Enhancing Defense Medical Logistics Activities Using Radio Frequency Identification

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2 Enhancing Defense Medical Logistics Activities Using Radio Frequency Identification April 2010 Garry Duvall Deployment Manager/RFID Project Officer Medical Logistics Defense Health Services Systems (DHSS) 2

3 Session Objectives Objective 1: Communicate vision for and potential benefits of implementing RFID in medical logistics activities for the Department of Defense (DoD) Objective 2: Discuss outcome/benefits of Brick and Mortar RFID pilot at Ft. Belvoir Community Hospital, VA Objective 3: Identify challenges with RFID implementation Objective 4: Discuss how industry can assist the DoD with RFID implementation 3

4 Agenda Introduction to Defense Medical Logistics Vision for RFID RFID Benefits RFID Pilot: Brick and Mortar - Defense Medical Logistics Standard Support Challenges of RFID Implementation How Industry Can Support This Effort 4

5 DHSS Medical Logistics Mission Statement Dramatically improve the responsiveness of medical logistics support Implement business innovations that significantly increase effectiveness of clinical healthcare delivery while reducing costs Develop high-quality, integrated medical logistics automated system for use globally by all Army, Air Force and Navy forces in both peace and war Medical Materiel Management Healthcare Facilities Management Equipment & Technology Management Peacetime MHS Wartime MHS 5 Operational Continuum

6 Potential Benefits of RFID Implementation Increase Patient Safety Increase Logistics Velocity Increase Resource Use Reduce manual data entry/handling/errors Preparing for pending epedigree Legislation prfid tag readable Barcode was not 6

7 DoD RFID Vision: Implement Knowledge-Enabled Logistics RFID will help support the Warfighter and reduce cost through: Improved asset visibility Track and trace of materiel Real time inventory monitoring Fewer lost assets Better human resource utilization Demand-centric supply chain Iraq - OIF 7

8 Why Investigate RFID? 8

9 Why Investigate RFID DHSS history of increasing efficiency and customer service Maturity and integration path - how it fits with DMLSS architecture Meet DoD Mandate (dated 30 July 2004) Passive RFID Jan. 2006: Comfort Items, Petroleum, Lubricants, Oil, Chemicals, Additives, Barrier Material, Ammunition, Pharmaceutical and Medical Materiel Jan. 2007: All DoD manufacturers and suppliers must tag all individual cases, all cases packaged with palletized loads, all pallets and unit packs of UID items FY07: All DoD logistics automated information systems involved in receiving, shipping, and inventory management modified to use RFID to perform business transactions Active RFID Applied to all freight containers, consolidated air pallets and large engine containers shipped to/from overseas DoD receiving points 9

10 RFID Use in Defense Medical Brick and Mortar Logistics Today Many RFID technologies establishing footprints in medical logistics Passive RFID in supply chain Asset Tracking in brick and mortar facilities Point of Use/Point of Care in clinical environments Defense Health Services Systems-Medical Logistics working with the Services, industry partners and FDA to develop standardized solutions enhancing the medial logistics supply chain 10

11 DMLSS Business Process Order Verified and Supplies Stocked 7am 8am Daily Supply Usage Daily Supply Orders Received 5am 6am Daily Supply Orders Prepared and Shipped 5pm 4am 24 Tomorrow s Supply Needs Determined 2pm 3pm Medical/Surgical Tomorrow s Supply Orders Processed 3pm 5pm Electronic Payment Defense Finance and Accounting Service (DFAS) Pharmaceutical Electronic Invoice 11

12 Finding the Right RFID Vendor Partner Needed a partner that would work with our hospitals which receive 90% of medial surgical products from prime vendors DHSS wanted a small scale production version to mitigate interference in daily operations at warehouses Prime Vendor agreed to conduct pilot at medium sized military hospital to understand the organizational impact in trying to implement RFID 12

13 RFID Pilot With Prime Vendor Pilot at DeWitt Army Community Hospital, Ft. Belvoir, VA Vendor agreed to tag pallets and re-pack cases of med/surg supplies Vendor adding RFID tag data to Advanced Shipment Notices (ASN) Pilot site deployment began in August

14 Plans for DMLSS/Vendor Pilot Evaluation DMLSS evaluated pilot based metrics collected at test site Baseline metrics collected during the RFID Site Surveys Pilot scheduled to last for 6 months; metrics collection at 1-2 month intervals Evaluation metrics will include: Overall receipt processing time Time spent on discrepancy resolution Time spent sorting goods and verifying quantities Time spent performing data entry 14

15 DMLSS Phased Approach to Developing RFID Capability Phase I Enable Receiving of RFID tagged Cases, Pallets, Totes Process RFID EDI transactions; Pilot with Vendor Identify Notes coded items such as Hazmat, Refrigerated Initial effort for Pilot site only 15

16 Ft. Belvoir Pilot Outcome TOTAL prfid Process Improvements Labor- Hours Minutes / Pallet Minutes / Case

17 Asset Tracking In Medical Treatment Facilities MTFs use asset tracking systems to track high value and highly used items in a hospital Ft. Bragg deployed Versus (Wi-Fi) at Womack Army Medical Center, NC Eisenhower Medical Center, GA deploying asset tracking with Ekahau Real Time Locater System Walter Reed Army Medical Center, DC contracted with Aware Point and tagged 6,000 items Wilford Hall Medical Center, TX investigated asset tracking using SAVI tags Other medical treatment centers exploring asset tracking: Bethesda Naval Hospital, MD Wright Patterson, OH, Keesler, MS and Elmendorf, AK 17

18 Point of Use (POU) / Point of Consumption (POC) in Clinical Environments Point of use technology benefits hospitals track high value medical consumables Wilford Hall, TX installed several smart cabinets tracking inventory of over $2M Mobile Aspects developed an interface with DMLSS AIS and awaiting Information Assurance approval to turn on the interface Motion Computing offering a tablet design for clinical care Offers built-in RFID reader, 1D/2D barcode scanner, built-in HF tag for asset tracking Offers FIPS certified Bluetooth CAC reader 18

19 What Industry Can Do To Help Partner with DoD to promote RFID as the industry standard going forward prfid equipment and software to be used in mobile and fixed hospitals Ease of use and administration Must be interoperable define common and open data standards Secure in commercial and DoD environments Support worldwide prfid use Fixed infrastructure Mobile support needed Solution must be rugged 19

20 Questions? For further information, please contact: Garry Duvall, RFID Deployment Manager, DHSS 20

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