gs1 global healthcare conference - mexico · - commercial loan set providers - private hospitals...
TRANSCRIPT
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GS1 Global Healthcare Conference - Mexico
CASE STUDY:
‘Innovative National Traceability in Healthcare using GS1 Standards’
HSE ICT – Pauline Biggane
21st April 2015
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HSE Overview
Health Service Executive:
Population: 4.6 million (Republic)
Staff: 100,000
Budget: €13 billion
Hospitals: 52 Acute Hospitals
CDUs: 48
ERUs: 32
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CDU = Central Decontamination Units
ERU = Endoscope Reprocessing Units
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HSE ICT Overview
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Director GeneralTony O’Brien
Chief Information OfficerRichard Corbridge
ICT - Delivery Director Seamus Butler
ICT Project Manager for RIMD/Endoscope Track and Trace
Pauline Biggane
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In the news….
4http://www.irishtimes.com/news/health/helpline-for-patients-with-cjd-concerns-attracts-1-300-calls-1.1468122
Track and
Trace?
“The HSE will contact up to 20 patients who were operated on using instruments which had been used on a patient who has
been diagnosed with CJD disease”
July 2013
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In the news….
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Track and
Trace?
http://www.rte.ie/news/2013/0725/464523-crumlin-contamination/
“Hospital has apologised to 18 families who were wrongly identified as being at the centre of a contamination scare over a
medical scope”
July 2013
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Decontamination Track and Trace - Timeframe
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Phase 1 Project Kickoff
GO LIVE8 CDUs
SJH first hospital to
GoLive
Phase 2 Business Case
(including Endoscopy)
Approval Procurement/
Finance
Phase 2GO LIVE5 CDUs10 ERUs
Phase 2 GO LIVE 7 CDUs 9 ERUs
Phase 2 GO LIVE 8 ERUs
Completion of Phase 2
2008 2011 2012 2013 2014 2015 FUTURE
Phase 3 Business case
Remaining CDUs and ERUs (10% volume)
- Commercial loan set providers
- Private Hospitals
• Only National Traceability Solution (Instrument trays and endoscopes) in
the world
• 90% of volume will be utilising the solution by end of Phase 2 in 2015 (32
Hospitals)
• Patient Safety was the key reason for implementation :
Clinical imperative to have traceability for high risk procedures
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Overview of Instrument Set Traceability
“Systems should be in place to record the decontamination process used on RIMD (tracking) and link them with service
users on which they have been used (tracing)”
HSE Recommended Practices for Central Decontamination Units. Version 2.0, 2011
Project started in May 2008 – 1st “Go Live” site was St.
James’s Hospital in July 2011
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0
5000
10000
15000
20000
25000
30000
35000
2008 2009 2010 2011 2012 2013
OR
Day Surgery
Others
Total
Innovative National Traceability in Healthcare using GS1 Standards
21% Increase in workload with
less staff
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Anecdotal evidence:
Moved from 5,000
Transcriptions per day in one hospital
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Tracking Stations
New Equipment
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Dataloggers
Linked to Tracking system
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Tracking Instruments - Before
Manual Check
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Tracking Instruments - After
Information available:• Electronically & Post -event
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Instrument Set Lists - Before
Paper based
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Instrument Set Lists - After
Electronic, file printed when Tray is scannedNo need to search and certainty of document version
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Eg: Printed Checklist
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Process Log - Before
Paper based
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Process Log - After
Electronic & LegiblePost-event – Can be retrieved at the touch of a button
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Steriliser Cycle Record - Before
Paper basedSubject to deterioration over time
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Steriliser Cycle Record - After
Electronic Post-event – Can be retrieved at the touch of a button
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Tracking in Theatres - After
Electronic • Post-event – Can
be retrieved at the touch of a button
• Linked to instrument tracking system
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Example of Incident Investigation
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Loan Sets
The Big Challenge !!• Shared among
hospitals (contents always changing)
• Traceability is very challenging
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Loan Set Checklists - Before
- Paper based- No certainty that list
matched tray contents
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Loan Set Checklists - After
- Electronic- Fully Legible
- Up to date- List can be pulled
from MS1 database just by scanning
the tray
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Loan Set – Example1 Hospital during 1 week in Feb 2015
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Not GS1 Coded
Which loan set would you rather process?
GS1 Coded
Not GS1 Coded• 30 loan sets
• 60 reprocesses
• Huge paper trail
• Manual tracking
• Very time consuming
• Manual rekeying and
transcription of data
GS1 Coded• 4 loan sets
• 8 reprocesses
• Huge paper saving
• Electronic tracking
• Very time efficient
• Unique identification
of set (GS1 barcode)
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Key BenefitsInnovative National Traceability in Healthcare using
GS1 Standards
Automatic Tracking of Instrument Sets» No longer need to stick head in the washer
Much easier to share Loan Sets» Interoperability between hospitals» Lists more accurate and legible
Tray Checklists printed when scanned» Accurate and right version, no longer need to search
All records stored digitally» Can be referenced post-event, huge paper saving
Link between tracking system and theatre» Closes the link between patients and sets reprocessed
Improved Workflow» Scanning of instrument sets mean team has to communicate and be more organised
Reporting» More reports (doing more audits), Enables asset management
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Track and Trace Solution
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Key Takeaways & Next Steps
» Critical mass has been reached
o 90% utilisation of the tracking solution >> real benefits
» Role of Manufacturers/Loan Set Providerso Synthes were the first in Ireland to put GS1 codes on their loan set
trays
o Need more Manufacturers to follow this lead!
» Next Steps
o Complete Phase 2 Instrument tracking and Phase 1 Endoscopy tracking
o Implant tracking
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Contact
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Pauline Biggane
Project Manager for RIMD/Endoscope Track and Trace Project
Office of Chief Information Officer
HSE
St Canice’s Hospital
Kilkenny
Tel + 353 56 778 4516
eMail [email protected]