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AProductbyAnyOtherName:HowDataStandardsCanImproveOurSupplyChains
LindabethDobySeniorManagementInformationSystemsAdvisor
USAIDTrishaLong
SeniorBusinessIntelligenceAnalystGHSC-BI&A
KaitlynRocheManager,GlobalStandards,
GHSC-PSM
10th Global Health Supply Chain Summit, Accra (Ghana); Nov 15-17, 2017
We’vetalkedaboutitforyears...
• Wouldn’titbegreatifwecouldexchangedatabetweenourLMISandWMS?
• WhatifwecouldvalidateourHMISreportswithlogisticsdata?
• Imaginethegreatervisibilityacountrysupplychainwouldhavewithsysteminteroperability
TheChallenge
• Poordatavisibility– Systemsnotinteroperable
• Lackofstandardizationinprocessesandoperations– Inconsistentpackaginglabels– Nomasterdata(productmasterorfacility
master)• Lackofdatagovernanceprocessesor
masterdatamanagement
…WHICHRESULTSINRISKTOSUPPLYCHAINSECURITY!
VisionToenableidentificationofeveryitemprocuredateverypointinthesupplychain,throughadministrationtothepatient
GoalToenableasecureandefficientsupplychainfromsourcethroughtoservicedelivery
Objectives•Toenableend-to-enddatavisibility•Toidentifyandimplementsupplychainefficiencies•Toensuresupplychainsecurity•Toincreasepatientsafety
WhatisGHSCtryingtoachieve?
Nostandards?NoGovernance?Whatdoesthatlooklike?
• CountryXExample---- ProductMasterAlignment:– Twosystemsin-countrythatwerealignedduringdeployment
butwentoutofalignmentoverthecourseofuse• System1– 11,323itemrecordsinproductcatalog• System2– 1,327itemrecordsinproductcatalog
– Duplicationofdata• 1,768productsareduplicatedmultipletimesinthesystem
resultingin5,579recordsintheproductmaster(roughly50%oftotalrecords)
• Requiredtwofulltimestafftocorrectorderrequisitionseverymonth.
• CountryYExample- ProductMasterAlignment:– Harmonizationchallenges
• Sameproduct/itembutdifferentpacksizes• Systemownersdon’twanttogiveupownershipofthemasterlist• DONORssendcommoditiesthatarenotontheapprovedmaster
list• Limitedresourcesforsustainingtheharmonizedlists(it’sgoingto
happenagain)
Whyareglobalstandardsrelevant?
GlobalStandards
• Publisheddocumentsthatestablishspecificationsandproceduresdesignedtoensurethereliabilityofthematerials,products,methods,and/orservicespeopleuseeveryday.(IEEE)
• Addressarangeofissues,includingbutnotlimitedtoacommonnomenclatureandprotocolsacrossvariousentitiesinsupportofinteroperability.
GS1Standards
• Developandmaintainglobalstandardsforbusinesscommunications• Provideacommonlanguagetoidentify,capture,andsharesupplychaindata• Specificfocusonapplicabilityofstandardsforhealthcaresupplychain
SupplyChainData
Visibility
• Enabledthroughcommonnomenclature,processes,anddatasharinginteroperabilityacrossallstakeholdersintheglobalhealthsupplychain
Sowhatarewedoingaboutit?
• Leveragingpooledprocurementeffortstopushmanufacturerstocomplywithglobalstandards
• Collaboratewithotherglobaldonorsonproductmasters
• Creatingandpublishingguidelinesforeasieradoptionofstandardsbyourcountrycolleagues
• Acknowledgingrightnowthatthisislikelya10yeareffortthatwearelaunching,soworkingwithallstakeholderstomovealonginadoptionatasteadypace.
WhatisProductMasterData?
• Conformstoruleswehaveagreedtowithourpartners– Namingconventions– Standardclassifications
• Maintainedandupdatedinacontrolledprocess– Adatagovernancecommittee
reviewsproposedchanges– Anyonecansubmitachange,
onlythedatagovernancecommitteecanapproveit
– Aftertheyareapproved,changesarecommunicatedtoallpartners
Creditforimageidea:www.datamartist.com
Weagree:it’sacar!
Howdoestheproductclassificationhierarchylook?
