – EVP Supply Chain
Mike Groesbeck – SVP QRA
Jim Bach, VP Inv – CAH
John Abrams, VP EIT CAH
Quality and Regulatory
Stacey Henning – QRA Sup Mfg
Shari Bouche – QRA Mgr, Presource
Guillermo Galindo – Mfg
Jacqueline Maldanodo - Mfg
Michelle Duffey, Private Label
IT –Supply Chain
Jan Dwyer – IT Mgr/GS1 Lead
Karen Lewis – Bus Analytt
Norm Powell- Sr Consultant
Roger Honan – IT Architect
BoonChye Kuan – Bar code Lead, Mfg
Data Management
Dave Fister – Dir, Data Strategy
Erin Egan - Inv Mgr
Lisa Klemz – Inv Analys
Chris McGee – MBT Product
Gerrie Brand – MBT Customer Danielle Fink - Supplier
© Copyright 2011, Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.8
Cardinal Health Endorses GS1 Standards
• On March 18th 2010, Cardinal Health publicly
announced its support for GS1 standards for
location and product identifiers as the foundation of an
efficient healthcare supply chain…
© Copyright 2011, Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.9
Depth of Knowledge and Training on GS1
• The depth of knowledge of GS1 and data standards across Cardinal Health’s Medical Segment is primarily
at a state of “recall and/or recognition.”
• Internal Training:– Full Day Training sponsored by Abbott Labs, March 2011
• Multiple business units engaged– Inventory/Planning, IT, Category Mgmt, Sourcing, QRA, Mfg
– Sales Training – Targeting National Meeting Aug 2011– Currently no structured training program; plan being developed
Level 1 Level 2 Level 3
Recall and Recognize
Skill and Concept
Strategic ThinkingRecognizeRecognizeRecognizeRecognizeRecognize ConceptConceptConcept ThinkingRecognize
© Copyright 2011, Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.10
GTIN GS1 Pilots
• Project Ice Auger
– Collaborative project with the Mayo Clinic and Johnson &
Johnson Health
• Scope
– GTIN enumeration for a portion of J & J products
– Data synchronization using GDSN
– Mayo procure-to-pay transactions with Cardinal Health
• EDI Transaction Testing
– Medical Business Transformation project (ERP Upgrade)
– Trading partners (BD and J&J ) requested to participate in a
pre-pilot test of transactions (850, 855, 856, 810, 867) which
include GS1 standards (GLN /GTIN)
• Dialogue w/BD on Master Data Synchronization
– Review of BD’s GTIN structure, GTIN hierarchy validation, data
sharing process defined
© Copyright 2011, Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.
Cardinal Health GTIN Program Scoreboard
GTIN Assignment Owner Milestone Status Comments
GTIN Assignment Mfging - Pkging
Gaps
Labeling Teams -
QRA July-11 GTIN - 14 is use todayGTIN Assignment Private Label-
Pkging Gaps
Labeling Teams -
Sourcing July-11 GTIN - 14 is use today
GTIN Assignment Presource
Labeling Team -
QRA July-11 GTIN - 14 is use today
GTIN Assignment - Distributed Inventory February-11 Only 3300 validated
SAP Upgrade - GTINs in Master Data
&Transactions MBT Team October-11 Pilot - Hawaii
February-11 Big Bang - Continguous U. S.
GTIN - Package Label - MFG
Labeling Teams -
QRA Static data on label today
GS1 Barcode Scanning - Presource IT June-11 Receive & Pick and Outbound to US Distribution
GS1 Barcode Scanning - Mfging IT February-12 Outbound case label to US Distribution
GS1 Barcode Scanning - USD IT 11-Jul
AIMS 8 Accept GTIN & GLN; on packing list &
manifest
2013 -2014 Phased Roll out: AIMS 10 Accept GTIN, Lot # & Exp #
Key Initiatives
GTIN on Label
GTIN in Transactions
GTIN Scanning
Initiative
Cardinal’s Health GTIN program’s approach is by business unit – Self-
Manufactured, Private Label, Presource and Distribution.
© Copyright 2011, Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.12
Master Data Synchronization
• Master Data Management
– From a material master perspective we will have the ability to
capture GTINs using default functionality with SAP
– Current State
• We are requesting GTINs from suppliers on the Product
Information Request Form (PIRF).
• We are validating and converting over any GTINs that we
currently have in our legacy SAP ERP
– Future State
• SAP Supplier Portal capability
• Data exchange partnership – GDSN data pool provider (GHX)
© Copyright 2011, Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.13
Q&A
© Copyright 2011, Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.14
Thank you!
H T Group:GS1 STANDARDS READINESS
Dave Reed, Cook Medical
VP Operations & VP Healthcare Business Solutions
May 3-4, 2011
•GS1 Implementation Team - Members, Departments Represented, Executive Level of
Support, etc...
• 6 Vice Presidents
• 3 Operational Directors
• QA Resources
• IT Support in all manufacturing and SCC’s• IT Support in all manufacturing and SCC’s
•Current data standard:
• EAN-128 Standard for bar-coding, consistent with
GTIN standard prescribed by GS1.
• Fully converted to the GS1, GTIN standard
– Currently working on centralizing the storage of – Currently working on centralizing the storage of
packaging configuration for each GTIN for
reporting to GDSN.
•Level of knowledge, training within your organization around GS1 / GTIN Standards
• Executive level understanding high, have been in
process of adoption for 5+ years
• Implementation of GTIN in Cook organization in terms
of integration is thoroughof integration is thorough
• Still working to educate some areas of the enterprise
•Current or planned pilot(s) using GTIN #'s in the Procure to Pay through to Point of Use
(POU) data capture with current customer/business partners
• Working with Premier Healthcare solutions to pass
product information through the GDSN
• Australian branch of Cook working on GTIN upload of
information into GDSNinformation into GDSN
•Report on status of your GTIN program and approach to assign, support and re label
product - Milestones, Detailed approach (Phased, Big bang, etc...), Strategy (Business
Unit, Category, etc...)
• Label clean up for box quantities, global
• Collection of packaging information into global
repository
• Preparing for uploading of global repository into the • Preparing for uploading of global repository into the
GDSN
• Once packaging information is centralized, Cook will
be ready to synchronize data with interested partners
• Using GTIN to transact through EDI and report GTIN
data to packslips, invoices and order
acknowledgement will require minor changes in Cook
EDI systems and order/distribution systems
•Master Data Synchronization status (Product Ref# / GTIN mapping, Use of GDSN, Flat
files, spread sheets, etc...)
• Currently contracted with 1Synch for synchronization
of data to GDSN
Covidien Data Standards StatusCovidien Data Standards Status
Healthcare Transformation Group (HTG) Meeting
St. Louis, MO May 4, 2011
The Covidien Data Standards Team
Three Key Members
• Bill Croisetiere, AIDC Manager (Project Leader) Corporate AIDC
• Steve Capel, Director E-Business (EMEA) Global data standards issues
• Corwin Hee, Director E-Business Standards Database and US standards
2
• Corwin Hee, Director E-Business Standards Database and US standards
A Covidien data standards steering committee is being developed to focus on
global data standards implementation.
There is strong executive-level support for the adoption of GS1 standards.
