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Results of the efficiency models in the Andalusian Health Service Supply Chain
María Ramírez Gutiérrez
Economic Management Directorate
Andalusian Health Service
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Area: 87.597 Km2.Inhabitants: 8.059.461
ANDALUSIA GEOGRAPHIC SITUATION
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ANDALUSIAN HEALTH SERVICE (SAS) NUMBERS
CENTERS
HOSPITALS 29
HEALTH CENTERS 1.514
MANAGEMENT AREAS 9
STAFF
HOSPITALS 62.132
HEALTH CENTERS 22.636
BUDGET 8.602 M€
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OBJETIVES
Establish a sustainable model in order to:
• Increase patient security.• Increase logistic service level of the healthcare activity• Reduce Supply Chain global cost
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PURCHASING MODEL
The Andalusian Health Service Purchasing model is:
• Dynamic• Used for all the healthcare centers of Andalusia• Regularize the supply and the demand • It offers professionals all the corporative tools to achieve this process.
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CURRENT PROYECTS
Corporative Management Strategic Lines:
1.- To add the steps of the logistic process:Integral Logistics Provincial Platforms
2.- To organize the purchase process:CatalogueNormalize the public procurementIntegrated Purchase Planning
3.- Professionals Involvement: Spend Agreement, Technical Commissions, work groups.
4.- Develop and implant the information system: SIGLO (Integral System of Logistic Management)
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1.- PROVINCIAL PLATFORMS
In 2009 the logistic map was evaluated in an internal cost analysis:
- Staff
- Distribution
- Warehousing
And it was decided to add all the steps of the logistic process in
8 provincial platforms:
PUBLIC
PROCUREMENT
DISTRIBUTION
INVOICING
PURCHASINGCONSUMPTION
WAREHOUSING
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Servicio Andaluz de Salud
1.- PROVINCIAL PLATFORMS
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1.- PROVINCIAL PLATFORMS
ADVANTAGES …
• Better purchasing prices and general conditions.
• Encourage modernization of warehouses and distribution
• Reduction of official acts and bureaucracy with easier procedures as the European Directive requires.
• Rational use of the sanitary products, unification of criteria in the consumption of articles by professionals agreement
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2.- ORGANIZATION OF PURCHASING PROCESS
• The goods and services Catalogue shows the demand
• Generic Center (only one internal code in SAS: 122.496)• Expansion of the scope to all the economic management• Provincial Alignment (one reference for Generic center)
• The goods and services Bank shows the supply
(404.120 products)
• Normalize the Public Procurement and PurchasesIntegrated Planning
• Spend Agreement management
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3.- INVOLVEMENT OF PROFESSIONALS
The model promotes the active participation of the professionalsand their co-responsibility in the economic sustainability.
Looking for their participation with:
• Spend Agreement• Technical Commissions,
• Provincials• Regional
• Involvement in work groups
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4.- SIGLO
To implant SIGLO has supposed:
• Redefinition of the whole logistic process from suppliers up to patients realized by a group of experts from our centers.
• Adopting the best practices and optimizing the processes.
• Centralized and standardized information, shared for all the stakeholders of the supply chain
IT’S IMPLANTED IN ALL THE PROVINCES SINCE OCTOBER!
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4.- SIGLO - LOGISTIC
SIGLO for suppliers :
External manager in the Suppliers Centre:
• External orders (contacts, orders, incidences y complaints)• Warehouse (entered register, reception confirmation)• Healthcare consignment• Invoicing (register of invoices)
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4.- SIGLO
And with the implantation of SIGLO, the GS1 Standard system:
Goods Management: Automatic identification and data captureEAN-UCC (GS1) • Product Traceability, safety for patients and professionals
Document Management: Electronic Data Interchange in thecommercial transactions EDI. • ORDERS • DESADV (Despatched advice) • RECADV (Reception advice ) (72 working hours ) • INVOIC With electronic signature
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4.- SIGLO
And for GS1 Standard system adoption :
• Technical Commission of Purchasing and Logistics (CTCL)www.ctcl.es
• Work Group Traceability• Work Group EDI
• GS1 Spain
• GS1
• EDICOM
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2005• Collaboration Agreement with GS1 Spain • Hospitals work team analyzed:
• SAS needs • Current Codification status of the Health Sector.
