Utilising ICT Systems to improve quality in health ...

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


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


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


• 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


The healthcare supply chain is complex


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


National Product Catalogue (NPC)

Locatenet

eProcurement

Recallnet

Supply Chain Reform Program


• 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)



• 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


• 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


• 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


• 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


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


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


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


• 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]

Utilising ICT Systems to improve quality in health ...

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