David Berridge

Deputy Chief Medical Officer / Medical Director – Operations

Leeds Teaching Hospitals NHS Trust, UK

on behalf of the GS1 Healthcare Clinical Advisory Committee

Clinical Patient Pathway

36th Global GS1 Healthcare Conference, New Delhi, 2019

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Registries - Reporting -Insights

A clinical patient pathway demonstrating the individual touch points throughout the clinical patient journey where GS1 standards are used. Standards adoption

provides end-to-end traceability, improving patient safety and operational efficiency.

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AdmissionOutpatient Clinic Operating room Prescribing Ward Discharge

Clinical Patient Pathway

Integrated Care Record

Associates patient, to place, to product, to

process.Automatically updates the

e-whiteboard

Mobile ppm+ app will allow access to e-forms

within the patient EPR at the bedside

First of the demonstrator sites to label down to bed space level and

start unlocking the potential

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A clinical patient pathway demonstrating the individual touch points throughout the clinical patient journey where GS1 standards are used. Standards adoption

provides end-to-end traceability, improving patient safety and operational efficiency.

The clinical patient pathway

These are six steps of the clinical patient pathway. The visual shows that the supply chain is connected to patient care.

Clin

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Regulatory authorities

Regulatory authorities influenceand steer both clinical and non-clinical actors and activities.

Admission Operating room Prescribing Ward DischargeOutpatient Clinic

Clinical Patient Pathway

Shared product & data flow

This loop represents the shared product & data flow of clinical (upper part) and non-clinical (lower part) actors and activities.

Clinical & Non-clinical

The clinical and non-clinical supply chain are connected or shared.

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Care

Provide items

Internal logistics

Procurement

Distribution

Wholesaler

Manufacturer

Inventory control

Data& insights

Post market surveillance

Optimisation

Benefits

Supports patient flow data and data management

Patient traceability

Facilitates specimen traceability

Realtime data on product availability and use

Supports procurement processes and warehouse management

Cooperation creates market-stakeholder engagement

Shortened inventory control lead times

A clinical patient pathway demonstrating the individual touch points throughout the clinical patient journey where GS1 standards are used. Standards adoption provides end-to-end traceability, improving patient safety and operational efficiency.

Stan

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key

to identify a service provider and patient

to uniquely identify a location

to uniquely identify a product

to uniquely identify and manage an asset

GS1 Standards are device and system agnostic

GSRN GLN GTIN GIAI

Clin

ical

Investments

Implementation costs for hardware

Implementation costs for software

Training

Investments

Technical adjustments to enable the use of GS1 identifiers

Systems able to handle GS1 identifiers

Training

Operating room Prescribing Ward Discharge

Clinical Patient Pathway

Regulatory authorities

AdmissionOutpatient Clinic

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Care

Intake procedure

Planning& scheduling

Procurement

Distribution

Wholesaler

Manufacturer

Inventory control

Patient flow insights

Post market surveillance

Optimisation

Benefits

Patient traceability

Supports patient flow data

Asset traceability

Stock reduction

Eliminating non-nursing tasks performed by nurses

Supports alignment of data exchange and interoperability on products

Supports understanding of mutual improvement areas

Cooperation creates market-stakeholder engagement

Shortened inventory control lead times

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key

to identify a service provider and patient

to uniquely identify a location

to uniquely identify a product

to uniquely identify and manage an asset

GS1 Standards are device and system agnostic

GSRN GLN GTIN GIAI

Clin

ical

Investments

Implementation costs for hardware

Implementation costs for software

Training

Investments

Technical adjustments to enable the use of GS1 identifiers

Systems able to handle GS1 identifiers

Training

A clinical patient pathway demonstrating the individual touch points throughout the clinical patient journey where GS1 standards are used. Standards adoption provides end-to-end traceability, improving patient safety and operational efficiency.

Operating room Prescribing Ward Discharge

Clinical Patient Pathway

Regulatory authorities

AdmissionOutpatient Clinic

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Care

Prepare for use

Internal logistics

Procurement

Distribution

Wholesaler

Manufacturer

Inventory control

Data & insights

Post market surveillance

Optimisation

Benefits

Helps improve patient safety

Product traceability

Allows facilitation of discussion on reducing clinical variation

Supports direct uploading of data to implant registry

Just-in-time delivery

Less expired products

Links supply chain and clinical information to improve processes

Stock reduction

Facilitates specimen traceability

Enhanced recall procedures

Cooperation creates market-stakeholder engagement

Operating room

A clinical patient pathway demonstrating the individual touch points throughout the clinical patient journey where GS1 standards are used. Standards adoption provides end-to-end traceability, improving patient safety and operational efficiency.

