NHS National Services Scotland

Thursday 4th January 2006Glenn Humphrey

Factor Direct

• Introduction

• Factor Direct Overview

• DVD

• Process flows

• Q&A

Factor Direct

Factor Direct is the dedicated Haemophilia home delivery service managed and operated by the Baxter Healthcare Ltd

Baxter experience in home delivery dates back 29 years with Renal home dialysis, which today supports over 4,500 patients

Established in 1999 as part of our commitment to the Haemophilia community, Factor Direct has grown steadily in terms of both patient numbers and reputation

Factor Direct

• Dedicated Team based in Northampton• 1 Manager, 3 Patient Coordinators and Admin Team

• Support from Baxter warehouse, pharmacists and transport teams

Factor Direct

• Current Delivery Summary • 30 centres (incl. 12 comprehensive care centres)

• 412 patients

FD Monthly Delivery Stats

0

50

100

150

200

250

300

350

Jan-06 Feb-06 Mar-06 Apr-06 May-06 Jun-06 Jul-06 Aug-06 Sep-06 Oct-06 Nov-06 Dec-06

Total Deliveries

Scheduled Deliveries

Unscheduled Deliveries

Factor Direct

• Key Performance Indicators• Order accuracy rate over 98%• Achieving allocated window slot for over 95% of deliveries

• Additionally Patient and Centre feedback is important

FD Monthly Delivery Performance

60.0%

65.0%

70.0%

75.0%

80.0%

85.0%

90.0%

95.0%

100.0%

Jan-06 Feb-06 Mar-06 Apr-06 May-06 Jun-06 Jul-06 Aug-06 Sep-06 Oct-06 Nov-06 Dec-06

Window Slot Achieved

Order Accuracy

Factor Direct – Day to Day Operation

Initial Set UpPatient Contact

Patient Delivery

Follow-Up

•Centre requirements•Prescriptions•Purchase orders•Consent letters•Patient information pack•Centre information pack•Patient requirements

Materials supplied on set-up

• Factor Direct Service Protocol

• Hospital and Patient Literature

• Hospital Information Pack

• Patient Information Pack

• Factor Direct Administration Folders

HAEMOPHILIA CARE TEAM

FACTOR DIRECT

PATIENT

•Set up checklist•Patient consent letters•Prescription

1

•Discuss home delivery process•Supply Patient Pack•Patient consent letters signed

2

•Set up account meeting•Patient details•Supply purchase orders•Finalise centre requirements

3

•Patient information pack•Ancillaries •Issue delivery schedule4

Factor Direct set up procedure

Factor Direct – day to day operation

Patient ContactInitial set UpPatient Delivery

Follow-Up

•Coordinator introduction•Patient pack•Delivery schedule

•(-7/10 Days) determine stock levels of factor & ancillaries•(-1 Day) confirm delivery arrangements

HAEMOPHILIA CARE TEAM

Factor Direct Coordinator

PATIENT

Home Patient Management

SystemConfirm stock & requirements

1

Pharmacy

3

2Check against prescription

Advate

Dispense product& ancillaries

4

Prepare for delivery

Factor Direct – day to day operation

Initial set UpPatient Contact

Follow-UpPatient Delivery

•FD coordinates delivery•Non-liveried vehicles•Agreed delivery time window/address •Deliver product & ancillaries•Collect clinical waste•Rotate stock if required•Patient signs delivery note

HAEMOPHILIA CARE TEAM

Factor Direct Coordinator

PATIENT

(Day –1) Confirm delivery arrangements1

Delivery process

TransportFD Delivery2

Signed delivery note3

Delivery note & invoice4

(Day +1) Confirm delivery OK5

Advate

Factor Direct – day to day operation

Initial set UpPatient Contact

Patient Delivery

Follow-Up

•(+1 Day) FD check delivery OK•Delivery note & invoice sent to hospital

•6 month review•Management reports•Patient satisfaction survey

In Summary Factor Direct

• High quality, convenient and cost effective Haemophilia home delivery service that supports your requirement for a comprehensive control of product usage

• Includes the storage, dispensing and delivery management of Factor, Consumables and the collection of Waste

• Dedicated Factor Direct Coordinators ensure the process works to meet the needs of your patients, their carers and your staff

Q&A