Implementation of the Australian Healthcare National Product Catalogue

e-Health Catalogue

(Source: AIHW, 2013)

$140 Billion per annum

9.51% of GDP

Average $6230 per person

Australian Healthcare Spending

Where does the money go?Recurrent spend on health goods & services, 2009-10

source: http://www.aihw.gov.au/australias-health/2012/spending-on-health/

On an average day in Australia…

Health system growing busier:

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342,000 people visit GP

17,000 people visit emergency

23,000 people admitted hospital (5,000 elective surgery)

742,000 medicines dispensed pharmacies

71,000 km flown / 107 evacuations - Royal Flying Doctor

820 babies are born (including 260 by caesarean section)

400 treatment episodes – alcohol/other drug treatment

6,800 people transported ambulance

source: http://www.aihw.gov.au/australias-health/2012/spending-on-health/

All areas Growing

source: http://www.aihw.gov.au/australias-health/2012/spending-on-health/

Kidney disease

source: http://www.aihw.gov.au/australias-health/2012/spending-on-health/ Your Logo

Health and total spending: trends Growing faster than All other Goods & Services

The real Scary numbers:

Estimated result of medical errors:

• Up to 18,000 people Die

• 50,000 people suffer permanent injury

Per Annum

Medical Journal of Australia in November 1995

Complex supply chain:

Patient safety needs - critical

Multiple supplier catalogues

Compatibility of products

Comparisons of different brands

Traceability

Supply & demand timing/planning

Shelf life issues

Product quality, complexity, accuracy & fit for purpose.

Number of Hospitals – approx. 1300 (private & public)

Regulations and Pharmaceutical industry

Public and private sectors

Government funding arrangements

Multiple government departments -state & federal

What is being done - The Acronyms:

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VPCS

NPC

GPC

GLN

GTIN

HPV

National Electronic Health Transition Authority

Established in 2005

Joint initiative State, Territory and Federal

Purpose to identify and develop eHealth foundations

Develop & improve e-Health structures, processes,

integration and security

Implementing multiple national eHealth initiatives

For electronic data collection and exchange.

To enhance healthcare by enabling access:

• right information, right person, right time & place.

Co-ordinating implementation of National product catalogue

GS1:

Non - profit organisation

40 year history

standardisation solutions for supply chains globally

GS1net:

Data synchronisation platform

o Global Trade Item Number (GTIN) – barcode

o Global Location Number (GLN)

o Global Product Classification (GPC)

Platform for implementation of National product catalogue

National Product Catalogue (NPC)

Diagram A: NPC data flow (Source: GS1 Australia 2012, GS1 Healthcare Reference Book 2012/2013)

“Single source” for master data of public health in Australia (DoH, Victoria, 2014)

National Product Catalogue (NPC)

Suppliers load data into:

o Product details & pricing

o Pack sizes & types

o Health Specific requirements

o Pharmaceutical Benefits Scheme (PBS)

o Therapeutic Goods Administration (TGA)

o Risk classifications

o Clinical requirements

Medical products, devices, catering and cleaning

Utilises GS1net

GTIN for unique product identification

State/territories progressively rolling out.

Health departments synchronise to own systems

Victorian Product Catalogue System (VPCS)

Diagram B: The proposed model for Victoria

(Source: http://www.health.vic.gov.au/npc/implementation.htm, 2014)

• Health Purchasing Victoria maintain

(statutory authority)

• Synchronises with NPC data

• Includes HPV contract data & pricing

• 252,000 items to date.

• Privacy and security

• Access & Performance - critical

• Time delays - public processes.

• Reliance on suppliers accuracy

• Regulatory requirements & variations

• Excessive Product ranges

• Individual preferences of medical staff

• Compliance of staff to catalogue

• Decisions by non SC skilled people

• Changing clinical requirements

• Constantly changing product ranges

• Life cycle control of product data

• Connectivity existing IS systems

• State & territories system variations

Challenges

• Standard data - product & pricing

• Better identification of products (GTIN)

• Greater Accuracy of data

• Reduce potential patient dispensing errors.

