Utilising ICT Systems to improve quality in health purchasing outcomes

Transcription

1 Utilising ICT Systems to improve quality in health purchasing outcomes Paul Broadbridge Manager Supply Chain HealthProcure February 1 National E-Health Transition Authority

2 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 2 National E-Health Transition Authority

3 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 3 National E-Health Transition Authority

4 PCEHR uptake 29 January ,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 4 National E-Health Transition Authority

5 Drivers for Supply Chain Reform 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. 5 National E-Health Transition Authority

6 The healthcare supply chain is complex 6 National E-Health Transition Authority

7 and the data to support this is critical, but not often well understood AMT Purchasing Warehouse Management PRC Volumetrics Strategic Sourcing Volumetrics PBS Imaging Inventory Mangement Category Management Theatre Management Pharmacy Pathology Catalogue Management Positive Patient Identification Unit of Measure GMDN Traceability UNSPSC SNOWMED- CT ARTG Recall Management eprocurement 7 National E-Health Transition Authority

8 Supply Chain Reform Program Recallnet eprocurement Locatenet National Product Catalogue (NPC) 8 National E-Health Transition Authority

9 National Product Catalogue (NPC) 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) 9 National E-Health Transition Authority

10 National Product Catalogue (NPC) 10 National E-Health Transition Authority

11 Locatenet Use of standards for location identification: Global Location Number (GLN) Centralised repository for location information Enables trading partners to electronically share information 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. 5,135 GLNs 208 subscribers publishing 11 National E-Health Transition Authority

12 eprocurement 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. 12 National E-Health Transition Authority

13 Recallnet 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 13 National E-Health Transition Authority

14 Case Study: Australian FMCG manufacturer to Healthcare 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. 14 National E-Health Transition Authority

15 Case Study: Australian healthcare suppliers 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. 15 National E-Health Transition Authority

16 Case Study: Healthcare Data Crunch Report 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 16 National E-Health Transition Authority

17 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 17 National E-Health Transition Authority

18 Summary 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 18 National E-Health Transition Authority

19 Thank You! Contact the NEHTA Supply Chain Team National E-Health Transition Authority