(Source: AIHW, 2013)
$140 Billion per annum
9.51% of GDP
Average $6230 per person
Australian Healthcare Spending
Where does the money go?Recurrent spend on health goods & services, 2009-10
source: http://www.aihw.gov.au/australias-health/2012/spending-on-health/
On an average day in Australia…
Health system growing busier:
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342,000 people visit GP
17,000 people visit emergency
23,000 people admitted hospital (5,000 elective surgery)
742,000 medicines dispensed pharmacies
71,000 km flown / 107 evacuations - Royal Flying Doctor
820 babies are born (including 260 by caesarean section)
400 treatment episodes – alcohol/other drug treatment
6,800 people transported ambulance
source: http://www.aihw.gov.au/australias-health/2012/spending-on-health/
All areas Growing
source: http://www.aihw.gov.au/australias-health/2012/spending-on-health/
Kidney disease
source: http://www.aihw.gov.au/australias-health/2012/spending-on-health/ Your Logo
Health and total spending: trends Growing faster than All other Goods & Services
The real Scary numbers:
Estimated result of medical errors:
• Up to 18,000 people Die
• 50,000 people suffer permanent injury
Per Annum
Medical Journal of Australia in November 1995
Complex supply chain:
Patient safety needs - critical
Multiple supplier catalogues
Compatibility of products
Comparisons of different brands
Traceability
Supply & demand timing/planning
Shelf life issues
Product quality, complexity, accuracy & fit for purpose.
Number of Hospitals – approx. 1300 (private & public)
Regulations and Pharmaceutical industry
Public and private sectors
Government funding arrangements
Multiple government departments -state & federal
National Electronic Health Transition Authority
Established in 2005
Joint initiative State, Territory and Federal
Purpose to identify and develop eHealth foundations
Develop & improve e-Health structures, processes,
integration and security
Implementing multiple national eHealth initiatives
For electronic data collection and exchange.
To enhance healthcare by enabling access:
• right information, right person, right time & place.
Co-ordinating implementation of National product catalogue
GS1:
Non - profit organisation
40 year history
standardisation solutions for supply chains globally
GS1net:
Data synchronisation platform
o Global Trade Item Number (GTIN) – barcode
o Global Location Number (GLN)
o Global Product Classification (GPC)
Platform for implementation of National product catalogue
National Product Catalogue (NPC)
Diagram A: NPC data flow (Source: GS1 Australia 2012, GS1 Healthcare Reference Book 2012/2013)
“Single source” for master data of public health in Australia (DoH, Victoria, 2014)
National Product Catalogue (NPC)
Suppliers load data into:
o Product details & pricing
o Pack sizes & types
o Health Specific requirements
o Pharmaceutical Benefits Scheme (PBS)
o Therapeutic Goods Administration (TGA)
o Risk classifications
o Clinical requirements
Medical products, devices, catering and cleaning
Utilises GS1net
GTIN for unique product identification
State/territories progressively rolling out.
Health departments synchronise to own systems
Victorian Product Catalogue System (VPCS)
Diagram B: The proposed model for Victoria
(Source: http://www.health.vic.gov.au/npc/implementation.htm, 2014)
• Health Purchasing Victoria maintain
(statutory authority)
• Synchronises with NPC data
• Includes HPV contract data & pricing
• 252,000 items to date.
• Privacy and security
• Access & Performance - critical
• Time delays - public processes.
• Reliance on suppliers accuracy
• Regulatory requirements & variations
• Excessive Product ranges
• Individual preferences of medical staff
• Compliance of staff to catalogue
• Decisions by non SC skilled people
• Changing clinical requirements
• Constantly changing product ranges
• Life cycle control of product data
• Connectivity existing IS systems
• State & territories system variations
Challenges
• Standard data - product & pricing
• Better identification of products (GTIN)
• Greater Accuracy of data
• Reduce potential patient dispensing errors.