Covidien Data Standards Achievements
• Full membership in GS1 Global and GS1 US Healthcare groups
• Elected members on both GS1 Global and GS1 US HUG Leadership Teams
• Participation in all relevant GS1 Workgroups
3
• Actively training artwork design and packaging personnel
• Held three separate supplier/vendor/customer training sessions covering the Covidien
implementation of GS1 standards
• Using GLN in GPO reporting
Rebranding at Covidien
• Due to the magnitude and complexity of the current global rebranding initiative,
Covidien is not actively participating in GTIN pilots
– 30,000+ SKUs
– 100,000+ GTINs
• The current rebranding campaign will result in GTINs allocated to all products
4
• The current rebranding campaign will result in GTINs allocated to all products
• Project consists of a mixed approach (phased and Big Bang)
• Project scheduled to be completed by December 2011
• Global regulatory registration issues may impact the timeline
Master Data Synchronization
• GHX Health ConneXion will be our data pool
• Steering committee will determine further project details (TBA)
5
GS1 Report to
HTG Supplier Summit
Michael Sarachman
Manager, Industry Standards Adoption
May 4, 2011
Johnson & Johnson GS1 Position
• Supports the adoption of GS1 standards, including
– Global Trade Item Number (GTIN)
– Global Location Number (GLN)
– Global Data Synchronization (GDSN)
– Electronic Product Codes (EPC)
– EPC Information System (EPCIS)
| CUSTOMER & LOGISTICS SERVICES
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| 2
• GS1 system of standards forms the foundation for improving supply
chain visibility
• Successful GS1 adoption will take time, committed resources
(people and funding) and industry collaboration
Johnson & Johnson GS1 Leadership and Team
• Leadership engagement– Ajit Shetty, Corporate Vice President, Enterprise Supply Chain – GS1 Global Board of Governors
– John Hogan, Vice President, Customer & Logistics Services – GS1 US Board of Governors
– Mike Rose, Vice President, Supply Chain Visibility – EPCglobal Board of Governors
– Tom Werthwine, Director, Industry Standards – GDSN BOG and GS1 Global Healthcare Leadership Team
– Mike Sarachman, Manager, Industry Standards – GS1 US Healthcare AIDC work team co-chair
– Steve Robba, Business Architect – GDSN Business Requirements Group and Global Standards
Management Process (GSMP) organization
| CUSTOMER & LOGISTICS SERVICES
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• Resource commitment and expertise
– Dedicated department support from Master Data Management and eCommerce
– Sector-wide GS1 deployment team with FTEs from franchises and regions
– GTIN Specialists being trained in each Medical Device & Diagnostics affiliates
– SME’s made available to supply chain partners
Johnson & Johnson Standards Usage
• Consumer– GS1 compliant product labeling
– GDSN data synch with major customers
– Participated in EPC retailer programs
• Pharmaceuticals– Compliant with FDA Bar Code rule
• NDC bar coded on package that touches the product
| CUSTOMER & LOGISTICS SERVICES
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• NDC bar coded on package that touches the product
– Preparing for CA ePedigree (GS1/EPC standards based)
– Investigating customer need for GDSN
• Medical Devices & Diagnostics– Migrating from HIBCC to GS1 product labeling
– Subscribe to US GLN registry
– Preparing data for GDSN
Johnson & Johnson GS1 US Hospital Market Project
• Project Ice Auger
– Mayo Clinic
– Cardinal Health
– Johnson & Johnson
– Novation
– GHX
| CUSTOMER & LOGISTICS SERVICES
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– GHX
– Uses GS1 standards to
identify products from
manufacturing through
distribution and use
– Maps product and data flow
– Uses GDSN and EDI
Johnson & Johnson GS1 Implementation Status
• GTIN Sunrise Support– Over 100,000 GTINs assigned
– Manufacturing sites currently preparing label systems
• Independent affiliate label conversion timelines
• Target completion date Dec. 2012
– Distribution centers currently preparing data collection systems
– CAR being prepared to modify order-to-cash system
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http://www.commerce.jnjgateway.com/commerce/JJ_GS1.jsp
Johnson & Johnson GS1 GDSN Status
• Consumer product data available through 1SYNC™
• Medical device data available as spreadsheets on Web
– Limited fields
– Not published “up-to-the-minute”
– Not scalable or sustainable
• Preparing medical device data synchronization with
GHX Health ConneXion™
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GHX Health ConneXion™
Lawson – Simpler Is Better
� Goals
– Become the global leader in our targeted industries
– Offer our customers a superior experience
– Offer competitive prices with a fair profit
– Deliver a better approach to simplify complexity
Page 25/20/2011
� Key Statistics
– Over 4000 customers & employees worldwide
– FY10: $742m Revenue, $0.42 EPS
� Healthcare Statistics
– #1 Healthcare Supply Chain Software Solution (150+ beds)
– 4 of last 6 HPN SC Dept of Year Winners
– Over 1800 healthcare customers
Copyright 2011. Lawson Software.
Lawson Enters Into Agreement to be Acquired by an Affiliate of Golden Gate Capital and Infor
Lawson Involvement in Standards
� Since 2005, we’ve been involved in various standards initiatives and groups:
– Coalition for Healthcare eStandards
– HC Supply Chain Standards Coalition
– Department of Defense GDSN Pilot
� Current involvement
Page 35/20/2011
� Current involvement
– Strategic Marketplace Initiative
– Premier GLN Transaction Program
– GS1 Healthcare U.S. workgroups
� Represented by Keith Lohkamp on the GS1 Healthcare U.S. Leadership Team
� Industry education and advocacy
– Whitepapers on www.lawson.com/GS1standards
– Recorded webinars on GS1, available at www.lawson.com/win
Copyright 2011. Lawson Software.
2010 GS1 – AHRMM MMIS Survey Findings
�� Yardstick 1: Yardstick 1: Awareness of and intent to comply with GS1 standardsAwareness of and intent to comply with GS1 standards
– All four primary vendors are knowledgeable about GS1 standards
• 3 of 4 intend to meet the GLN sunrise date, increasing from 2 in 2009
� Secondary vendors are almost all aware and well on their way to meeting the Sunrise dates, compared to only “split evenly” in 2009
Page 45/20/2011
Sunrise dates, compared to only “split evenly” in 2009
• 80% are well on the way to meeting the GLN Sunrise date, 40% in 2009
• 80% at least started for GTIN Sunrise, 40% not even aware in 2009
– For up to the minute Sunrise Readiness, refer to the GS1 Healthcare US Scorecards and readiness self-declarations at:
– www.gs1us.org/healthcare
2010 GS1 – AHRMM MMIS Survey Findings
�� Yardstick Yardstick 2: Capability to support GS1 GLN and GTIN data standards 2: Capability to support GS1 GLN and GTIN data standards
� Approximately 78% (50%) of vendors support GTIN based barcodes now and 89% will be able to within the next two years. Most will support barcodes at all levels of packaging.
90%
100%
Support GS1 barcode standards or plan to, and at what packaging levels?
