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Unique Health Identifiers - Siobhain Duggan

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  • GS1 Ireland is a member organisation of GS1 and like all other Mos, we are a not for profit organisation which is neutral as in we don’t endorse any product or service and also user driven in that we exist to serve the needs of our members. If a member doesn’t come up with a reason to do something, nothing is done. We are essentially Standards facilitators. Our main objective is to progress the development of bar coding, scanning and e-commerce messaging in Ireland. We started in the food sector, and are now involved in every industry sector in Ireland. In recent years Healthcare has become our no.1 development area. 93% of all prescribed medicines in Ireland have a GS1 standard barcode on their packs. We are working with the Dept of Health, HIQUA and the HSE to form new standards in healthcare.
  • Bar Coding Level 1 FMCG v1 July 2006
  • Barcodes are just keys to unlocking product data. Research has shown that data in all supply chains is well below acceptable standards. Human error is unavoidable, you have heard the saying “garbage in, garbage out”. GS1 through its datapools and eComm initiatives is introducing standards to combat and eliminate bad data in a supply chain. Procurement Systems Payment & Accounts Transport & Logistics Front End Systems Warehousing & Storage Traceability & Recall
  • HSE National Sterile Instrument Tracking Solution The Publication of the HSE’s Recommended Practices for CDU’s, Endoscope Reprocessing Units and Dentists now explicitly recommend the use of GS1 Standards. SJUH – Leading this rollout with all Trays identified and tracked using GS1 Standards Registry of all Healthcare Providers and Locations (GS1 GLN Registry) Asset security, e.g. track & trace Patient safety Traceability and Authentication Reliable basis for patient costing systems (VFM)
  • HSE National Sterile Instrument Tracking Solution The Publication of the HSE’s Recommended Practices for CDU’s, Endoscope Reprocessing Units and Dentists now explicitly recommend the use of GS1 Standards. SJUH – Leading this rollout with all Trays identified and tracked using GS1 Standards Registry of all Healthcare Providers and Locations (GS1 GLN Registry) Asset security, e.g. track & trace Patient safety Traceability and Authentication Reliable basis for patient costing systems (VFM)
  • So in Practice, Each location and Van were assigned a GLN, scanned into stock fridge at hospital, scanned out of stock and into the issue fridge upon request. Scanned again upon receipt of prescription to patient then CFC is administered to the patient. All this using the EPC network is event managed for traceability, stock control and electronic patient record.
  • GS1 believes that the GS1 Standards can deliver on all of the above for the Irish Health Service as well as ASTM – E1714-07 Standard Guide for the Properties of a Universal Healthcare Identifier
  • To be viewed in slide mode
  • Transcript

    • 1. GS1 Ireland Unique Health Identifiers Siobhain Duggan GS1 Healthcare Sector Manager HISI Conference 16 th November 2011
    • 2. GS1 in Healthcare Improving Patient Safety by reducing risk through certainty
    • 3.
      • Agenda
      • Who is GS1?
      • The GS1 system
      • GS1 a ‘partner’ in Irish Healthcare
      • Existing partnerships
      • Challenges in Healthcare
      • GS1 Identifiers
      • Benefits of GS1
      • Other opportunities
      Reducing Risk through Certainty!
    • 4. What is GS1? ‘an unknown known’ GS1 brings together companies representing all parts of the supply chain Government Agencies, Healthcare Providers, Pharmacies, Logistic Providers, Distributor, Manufacturers, Solution Providers and International Regulatory Authorities, and more work together under our leadership to develop the adoption of standards GS1 (2005) EAN (1977)
    • 5. Who is GS1?
        • Not-for-Profit
        • Costs and savings
        • shared by members
        • Neutral
      • User Driven
        • Member organisation
        • driving Global Standards
      • Global reach, Local Presence
      • 110 Member Organisations .
      • 150 countries served.
      • 20 Industrial Sectors
      • 2,000 people helping us
      • 1.5 million companies
      • 3,000 companies in Ireland
      • 30 Years experience
      • > 6 billion transactions daily
      • ISO, CEN, ETSI, UNECE based standards
    • 6. GS1 Ireland a partner for Irish Healthcare
      • Governed by a Voluntary Supervisory Board incl. Healthcare
      • Manages the Irish portion of the Global Number Bank
      • Provides community management for sector adoption
      • Provides technical support and advice
      • Clear commitment to assisting the Irish Healthcare Sector with the
      • deployment of GS1 Standards in order to improve patient safety as
      • well as achieving greater efficiency and value for money
    • 7. The GS1 System
    • 8. GS1 System of Standards Global reach An integrated approach
      • Standardised identification keys
      • Products, locations, assets, …
      • Standardised data carriers
      • Bar codes & RFID
      • Standardised sharing of static data
      • Data on products & locations
      • Standardised sharing of dynamic data
      • Event data
      • Standardised electronic communication
      • Electronic messages, EDI…
      Open standards Proven standards
      • Unique
      • Non-significant
      • International
      • Secure
      • Foundational
      GS1 Numbering system
    • 9. GS1 Identifiers GSRN = Global Service Relation Number Recipient of services GDTI = Global Document Type Identifier Document Type GLN = Global Location Numbers Legal or Functional Entities and Locations SSCC = Serial Shipping Container Codes Individual Logistics Units GRAI = Global Returnable Asset Identifier Returnable Assets GIAI = Global Individual Asset Identifier Fixed Assets GTIN = Global Trade Item Number Products or Services
      • Providing certainty of identification for
        • People
        • Products
        • Places
      Products Assets
    • 10. Effective data capture GS1 Data Carriers include bar codes and RFID Data carrier Linear bar code 2-D bar code Scanner / Reader RFID tag Laser scanner Camera-based scanner RFID Reader
    • 11. GS1: A Broad Portfolio
      • GS1 offers solutions, each integrating a number of GS1 products.
