Transcript Slide 1
GS1 Standards in Healthcare
Why, how & what for hospitals?
© 2012 GS1
Hospital supply chains…
Are they safe?
Are they efficient?
Are they transparent?
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© 2012 GS1
Raise the bar on patient safety…
“An initial study revealed that more than 3.1% of drug administrations were erroneous. Bedside scanning allowed to reduce that to 0.8%.”
Gelre Hospitals, Apeldoorn (Netherlands), 2006 3
© 2012 GS1
Eliminate supply chain inefficiencies…
“More than a third of nurses waste up to two hours a shift searching for missing medical items.”
Nursing Times (UK) 2009 4
© 2012 GS1
Eliminate supply chain inefficiencies…
“18-22% of current hospital stock on hand of medical consumables and devices is waste.”
Efficient Healthcare Response (USA), 2011 5
© 2012 GS1
Ensure visibility in the hospital supply chain…
“It took eight hospitals in Hong Kong two weeks to find 30 patients affected by a recall of a hip replacement system.”
Raymond Wong Hong Kong Hospital Authority, 2009 6
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GS1 Standards help save €106 million in Dutch hospitals (2011)
• • • •
UMC Nijmegen
- a 953-bed university hospital
UMC Utrecht
- a 1,042-bed university hospital
Ziekenhuisgroep Twente
- a 1,085-bed hospital group
St. Antonius hospital
- a 880-bed hospital group • • • • •
Issue(s)
Increased pressure to improve patient safety and save costs in hospitals Suboptimal management of inventory of medical devices for OR Manual processes for ordering, billing, recall
Solution
Implementation of effective IT infrastructure to track and trace products throughout the supply chain Implementation of GS1 Standards, including GTIN, GLN and Global Traceability Standard
Results
• • • • • •
Medical device inventory mgmt for OR - potential savings across
•
100 Dutch hospitals: €106 million (conservative estimate)
Estimated cost to implement system per hospital: €173k (non recurring) and €218k (annually recurring) Estimated ROI per hospital in year 1: €668k; year 3: €2.5m
Reducing inventory levels by approx. 20% Decreasing obsolete stock by approx. 80% Reducing handling expenses for stock replenishment by 25% Accelerating recall procedures Increasing effective use of consignment goods 8 © 2012 GS1
GS1 Standards help save €1.1 million at NHS Leeds Teaching Hospitals (UK) (1999...) NHS Leeds Teaching Hospital
– a 2,500-bed university hospital in the UK Europe’s largest university hospital • • • • •
Issue(s)
Increased pressure to improve patient safety and save costs in hospitals Suboptimal management of inventory of medical devices at the hospital’s Orthopaedic Centre High stock levels and system integrity problems arising from consignment stock and vendor-managed inventory
Solution
Implementation of an inventory control system through GHX Implementation of GS1 Standards, including GTIN, GS1 BarCodes and GDSN
Results
• • • •
Savings through consignment stock reduction: €600k Savings through elimination of excess stock: €500k
Reduced consignment stock, which reduces process and write-off costs for the supplier and the hospital Reduced obsolescence through stock visibility, stock rotation and stock levels that ensure usage within expiry Reduced emergencies thanks to improvements in forward demand/stock planning Reduced cost of carriage as stock delivered on efficient lead times and using scheduled deliveries 9 © 2012 GS1
GS1 Standards help save 7% in medication purchasing and packaging in North York General (2006) North York General Hospital
- a 434-bed hospital in Toronto, Canada
Issue(s)
• • Risk of medication errors at the point-of-care due to insufficient product identification Lack of unit-dose bar coding of medication
Solution
• • • Installation of an automated repackager and bar coding station Implementation of a point-of-care bar code verification system to ensure the five patient rights Implementation of GS1 Standards, incl, GTIN and GS1 BarCodes
Results Reduced medication errors at the point-of-care Cost savings of 7-8% each year in terms of its medication
• • •
purchasing and packaging activities
Estimated cost to implement system in the hospital: €248k Efficiently affixing bar codes to unit doses Efficient bedside verification 10 © 2012 GS1
GS1 Standards help enable traceability of surgical instruments at CHI Robert Ballanger (2009) Issue(s)
• Ineffective traceability of 22,000 surgical instruments during sterilization process
CHI Robert Ballanger
- a 690 bed hospital in Aulnay-sous-Bois, France
Solution
• • • Implementation of a traceability system Lasermarking of surgical instruments with GS1 DataMatrix 2D bar code Implementation of GS1 Standards, including GTIN, GLN and Global Traceability Standard
Results Effective traceability of surgical instruments during sterilization
• • •
process
Increased inventory management Increased traceability down to the individual instrument level Migration of instruments between boxes now traced 11 © 2012 GS1
GS1 Standards help achieve 99.5% price accuracy at Mayo Clinic (2009) Mayo Clinic
– the largest integrated, not-for-profit medical group practice in the world with campuses in Rochester (MN), Jacksonville (FL) and Phoenix/Scottsdale (AZ), and 70 hospitals and clinics across Minnesota, Iowa, and Wisconsin
Issue(s)
• • • Poor data impacts many areas in the Healthcare supply chain Mayo Clinic’s account and location numbers were not standardised across their supply chain partners Manual process to manage accounts numbers created administrative burden and increased risk for errors
Solution
• • Implementation of GS1 Standard for location identication: GLN (Global Location Number) Integration with hospital information systems
Results
• • •
Improved discount eligibility and tier qualification
Resourcing was the only significant cost – 1.1 Full Time Equivalents (FTEs) required over a period of six months Common location identifiers allow consistent data sharing with purchase orders, Group Purchasing Organisation (GPO) rosters, and contracts Achieved 99.5% price accuracy with Cardinal Health, compared to 95% on average with other suppliers 12 © 2012 GS1
GS1 Standards help save €5 million worth of stock at St. James’s Hospital (2010) St James’s Hospital, Dublin (Ireland)
– manages the National Centre for Hereditary Coagulation Disorders (NCHCD)
Issue(s)
• • Infected medication remained in the supply chain after recall in 2001 leading to subsequent infection and over 80 deaths Lack of standardised bar codes on haemophilia medication and ineffecitve traceability
Solution
• • • Deployment of multi-location Electronic Patient Record system Deployment of medication delivery traceability system Implementation of GS1 Standards, including GTIN, GLN, GS1 DataMatrix
Results
•
Over € 5 million worth of medication stock has been removed from
•
the supply chain
Product wastage reduced from €90,216 to zero in the year post service implementation Documentation errors reduced from 12 to zero in the year post service implementation
Mock recall identified location of all (100%) medication within 10 minutes
13 © 2012 GS1
Contact Details
GS1 Global Office Avenue Louise 326, bte 10 B-1050 Brussels, Belgium T + 32 2 788 78 00 W www.gs1.org
GS1 Standards in the hospital supply chain
Reduce complexity Speak one language
© 2012 GS1
© 2012 GS1
stand · ard [stan-derd] noun 1. something considered by [...] general consent as a basis of comparison; an approved model.