TradeItem=Aremether 20mg/mLAmpoule,30Ampoules
Level5=Artemether 20mg/mLAmpoule
Level4=Artemether
Level3=Antiprotozoals
Level2=Amebicides andtrichomonacides andantiprotozoals
Level1=DrugsandPharmaceuticalProducts
Real-lifequestionsyoucananswerquicklywithahierarchy
• WhatisthetheamountspentonvehiclesinthepastyearinProgramXversusProgramY?
• HowmanydifferentformulationsofAbacavir/Lamivudineareweprocuring?
Level5
Level4
Mappingtradeitemsfromnewpartners
Amoxicillin
Amoxicillin250mg/5mLPowderforOralSuspension
Partner1Amoxicillin
250mg/5mloralsolution100ml- 40
bottles
Partner2Amoxicillin
250mg/5mL100mL
OtherAmoxicillin
Partner1Amoxicillin500mg
tablet1000
Partner2Amoxicillin,
ClavulanicAcid875/125mg10
Tablet
GS1 standardsacrosstheentiresupplychain
Automaticverificationindispensingand
administrationprocessesreducemedicalerrors
• Moreaccurateandefficientsupplychainmanagement• Enablingtraceabilityandauthentication(counterfeiting,productrecalls,etc.)• Enablingregulatorycompliance• Improvingpatientsafetyandsupplychainefficiency!
Improvedproduction,packagingandsupply
processes
Simplificationandaccuracyimprovementinwarehousing,distribution,andlogistics
processes
Manufacturer DistributororWholesaler
HospitalorClinic
Transportprovider
Transportprovider
ReproductiveHealthGlobalTraceabilityAdvisoryGroup(RHGTAG)
IdentificationRecommendationsforReproductiveHealthPharmaceuticalProducts
AforumforsubjectmatterexpertsfromindustryandthepublicsectortodiscussandproviderecommendationsfortheadoptionandimplementationofglobalstandardsforRHproductidentification,datacapture,anddataexchangeinthesupplychain.
IndustryAdvisors Facilitators
GHSC-PSMAnnouncementofContractRequirements
AnnouncementofIntentiontoImplementGlobalStandardsforProductIdentification,Labeling,andDataExchange
GHSC-PSMdevelopedatwoyearworkplanandstrategicvision(FY17– FY18)todriveimplementationacrosstheorganization.
InMay2017,GHSC-PSMissuedanannouncementofourrequirementtosuppliersstatingthenewrequirementandimplementationtimeline.
GeneralPrinciples
• Adoptglobalstandardstopromoteefficiency,reliability,andeffectiveness
• Clearlyidentifyvision,goals,andobjectivestomotivaterequirements• Requirementsshouldcapturewhatisnecessarytosecurethesupply
chain• Requirementsshouldbephasedinovertimetoallowfortransition• Leveragesuccessfulpracticesandsystemsfromothermarkets• Harmonizewithotherkeystakeholdersinthecommunityto:
ü Minimizetheriskandinvestmentrequiredbysuppliersü Maximizebenefitstocountrysupplychainsandpatients
• EstablishbenchmarkmetricsandKPIstoensureaccountabilityandmeasureprogress
Therearefourelementstoourstrategy
IDENTIFY
CAPTURE
SHARE
USE
Assignmentofnumberstoitemsandlocations
Markingofapplicationidentifiersonpackagingandlabeling
Exchangeofmasterandtransactionaldata
Datamanagement;streamlineprocesses;trackandtrace
Imagesource:GS1Global
TradeItems
LogisticsItems
Tertiarypackage
Tertiarypackage
Secondarypackage
Primarypackage
Whatdoesitapplyto?
Implementationwillrolloutinfourphases
2017 2018 2019 2020 2021 2022
Within6months*
Phase1
Phase2
Phase3
0-18months
0-36months
0-60months
Scale-up
Requirement
*Within6monthsofinitialcontractbeingsigned
IDENTIFY
Within6months Dec2018
SecondaryPackagingMultipackand/orSinglePackCarton(TradeItem)
ü (01)GlobalTradeItemNumber(GTIN)ü Otherattributesasrequested
TertiaryPackagingCase/Carton(TradeItem)
ü (01)GTINü Otherattributesasrequested
TertiaryPackagingPallet(TradeItem)
ü (01)GTINü Otherattributesasrequested
Location ü GlobalLocationNumber(GLN)Sold-fromü GLNShip-from
Toidentify,organizationsneedtoregisterwithGS1toobtainaGS1CompanyPrefixandassignnumberstoitemsandlocations.