Stan

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key

to identify a service provider and patient

to uniquely identify a location

to uniquely identify a product

to uniquely identify and manage an asset

GS1 Standards are device and system agnostic

GSRN GLN GTIN GIAI

Clin

ical

Investments

To be compliant with regulation

Product development costs

Investments

Implementation costs for hardware

Systems being able to cover capturing and storing GS1 identifiers and data

Training

AdmissionOutpatient Clinic Prescribing Ward Discharge

Clinical Patient Pathway

Regulatory authorities

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Care

Prescribing

Planning & ordering

Procurement

Distribution

Wholesaler

Manufacturer

Inventory control

Data & insights

Post market surveillance

Optimisation

Benefits

Supports the five patient rights of medication administration

Helps improve patient safety

Product & patient traceability

Facilitates capturing accuratedata in case of adverse eventreporting

Supports automated accurate medication administration

Realtime data on product availability and use

Pharmacovigilance

Facilitates accurate and timely field safety notices

Cooperation creates market-stakeholder engagement

Shortened inventory control lead times

A clinical patient pathway demonstrating the individual touch points throughout the clinical patient journey where GS1 standards are used. Standards adoption provides end-to-end traceability, improving patient safety and operational efficiency.

Stan

dar

ds

key

to identify a service provider and patient

to uniquely identify a location

to uniquely identify a product

to uniquely identify and manage an asset

GS1 Standards are device and system agnostic

GSRN GLN GTIN GIAI

Clin

ical

Costs

Implementation costs for hardware

Implementation costs for software

Training

Relabelling costs (labelling & staff time)

Investments

Implementation costs

Adjust procedures and packaging to be compliant with regulation

Technical adjustments to enable the use of GS1 identifiers

AdmissionOutpatient Clinic Operating room Prescribing

Clinical Patient Pathway

Regulatory authorities

Ward Discharge

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Care

Prepare for ure

Internal logistics

Procurement

Distribution

Wholesaler

Manufacturer

Inventory control

Data & insights

Post market surveillance

Optimisation

Benefits

Point-of-care scanning

Eliminating non-nursing tasks performed by nurses

Helps improve safety

Supports stock keeping procedures

Patient level costing

Facilitates specimen traceability

Realtime data on products

Internal audits facilitated by accurate data

Supports understanding of mutual improvement area’s

Shortened inventory control lead times

A clinical patient pathway demonstrating the individual touch points throughout the clinical patient journey where GS1 standards are used. Standards adoption provides end-to-end traceability, improving patient safety and operational efficiency.

Stan

dar

ds

key

to identify a service provider and patient

to uniquely identify a location

to uniquely identify a product

to uniquely identify and manage an asset

GS1 Standards are device and system agnostic

GSRN GLN GTIN GIAI

Clin

ical

Investments

Implementation costs for hardware

Systems being able to cover capturing and storing GS1 identifiers and data

Training

Investments

Technical adjustments to enable the use of GS1 identifiers

Systems able to handle GS1 identifiers

Training

AdmissionOutpatient Clinic Operating room

Clinical Patient Pathway

Regulatory authorities

Ward DischargePrescribing

Man

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info

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Care

Discharge procedure

Internal logistics

Procurement

Distributor

Wholesaler

Manufacturer

Discharge control

Data & insights

Post market surveillance

Optimisation

Benefits

Allows facilitation of discussion on reducing clinical variation

Eliminating non-nursing tasks performed by nurses

Facilitates capturing accuratedata in case of adverse eventreporting

Realtime data on products

Patient traceability

Facilitates specimen traceability

Just-in-time delivery

Patient level costing

Supports connectivity of data over systems

Shortened inventory control lead times

A clinical patient pathway demonstrating the individual touch points throughout the clinical patient journey where GS1 standards are used. Standards adoption provides end-to-end traceability, improving patient safety and operational efficiency.

Stan

dar

ds

key

to identify a service provider and patient

to uniquely identify a location

to uniquely identify a product

to uniquely identify and manage an asset

GS1 Standards are device and system agnostic

GSRN GLN GTIN GIAI

Clin

ical

Investments

Implementation costs for hardware

Implementation costs for software

Training

Investments

Technical adjustments to enable the use of GS1 identifiers

Systems able to handle GS1 identifiers

Training

AdmissionOutpatient Clinic Operating room Prescribing

Clinical Patient Pathway

Regulatory authorities

Ward DischargeDischarge

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Registries - Reporting -Insights

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A clinical patient pathway demonstrating the individual touch points throughout the clinical patient journey where GS1 standards are used. Standards adoption provides end-to-end traceability, improving patient safety and operational efficiency.

Regulatory authorities

GS1 Standards are device and system agnostic

Stan

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key GSRN GLN GTIN GIAI

Global Service Relation Number

to identify a serviceprovider and patient

Global Location Number

to uniquely identify a location

Global Trade Numberto uniquely identify

a product

Global Individual Asset Identifier

to uniquely identify and manage an asset

Clinical Patient Pathway

In partnership with

UK

Clin

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• Pharmaceuticals• Inventory/Asset Management • Medical Consumables/Devices

AdmissionOutpatient Clinic Operating room Prescribing Ward Discharge

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Regulatory authorities

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In partnership with

UK

Clin

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Stan

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yThe Global Language of Healthcare

Video to go in here