      Traceability is a robust solution for tracking and tracing items such as food or pharmaceuticals through the supply chain. Patient Safety ensures the prevention of medical errors and counterfeiting through the healthcare supply chain.
    • 12.
      • UK
        • DH and NHS recent press release announcing partnership with GS1 where “ For the first time standard ‘GS-1’ bar codes on products will be used across the NHS making it easier to track and compare purchases.”
      • Australia
        • NPC is now successfully up and running for over 2 years. Australia have adopted a complete health reform agenda as part of a long term strategy
      • New Zealand
        • DH have just agreed to launch an NPC for NZ, similar to Australian solution
      • Netherlands
        • In final stages of Datapool – plan to have 60% populated by end of 2011
      • Spain
        • Health services work with GS1 standards, currently working on the engagement with the health sector for the use of a Datapool
      GS1 around the world… A snapshot from other countries
    • 13.
      • Proven Applications
      • NCHCD Track & Trace Solution for the safe treatment of haemophilia
      • HSE National Sterile Instrument Tracking Solution
        • Galway Clinic – CLASS RFID Project based on GS1 Standards
      • Future applications
      • National Product Catalogue Solution for Irish healthcare ( interoperability with Clinical Support Systems)
      • Unique ID : patients, professionals, locations
      • Registry of all Healthcare Providers and Locations (GS1 GLN Registry)
      GS1 Ireland Existing partnerships in Irish Healthcare Improving patient safety, medication management and VFM
    • 14.
      • NCHCD Video
      GS1 Ireland Existing partnerships in Irish Healthcare Improving patient safety, medication management and VFM
    • 15. GS1 Healthcare
    • 16. Voluntary, Global Healthcare User Group
      • 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 .
    • 17. Challenges in the Healthcare supply chain
      • Medication errors result in additional treatments, disabilities and even loss of life
      • Counterfeiting is an increasing global threat
      • Traceability from manufacturer to patient is unworkable
      • Product recalls can be difficult to manage, in particular for healthcare providers
      • A lot of manual interventions in the healthcare supply chain decrease its efficiency and accuracy
    • 18. Ensuring the ‘ 5 Patient Rights ’ The right patient The right dose The right time The right route The right product
    • 19. Lack of global standards
    • 20. Scanning codes at the bedside
    • 21. Global automatic identification standards
      • GS1 Standards … 6 billion ‘beeps’ per day
      • Product identification in Healthcare should be ever-present—as it is in the retail and grocery industries
    • 22. Solution for tracking and tracing products (CFC) through the Healthcare supply chain 2. GS1 Bar coded product is delivered to the Hospital by TCP 4. Stock Fridge 5. Issue Fridges 3. Hospital 7. Prepare product 8. Patient receives CFC Information captured: GTIN, Batch, Expiry, Serial number, Delivery location (GLN) + patient identifier GSRN 1. Product (CFC) is sent by manufacturer with GS1 barcode 6. Issue to patient Patient: GSRN Healthcare professional: GSRN Location: GLN Product: GTIN
    • 23. Why use GS1 Global Standards?
      • Based on open GS1/EPCglobal standards
      • Identification numbers are ‘fit for purpose’
      • Provides interoperability essential for mass adoption.
      • Copes with different data carrier/capture technologies
      • Enables Healthcare providers and suppliers to ‘ future proof ’ processes
      • Cost savings for all involved
      • Enables traceability from manufacturer to healthcare provider to patient bedside
      • Based on best practices
      • Access to industry user groups
      • GS1 is community managed (membership organisation)
      • GS1 can deliver on the ASTM – E1714-07 Standard Guide for the Properties of a Universal Healthcare Identifier
    • 24. Thank you! Questions?
    • 25. Unique Health Identifiers Episode 1 Hospital A , Provider A , Episode 2 Practice A, Provider B, Episode 3 Hospital B, Provider C Episode 4 Clinic A , Provider D, CDB EHR Network and Discovery Service Location Provider ID Master ID Episodes ID Patient Master ID Patient Master ID Patient Master ID Patient Master ID Patient Master ID Patient Clinical Data Location ID Master ID Episodes ID Provider ID Registry Core Patient Demographics Verification Populate Update Provider Registry Location Registry CDB CDB CDB GS1 Identifiers illustration Provider Location ID Master ID Episodes ID Clinical Audit & Research
    • 26. Contact Details Siobhain Duggan GS1 Ireland Nutley Building, Merrion Road, D4 T el 01 208 0679 eMail siobhain.duggan@GS1ie.org Web www.gs1ie.org
    • 27. The N E HTA Supply Chain Work Program Page eProcurement National eHealth Transition Authority in Australia National Product Catalogue
    • 28. Also …
      • Medicines Terminology
      • AMT in Australia
      • NZMT in NZ
      • Regulator
      • Therapeutic Goods Administration (TGA) in Australia
      • Medsafe in NZ
      • Pharmacy interest group
      • Pharmacy Guild in Australia
      • Pharmac in NZ
      • Catalogue Solution
      • National Product Catalogue in Australia
      • NPC announced in NZ in Sep 2011 (press release)
      • Universal list of medicines (or link between relevant components)
      • WIP in Australia (AMT / NPC Link)
      • Exists in NZ
      • Procurement / Supply chain benefits
      • Information for electronic health records
      • Information for point of use scanning etc
      Universal List of Medicines Approach in Australia & New Zealand