• Mandatory Codification and Symbol Requirements Document.
2005- 2012• Training and support to our staff and suppliers. • Logistic attributes based on GS1 Standards were introduced by
the suppliers in our Data Base for 306.975 products• Validation Match of symbol and Data Base Logistic attributes
information• Participation GS1 Spain Work teams and Spanish Health
Services work teams to unify criteria
4.- SIGLO - GS1 IDENTIFICATION SYSTEM
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CATALOGUE
Scope : All kind of goods and services:
• 122.496 Articles. Example: Blue Ballpoint
BANK
• 404.120 Products: Information introduced by the suppliers. (Brand, model, reference, GTINs, photo....)
• GTIN information: 306.975 products
4.- SIGLO - GS1 IDENTIFICATION SYSTEM
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4.- SIGLO - GS1 IDENTIFICATION SYSTEM
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All of the hospitals have a warehouse which manages the consumer unit with the automatic capture of GS1 symbols
?Let’s see who can guess
4.- SIGLO - GS1 IDENTIFICATION SYSTEM
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When in healthcare?
4.- SIGLO - GS1 IDENTIFICATION SYSTEM
0,10 €
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4.- SIGLO - EDI
Mandatory use of EDI
At 1st January of 2013 for:• Medical devices• Implants• Medicines
And 1st April 2013 for Diagnosis Reagent
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Requirements
• Identification of products with GTIN • Codes information in our Data Base• GS1 symbols in the packaging
• Identification of suppliers with GLN • Implementation of all the messages:
• ORDERS (Price, by sales unit)• DESADV with SSCC (00)• RECADV (72 hours)• INVOIC with electronic signature and Receipt Confirmation• GENRAL
• Complete the EDI Test Plan
4.- SIGLO - EDI
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4.- SIGLO - EDI
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Currently
23 suppliers live56 suppliers in tests144 prepared to start test
4.- SIGLO - EDI
0200400600800
10001200
Nº
Do
cs
Date
EDI EVOLUTION
ORDERS
DESADV
RECADV
INVOIC
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4.- SIGLO
Critical points in the implantation of SIGLO:
• Catalogue of all the articles in the Goods and Services Catalogue scope.
• Centers adaptation to the design of •New management structures: Provincial Platforms•Logistic management of consumer warehouse.•Logistic management of consignment.•Reception confirmation.•Spend Agreement management for all the catalogue
• Technical and economic offers only managed by suppliers(Open zone of the Bank)
• Delivery deadlines delays control• Corporative control panel.
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4.- SIGLO
The implantation of the Integral System of Logistic Management(SIGLO) as the corporative tool for economic management,eliminating the 68 initial local systems has supposed:
Optimization, Safety, Standardization, Transparency, Simplification, Order, Corporative Information, Modernization, International Standards used, key questions management, Economic Savings, Professionalization,…
And overall a CULTURAL CHANGE, A NEW LIFE
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RESULTS
7,30%
8,98%
11,41%10,13%
4,28%
-2,94%-1,99%
4,82%7,02%
6,23%
9,98%10,19%
3,97% 0,31%
-1,94%
4,69%
3,94% 3,86%
5,93%
6,13%
5,75%
0,06%
-11,74%
1,45%
6,30%6,92%
9,63% 9,13%
4,57%
-1,40%
-4,45%
3,93%4,23%
4,22%5,50%
6,27% 6,13%
-0,15%
-12,47%
1,35%
-17%
-12%
-7%
-2%
3%
8%
2005 2006 2007 2008 2009 2010 2011 TAM
05/11
GASTOS DE PERSONAL GASTOS EN COMPRA DE BIENES Y SERVICIOS
GASTOS EN TRANSFERENCIAS A LAS FAMILIAS TOTAL GASTOS CORRIENTES (Excluidos G. Financieros)
GASTOS EN FARMACIA (CAP. IV)
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“There is a motive force that is more powerful
than steam, electricity or atomic energy:
will power.”Albert Einstein
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MOITO OBRIGADO!