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HEALTH SUPPLIER
ENGAGEMENT EVENT
Head of Procurement
Mr. John Swords
HSE / InterTrade Ireland - Galway
2nd December 2016
HBS Organisation Structure:
Director General
National Director of HBS
CRM Finance Procurement Estates ERPS HR
Deputy Director of HBS
HBS Function Key Priorities / Actions
Finance: Continue to work in partnership with Corporate Finance and other stakeholders to design and implement the National Finance Reform and Stabilisation Programmes.
Procurement: Implement of the 3 Year Procurement Sourcing Plan, National Distribution Centre across the Health Environment and Point of Use Stock Management across relevant Health locations.
Human Resources Develop and implement national HR and Payroll business services programme
Estates: Complete the condition survey of all HSE properties. Complete a report on the maintenance requirements for HSE facilities.
Enterprise Resource Planning Services:
Implement new ERPS structure and service model.
Customer Relationship Management:
Continue to implement HBS Communications Plan.
HBS STRATEGY 2017 - 2019
Head of Procurement
Sourcing & Contracts
Logistics & Inventory
Management Systems
Office of the Head of
Procurement
HBS Shared Services
Procurement Organisation Structure:
Vision
To be a customer focused provider of leading practice business services.
Continue the National Distribution Centre (NDC) and ‘Point of
Use’ rollout plan.
3 Year Sourcing plan will provide continuity of supply of quality
goods and services in addition to achieving value for money.
Single National Financial System.
Implement ‘One Voice’ in sector specific categories and
provide access to companies to test products/ services in real life
environment through the ‘Health Innovation Hub’.
Support the OGP to increase capacity and deliver solutions to
customers.
HBS Procurement Strategy (2017-2019)
3 Year Plan
Priorities
The overall priorities which have been set to date include:-
Office of the Head of Procurement
Increase compliance to ensure that, within the 3 years rolling plan all
significant procurement in the health sector, for both health and non-health
categories, is covered by appropriate framework agreements and contracts
where required.
Improve Customer service through the introduction of an assisted sourcing
service
Continue to achieve savings targets through improved category
management.
Continue the rollout of the One Voice Procurement model for the health
sector
Opportunities to grow and collaborate Facilitate better demand management at source, driving compliance
and contract management to enable maximisation of financial capabilities
across Hospital Groups and Community Healthcare Organisations.
Create efficiencies through Cross-functional collaboration in HBS e.g.
review Capital Plan Equipment Expenditure process to assist with
Procurement planning.
Complete NDC and Point of Use rollout plan.
Embed and deploy CRM initiatives to existing and new customers
3 Year Plan
Office of the Head of Procurement
New Government Procurement Operating Model
The Public Service will speak with ‘one voice’ to the market.
Common goods and services will be sourced from one office, formed from
resources who will come together from across the civil and public service i.e.
the Office of Government Procurement (OGP).
Health, Education, Local Government and Defence will each retain a single
sector procurement function to procure their sector-specific categories.
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‘One Voice’ concept includes funded healthcare entities.
HEALTH
OGP
DEFENCE
EDUCATION
LOCAL GOV
ONE
VOICE
FOR
HEALTH
OGP Led Categories
Professional Services
Facilities Management and Maintenance
Utilities
ICT and Office Equipment
Marketing, Print and Stationery
Travel and HR Services
Fleet and Plant
Managed Services
Sector Led Categories
Local Government
Minor Building Works and Civils
Plant Hire
Health
Medical Professional Services / eHealth
Medical Equipment & Supplies
Medical and Pharmaceutical Supplies
Surgical Equipment & Devices / Implants
Defence
Defence and Security
Education
Veterinary and Agriculture
Laboratory Equipment
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New Government Procurement Model - Categories
Key Customers Generating a Procurement 3 Year Plan:
Building a Single National Plan for Health
Health Procurement
Plan
Sourcing
40/02
Capital Plan
Savings Initiatives
9 CHOs
Voluntary Agencies
Philanthropic Donations
CAWT
HSE Corporate /
Clinical Directorates
7 Hospital Groups
TUSLA / Other
Government Departments
Logistics NDC
One
Voice
for
Health
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One Voice for Health:
Health Led Categories
•Medical Care & Pharma
•Equipment, Laboratory & Diagnostics
•Medical Professional Services
• Surgical Interventional Devices & Consumables
OGP Led Categories
•Professional Services
• Facilities Management and Maintenance
•Utilities
• ICT and Office Equipment
•Marketing, Print and Stationery
•Travel and HR Services
• Fleet and Plant
•Managed Services
Other Sector Led Categories
• Local Government
•Minor Building Works and Civils
•Plant Hire
•Defence
•Defence and Security
•Education
•Veterinary and Agriculture
• Laboratory Equipment
HBS Procurement
Health Customers
Supporting Ireland’s Medtech Sector
• Ireland’s medtech sector recognised as
one of the 5 global emerging hubs.