• Reduced order processing errors

• Reduced transaction errors & Waste

• Reduced resources

• Expanded range of suppliers and products

• Electronic notifications product changes

• Improved product recall processes

• Enhance Strategic procurement

• Live Electronic data

• Reduction of potential ripple effect

• Increased access from/to suppliers

• Improved invoicing accuracy

• Reduced tender timing – data collection

Benefits

The Future - Ageing Population

Source: Australian Institute of Health and Welfare 2012. Australia’s health 2012: in brief. Cat. no. AUS 157. Canberra: AIHW

Spending on Aged Care health

Increase 4.9 % each year

19% of Health Care workers

Aged over 55

$40 Trillion Dollar market 212 Billion devices by 2020

The Future - Potential (Internet of Things)

Source: http://www.slideshare.net/ValaAfshar/internet-of-thingsslideshare

Support future needs - safety, patients and public in general

Need a Sense of Urgency

Moving too slow:

o Timing delays – commenced 2005

o Stage 1 data loaded - April 2014 9 years!

GS1 standards are supported:

o 42 global healthcare organisations

Government pressure – suppliers & providers

Incorporate more private industry:

o Aged care

o Private Hospitals

o Doctors / service providers.

e-Health sector complete strategic planning

References

Australian Institute of Health and Welfare (AIHW) 2010, “Australia's health 2012 – How much do we spend on Health”, viewed 20/08/14,

<http://www.aihw.gov.au/australias-health/2012/>

Australian Institute of Health and Welfare (AIHW) 2013. Health expenditure Australia 2011–12. Health and welfare expenditure series no. 50. Cat. no.

HWE 59. Canberra: AIHW.

Bhakoo, V., & Chan, C., 2011 Collaborative implementation of e-business processes within the health-care supply chain: the Monash Pharmacy

Project, Supply Chain Management: An International Journal, Vol. 16 Iss 3 pp. 184 – 193

Department of Health (DoH), State Government of Victoria, Australia, 2010, Victorian Government Health information “The National Product

Catalogue and Public Hospitals”, viewed 01/09/14, <http:// http://www.health.vic.gov.au/npc>

Ebel. T., Larsen. E and Shah. K., 2013 “Strengthening health care’s supply chain: A five-step plan” Article , 5 (2), pp. 177 - 195.

Ebel, T., et al., 2012, “Strength in unity: The promise of global standards in healthcare”, McKinsey and Company, New York, NY USA

GS1 Australia 2012, GS1 Healthcare Reference Book 2012/2013, <http://www.gs1au.org/services/gs1net/industry/npc/benefits.asp>

GS1 Australia 2010, “GS1net User Guide ‘Cookbook’, March 2010 <http://www.gs1au.org/services/gs1net/technical/>

GS1 Australia, 2014 “Healthcare Industry: National Product Catalogue” webpages, viewed 01/08/14 <http://

http://www.gs1au.org/services/gs1net/industry/npc/benefits.asp>

GS1 US, USA, 2014, “More than 30 Healthcare Leaders Endorse GS1 Healthcare Standards”, viewed 01/09/14 <http:// http://www.gs1us.org/about-

gs1-us/media-center/press-releases/healthcare-leaders>

Health Purchasing Victoria (HPV), Australia, 2014, Victorian Product Catalogue, viewed 24/08/14, <https://www.hpv.org.au/resources/victorian-

product-catalogue/>

Health Purchasing Victoria (HPV), Australia, 2014, Media release “Common health catalogue a key to easing cost pressure on hospitals”, 08/04/14,

<http://www.gs1au.org/assets/documents/news_room/media-releases/VPCS-HPV-Media-Release-April-2014.pdf >

National e-Health Transition Authority (NEHTA), Australia, 2011, NETHA Strategic Plan Refresh 2011-2012, <http:// http://www.nehta.gov.au/about-

us/our-strategy>

National e-Health Transition Authority (NEHTA), Australia, 2013, NETHA Media Centre Case Studies, <http://www.nehta.gov.au/media-centre/case-

studies>

Scheller, E.S. and Smeltzer, L.R. (2006), Strategic Management of the Health Care Supply Chain, 1st ed., John Wiley & Sons, San Francisco, CA.

Tsiknakis M, Kouroubali A. 2009, Organizational factors affecting successful adoption of innovative eHealth services: a case study employing the

FITT framework. Int J Med Inform 2009;78:39–52

THANK YOU!

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