e-Homecare George Gannon Pharmacy Operations Manager UCLH Pharmacy Purchasing & Distribution Interest Group Nov 2010

Introduction Background – Wholesalers & Homecare suppliers – Growth in Homecare over the past 5 years Need – Drug expenditure needs to be identified and managed – No standard method for the NHS

Project outline Objectives – To introduce e-trading to a homecare supplier – Stream line processes – Reduce paper – Reduce processing time – Increase accuracy through out – Quicker payment process – Re-engineer the "Proof of delivery" approach – Create roadmap for others to follow

Project outline Scope –D–Decided early not to include e-prescription –S–Simple homecare not complex homecare –U–Use only existing technology with minor tweaks

Project Team Alliance Healthcare Project Mgr Central Homecare Ltd Diskel / Pegasus UCLH Pharmacy Purchasing Team UCLH Pharmacy systems PIMS Global Health exchange / Powergate

Timeline

UCLH – Central Homecare E –Trading Model 1. UCLH creates PO on Pharmacy System and exports to PowerGate. PO 2. Order Items are matched to Central Homecare Catalogue items in PowerGate. Central Homecare PO

UCLH – Central Homecare E –Trading Model 1. UCLH creates PO on Pharmacy System and exports to PowerGate. PO 2. Order Items are matched to Central Homecare Catalogue items in PowerGate. Central Homecare PO 3. e-Order received by Central Homecare via GHX Exchange (PMS). 5. Goods delivered to Patient 6. Patient signs for delivery. ASN 7. Central Homecare transmits ASN via GHX Exchange. ASN 8. Goods Receipts created in PowerGate from ASN data and passed back to Pharmacy System via new interface. 9. Goods Receipts created on Pharmacy System from imported PowerGate GRNs. Stock automatically issued to Patient. 12. Three-way match on Pharmacy System and interface to Finance system triggers Central Homecare payment. 10. Central Homecare transmits e-invoice via GHX Exchange. INV 11. e-Invoice passed back to Pharmacy System via existing interface. INV 4. Prescription faxed to Central Homecare – contains patient details, address etc. Order No. written on prescription.

E-Homecare model for other PowerGate Users to trade with Central Homecare … 1. Hospital creates PO on Pharmacy System and exports to PowerGate. PO 2. Order Items are matched to Central Homecare Catalogue items in PowerGate. Central Homecare PO 3. e-Order received by Central Homecare via GHX Exchange (PMS). 5. Goods delivered to Patient 6. Patient signs for delivery. 8. Goods Receipt manually created on Pharmacy System. Stock issued to Patient. 11. Three-way match on Pharmacy System and pass to Finance for payment. 10. e-Invoice passed back to Pharmacy System via existing interface. INV 4. Prescription faxed to Central Homecare – contains patient details, address etc. Order No. written on prescription. 9. Central Homecare transmits e-invoice via GHX Exchange. INV ASN 7. Central Homecare transmits ASN via e- mail.

Benefits CHL transitioned from no e-trading to full e-trading capability. UCLH created a full procure to pay solution completely paperless. We have created a generic flexible model to accommodate customers at different stages of e- enablement.

CHL Benefits – Stock process more efficient - order attached directly to CHL stock coding – Accuracy of invoicing – Additional audit tool to ensure all services are invoiced – Additional Service to offer the NHS to aid collaborative goals in terms of realising the benefits.

CHL Benefits Time saving on courier POD's Minimal to no chance of non-delivery of documents Cost savings (paper/postage/phone calls etc.) Payment of invoices quicker as no paper chain.

UCLH Benefits – Time saving quicker to process (approx. 50%) – No chasing copy invoices – No outstanding debt – Big advantage over paper process – The more we do the more efficient to process

Further Forward Extend scope: – More complex e orders eg to include delivery/ service charges or nursing charges – Work with an Ascribe, JAC and Bedford site to prove concept in other systems – Engage Ascribe and JAC via NHS users to collaborate on interface development to achieve full e functionality as with our solution.

Next Princess Royal Hospital Orpington Kent UCLH non homecare

Thank you Brian Fisher Jacqui Melaisi Gaurang Majmudar Jo Langley Phil Willans Paul Bailey Ash from Diskel Julian Tysoe Kirsteen Docherty Roberto Alverez Steve Wyatt Mark Rosten