• 450 Companies (50% indigenous) EU
medtech sector c. 95% SME
• Exports of €12.6billion to over 100
countries.
• Many companies diversifying into
convergent products - bringing high value
manufacturing jobs.
• Health Innovation Hub Ireland
http://hih.ie
• SBRI Healthcare 2016 Call
https://www.enterprise-ireland.com/en/
• HSE Health Technology
Assessment Unit – Mini Health Technology Assessments
– Ensuring the safety and value of new
Medical Devices coming into the HSE.
– Supporting indigenous Medical Device
Innovation.
– Providing independent clinical support and
guidance to Product Evaluation
Committees
Supporting Ireland’s Medtech Sector
3 Year (rolling) Sourcing Plan being developed for the HSE in
conjunction with each funded Agency (Section 38).
355 Sourcing Projects already in preparation for 2017 – circa €700
million annual value of contracts.
WWW.HBS Procurement.ie website being developed – visibility of
the HBS Sourcing Programme updated each Quarter.
WWW.eTenders.Gov.ie –
eTendering will be used extensively.
all requirements over €25k published.
Supporting Ireland’s Medtech Sector
Sourcing Activity
We seek information on:
• Safety & Efficacy
• Cost Effectiveness
• Cost Benefit
• Clinical Data (Randomised Trials)
Procurement Criteria - Current Situation
Lack of clinical trial data on therapeutic
equivalences and outcomes.
Opaque and inconsistent pricing
strategies
Nuanced features in therapeutic
equivalencies
Physician Preferences
Marketing activities / vendor influence
Patient Preferences
Volume & Speed of Medical Device NPD
Strict EU procedural requirements &
a highly litigious marketplace in Ireland.
Affordability in budgetary terms
When Assessing New Products / Innovation
We’re typically faced with;
We need a significant change in order to successfully introduce Value Based Criteria
Value Based Procurement Criteria
Other Benefits within the Health Service
Cost
Broader Societal Benefits
Outcomes
Additional Patient Benefits
Additional HCP Benefits
Provider Benefits
Health Systems Benefits
Unit Price
Product Life Cycle Costs
Training / Conversion Cost
Overall Patient Treatment Cost
Life Time Treatment Cost
Sustainability
Socio-economic impact
Innovation
Evidenced Based Practice
Measurable Outcomes
All new HBS
Framework
Agreements
facilitate Value
Based
Procurement
Criteria
Credentialing
All new HBS Framework Agreements facilitate Credentialing of
Health Care Industry Representatives (HCIR)
The Credentialing Programme Dimensions
Administrative Credentialing
Immunisation Credentialing
Training Credentialing
The aim of this credentialing
programme is to assure
health services that industry
employees are competent
and appropriately qualified
for the roles they perform
also. The aim of this
programme is to provide
evidence confirming this
fact. Code of conduct.
Credentialing
Aims of Credentialing :
Ensure standards of training and provide assurance to Health Service and
hospital staff that healthcare industry representatives are aware of their
responsibilities.
Support public and private health service providers to fulfil their duty of care
to protect patients and ensure safe outcomes.
Provide an efficient and effective national solution for industry and the health
services in Ireland.
Credentialing
Broad Outcomes - Health Care Industry Rep will have:
Verified Garda Clearance.
Demonstrate product knowledge and competence in relation to devices /
equipment / supplies being provided.
Appropriate insurance cover.
Reviewed, signed and complies with the ‘Code of Ethical Business Practice.’
Reviewed and declared that relevant national policies have been reviewed.
Completed a vaccination programme
Completed the RCSI training programme
Ensure that patient rights are respected.