Page 55/20/20115
MMIS Responses*
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
Unit of Use Unit of Sale Case Pallet DK or NA
2009
2010
* The 8 MMIS vendors who responded to both 2009 and 2010 surveys did not show an increase in package level implementation
2010 GS1 – AHRMM MMIS Survey Findings
�� Yardstick Yardstick 3: Ability to employ GLN and GTIN in EDI transactions 3: Ability to employ GLN and GTIN in EDI transactions
� Some MMIS systems indicated they could process EDI transactions using GLN/GTIN: *
Systems support the GTIN within the EDI transaction
--- None 4 (6) 44% (43%)
810 Invoice 4 (6) 44% (43%)
816 Organization Relationships 1 (1) 11% (7%)
832 Price / Sales Catalog 3 (5) 33% (36%)
Page 65/20/2011
� Overall, 78% (50%) of MMIS vendors indicated that they could do some of these transactions using the GLN standards. *
MMIS vendors
2010 (2009)
832 Price / Sales Catalog 3 (5) 33% (36%)
850 Purchase Order 5 (6) 56% (43%)
855 PO Acknowledgement 5 (6) 56% (43%)
856 Ship Notice 5 (4) 56% (29%)
857 Invoice / Ship Notice 3 (2) 33% (14%)
860 Order Change – Buyer 2 (2) 22% (14%)
865 Order Change - Seller 2 (2) 22% (14%)
840 Request for Quotation 0 (1) 0% (7%)
845 Price Authorization 0 (1) 0% (7%)
* The 8 MMIS vendors who responded to both 2009 and 2010 surveys did not show an increase in EDI implementation
GS1 System Readiness Scorecard – April 2011
Page 75/20/2011Copyright 2011. Lawson Software.
Lawson Is Ready for GS1…
Enhancements released in 2009 & 2010 support GS1 Standards and are ready for
Sunrise Dates
� Store, Search, Transact using GLNs / GTINs, including via EDI.
� Load, Store and Use GDSN attributes.
� Option to configure individual trading partners for use of GS1 Standards.
� Scan manufacturer barcodes in Mobile Supply Chain Management and Point of Use.
� GS1 Standards supported in Financials (AP), Procurement (RQ, IC, PO), Strategic
Page 85/20/2011
� GS1 Standards supported in Financials (AP), Procurement (RQ, IC, PO), Strategic Sourcing, Contract Management, Requisitions Self-Service, MSCM, POU and EDI.
Benefits: Help healthcare
supply chain move from custom
account, item and product
identifiers to standardized
information, reducing errors,
streamlining processes and
enhancing patient safety.
Copyright 2011. Lawson Software.
Lawson’s Approach to GLN Within Applications 9.0.1.4+
� Assigned to:
– Requisition Locations
– Ship To Locations
– Company
– Vendor
– Vendor Purchase From
– Manufacturer
Page 95/20/2011
– Manufacturer
� GLN Hierarchies tracked
� Displays in multiple locations
� Available in most transactions including PO and sent via EDI
– ‘Natively’ or via Data Substitution
� Option to use GLN or not
Copyright 2011. Lawson Software.
Lawson’s Approach to GTIN within Applications 9.0.1.4+
� Set up within Inventory Control
– Assign a GTIN for each Item / UOM
– Captures additional attributes from GDSN
� Visible and available in:
– Requisitions
– Purchase Orders
Page 105/20/2011
– Receiving
– Issues
– Accounts Payable
– Various Interface Files
� Transact using GTIN
� Options to use GTIN or not
Copyright 2011. Lawson Software.
Barcode Scanning within GTIN and MSCM
Page 115/20/2011Copyright 2011. Lawson Software.
GTIN Key Field for Requisitions and Purchase Orders
Page 125/20/2011Copyright 2011. Lawson Software.
Lessons Learned From Early Implementations
� Coordination required among provider, supplier and solution providers
� Right version of software is critical
– MMIS and EDI software versions
– EDI processing scripts
Page 135/20/2011
� New scenarios and business needs still being discovered
Copyright 2011. Lawson Software.
Benefits
� Implementation of GLN can help eliminate or reduce the use of custom account numbers and location identifiers with trading partners.
� Use of GLN can reduce errors due to mis-shipments or missed eligibility.
Page 145/20/2011
� Storage of GTINs to uniquely identify products at each packaging level helps ensure the right product is used or ordered.
� GDSN attributes lay the foundation for future data synchronization.
� Allows you to implement GS1 standards at your pace.
Copyright 2011. Lawson Software.
Conclusions
� Provider system software should not be the roadblock
� Leading MMIS software providers are involved and supportive of GS1 standards
– Participating in GS1 activities
– Versions of software that support GS1 available or planned
Page 155/20/2011
� Many providers are already live, particularly with the GLN
� More work may be needed as new business scenarios arise
Copyright 2011. Lawson Software.
Medline Industries
1
Medline Industries
GS1 Standards Update
1
• Outline of your GS1 Implementation Team - Members, Departments
Represented, Executive Level of Support, etc...
• Current data standard your subscribe to (if full conversion to GTIN has not
been completed) GS1, HIBC, etc...
• Level of knowledge, training within your organization around GS1 / GTIN
Standards
• Current or planned pilot(s) using GTIN #'s in the Procure to Pay through to
Point of Use (POU) data capture with current customer/business partners Point of Use (POU) data capture with current customer/business partners
• Report on status of your GTIN program and approach to assign, support and
re label product - Milestones, Detailed approach (Phased, Big bang, etc...),
Strategy (Business Unit, Category, etc...)
• Master Data Synchronization status (Product Ref# / GTIN mapping, Use of
GDSN, Flat files, spread sheets, etc...)
• Please let us know what questions you have that we can answer at the Summit
(does not need to be in a presentation)
Outline of your GS1 Implementation Team - Members, Departments
Represented, Executive Level of Support
• Dave Rolston, VP E-Business
• Arden MacNaught – Director, Central Master Data
• Todd Ommen – Manager, Information Systems• Todd Ommen – Manager, Information Systems
Full support from the Executive Sales Management level
• The areas that involve order to cash and master data report up through
Medline Sales
3
• Current data standard your subscribe to (if full conversion to GTIN has not
been completed) GS1, HIBC, etc...
• Medline subscribes to GS1 standards.
• We have company prefix with GS1 and several series of GTIN’s assigned
by GS1
• Level of knowledge, training within your organization around GS1 / GTIN
StandardsStandards
• Areas most closely affected are “GS1 Standards” aware
• Field Sales Force receive updates, but rely on internal staff for detailed
questions, discussions, etc.
• Customer Service – on our plan to begin series of education for them.
• Current or planned pilot(s) using GTIN #'s in the Procure to Pay through to
Point of Use (POU) data capture with current customer/business partners
• Retail Model (Today)
• EDI transactions support use of UPC codes today for some retail
trading partners
• UPC codes are used as product ID for relevant transactions in the
Order to Cash Cycle (PO, PO Ack, Invoice, ASN)Order to Cash Cycle (PO, PO Ack, Invoice, ASN)
• GTIN Model (Future)
• Similar enhancements would support use of GTIN across all order
channels
• Make GTIN present on all partner-facing documents and non-EDI
transactions
• Starting efforts with our Inventory Managment team for supplier to supplier
transactions.
• Will require our importing of other mfr GTIN data.
• Report on status of your GTIN program and approach to assign, support and
re label product - Milestones, Detailed approach (Phased, Big bang, etc...),
Strategy (Business Unit, Category, etc...)
• 49% of top selling skus have GTIN assigned as of 4/27/11
• 90+% will have GTIN assignment complete by Dec 2011
• Medline’s top items (approximately 6500 skus) will go through product
labeling audit and where necessary we will initiate labeling updates
starting in June 2011starting in June 2011
• Product labeling revisions will show up in stock on a phased in approach
depending on raw material inventories at the factories
• Remaining Medline items’ labeling will be updated with GTINs as the
artwork is revised by the Product Manager, or according to the Sales’
departments priority, whichever comes first
• Implementing automated Item Creation Process / System that will handle
automated GTIN assignment as new Medline labeled items are setup –
expected implementation Fall 2011
• Semi-automated GTIN assignment for existing Medline labeled items –
ongoing with expected completion Dec 2011
• Master Data Synchronization status (Product Ref# / GTIN mapping, Use of
GDSN, Flat files, spread sheets, etc...)