• Reduced order processing errors
• Reduced transaction errors & Waste
• Reduced resources
• Expanded range of suppliers and products
• Electronic notifications product changes
• Improved product recall processes
• Enhance Strategic procurement
• Live Electronic data
• Reduction of potential ripple effect
• Increased access from/to suppliers
• Improved invoicing accuracy
• Reduced tender timing – data collection
Benefits
The Future - Ageing Population
Source: Australian Institute of Health and Welfare 2012. Australia’s health 2012: in brief. Cat. no. AUS 157. Canberra: AIHW
Spending on Aged Care health
Increase 4.9 % each year
19% of Health Care workers
Aged over 55
$40 Trillion Dollar market 212 Billion devices by 2020
The Future - Potential (Internet of Things)
Source: http://www.slideshare.net/ValaAfshar/internet-of-thingsslideshare
Support future needs - safety, patients and public in general
Need a Sense of Urgency
Moving too slow:
o Timing delays – commenced 2005
o Stage 1 data loaded - April 2014 9 years!
GS1 standards are supported:
o 42 global healthcare organisations
Government pressure – suppliers & providers
Incorporate more private industry:
o Aged care
o Private Hospitals
o Doctors / service providers.
e-Health sector complete strategic planning
References
Australian Institute of Health and Welfare (AIHW) 2010, “Australia's health 2012 – How much do we spend on Health”, viewed 20/08/14,
<http://www.aihw.gov.au/australias-health/2012/>
Australian Institute of Health and Welfare (AIHW) 2013. Health expenditure Australia 2011–12. Health and welfare expenditure series no. 50. Cat. no.
HWE 59. Canberra: AIHW.
Bhakoo, V., & Chan, C., 2011 Collaborative implementation of e-business processes within the health-care supply chain: the Monash Pharmacy
Project, Supply Chain Management: An International Journal, Vol. 16 Iss 3 pp. 184 – 193
Department of Health (DoH), State Government of Victoria, Australia, 2010, Victorian Government Health information “The National Product
Catalogue and Public Hospitals”, viewed 01/09/14, <http:// http://www.health.vic.gov.au/npc>
Ebel. T., Larsen. E and Shah. K., 2013 “Strengthening health care’s supply chain: A five-step plan” Article , 5 (2), pp. 177 - 195.
Ebel, T., et al., 2012, “Strength in unity: The promise of global standards in healthcare”, McKinsey and Company, New York, NY USA
GS1 Australia 2012, GS1 Healthcare Reference Book 2012/2013, <http://www.gs1au.org/services/gs1net/industry/npc/benefits.asp>
GS1 Australia 2010, “GS1net User Guide ‘Cookbook’, March 2010 <http://www.gs1au.org/services/gs1net/technical/>
GS1 Australia, 2014 “Healthcare Industry: National Product Catalogue” webpages, viewed 01/08/14 <http://
http://www.gs1au.org/services/gs1net/industry/npc/benefits.asp>
GS1 US, USA, 2014, “More than 30 Healthcare Leaders Endorse GS1 Healthcare Standards”, viewed 01/09/14 <http:// http://www.gs1us.org/about-
gs1-us/media-center/press-releases/healthcare-leaders>
Health Purchasing Victoria (HPV), Australia, 2014, Victorian Product Catalogue, viewed 24/08/14, <https://www.hpv.org.au/resources/victorian-
product-catalogue/>
Health Purchasing Victoria (HPV), Australia, 2014, Media release “Common health catalogue a key to easing cost pressure on hospitals”, 08/04/14,
<http://www.gs1au.org/assets/documents/news_room/media-releases/VPCS-HPV-Media-Release-April-2014.pdf >
National e-Health Transition Authority (NEHTA), Australia, 2011, NETHA Strategic Plan Refresh 2011-2012, <http:// http://www.nehta.gov.au/about-
us/our-strategy>
National e-Health Transition Authority (NEHTA), Australia, 2013, NETHA Media Centre Case Studies, <http://www.nehta.gov.au/media-centre/case-
studies>
Scheller, E.S. and Smeltzer, L.R. (2006), Strategic Management of the Health Care Supply Chain, 1st ed., John Wiley & Sons, San Francisco, CA.
Tsiknakis M, Kouroubali A. 2009, Organizational factors affecting successful adoption of innovative eHealth services: a case study employing the
FITT framework. Int J Med Inform 2009;78:39–52