1. Healthcare Product Supply
Cross-domain integration
Jose Costa Teixeira, Agfa Healthcare
Sept 2013

2. Opportunity
Healthcare supply costs are around XXX % of running healthcare costs
Supply is currently seen as isolated from clinical processes
Usually a “pharmacy issue”
Growing trend in automating,e tc.
Traceability is a big concept in itself
Counterfeiting
Patient safety (micro or macro)
If automating is useful, integration is essential!

3. Proposal Integrate Product supply information model and exchange.
Not centralize, but harmonize
Primary data exchanges, functional models
NOT define how to manage supply in healthcare
(because it depends on domain, country, management policy, product type)
but how to integrate information concerning supply with the several clinical processes.

4. Scheduling OT Supply Anesthesia Radiology Logistics
Medication workflow
Scheduling
Supply
Logistics
Cross-department, cross-process
Supply
Billing
Traceability
Stock management and distribution
Internal processes (internal delivery, asset management)
Transactions
Item Ordering
Delivery reports
Inventory Status
Administration of products

5. Use Cases
The Hospital purchases Automated Dispensing systems for several locations – for Pharmacy, for Radiology, for OT and ER. There are currently no recommended integration profiles for this, and the interoperability mechanisms of these systems with the different workflows.
Radiology wants to report usage of contrasts during a procedure; this information is later used for the Radiology department to evaluate the inventory options, and by Pharmacy for Billing, Reconciliation, etc.
After a patient is noted to have a bad batch of a medication or a medical device (catheter), the consistent supply transactions are checked to
Reverse traceability – identify the origin of the problem and other items affected
Forward traceability – investigate other patients that may have been affected
Recalling – identify and retrieve the products that are still in the wards or departments.
Pharmacy must manage all the internal distribution, redistribution of all products.

6. Work (internal) Wrap-up Pharmacy-specific whitepaper
Define scope “skeleton” –
Define pharmacy – other domains
Managing Medical Devices
Managing consignment items

7. Work (external) Gather requirements from other domains
Establish a requirements coverage, for asserting adequate coverage
Continue with HL7
Gather contribution with other stakeholders
Define scope items
Product coding, barcoding and AI, supply networks…

8. Goals
Identify and define consistent operational services that are shared across a healthcare enterprise and the associated interoperability mechanisms
Bring these services to a level of harmonization appropriate for monitoring, benchmarking