• Medline is subscribed to 1Sync for GDSN in retail space.
• Limited number of SKU’s for large retailers
• We would start with XLS integration initially with 1Sync.
• At April 2011 GS1 Workgroup Forum in Bethesda – talk of flat file process
while GDSN getting finalized.while GDSN getting finalized.
• Medline would participate in that approach (seemed majority in room
were in favor when polled by John Roberts.)
• Understand this would be interim approach – would not be impeding
our efforts, likely assist as we load data into item master from other
manufacturers (where Medline acting as distributor)
Medtronic
Standard Product Identification
“SPI”“SPI”
Jackie Rae Elkin
Medtronic, Inc.
Standard Product Identification
Corporate SPI Policy - 035
SCOPE:
Medtronic Worldwide
PURPOSE:
Uniquely identify each Medtronic product offering to avoid duplication of product identifiers. The Standard Product Identifier structure must be the foundation upon which all Medtronic processes and
2 | MDT Confidential
be the foundation upon which all Medtronic processes and systems using product identification are built.
POLICY:
Specified product identifiers shall be standardized across Medtronic globally and must be registered in the Enterprise Resource Planning (ERP) system, i.e., SAP. The GS1 Global Trade Item Number (GTIN) shall be used as the Key for product identification both internally to Medtronic and externally to its global customers.
Pre-SPI Challenges
� Multiple ERP systems
� Diverse business rules for product identification
� Systems integration difficulty
� Multi-layered product identification scheme� 12345 = Model Number - family of product
3 | MDT Confidential
� 12345 = Model Number - family of product
� 12345-67 = Product Number - the product (F,F,F)
� 12345-67C = Catalog Number - product and package configuration
� xxxxxxxx = Manufacturing Item Number - top level assembly/BOM
� xxxxxxxx = Batch/Lot or Serial Number - production identifier
� (01) 10681490224748 = GTIN
� *+M1261836105* = HIBC
� Two different standards for AIDC
Medtronic
Product Identification Hierarchy
Model
Legacy Today
Product Product
Medtronic Standard Product Identification (SPI)
Product identification has been intentionally streamlined to eliminate confusion both internally and externally.
4 | MDT Confidential
Catalog
Number
Product
Number
Package
LevelMIN / PIN
UPN / GTIN
Product
Number
GTIN
Also called Customer Facing Number (CFN)
Production ID
�GTIN: Uniquely identifies a product AND its package
configuration
�Product Number: High level identifier used to facilitate
immediate recognition by customers and used in marketing.
�Production Identifier: Batch/Lot or Serial Number used to
identify a product at its lowest level. Use By Date
Standard Product Identification
5 | MDT Confidential
(01) GTIN (17)Use By Date (10)Batch No.(21)Serial No.
identify a product at its lowest level. Use By Date
or
Required on all Product Packages Globally in GS1 -128 format !
SPI Project Commitments
�Executive Support - COO/CEO
�Policy / Governance - rules for product identification creation and enforcement thereof
�Master Data analysis and clean-up
6 | MDT Confidential
� Mapping GTIN/CFN according to SPI
�Centralized Master Data oversight and
enforcement (keep it clean)
�Standard Product Identification systems
integration where possible (verification & automated controls)
SPI Benefits
� Collision-proof identifiers allows seamless integration of acquisition identifiers (resolves issues of duplication)
� Prerequisite to effective systems integration (avoid x-reference tables/conversions/ custom interfaces)
� Allows automated transaction processing providing efficiencies and error reduction
7 | MDT Confidential
efficiencies and error reduction
� Efficient inventory movement through entire supply chain
� Automated distribution processing and verification improves efficiency and enhanced inventory accuracy
� Alignment of identifiers on invoice, warehouse pick list, delivery note, package label, customs documentation, etc.
� Executive support critical – COO/CEO
� Requires all members of Product Lifecycle to be
engaged
�Finance
�Regulatory / Quality
Keys to Success
8 | MDT Confidential
�Regulatory / Quality
�Businesses / Geographies
� Information Technology
�Supply Chain / Distribution
� Requires continuous governance
� It’s about the Master Data…………….data carrier is
trivial in comparison.
Contact Information:
Jackie Rae Elkin
Global Process Owner - Standard Product Identification | Medtronic, Inc.
Global Regulatory Operations
710 Medtronic Parkway, LS 330 | Minneapolis, MN 55432 USA
Office: 1-763-505-2575 Mobile: 1-612-801-6615
Siemens Healthcare Diagnostics
GS1 Standards Overview
Healthcare Transformation Group Summit
St. Louis, May 2011
© 2011 Siemens Healthcare Diagnostics Inc. All rights reserved. David Leedam, Global eCommerce
St. Louis, May 2011
Holistic Strategy
Standards Team
Contents
© 2011 Siemens Healthcare Diagnostics Inc. All rights reserved.David Leedam, Global eCommercePage 2
Conversion vs. Multiple Standards
Program Status
Key Questions
GS1 Standardisation Team
Sponsors
Eric OlsonVP, Automation & IT
Dietmar Hein PhDHead, Global eCommerce
© 2011 Siemens Healthcare Diagnostics Inc. All rights reserved.David Leedam, Global eCommercePage 3
Business Coordination
David Leedam
eCommerce EMEA APAC
IT Coordination
Mike Barthorpe
IT BRM
Logistics Marketing Operations Master Data
Holistic Strategy is required
Transactions
Processes
� Corporate Ownership
� eCommerce Automation
� Rich Information
� Performance Metrics
Technology
� Central repository
Master Data
Ownership
� Data / Content
� Processes
� Governance
� Quality
Standards Initiatives
� GHX Health ConneXion™
Organization
Organization
� Leadership Buy In
� Change Management
� Governance & Funding
� Patient Safety
� Customer Excellence
Processes
� System Architecture
Supply Chain
Processes
� Labeling
� Track & Trace
� Planning
� Consistent documentation
from paper to electronic
Technology
� SSCC
© 2011 Siemens Healthcare Diagnostics Inc. All rights reserved.David Leedam, Global eCommercePage 4
� Central repository
� Multi Channel content
distribution
� Deep system integration
� GHX
A Strategic Approach to Data Standardization
� Take a leadership role and move forward
� Transformation of the corporate culture
� End to end process design
� Continuous improvement and incorporation of new technologies: Changes in Infrastructure to enable standardization
� Support of Industry Initiatives
� GHX Health ConneXion™
� GDSN
� GTIN
� GLN
� eCl@ss 7.0 / UNSPSC
� System Architecture
� Central Master Data
� Data Distribution
� Integrated off-line and on-
line channels
� SSCC
� Barcodes
� UDI database
Conversion vs. Multiple Standards
GTINSiemens Material
Number
GLN’sSAP Account
Numbers
UNSPSC
EDMA
eCl@ss
Siemens Material
Number
© 2011 Siemens Healthcare Diagnostics Inc. All rights reserved.David Leedam, Global eCommercePage 5
� GS1 Standards for Trading
� Continued use of existing material and
account numbers internally
� Support of multiple standards for
classification
� eCl@ss predominant in Europe
� UNSPSC predominant in Australia and US
� EDMA used for reporting purposes
Program StatusGS1 Program
GLN
� Mapping of Customer GLN to SAP account numbers
� Own GLN Enumerated
� Testing for eCommerce solution mid-May 2011
GTIN (on target for Sunrise)
� Master data from legacy companies cleaned and merged
� >17,000 products enumerated with GTIN
© 2011 Siemens Healthcare Diagnostics Inc. All rights reserved.David Leedam, Global eCommercePage 6
GS1 Program
Classification
� Supporting UNSPSC v13.0601 & eCl@ss v7.0
� Loading of classification data into test system underway
� Successful test load into GHX HealthConneXion®
GTIN (on target for Sunrise) � >17,000 products enumerated with GTIN
� Auto-assignment project in progress
GDSN
� US product catalogue with mandatory attributes published
� FR/DE catalogues in preparation
� Goal is automated feed to GHX HealthConneXion®
Key Questions
� Will the use of GS1 Standards accelerate the adoption of eCommerce?
