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Supply Chain Logistics. Supply Chain Mechanics. Storage. Roche GSK. DOH. Hospital. Storage. INSPECTOR. Patient. Distribution Channels. Direct from source DOH as hub-and-spoke Primarily AIR and HIGHWAY distribution. Supply chain activation. Efficient use of inventory - PowerPoint PPT Presentation
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Supply Chain Logistics
RocheGSK DOH
Storage
Hospital
StoragePatient INSPECTOR
Supply Chain Mechanics
Distribution Channels
• Direct from source• DOH as hub-and-spoke• Primarily AIR and HIGHWAY distribution
Supply chain activation
• Efficient use of inventory• Prevent wastage• Assure constant, available stock
Supply chain activation
• Information based on seasonal incidence• Weekly census information• Past information from previous outbreaks• 1-week operational stock at hand• mid-week re-evaluation• Minimum 2-day operation stock at hand
Checkpoint systems
• Batch number logging at acquisition and storage• Batch number logging upon delivery and
receiving at hospital• Batch number checking upon inspection prior to
release for hospital use (ID representative supervised)
• FIFO• Lot number logging upon giving to patient
Breaks in the supply
• Damaged, contaminated batch contingencies• Emergency deployment contingencies• Maintaining inventory buffer• Referral systems
Manpower Logistics
• Orderlies– Effective mobilization of patients
• Security– Peace and order
• Maintenance– Cleanliness and sanitation
ER Setup
Components
• Receiving bay– Kiosk with immediate triaging system– Specialized patient information sheet– Referral for companions to non-urgent for check-
up• Evaluation section (2nd floor)– Final arbiter for quarantine– Non-quarantined patients sent back to main ER
Traffic Flow
• One way – ED serves as ENTRY point only• Stamping of companions• Clearance checks for H1N1 patients/suspects• Strict 1 patient, 1 companion rule
Additional measures
• Remove television from ED• Include information posts for concerned
parties regarding H1N1• Access to paging systems and direct
notification systems (i.e. text) for status of patient