Supply Chain Integrity - GS1€¦ · 2 What is Supply Chain Integrity ? Supply Chain Integrity is… A common platform for the pharmaceutical wholesalers that “enhances patient

Supply Chain Integrity

GS1 Healthcare Tokyo Conference

29 October, 2008

Tokyo, Japan

Alfresa Corporation

Kentaro Iwasaki

The rice cakemaking of the

rabbitＣｒａｂＣｒａｂＣｒａｂＣｒａｂＬｉｏｎＬｉｏｎＬｉｏｎＬｉｏｎ

Today’s Agenda

1 What is expected of us?

2 What is Supply Chain Integrity?

3 Challenge and Solution

4 Conclusion

33


Common issues developed countries face…

� Increasing medical expenses

� Safety and assurance

� Accountability

4

…In Japan, the super-aging society

accelerates them

Population pyramid in

Japan in 1950

Population pyramid in

Japan in 2050

100 years later…

4

The pharma industry is expected to…

� Enhance patient safety - Traceability

� Achieve Efficient medical support - Online Network


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…And Supply Chain Integrity is the solution to meet these expectations

2 What is Supply Chain Integrity ?

Supply Chain Integrity is…

A common platform for the pharmaceutical wholesalers that “enhances patient safety from a patient’s standpoint” and “achieves efficient medical

6

patient’s standpoint” and “achieves efficient medical support”

6


The concept

The Concept

Patient Safety

Efficient Medical Support

“Cooperation” and “Competition”

7

Information Technology (Standardization)

Patient Safety Support


7


Shift from “Supply Side” to “Demand Side”

Necessary Products

The Right Product

For the Right PatientMatured Society

Demand Side Demand Side

Patient SafetyPatient Safety

8

Necessary Products

Necessary Place

Necessary Quantity

In the Right Dose

At the Right Time

By the Right Route

Matured Society

Supply Side Supply Side

For example… biological products, JGSP

8


Why is counterfeit drug not active in Japan?

� No parallel imports because of administrative direction

� Strict pharmaceutical practice administration/crackdown

Strict Supply Chain Management by Pharmaceutical


9

� Strict Supply Chain Management by Pharmaceutical

Wholesalers

� Strong safety awareness of consumers

(purchase only from legitimate channels)

KIMURA

2 What is Supply Chain Integrity ?Patient Safety

Personalization + Codification

10出典：Diamond Harvard Business 1999年9月号


Safety Management by Alfresa

� Information gathering (FINE DEM)

� Early Phase Post-Marketing Vigilance


11

� Early Phase Post-Marketing Vigilance

� Provision of Information

� Product Recall

FINE DEM is…

Activities to collect information regarding quality, efficacy and safety of drugs

Aims

Patient Safety


12

Aims

� To grow drugs

� To contribute to the proper use of drugs

A vial of Drug A of X company looks very similar in colorto drug B of the same company.

Comment from the company：We received similar report inside and send that to the section concerned.

Patient Safety

FINE DEM Report

Example of Package Design Change


13

Before AfterBoth Green

Gold

Drug ADrug B

Color Change

Wholesaler


Patient

Health Insurer



14

Wholesaler

Medical

Institution

manufacturer

14

For example…Online network

JPMA

Manufacturers

ＪＤ－ＮＥＴ JD-NET CouncilJPWA

FPMAJ

418 members

2 What is Supply Chain Integrity？Relationship between Drug Networks in Japan


15

PRO-NET Council280 Wholesalers38000 Medical institutions15 million Transactions /mth

JPMA ：：：： Japan Pharmaceutical Manufacturers Association

FPMAJ ：：：： Federation of Pharmaceutical Manufacturers

Association in Japan

JPWA ：：：： Japan Pharmaceutical Wholesalers Association

Wholesalers

Medical Institutions

ＰＲＯ－ＮＥＴ

418 members60 million Transactions /mth

History of Drug Networks in Japan


1986 1987 1989 1990 1991 1993 2006 2007 2009

HM-NET HM-NET

HCM-NET HCM-NET

T-NET

CM-NET

KOS-VANEstablish

In Apr.

（（（（planned

））））

Med

ical serv

ice P

rovid

ors

2 What is Supply Chain Integrity？

16

PRO－－－－

NET

JM-NET

TMS-NET

K-NET

HOSTY-NET

KMS-NET KMS-NET

JD-NETJD-

NET

Establish

PRP-NET

（（（（’’’’06.10~））））

Wh

ole

sale

rs ～～～～

Med

ical serv

ice P

rovid

ors

Ma

nu

fac

ture

rs

～～～～W

ho

les

ale

rs

Flow of Claims for Medical Treatment Fee

Medical

Institution

Audit & Payment

InstitutionMedical

Insurers

1.2 bio papers p/a Paper Receipt 77% 1.6 bio papers p/a

5 hundred times

higher than height of

Tokyo Tower(333m)

if piled

2 What is Supply Chain Integrity？Efficient Medical Support

1717

Online ReceiptOnline Receipt

Digital Device 23%

3 Challenges and Solutions

Challenge in maximizing IT potential

� Standardization requirements

� Technical Aspect

Conceptual Aspect

Technical Conceptual

1818

� Conceptual Aspect

� Shift from traditional to new paradigm


Towards Standardization…

Develop common rules for supply chain participants

E.g.

Build structure to ling products and various information

Data Structure Data Carrier

Technical IssueTechnical

1919

E.g.

• GTIN (Global Trade Item Number））））• Application Identifiers

• GLN（（（（Global Location Number））））

information

E.g.

E.g. EDI, XML

Data Communication

Source: GS1 Standard System

RSS JAN/EAN/UPC

UCC/EAN-128 RFID

Electronic Commerce

SCM


Accepting

standardization is

nothing but an inhibition

Standardization is a threat.

In order to protect the territories, unique criteria and labeling is sufficient

Conceptual AspectsConceptual

Traditional Paradigm

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nothing but an inhibition of free competition

20


New Paradigm

� Standardization based on total optimization

Conceptual AspectsConceptual

2121

4 Conclusion

Patient Safety


“Cooperation” and “Competition”

2222

Information Technology (Standardization)

Patient Safety Support


Thank youThank you

23

Thank youThank you

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Supply Chain Integrity - GS1€¦ · 2 What is Supply Chain Integrity ? Supply Chain Integrity is… A common platform for the pharmaceutical wholesalers that “enhances patient