utilising ict systems to improve quality in health
TRANSCRIPT
National E-Health Transition Authority www.nehta.gov.au 1
Utilising ICT Systems to
improve quality in health
purchasing outcomes
HealthProcure 2015
17-19 February
Paul Broadbridge
Manager Supply Chain
2 National E-Health Transition Authority www.nehta.gov.au
WE ARE NEHTA A corporate entity owned by the Australian Federal, state and territory governments, to identify and jointly develop the necessary foundations and services for a national eHealth capability
• Identifiers
• Authentication
• Terminology
• Secure Messaging
• Clinical Documents
• Supply Chain
3 National E-Health Transition Authority www.nehta.gov.au
Our purpose:
Lead the uptake of eHealth solutions of national significance for Australia
Progress and accelerate their adoption through the health system
Our vision:
Enhance healthcare by enabling access to the right information, for the right person, at the right time and place
4 National E-Health Transition Authority www.nehta.gov.au
2,065,924 Australians registered
7,627 healthcare provider
organisations registered
274 public hospitals and
health centres connected to the PCEHR system Private hospital integration programme underway
PCEHR uptake 29 January 2015
5 National E-Health Transition Authority www.nehta.gov.au
• Pressure on healthcare costs caused by an ageing population
• Ensuring the quality, safety, timeliness and efficiency of patient care
• Emerging new business models reliant on greater collaboration and national cooperation across the health sector supply chain
• Increased eCommerce activity and capability in the health sector within Australia and overseas.
Drivers for Supply Chain Reform
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Catalogue Management
Inventory Mangement
Volumetrics PBS
Warehouse Management
GMDN
Positive Patient
Identification Traceability
PRC
Unit of Measure
Recall Management
SNOWMED-CT
Category Management
Imaging
Volumetrics Strategic Sourcing
AMT
Pharmacy
Theatre Management Pathology
Purchasing
UNSPSC
eProcurement
ARTG
…and the data to support this is critical, but not often
well understood
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National Product Catalogue (NPC)
Locatenet
eProcurement
Recallnet
Supply Chain Reform Program
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• Data synchronisation service for suppliers to provide standardised and accurate product and price data to buyers
• Provides a single mechanism to communicate structured product and price data to many health customers
• General products attributes includes description, GTIN, supplier product code, price and price type, volumetrics, hierarchy
• Healthcare specific information includes: ARTGID, PBS or RPBS, GMDN, TGA risk classification, Latex content etc.
322,213 GTINs 451 suppliers publishing (representing over 90% of the top 100)
National Product Catalogue (NPC)
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• Use of standards for location identification: Global Location Number (GLN)
• Centralised repository for location information
• Enables trading partners to electronically share information
5,135 GLNs 208 subscribers publishing
• Provides ability to assign different attributes to locations e.g. bill to, ship to, ward, dock door, and to build a hierarchy
• Key to electronic transfer of information
• GLNs can be used for location analysis across systems e.g. purchasing/theatre.
Locatenet
12 National E-Health Transition Authority www.nehta.gov.au
• Based on AS5023, uses the GS1xml standard, and includes PO, POR, POC, ASN, INV, RA
• NPC data (GTIN) is key to minimising exceptions in the process.
eProcurement
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• eProcurement based on NPC/GTIN + Locatenet/GLN puts the product on the shelf
• Gets the product off the shelf
• Enables organisations to electronically view, share and report recall information
• Developed collaboratively to ensure it aligns with URPTG and jurisdictional process
• Creates efficiencies and effectiveness for product recalls
• Victoria and QLD live.
• NSW, WA, SA, NT, ACT, planning, implementing, beta testing
• St Vincent’s implementing and beta testing.
69 Entities subscribed 22 recalls/alerts published through the system taking notification time from weeks to minutes
Recallnet
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• 2009 established on a Distribution Centre automation project, which included manufacturing control, WMS, ERP
• Audit conducted on their ERP data (907 products comprising 1,526 packaging levels) found:
36% items had the wrong GTIN recorded at case level, 39% had the wrong GTIN recorded at base level
5% products had additional levels of packaging not defined
Dimensions for almost 100% of base and intermediate levels were wrong
Weights for almost 100% of all units were missing or wrong.
Case Study: Australian FMCG manufacturer to Healthcare
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Supplier 1:
• Multiple databases that housed product and price data which created confusion over which was the most up to date
• Regulatory and product specific inquiries delayed as data had to be validated
• As a result of NPC initiative, now query a central database for full lifecycle product data
• Reduction in order entry errors from customers using NPC data.
Supplier 2:
• Cleansed internal ERP in readiness for NPC synchronisation (circa 6,500 GTINs)
• Ceased issuing hard copy catalogues and pricing CDs
• Accounts receivable delays improved as >85% were due to inaccurate pricing information
• Saved 2 FTEs.
Case Study: Australian healthcare suppliers
16 National E-Health Transition Authority www.nehta.gov.au
Analysis undertaken and published in March 2014 by RMIT in conjunction with GS1 Australia, NEHTA and the MTAA on 3 suppliers, 4 buyers – with buyer data
Case Study: Healthcare Data Crunch Report
17 National E-Health Transition Authority www.nehta.gov.au
Five Scenarios:
1. Prosthetic Rebate Code Clarification – manual maintenance of codes, and time contacting suppliers to verify codes
2. One participant claimed that up to 20% of prostheses claims are rejected due to data inaccuracies with a single health service identifying $175,000 in lost revenue
3. Unique product identification at all levels of packaging
4. Urgent deliveries including under and over supply
5. Each trading partner collecting the same weights and dimensions data.
When extrapolated out to include other scenarios this savings quickly grew…
Potential savings for 5 scenarios studied
Conservative potential savings from improved data quality for all business processes met by the NPC data set
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• Australian healthcare is now focussed on the use of standards in its supply chains
• The National Product Catalogue and the use of the Global Trade Identification Number (GTIN) is central to this
• Public and private organisations are progressing their implementations of eHealth Supply Chain initiatives to better integrate GTINs, and the use of standards into their systems
• The use of ICT Systems and their underpinning data is not a one time effort
Summary
National E-Health Transition Authority www.nehta.gov.au
Thank You!
Contact the NEHTA Supply Chain Team [email protected]