e-Homecare
George Gannon
Pharmacy Operations Manager UCLH
Pharmacy Purchasing & Distribution Interest Group
Nov 2010
Introduction
• Background
– Wholesalers & Homecare suppliers
– Growth in Homecare over the past 5 years
• Need
– Drug expenditure needs to be identified and managed
– No standard method for the NHS
Project outline
• Objectives
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To introduce e-trading to a homecare supplier
Stream line processes
Reduce paper
Reduce processing time
Increase accuracy through out
Quicker payment process
Re-engineer the "Proof of delivery" approach
Create roadmap for others to follow
Project outline
• Scope
– Decided early not to include e-prescription
– Simple homecare not complex homecare
– Use only existing technology with minor tweaks
Project Team
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Alliance Healthcare Project Mgr
Central Homecare Ltd
Diskel / Pegasus
UCLH Pharmacy Purchasing Team
UCLH Pharmacy systems PIMS
Global Health exchange / Powergate
Timeline
E-COMMERCE HIGH LEVEL MILESTONE PLAN
Wk1
Wk2
Wk3
Wk4
Wk5
Kick-off Conf Call
Solution Proposal Sign-off
CHL Order Receipt - Set-up
Wk7
Wk8
Wk9
Wk10
---
Complete
Review
Kick-off
Sign-off
Complete
Complete
Complete
CHL PO
ASN (POD via System) - Set-up standard message and
export from Pegasus
ASN
Complete
Hospital Goods Receipt - Powergate - set-up standard
message
GR Powergate
Complete
Hospital Goods Receipt - Hospital System - set-up
standard message
CHL - e-Invoice - set-up export from Pegasus
Testing (internal)
Full end-to-end testing
Go-live
Wk11
Project Management; co-ordination; communication
Project Management / Analysis / Planning / Support etc
Requirements Review (gathering) with key
stakeholders
Wk6
GR Hospital
Complete
e-Invoice
Complete
Internal Testing
Complete
E2E Testing
Signoff UCLH
Go-live
Wk12
UCLH – Central Homecare E –Trading Model
2. Order Items are matched
to Central Homecare
Catalogue items in
PowerGate.
PO
PO
Generic object
1. UCLH creates PO
on Pharmacy System
and exports to
PowerGate.
Central
Homecare
UCLH – Central Homecare E –Trading Model
12. Three-way match on
Pharmacy System and
interface to Finance system
triggers Central Homecare
payment.
4. Prescription
faxed to Central
Homecare –
contains patient
details, address
etc.
Order No. written
on prescription.
3. e-Order received by
Central Homecare via
GHX Exchange (PMS).
2. Order Items are matched
to Central Homecare
Catalogue items in
PowerGate.
PO
PO
Generic object
1. UCLH creates PO
on Pharmacy System
and exports to
PowerGate.
9. Goods Receipts
created on Pharmacy
System from imported
PowerGate GRNs.
Stock automatically
issued to Patient.
ASN
INV
8. Goods Receipts
created in PowerGate
from ASN data and
passed back to
Pharmacy System via
new interface.
11. e-Invoice passed
back to Pharmacy
System via existing
interface.
ASN
INV
Central
Homecare
5. Goods
delivered
to Patient
7. Central Homecare
transmits ASN via GHX
Exchange.
10. Central
Homecare transmits
e-invoice via GHX
Exchange.
inetOrgPerson
6. Patient
signs
for delivery.
E-Homecare model for other PowerGate Users to trade with
Central Homecare …
11. Three-way match on
Pharmacy System and pass to
Finance for payment.
4. Prescription
faxed to Central
Homecare –
contains patient
details, address
etc.
Order No. written
on prescription.
3. e-Order received by
Central Homecare via
GHX Exchange (PMS).
2. Order Items are matched
to Central Homecare
Catalogue items in
PowerGate.
PO
PO
INV
INV
Generic object
1. Hospital creates PO
on Pharmacy System
and exports to
PowerGate.
8. Goods Receipt
manually created on
Pharmacy System.
Stock issued to Patient.
Central
Homecare
ASN
10. e-Invoice passed
back to Pharmacy
System via existing
interface.
5. Goods
delivered
to Patient
7. Central Homecare
transmits ASN via email.
9. Central Homecare
transmits e-invoice
via GHX Exchange.
inetOrgPerson
6. Patient
signs
for delivery.
Benefits
• CHL transitioned from no e-trading to full e-trading
capability.
• UCLH created a full procure to pay solution completely
paperless.
• We have created a generic flexible model to
accommodate customers at different stages of eenablement.
CHL Benefits
– Stock process more efficient - order attached directly
to CHL stock coding
– Accuracy of invoicing
– Additional audit tool to ensure all services are
invoiced
– Additional Service to offer the NHS to aid
collaborative goals in terms of realising the benefits.
CHL Benefits
Time saving on courier POD's
Minimal to no chance of non-delivery of
documents
Cost savings (paper/postage/phone calls etc.)
Payment of invoices quicker as no paper
chain.
UCLH Benefits
– Time saving quicker to process (approx. 50%)
– No chasing copy invoices
– No outstanding debt
– Big advantage over paper process
– The more we do the more efficient to process
Further Forward
• Extend scope:
– More complex e orders eg to include delivery/
service charges or nursing charges
– Work with an Ascribe, JAC and Bedford site to
prove concept in other systems
– Engage Ascribe and JAC via NHS users to
collaborate on interface development to achieve
full e functionality as with our solution.
Next
• Princess Royal Hospital Orpington Kent
• UCLH non homecare
Thank you
•
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Brian Fisher
Jacqui Melaisi
Gaurang Majmudar
Jo Langley
Phil Willans
Paul Bailey
Ash from Diskel
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•
•
•
•
Julian Tysoe
Kirsteen Docherty
Roberto Alverez
Steve Wyatt
Mark Rosten