� Are there any target dates/account conversions for eCommerce adoption?
� How can industry wide adoption of standards be achieved?
� What information do you use from the GDSN?
© 2011 Siemens Healthcare Diagnostics Inc. All rights reserved.David Leedam, Global eCommercePage 7
� What information do you use from the GDSN?
� Should the GDSN require only a defined set number of mandatory attributes
globally?
� What is the Suppliers perspective on the ROI of GLN implementation?
Leslie Logan, Christine Fiore and Larry Dooley
HTG Summit – St. LouisMay 3-4, 2011
H T G R O UPHealthcare Transformation Group
Our History
In 1856, Thomas James Smith opens a small chemist shop in Hull, England.
In 1896, Horatio Nelson Smith, (TJ Smith’s nephew), enters into partnership with his uncle; the firm becomes known as into partnership with his uncle; the firm becomes known as TJ Smith & Nephew. Medical dressings become part of the business.
Our Recent History
1986, Dyonics was acquired, world leading postoperative arthroscopic equipment manufacturer. Later to become Smith & Nephew’s Endoscopy Division
1986, Smith & Nephew expands into the US; acquires 1986, Smith & Nephew expands into the US; acquires Memphis-based Richards Medical Company. Later to become Smith &Nephew’s Orthopaedics Division
1988, United Medical Division of Pfizer Hospital Products Inc. was acquired, manufacturers of special surgical dressings. Later to become Smith & Nephew's Advanced Wound Care Division
Our Recent History
1999, Smith & Nephew enters a ten-year agreement with Seikagaku of Japan to market its joint lubricant, SUPARTZ◊(hyaluronic acid) and acquire EXOGEN◊ Inc., a US developer and manufacturer of devices for the non-invasive treatment of musculoskeletal injury and disease. Together treatment of musculoskeletal injury and disease. Together these products will become the foundation of our Clinical Therapies Division
2006, Smith & Nephew acquires Plus Orthopaedics a Swiss based Orthopaedic Company. Their offering of Hips, Knees & Shoulders are now incorporated into our Orthopaedics portfolio
Enabling people to live healthier, more active
lives
Smith & Nephew's overall strategy is to help improve people's lives by repairing and
healing the human body. To achieve this, the healing the human body. To achieve this, the Group is focused on four strategic pillars for
success
Customer ledEfficient
Investing for growthAligned
Global Reach
• #2 Global Orthopaedic Company (excluding Spine)
• Offices in 33 Countries• Offices in 33 Countries
• Sales in 90 Countries
• 8,800+ Employees
• $3.8 Billion Global Sales
• $12 billion capitalization
• Listed on LSE (SN.L), NYSE (SNN)
Global Business UnitsOrthopaedics: Recon & Trauma
Biologics
Advanced Wound Management
Visualization
Endoscopy
Biologics
GS1 Investigational Team:
SVP Global Mfg. Ops – Bob Gaydos
VP Operations – Geary Munroe
VP National Accounts – Larry Dooley
Group Director Global Packaging – David HardinGroup Director Global Packaging – David Hardin
Group Director GIS – Janet Scott
Group Director Global Distribution – Matthew Roberts
Group Director Offer Development – Christine Fiore
Sr. Project Manager Global Packaging – Leslie Logan
Manager EDI Business Systems & Reports – Linda Nelson
Current Standards
•GS1 standard for Advanced Wound Management business unit
•HIBC standard for Endoscopy, Orthopaedics and Biologics business units
•HIBC bar codes used throughout all S&N Global distribution systems S&N Global distribution systems
•GTIN’s assigned to all products for all business units
•GS1 bar codes added in distribution process for shipments to Spain, France, Belgium, Sweden, Korea, Japan
•GLN used for admin fee payments as required by GPO contracts
GS1 / GTIN Knowledge
• GS1 Investigational Team formed with the responsibility to determine Company action plan for GS1, GTN and GLN initiatives
•Global Operations Executive Staff – Presentations made to educate and gain approval to adopt GS1 bar code standard only.
• Smith & Nephew is investigating the possible • Smith & Nephew is investigating the possible usage of GS1 standard in the future
St. Jude MedicalGS1 Adoption
Healthcare Transformation Group Summit
May 3 – 4, 2011
St. Jude Medical GS1 Implementation
� Implementation Project Structure
� Team
� Timeline
� Label Transition Approach
� Status
� GTIN
� Data Synchronization
� GLN
� Order Automation
St. Jude Medical GS1 Implementation TeamSponsorship and Direction
LeadershipPeter Blomberg Kevin Lapolt
SteeringCommitteeDave Hendrick
Sr . VP, Sales Operations
Executive Sponsor
James Ufford
VP, Supply Chain, CVD
Bob Berset
Director, Supply Chain, AFD
David Roosth
Director, Supply Chain, NMD
Bruno De Maeyer
Sr. Director, Supply Chain, EMEA
Jeff Chateau
VP, Supply Chain, CRMD
Mark Murphy
Sr. Director, SAP GCC
GTIN Working Group
Peter Blomberg
Sr. Mgr, Labeling and Tech Pub, AFD
Art Castronovo
Mgr, Packaging Engineering, CVD
Kevin Lapolt
Sr. Mgr, Documentation / Labeling, NMD
Andrew Willingham
Sr. Director, Architecture, EIT
Melissa Plicque
E-Commerce Program Mgr
Mark Trebilcock
Mgr, Distribution Operations, CRMD
Jeffrey McVay
Sr. Program Mgr, EIT
Bruno De Maeyer
Sr. Director, Supply Chain, EMEA
Business and Technical TeamsDoc Control, Customer Service, Packaging and Labeling, Contracts and Pricing, SAP
GS1 Implementation Timeline
Onboard Customers (US)
GLN Adoption
Develop Consistent GTIN Rules
Incorporate GTIN into Business ProcessesGTIN Adoption
2010 2011 2012
Identify Attributes
Design Process
Develop Publishing Technical SolutionGDSN Publication
Add GLN to Business Activities
Integrate to Other Systems
Core Business Systems
4
2011 2012
Product Labeling
AFD
CRMD
CVD
NMD
ICDs / Pacers Leads Accessories
Introducers / Catheters
Vascular Closure / Guidewires
Valves – Mechanical / Tissue
Miscellaneous
ICDs / Pacers Leads
Complete
Sylmar
Puerto Rico
Veddesta / Malaysia
Systems Spare PartsCatheters / Introducers Complete
Label Transition Strategy
� Nov. 2007
� Set Enterprise direction to replace HIBC with GTIN standard
on all product labels world-wide
� Defined Requirements for world-wide label standards
� Transition Strategy
� Change over product labels by product line� Change over product labels by product line
� Future products use new label with GTIN; existing inventory
addressed through depletion
� Support our customers by enabling business systems to
accommodate the GTIN transition at our customer’s pace
GTIN Implementation Status
� GTIN standards defined and adopted
� Allocation rules and label standards defined
� GTINs assigned to all customer products
� Product labeling underway; planned completion Q3 2012
for all divisions / products
� Core business systems updates Q4 2011 to support GTIN � Core business systems updates Q4 2011 to support GTIN
use in order flow
� Updating order-to-cash paperwork to include GTIN –
planned for 2012
Label Transition Status by Division
AFD CRMD CVD NMD
Current
Standard
GTIN GTIN+HIBC or
HIBC
HIBC GTIN
Future
Standard
GTIN GTIN+HIBC
(both)
GTIN GTIN
Transition
Status
96% Complete
Catheter /
Introducers
Completion: EOY
2011
Begin Transition
Q3 2011
100%
Introducers
Complete,
Balance Q2/2012
Complete
Transition Q4
2012
Rollout Add GTINs to
Capital Equipment
& Spare Parts to
complete
Manufacturing
Site and Product
Line
Product Line
Inventory
Transition
Strategy
Depletion Depletion Depletion
Master Data Synchronization Status
� Catalog Publication: Contracts, Price Sheets,
Spreadsheets
� Initial Planning Stages for GDSN Publication
� GDSN Synchronization is a planned 2012 project
GLN Implementation Status
� Currently GLN Ready
� GLN standard defined and adopted
� Core business systems for order-to-cash updated to support GLN
usage
� Registered SJM locations relevant for US through GS1 Registry
� Currently transacting with customers using GLNs upon request
� Upcoming:
� Integrate GLNs into Contracting Systems and reports
� Understand customer needs to utilize in other business activities
Order-to-Cash Automation
� Current Status:
� Support 850, 855, 856, and 810 through GHX
� Integrated with limited e-invoicing hubs, currently
� Upcoming:
� Consolidating GHX supplier structure to single supplier for
cardiology businesses – Completion Target August 2011 cardiology businesses – Completion Target August 2011
� Updating systems to support non-GHX electronic
transactions, including limited direct customer integration.