3 Year Logistics Strategy:
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NDC & Regional Hubs 1. Consolidation of fragmented stores
infrastructure into a National Distribution
Centre (NDC) distributing to 9 Hubs
2. Repointing of procurement staff to
procurement function
3. Implement new technology to support new
supply chain processes (SAP, Voice,
Scanpoint)
4. Increase level of management of stock at
point of use (POU) (Clinical back to frontline)
5. Implementation of appropriate supply
channels (Direct & Indirect)
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Point of Use Benefits
There are many advantages to using the
Point of Use system as a way to manage
work, including:
Flexibility
Focus on continuous delivery
Reduction of wasted work / wasted time
Increased productivity
Increased efficiency
Clinical Team
NDC Plan
NDC - Benefits to Market
Consolidated Deliveries
(reduced logistics cost)
Better forecasting by HSE
(more accurate & competitive pricing, less waste, less risk)
Access to National Distribution Network
(improved market opportunities to supply nationally)
Systems Strategy
• SAP NDC
• Voice Directed Operations (Picking, Cycle Counting)
• Scanpoint (National solution for Point of Use requisitioning)
• Procurement Data Warehouse
• PASS, PPMS
• etenders.gov.ie (EU procurement directive on eprocurement)
• Finance Reform Programme (Stabilisation & IFMS)
• Electronic invoice data capture
Procurement Systems
Procurement Data Warehouse
We currently have a 9
Procurement Information
systems;
They have different
Versions and in some
instances, are different
products
Cannot communicate with
each other.
A Data Warehouse is
needed.
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Data Warehouse / Business Intelligence
A large store of data accumulated from a wide range of sources
within a company and used to guide management decisions.
What is a Data Warehouse
Why do we need one?
Multiple inventory systems
Systems not talking to one another
Standardisation of information and codes
Enables data-driven decision making.
Annual Report (signed off by the
Accounting Officer) in respect of
contracts / expenditure above
€25,000 which have been awarded
without a competitive process.
The 40/02 report is subject to
audit by HSE internal audit and the
C&AG
HSE Procurement Compliance
C&AG recommendations
HSE Procurement Improvement Plan
HSE Procurement Compliance training sessions
Compliance Training (EU Procurement Directives and NFR’s) sessions
took place in Dublin (2 training sessions) in March, Sligo (June), Cork
(June), Galway (September) and Limerick (October) .
Approximately 700 staff have participated.
Compliance video training session available
Public Accounts Committee appearance
Procurement Compliance Manager appointed
HSE Procurement Compliance
Catalogue
Benefits to Market – Track & Trace
More effective & efficient transaction processing:
Patient
Organisation
NDC
Systems
Sourcing Plan
P
Key Messages:
One Voice for Health
3 year Procurement Plan (inclusive of
Logistics / Sourcing and Systems)
HBS Finance / Payments
Accountability:
- Compliance
- Comptroller & Auditor General
- Public Accounts Committee
- Regulations
- Behaviour (collective accountability)
Credentialing
Contact Details
Name Title Email Phone
John Swords Head of Procurement [email protected] 01-6352251
Brendan White Head of Sourcing & Contracts
[email protected] 052 6191240
Brian Long Head of Logistics & Inventory Management
061-464074
Siobhan Dunphy General Manager Office of the Head of Procurement Manager
[email protected] 087-1338937
Contact Details – Sourcing & Contracting
Name Title Email Phone
Martin Quinlivan Medical Care Pharma (MCP) [email protected] 052 6125676
Vincent O’Sullivan
Equipment, Laboratory & Diagnostics (ELD)
[email protected] 021 4928073
TBD Surgical & Intravention Devices / Consumables (SIDC)
Michael Driscoll Health Technology and Medical Professional Services (HTMPS)
[email protected] 021 4923045
Contact Details – Logistics & Inventory
Management (L&IM)
Name Title Region Email Phone
Francis Mollen
General Manager L&IM Dublin Mid-Leinster & North East
[email protected] 057 9370607
Brendan Shovlin
General Manager L&IM HSE West [email protected] 071 9193561
Stephen Lynch
General Manager L&IM HSE South [email protected] 021 4928209
Edward Hogan
General Manager L&IM SAP Systems [email protected] 01 8131853
Gerry McMahon
General Manager L&IM Business Systems [email protected] 021-4921523
