Upload
gs1-uk
View
65
Download
2
Embed Size (px)
Citation preview
Iain Davidson, Chief Clinical Information Officer and Chief Pharmacist, Royal Cornwall Hospitals NHS Trust
Royal Cornwall’s implementation plan:A Chief Pharmacist’s perspective
13 April 2016
GS1atTheRoyalCornwallHospital
AChiefPharmacist’sPerspectiveIainDavidson
ChiefPharmacist&CCIO - RCHTApril2016
SomeFactsandFigures• TheNHSspendsaround£6.7bnperyearonmedicinesinhospitals(LordCarterreview)
• Between2003and2013,thenumberofprescriptionitemsperyearforanyonepersoninEnglandincreasedfrom13to19 (NICE)
• 5%to8%ofunplannedhospitaladmissionsareduetomedicationissues(NICE)
• £300mofmedicineswastedeveryyear(KingsFund)
• £200mstockholdingofacutehospitalpharmacydepartments(LordCarter review)
• £1investedinclinicalpharmacydelivers£5return (LordCarterreview)
• 55%ofpharmacyteam’stimeisspenton‘infrastructureservices’- aimis80%onclinicalservices(LordCarter review)
GS1AdoptionObjectives
• Improvedpatientsafety
• ReleasingtimetoCare
• ImprovedEfficiency
WhereDoesGS1AddValue?Pharma
Dispensing&Labelling
Robot
StockIssue
WholesalerHospitalPharmacyStores
DeliverytoWard
AdministrationtoPatientusingEPMA
PatientAdmitted
MedicinesPrescribedonEPMA
PatientDischarged
DRUGORDER
WardElectronicCabinets
WhereDoesGS1AddValue?Pharma
Dispensing&Labelling
Robot
StockIssue
WholesalerHospitalPharmacyStores
DeliverytoWard
AdministrationtoPatientusingEPMA
PatientAdmitted
MedicinesPrescribedonEPMA
PatientDischarged
DRUGORDER
WardElectronicCabinets
WhereDoesGS1AddValue?Pharma
Dispensing&Labelling
Robot
StockIssue
Wholesaler
WardElectronicCabinets
HospitalPharmacyStores
DeliverytoWard
AdministrationtoPatientusingEPMA
PatientAdmitted
MedicinesPrescribedonEPMA
PatientDischarged
DRUGORDER
GTIN&GLN
GTIN&GLN GTIN
GTIN&GSRN
GLN&GSRN
GLN,GTIN&GSRN
GTIN&GSRN
GTIN&GSRN
GTIN&GLN
GTIN&GSRN
GTIN&GSRN
WhereDoesGS1AddValue?Pharma
Dispensing&Labelling
Robot
StockIssue
Wholesaler
WardElectronicCabinets
HospitalPharmacyStores
DeliverytoWard
AdministrationtoPatientusingEPMA
PatientAdmitted
MedicinesPrescribedonEPMA
PatientDischarged
DRUGORDER
GTIN&GLN
GTIN&GLN GTIN
GTIN&GSRN
GLN&GSRN
GLN,GTIN&GSRN
GTIN&GSRN
GTIN&GSRN
GTIN&GLN
GTIN&GSRN
GTIN&GSRN
We’veGotAlltheGear!
Wejustneedtolinkitupbetter…..
GS1GS1
GS1GS1
GS1
Whyisthisimportant?
RefBobWachter presentation https://vimeo.com/157611617
Examples
RoyalCornwallHospitalsTrustScan4Safety
RCHT - Electronic Drug Ordering
Scan4Safety
‘GSRN’‘GTIN’
‘GLN’
RCHT - Electronic Drug Ordering
Scan4Safety
PercentageofWorkload Dispensed before10.30am
Pre-implementation (Oct13) 23%Post-implementation (March14) 35%
RCHT - Electronic Drug Ordering
Scan4Safety - safer and more efficient
MissedDosesCriticalMeds
0,00%
0,20%
0,40%
0,60%
0,80%
1,00%
1,20%
Jan/14
Feb/14
Mrt/14
Apr/14
Mei/14
Jun/14
Jul/14
Aug/14
Sep/14
Okt/14
Nov/14
Dec/14
Jan/15
Feb/15
Mrt/15
Apr/15
Mei/15
Jun/15
Jul/15
Aug/15
Sep/15
Okt/15
MedicationUnavailable
MedicationUnavailable
Lineair(MedicationUnavailable)
RCHT - Electronic Drug Ordering
Scan4Safety
SunderlandRoyalHospitalRodBeard- DirectorofPharmacy
LinkingePrescribing toRoboticDispensing
LinkingePrescribing toRobotics
SunderlandExperience• Fourstaffwerereleasedforre-deployment
• £500,000instockholdingefficiencyabovethatsuggestedbythebusinesscasewasidentified
• Productsdispensedbytheelectronicprescribing- robotsystemproducedzerodispensingerrors
• Thespeedofdispensingincreasedalso,astheelectronicprescribing- robotcombinationpermittedalmostinstantaneousdispensingfromthepointofadoctorenteringaprescription
IsleofWight- StMarysHospitalGillHoneywell- ChiefPharmacist
LinkingePrescribing,WardStockandDispensing
EPMA-EDC-Robotlink
• 11%reductioninwarddrugspend
• 83%reductioninmisseddoses
• Reducedlengthofstay
• Freesupnursing‘timetocare’
• Robustfinancialaudittrail
• ReturnonInvestment- 3years
GS1- CanitDeliver?
• Improvedpatientsafety
• ReleasingtimetoCare
• ImprovedEfficiency
GS1- CanitDeliver?
• Improvedpatientsafety
• ReleasingtimetoCare
• ImprovedEfficiency
WhatDoWeNeed?
WorkwithOurSuppliers
NHSBenchmarkingData2015
HowDoesitFitAllTogether?Unique Identifier ProductLevel
DM&D Product level
GTIN Product,Supplier &BatchLevel
FMD Product, Supplier,BatchandBoxLevel
TimelineforInitiatives
2011
2019(2016+3)CompleteFMDImplementation
Feb2016Publicationof
FMDDelegatedActs
July2011PublicationofFMD
36Mon.
20182015 2017
June2017Implementationof
NHS dm+d
2016
2016ImplementationofGS1andPEPPOL
2019
May2014PublicationofDHeProcurement
strategy
June2015LordCarter's review
ofefficiencyinhospitals
June2016Introductionof theconceptof“AModel
Hospital”
TimelineforInitiatives
2011
2019(2016+3)CompleteFMDImplementation
Feb2016Publicationof
FMDDelegatedActs
July2011PublicationofFMD
36Mon.
20182015 2017
June2017Implementationof
NHS dm+d
2016
2016ImplementationofGS1andPEPPOL
2019
May2014PublicationofDHeProcurement
strategy
June2015LordCarter's review
ofefficiencyinhospitals
June2016Introductionof theconceptof“AModel
Hospital”
Co-Ordinated&Collaborative