Supply Chain Logistics

RocheGSK DOH

Storage

Hospital

StoragePatient INSPECTOR

Supply Chain Mechanics

Distribution Channels

• Direct from source• DOH as hub-and-spoke• Primarily AIR and HIGHWAY distribution

Supply chain activation

• Efficient use of inventory• Prevent wastage• Assure constant, available stock

Supply chain activation

• Information based on seasonal incidence• Weekly census information• Past information from previous outbreaks• 1-week operational stock at hand• mid-week re-evaluation• Minimum 2-day operation stock at hand

Checkpoint systems

• Batch number logging at acquisition and storage

• Batch number logging upon delivery and receiving at hospital

• Batch number checking upon inspection prior to release for hospital use (ID representative supervised)

• FIFO• Lot number logging upon giving to patient

Breaks in the supply

• Damaged, contaminated batch contingencies• Emergency deployment contingencies• Maintaining inventory buffer• Referral systems

Manpower Logistics

• Orderlies– Effective mobilization of patients

• Security– Peace and order

• Maintenance– Cleanliness and sanitation

ER Setup

Components

• Receiving bay– Kiosk with immediate triaging system– Specialized patient information sheet– Referral for companions to non-urgent for check-

up• Evaluation section (2nd floor)– Final arbiter for quarantine– Non-quarantined patients sent back to main ER

Traffic Flow

• One way – ED serves as ENTRY point only• Stamping of companions• Clearance checks for H1N1 patients/suspects• Strict 1 patient, 1 companion rule

Additional measures

• Remove television from ED• Include information posts for concerned

parties regarding H1N1• Access to paging systems and direct

notification systems (i.e. text) for status of patient