e-HomecareGeorge 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

– Decided early not to include e-prescription– Simple homecare not complex homecare– 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

Wk1 Wk2 Wk3 Wk4 Wk5 Wk6 Wk7 Wk8 Wk9 Wk10 Wk11 Wk12

Project Management / Analysis / Planning / Support etc

Requirements Review (gathering) with key stakeholders - - -

Kick-off Conf Call

Solution Proposal Sign-off

CHL Order Receipt - Set-up

ASN (POD via System) - Set-up standard message and export from Pegasus

Hospital Goods Receipt - Powergate - set-up standard message

Hospital Goods Receipt - Hospital System - set-up standard message

CHL - e-Invoice - set-up export from Pegasus

Testing (internal)

Full end-to-end testing

Go-live

E-COMMERCE HIGH LEVEL MILESTONE PLAN

Review

CHL PO

Complete

Sign-off

Kick-off Complete

GR Powergate

e-Invoice Complete

Internal Testing

GR Hospital Complete

Complete

Complete

Complete

ASN Complete

Project Management; co-ordination; communication

E2E Testing

Complete

Go-live

Signoff UCLH

UCLH – Central Homecare E –Trading Model

Generic object

1. UCLH creates POon 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

Generic object

1. UCLH creates POon 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).

inetOrgPerson

5. Goods delivered to Patient

6. Patient signsfor 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 …

Generic object

1. Hospital creates POon 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).

inetOrgPerson

5. Goods delivered to Patient

6. Patient signsfor 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

ASN7. 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