� Product Catalog, 832, planned for 2012
GS1 Data Standards UpdateGS1 Data Standards Update
Healthcare Transformation Group (HTG)
St. Louis, MO St. Louis, MO
May 4, 2011
Team Members
Will Probst, Director Supply Chain (GS1 Standards Leadership)
Ben Romanski, Program Manager (GS1 Transactions)
Stryker endorses the GS1 data standards and is developing
a committee to focus on meeting the requirements for global
implementation.
Active member of GS1 US Healthcare groups: GLN, GTIN, GDSN
GLN Achievements
• Assigned searchable data field in Address Book that cross-references
existing Ship To/Sold To account numbers
• Utilized GLN Registry to synchronize GPO rosters
• Over 2500+ GLNs assigned to internal legacy account numbers
• Successful participation in Premier GLN Pilot Phase II with multiple • Successful participation in Premier GLN Pilot Phase II with multiple
providers (Geisinger Health & Banner Health) using manual transactions
• Operating Procedures, Documents and Transactions implemented,
trained and utilized in daily account management
• GLN reference included in GPO sales trace reporting
• Transacting GLN on EDI using the “UL” qualifier on 850/856/810
• Achieved GLN Readiness in advance of Sunrise Date
• Mayo GLN Pilot via EDI: May 25th Go-Live
GTIN Status & Approach
• Identified storage location in ERP Item Master
• GTIN assignment to begin in Q3
• 4000+ SKU’s across 25 Product Families (Ascent)
• Limited Initial GTIN Assignment; 10-20 SKU’s across 3 PF’s
Design, develop and test system; setup/transactions• Design, develop and test system; setup/transactions
• Barcode, Packaging Hierarchy, Labeling, Procure to Pay Documents, EDI Maps
• Conduct GTIN Pilots: 1st Manual (Paper), 2nd EDI
• Assign GTIN’s to balance of SKU’s
• Achieve GTIN Readiness in advance of Sunrise Date
Master Data Synchronization
• Member of GHX Health ConneXion Data Pool
• Single pipeline feed via to multiple data sources
UDID
GDSNHealth
ConneXion GDSN
AllSource
Product
Data
QUESTIONS??QUESTIONS??
Contact Information:
Will ProbstAscent: A Stryker Sustainability Solution
Synthes USA GS1 Implementation
Author / version / date / subject 1
– Mary Schafer, Vice President of Global Operations
– Mark Gordon, Vice President of Global Regulatory and Clinical Affairs
– Bob Strehl, Director of North American Materials Management
UDI US Steering Committee (includes GS1
implementation)
Synthes USA GS1 Implementation
Author / version / date / subject 2
– Bob Strehl, Director of North American Materials Management
– Tami Benjamin, Manager of Global Sterility Assurance
– Scott Hall, Manager of Packaging Engineering
– Eric Brown, Manager of Labeling Technology
Current Data Standards
HIBC – North America (Synthes US)
GS1 – Europe, Latin America (Synthes EMEA)
Synthes USA GS1 Implementation
Author / version / date / subject 3
GS1 – Europe, Latin America (Synthes EMEA)
Synthes EMEA is fully trained on GS1/GTIN
standards. Synthes US is beginning this process.
Synthes US GS1 Implementation planned to
coincide with rollout of global ERP system,
beginning Q2 2012.
Synthes USA GS1 Implementation
Author / version / date / subject 4
beginning Q2 2012.