CAPTURE
AIDC Dec2018 Jun2020 Jun2022
SecondaryPackagingMultipack/SinglePackCarton(TradeItem)
ü (01)GTINü (10)Batch/Lotü (17)Expiry
ü +(21)SerialNumber(pharmaonly)
TertiaryPackagingCase/Carton(TradeItem)
ü (01)GTINü (10)Batch/Lotü (17)Expiry
ü +(21)SerialNumber(pharmaonly)
TertiaryPackagingPallet(TradeItem)
ü (01)GTINü (10)Batch/Lotü (17)Expiry
ü +(21)SerialNumber(pharmaonly)
TertiaryPackagingCase/Carton(LogisticsItem)
ü (00)SerialShippingContainerCode(SSCC)
TertiaryPackagingPallet(LogisticsItem)
ü (00)SSCC
Tocapture,organizationsneedtoapplyrelevantautomaticidentifieranddatacapture(AIDC)technologytopackagingthatincludesrequiredapplicationidentifiersandhumanreadableinterpretation(HRI)
GTIN: (01) 07046261398572Batch: (10) TEST5632Expiry: (17) 130331S/N: (21) 19067811811
SHARE
Within6months Dec2018 Jun2022
MasterDataProducts
ü (01)GTINü Additionalattributes
MasterDataLocation
ü GLNSold-Fromü GLNShip-From
TransactionalDataPurchaseOrder(PO)
ü (01)GTINü (37)Quantity
ü +GLNSold-fromü +GLNShip-fromü +GLNBill-to/Sold-to
ü +GLNShip-to
TransactionalDataAdvancedShippingNotice(ASN)
ü (01)GTINü (10)Batch/Lotü (17)Expiryü (37)Quantity
ü +GLNSold-fromü +GLNShip-fromü +GLNBill-to/Sold-to
ü +SSCCü +GLNShip-to
TransactionalDataPackingSlip
ü (01)GTINü (37)Quantity
ü +GLNSold-fromü +GLNShip-fromü +GLNBill-to/Sold-to
ü +GLNShip-to
TransactionalDataInvoice
ü (01)GTINü (37)Quantity
ü +GLNSold-fromü +GLNShip-fromü +GLNBill-to/Sold-to
ü +GLNShip-to
Toshare,organizationsneedtoregisterwithGHSC-PSM’sSupplierPortalfortransactionaldataandtheGlobalDataSynchronizationNetwork(GSDN)formasterdata.
TheGDSNopportunityforglobalhealth
GS1GlobalDataSynchronisationNetworkTM (GDSN®)
Manufacturersareabletoprovidedatatoallkindofdatabasesandallkindsofcustomers(hospitals,distributors,wholesalers,GPOs)simultaneously,withasingleconnection.
GHSC-PSM
GlobalFund
UNFPA
NationalDrugRegulatoryAuthority
CentralMedicalStore
EXAMPLEONLY
Whattotakeawayfromourpresentation?
• ImplementationofGS1Standards isalongtermgoal(5- 10years)
• HarmonizeandmanageProductMaster
• GlobalDonorsarepushingtosetthebuildingblocksinplacenow
• Wearealllearningaswegoandexpecttosharesuccesses,failuresandlessonslearnedalongtheway
• Starttheconversation aroundGS1StandardsandMasterDataalignmentandgovernanceNOW
• It’sinourbestinteresttohelpeachotherbesuccessful!
GS1MemberOrganizationsinsub-SaharanAfrica
Country Website
Coted’Ivoire www.gs1ci.org
Ghana http://www.gs1gh.org/
Kenya www.gs1kenya.org
Nigeria www.gs1-nigeria.org
Senegal www.gs1senegal.org
SouthAfrica www.gs1za.org
Tanzania www.gs1tz.org/
Forinformationaboutthe112GS1MemberOrganizationsthroughouttheworld,pleasevisithttps://www.gs1.org/contact/overview
TrishaLongGHSC-BI&ASeniorBusinessIntelligenceAnalysttlong@intellicog.com
Lindabeth DobyUSAIDOfficeofHIV/AIDSSeniorManagementInformationSystems(MIS)Advisorldoby@usaid.gov
KaitlynRocheGHSC-PSMManager,GlobalStandardskroche@ghsc-psm.org
ContactInformation
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