www.dictionary.com
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© 2012 GS1
Lack of standards in daily life is inefficient and annoying…
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© 2012 GS1
Lack of standards in Healthcare is inefficient and adds risk…
• Multiple bar codes on one package – which one to scan?
• Different types of bar codes – inconsistency; incompatibility • No bar code – need to bar code; re-pacakge; re-label 19
© 2012 GS1
About GS1
GS1
is a not-for-profit organisation dedicated to the design and implementation of
global standards
to improve the efficiency and visibility of
supply chains
globally and across sectors.
Key facts & figures:
• •
40
years of experience
Neutral
forum for all supply chain stakeholders • Over a
million
member companies doing business across
150
countries • Enabling over
6 billion
transactions a day 20
© 2012 GS1
GS1 is local
GS1 Member Organisations in over 100 countries
• Speak the local language(s) • Understand local requirements and developments • Support local implementation • Work with national and regional governmental bodies and other stakeholders • Underscore local needs in global standards development process 21
© 2012 GS1
GS1 is global
GS1 Global Office
• Supports the global standards development process • Manages a global, neutral forum for all stakeholders to meet and agree on standards • Promotes global harmonisation 22
© 2012 GS1
GS1 is Healthcare
GS1 Healthcare – A global, voluntary user community for Healthcare stakeholders
To lead the healthcare sector to the successful development and implementation of global standards by bringing together experts in healthcare to enhance patient safety and supply chain efficiencies.
Active globally and in 28 countries.
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GS1 is multi-sectoral
Drugs Medical devices
© 2012 GS1
Medical equipment Food & beverages, office supplies, personal care, tools, etc.
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© 2012 GS1 25
Integrate the hospital supply chain with hospital information systems
Identification
of products, locations, patients, caregivers, staff.
Standards
ID number provides access to
information
held in computer files.
Accurate ID helps to ensure
visibility
in the supply chain and the organisation.
ID Standards
ID number carried in bar code or RFID tag allows for
automatic identification
.
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© 2012 GS1
Unambiguous identification
GS1 Standards … 6 billion ‘beeps’ per day.
Product identification in Healthcare should be as ubiquitous as it is in the retail and grocery industries.
Capturing the identification key … and beyond Some data carriers can carry more detailed information about that specific unit
Item identifier
(21)123
© 2012 GS1 Expiry date Batch number Serial number
GS1 data carriers for specific Healthcare needs
GS1-128 & GS1 DataBar Preferred options
if: package allows
GS1 DataMatrix Preferred option
if: Large amount of data on small space Variable information at high production rates Direct part marking
EPC/RFID Additional option
Non-line of sight Large amount of data Image bar code scanners needed in HC !!
© 2012 GS1
© 2012 GS1
Visibility in the hospital supply chain
• •
Improve patient safety
• Reduce medical errors (medication errors, verification of patient ID, etc.) • • • • Enable effective product recalls Fight counterfeiting Enable adverse event reporting More time for patients
Increase efficiency and save costs
• • • • • • • Improve order and invoice process Optimise receiving Reduce inventory & improve shelf management Increase productivity Improve service levels/fill rate Improve benchmarking and management of supply cost Efficiently document treatment in patient’s Electronic Health Record 30
© 2012 GS1
The GS1 System of Standards
© 2012 GS1
How to get started
1.
Contact your
GS1 Member Organisation
for guidance
2. Get familiar
• • with the standards / guidelines Participate on GS1 implementation projects / team Download: GS1 System Landscape http://bit.ly/hYVe1y & GS1 Integrated Communication (ICOM) http://bit.ly/ebjqk6 3.
• • Do a
gap analysis
…your items vs. GS1 Standards Focus on key items and facilities…don’t ‘boil the ocean’ Build action plans, budgets, management approval 4.
• • Implement your multi-project
action plan
Over 3-5 years “Walk before you can run”; start small, conduct pilot projects, “learn by doing”
© 2012 GS1 OUR VISION: GS1 Healthcare envisions a future where the Healthcare sector utilises GS1 Standards for all items, locations, people and processes to drive patient safety and supply chain efficiency improvements--starting with the manufacturer and ending with procedures or treatments for a specific patient.
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Contact Details
GS1 Global Office Avenue Louise 326, bte 10 B-1050 Brussels, Belgium T + 32 2 788 78 00 W www.gs1.org