Confidence in your hands™
GS1 Implementation Status
HTG Summit
May 4, 2011
Confidence in your hands™
GS1 Sponsorship
• GS1 is jointly owned at Zimmer :
• Global VP of Operations is overall sponsor (Rick Stair)
• Global VP of IT is co-sponsor (Edwina Payne)
• Multiple departments also engaged in ensuring GS1 adoption is meeting the requirements of our customers and regulatory bodies
• Global VP of Regulatory (Shami Feinglass)
2
• Global VP of Regulatory (Shami Feinglass)
• VP of Sales Distribution (Dean Childers)
• Director of Packaging (Tim Early)
• Individuals across the Zimmer organization globally are involved as required
Confidence in your hands™
GS1 Journey
• Already in Place:
• Ability to transact with customers using GLN in US (December 2010)
• Central assignment of GTIN numbers for international usage (Spain, France, Germany and Australia)
• UDI and GS1 Awareness sessions for senior leadership
• Activities Underway:
3
• Activities Underway:
• Holistic review of GS1 customer and regulatory requirements to ensure firm understanding and support
• Recruitment of GS1 Project Leader
• Review of GTIN assignment “rules”
• Key Enabling Activities:
• Elimination of duplicate Finished Goods numbers
• Master Data Management – process and system
• Global Labeling system implementation (Prisym)
Confidence in your hands™
Upcoming Activities
• Continue to partner with key business customers and regulatory bodies on GS1 activities
• Onboard GS1 leader
• Complete GS1 Assessment and define project approach, timeline
4
• Complete GS1 Assessment and define project approach, timeline and milestones
• Begin GS1 rollout globally:
• GTIN transactional capabilities
• Bar code conversion from HIBC to GS1
• UDI compliance in US
• GDSN data synchronization
Confidence in your hands™
Addressing Your Questions
55
555
The Clinical Importance of
Unique Device Identification
Natalia Wilson, MD, MPH
Healthcare Transformation Group Summit
May 3, 2011
The Patient
• Wherever we sit in healthcare, the patient is
in the center
• Our collective goals for that patient
– To receive optimal & quality care– To receive optimal & quality care
– To guard their safety
– To provide processes that allow efficiency in their
health care delivery
Outline
• Value of UDI
• Clinical Importance of UDI
• Global Importance• Global Importance
• UDI & Health Care Reform
Value of UDI
• Clinical
• Supply Chain
• Process Efficiency • Process Efficiency
• Setting a Standard
• Economic
Clinical Importance of UDI
Clinical Importance of UDI
1. UDI as the standard for record of products used in patient
care
2. UDI as the standard to identify devices implanted in patients
3. UDI as the standard to facilitate product information &
verification @ point of useverification @ point of use
4. UDI as the standard to enter device info into clinical
registries
5. UDI as the standard for product documentation to facilitate
efficiency & comprehensiveness in product recalls
UDI as the standard for record of
products used in patient care
• Currently lack a standard across health care
for record of products used in patient care
• Leads to a loss of comprehensive
documentation for clinical care documentation for clinical care
UDI as the standard for record of
products used in patient care
• What standard should be
– UDI on products
– Scan UDI when products received @ hospital
– Maintain record in IT system– Maintain record in IT system
– Scan UDI of product @ point of use = link to patient
– For implantable devices maintain UDI in standard
field in EHR
UDI as the standard to identify devices
implanted in patients
• Currently lack a standard across health care
to identify devices implanted in patients
• Leads to risk for patient and inefficiency of
health care delivery health care delivery
UDI as the standard to identify devices
implanted in patients
Revision Orthopedic Joint Replacement Surgery
• Current process
– Obtain operative report
– Paper or electronic records– Paper or electronic records
– Info may not be complete
– May go to other means for implant id: x-ray, rep or
colleague consultation, @ surgery
UDI as the standard to identify devices
implanted in patients
Revision Orthopedic Joint Replacement Surgery
• Impact
– Inefficiency for surgeon pre-operatively
– Patient could have more extensive surgery– Patient could have more extensive surgery
UDI as the standard to identify devices
implanted in patients
Spine Revision Surgeries
• Current process similar to orthopedic joint
replacement revision surgeries
• Additional importance is to know what • Additional importance is to know what
tools/devices need in OR to remove original
implant
UDI as the standard to identify devices
implanted in patients
Spine Revision Surgeries
• Impact
– Inefficiency for surgeon pre-operatively
– Potential inefficiency @ surgery or may need 2nd– Potential inefficiency @ surgery or may need 2nd
surgery scheduled
UDI as the standard to identify devices
implanted in patients
Interventional Cardiology
• Re-stenosed stent or patient needs 2nd stent
– Need information from the procedure report
– Getting device info not always straight-forward– Getting device info not always straight-forward
– Length of time since stent put in or standard of
documentation impact
– If cannot id original stent & diameter, may need additional
imaging such as fluoroscopy or ultrasound
UDI as the standard to identify devices
implanted in patients
Interventional Cardiology
• Impact
– Time factor under urgent circumstances
– Patient may need extra imaging– Patient may need extra imaging
– Inefficiency for cardiologist
UDI as the standard to identify devices
implanted in patients
Interventional Cardiology
• Patient with AICD in emergency
• How identify device?
• Currently
– First responders support patient
– ED will call programmer on call to interrogate but may be different
manufacturer
• If EMT could scan device w UDI & determine info, proper
programmer could be on way to ED
UDI as the standard to identify devices
implanted in patients
Patient needs emergency surgery
• Issues to consider
– What implanted devices does patient have?
– Can anti-coagulation be stopped?– Can anti-coagulation be stopped?
UDI as the standard to identify devices
implanted in patients
Primary Care
• Comprehensive knowledge of patient
• What implanted devices does patient have?
• What specialists needed for f/u?• What specialists needed for f/u?
• Is patient on the proper meds?
• If there is a recall knowledge that affects your
patient?
UDI as the standard to identify devices
implanted in patients
Many other Class III devices across medical specialties
to consider…
• Cochlear implants
• Neurostimulators
• Breast implants
• Implantable infusion pumps
• Various prostheses
• Etc., etc.
UDI as the standard to identify devices
implanted in patients
• Some Class II devices important to consider…
– Mesh
– Slings
– Bands– Bands
• Used in many general, urologic, gynecologic,
bariatric surgeries
UDI as the standard to identify devices
implanted in patients
• What standard should be
–UDI on devices
– Scan UDI of device @ point of use
UDI in EHR–UDI in EHR
UDI as the standard to facilitate product
information & verification @ point of use
• Medication verification & administration @ bedside
(bar-code e-MAR)
– NEJM article 2010
– Compared medication dispensing pre & post e-MAR @
AMCAMC
– Captured data on errors: wrong medication, dosing, timing
– Outcome stat significant reduction of medication error
Poon, EG, Keohane CA, Yoon, CS, et.al. Effect of Bar-Code Technology on the Safety of Medication Administration. N Engl J Med 2010;362:1698-707.
UDI as the standard to facilitate product
information & verification @ point of use
• Extension to products
• Different from medication ordering because ordering of procedure generally not product specific
• But potential for• But potential for– Notification of allergy – latex or other
– Recalled product
– Other
UDI as the standard to enter device
info into clinical registries
• What are clinical registries?
– Capture data on clinical conditions, procedures,
devices
– Hospitals input info on patient, physician, hospital, – Hospitals input info on patient, physician, hospital,
procedure, diagnosis, device used, often extended
clinical info, etc.
– Patients followed to ascertain quality of life,
symptoms, activity, etc.
UDI as the standard to enter device
info into clinical registries
• Outcomes of clinical registries
– Provide data that may lead to recalls of devices
– Provide data that may change practice patterns
– Provide data for comparative effectiveness– Provide data for comparative effectiveness
– Provide data for research
– Provide information to enhance optimal & safe
patient care
UDI as the standard to enter device info into
clinical registries – US Cardiac Registries
• National Cardiovascular Data Registry (NCDR)
• Society of Thoracic Surgery (STS) National Database
• Kaiser Permanente Cardiac Device Registry (KPCDR)
• Kaiser Permanente Heart Valve Replacement Registry• Kaiser Permanente Heart Valve Replacement Registry
http://www.ncdr.com/webncdr/common/
http://www.sts.org/national-database
http://xnet.kp.org/permanentejournal/NIR/Registries/Cardiology.htm
http://xnet.kp.org/permanentejournal/NIR/Registries/Cardiac_Surgery.htm
UDI as the standard to enter device info into
clinical registries – US Orthopedic Registries
• American Joint Replacement Registry (AJRR)
• Kaiser Permanente Total Joint Replacement Registry
• Hospital for Special Surgery (HSS)/CERT Joint
Replacement RegistryReplacement Registry
• UMMS received an ARRA funded CER grant of $12m
to start a national joint replacement registryhttp://www.orthodoc.aaos.org/ajrr/grp_index.cfm
http://xnet.kp.org/permanentejournal/NIR/Registries/Total_Joint.htm
http://www.hss.edu/cert.asp
http://www.umassmed.edu/news/articles/2010/ahrq_grant.aspx
UDI as the standard to enter device info into clinical
registries – International Orthopedic Registries
• Swedish National Hip Arthroplasty Register
• Australian Orthopaedic Association National
Joint Replacement Registry
• National Joint Registry (NJR) of England & Wales• National Joint Registry (NJR) of England & Wales
• And many more…https://www.jru.orthop.gu.se/
http://www.dmac.adelaide.edu.au/aoanjrr/
http://www.njrcentre.org.uk/njrcentre/
UDI as the standard to enter device
info into clinical registries
• International Consortium of Orthopedic
Registries
– FDA & HSS led initiative
– Develop international registry network– Develop international registry network
– Mtg this spring
• Hopefully UDI & setting data standards early
discussions
UDI as the standard to enter device
info into clinical registries
• Currently lack a standard to enter device info into
clinical registries across health care
• Impacts
– ability to link data across similar registries– ability to link data across similar registries
– comparative effectiveness potential
– research opportunities
– speed to find out about early failing devices or those that
negatively impact patient quality of life
UDI as the standard to enter device
info into clinical registries
• What standard should be
– UDI on devices
– Scan UDI of device @ point of use = link to patient
– Use UDI to enter device info into clinical registry– Use UDI to enter device info into clinical registry
– Option to link UDI Database product attributes for
extended info as needed on that device
DePuy ASRTM Hip Systems Recall 2010
• NJR of England & Wales 2010 data - higher than expected
revision rate @ 5-yrs in 2 DePuy hip systems
• Voluntary recall
• Clinical f/u of these patients extensive
– Annual visit & x-ray for 5 years– Annual visit & x-ray for 5 years
– Any problems…blood tests, MRI, U/S
– Abnormalities…frequent f/u or revisionDePuy Companies. ASRTM Hip System Recall Guide. Available at: http://www.depuy.com/usprofessional Accessed March 21, 2011.
DePuy ASRTM Hip Systems Recall 2010
Issues
• Extensive f/u for patients with these implants
• Patients may experience tissue inflammation & revision
may not be as successful
• Time consuming & extra cost for physician & physician • Time consuming & extra cost for physician & physician
office in handling recall
– patients calling to find out if they have that implant, calling patients
& sending letters, extra volume of patients for office visits, patient
anxiety, etc.
DePuy ASRTM Hip Systems Recall 2010
Issues
• Cost
– For patient follow up & tests
– For physician offices to handle recall
– Revision surgeries– Revision surgeries
– For DePuy – recall notifications, website with updated info, call
in available to speak with rep, litigation…
• Cost being covered by DePuy…but cost in one place comes
out as cost in another
DePuy ASRTM Hip Systems Recall 2010
• If NJR of England & Wales showed this, other
international registries probably did also
• UDI as standard to input device info into clinical
registries…link of registries
– More data
– Find out problem earlier
– Less patients impacted
Standard & Efficiency in product recalls
• The lack of a standard across health care in all
discussed to date impacts recalls
– Lack of standard for record of products used in patient
care
– Lack of standard to identify devices implanted in patients– Lack of standard to identify devices implanted in patients
– Lack of standard for product info & verification @ point of
use
– Lack of standard to enter device info into clinical registries
Alcohol Wipe Recall
• Triad Group alcohol prep pads, alcohol swabs
& alcohol swabsticks
• Used OTC & in hospitals
• Under many private labels• Under many private labels
• Potential contamination w Bacillus cereus
• Extensive recallhttp://www.fda.gov/Safety/Recalls/ucm239219.htm
Alcohol Wipe Recall
• Scanning UDI for product @ receiving would
provide record that in hospital
• Obviously alcohol wipes could be
over…patient rooms, shelves, pockets, etcover…patient rooms, shelves, pockets, etc
• But scanning @ receiving would provide
record that have that product
Recalls in Retail
• UPC on products
• Product entry into store captured by UPC
• Recalled product tracked quickly, removed from
shelves & info made publicly availableshelves & info made publicly available
• Warehouse membership
– UPC can be linked to member purchase data
– Member contacted if bought recalled product
Standard & Efficiency in product recalls
• Implantable devices
– Rep generally in charge of consignment or trunk
stock
– Notification often bypasses hospital & goes to – Notification often bypasses hospital & goes to
physician for devices already in patients
– Different standards based on FDA tracking
requirement
Standard & Efficiency in product recalls
• FDA Tracking Requirement– Manufacturers of certain devices must develop tracking
system to quickly remove/notify
– Higher risk devices
– Examples: AICD, implantable pacemaker electrodes &
generator, mechanical heart valve, silicone breast
implants, cerebellar & phrenic nerve stimulators
http://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/PostmarketRequirements/MedicalDeviceTracking/default.htm
Standard & Efficiency in product recalls
• Eg/Boston Scientific CRM trackable devices
– GTIN on packaging
– Unique model serial # etched on device
– Extensive records of physician, patient, hospital
• Some do not utilize a true UDI
• Manufacturers for devices not on FDA tracking list
different standard…
Standard & Efficiency in product recalls
What standard should be
• UDI on products
• Scan UDI of product @ receiving for traceability in hospital
• Scan @ point of use for info on device (recalled?) & link to use in
patientpatient
• Document UDI for implantable devices in EHR to link patient &
device
• Use UDI for device entry in clinical registries to facilitate network
of registry data…may indicate suboptimal performance
Clinical Importance of UDI
1. UDI as the standard for record of products used in patient care
2. UDI as the standard to identify devices implanted in patients
3. UDI as the standard to facilitate product information & verification
@ point of use
4. UDI as the standard to enter device info into clinical registries4. UDI as the standard to enter device info into clinical registries
5. UDI as the standard for product documentation to facilitate
efficiency & comprehensiveness in product recalls
UDI helps facilitate optimal patient care, patient safety,
physician efficiency
Global Importance
• Global manufacturers
– One standard for their products
• Patients move, travel & access care along the way
• Medical tourism• Medical tourism
• One standard in recalls
• One standard for clinical registries
UDI & Health Care Reform
Affordable Care Act
• Components
– Increase access
– Insurance regulation
– Cost-containment
– Improved quality
– Improved public health
HealthCare.gov http://www.healthcare.gov/law/introduction/
American Recovery & Reinvestment
Act of 2009
• HITECH Act
– $22.6b for adoption of health IT
• CER
– $1.1b to AHRQ, NIH, OS-HHS– $1.1b to AHRQ, NIH, OS-HHS
– Funding for research on spectrum of treatments for clinical
conditions
HHS.gov/Recovery http://www.hhs.gov/recovery/programs/
HITECH Act
• Goals = improve health care quality, safety, & efficiency thru
use of HIT
• Meaningful Use incentives by Medicare & Medicaid
• Ongoing discussions for UDI in EHR to be meaningful use
objective in Stage 2objective in Stage 2
• Current meaningful use core objectives include
– Provide patients with copy of EHR upon request
– Capability to exchange key clinical info among providers of care
electronicallyThe Office of the National Coordinator for Health Information Technology .
http://healthit.hhs.gov/portal/server.pt/community/healthit_hhs_gov__home/1204
CER
• Funding has included
– Registries: atrial fibrillation, national TJR registry
– PCI vs CABG
– Develop CV Surveillance System– Develop CV Surveillance System
– Develop data infrastructure for post-market CER:
linking large data sets across states
NIH RePORTER. http://projectreporter.nih.gov/reporter.cfm & AHRQ. Recovery Act Rewards. http://www.ahrq.gov/fund/recoveryawards/
Concluding Remarks
• Wherever we sit in healthcare, the patient is
in the center
• We want to support that patient
– Receiving optimal & quality care– Receiving optimal & quality care
– Being safe
– Having efficiency in their health care delivery
• UDI enabler of quality, safety, efficiency
Contact Information
Natalia Wilson, MD, MPH
Co-director, [email protected]
Website: http://wpcarey.asu.edu/hsrc-asu/