Supply Chain Forum A Perspective from the WRHA Regional Supply Chain Areas of Responsibility • Direct – – – – – – – HSC Grace PanAm Deer Lodge Corporate/Community Concordia Victoria • Indirect – – – – Seven Oaks St. Boniface Misericordia Riverview Organizational Structure Administrative Assistant Heather Williams ORGANIZATIONAL CHART - WRHA LOGISTICS SERVICES Executive Assistant Audrey Kuny SOGH Site Material Manager Ade Aiku SBGH Site Material Manager Sean McCarthy smccarthy@sbgh.mb.ca RHC Site Material Manager Mike Howanyk mhowanyk@rhc.mb.ca MHC Site Material Manager Larry Patteson lpatteson@miseri.winnipeg.mb.ca WRHA Vice President & CFO Glenn McLennan gmclennan@wrha.mb.ca WRHA Director, Regional Supply Chain Peggy Maitland pmaitland@wrha.mb.ca Regional Manager Contracting Services Audrey Mulla amulla@wrha.mb.ca Site Material Manager Victoria Hospital Jack Mui jmui@vgh.mb.ca Contracting Services Department eHealth Procurement Site Manager Procurement Susan Deering sdeering@wrha.mb.ca Community Care Supply Chain Staff Procurement Staff Administrative Secretary Melissa Johnsen Administrative Secretary Shelley Grant Administrative Secretary Tammy Habicht Administrative Secretary Val Lachance Supply Chain Specialist Gayleen Jackmann Site Material Manager Concorida Hospital Mike Carlow mcarlow@wrha.mb.ca Revised – 2012 Administrative Secretary Evelyn Yu Regional Manager Supply & Distribution HSC Jonny Hinz jhinz@wrha.mb.ca Admin Assistant Carol Rudolph Receptionist Gretchell Macalos Regional Supply Chain Systems Specialist John Damm jdamm@wrha.mb.ca Site Material Manager Grace Hospital Scott Wichenko swinchenko@ggh.mb.ca DLC Materials Management Coordinator Sean Swan Purchasing Printshop WHMIS PanAm Clinic Purchasing Department Stores/Distribution Supervisor Reyn Desautels rdesautels@ggh.mb.ca HSC S&D Admin Staff HSC Storage Space Utilization Coordinator VACANT HSC Manager Patient Care Supply Christina Fabas-Pirie cfpirie@hsc.mb.ca HSC Traffic Manager VACANT HSC Unit Supply Staff HSC Traffic Staff DLC S&D Staff HSC Warehouse Manager Gerry Penner gpenner@hsc.mb.ca Dispatch Laundry/Linen HSC Warehouse Staff Supply Management Manager HSC Mailroom Kim Militere kmilitere@hsc.mb.ca Site Manager HSC Purchasing Brenda Boak bboak@hsc.mb.ca Manager Printing Services Rodney Sherwin rsherwin@hsc.mb.ca HSC Messenger Staff Stores Receiving HSC Purchasing Staff Mailroom HSC Printing Staff The Plan • SAP – Phase 1 – Phase 2 planning and implementation – Data management • Process Re-engineering – Ward inventory management – Contracting – SAP procurement Innovation – What does it mean? • As per Wikipedia “Ever since the invention of innovation the number of definitions of innovation seems to grow even faster than the number of researchers and practitioners in innovation. What is more, the term innovation seems to refer to fundamentally different matters sometimes, which is the case if one colleague calls a new product an innovation while the other two consider an innovation either the process that leads to the new product or the products market diffusion. Starting with the above mentioned minimal consensus on the elective affinity of the concept of innovation and the concept of the new, we will indeed soon find that new refers not only to time, but also to the object dimension (new compared to what?) and the social dimension (new for whom?) How Does Innovation Affect Us? How does Innovation Affect Us? • New methods of procurement and data management • New products and services available for purchase • Changing practices and requirements Innovation and the Legal Department Cheryl Jason Corporate Counsel, Manitoba eHealth Denis Le Heiget Associate General Counsel, Corporate & Logistics Services, WRHA Who is Legal? (What area are you responsible for? Logistics Services) • Legal provides Logistics Services legal advice and services in the areas of: – Public procurement • Compliance with the Agreement on Internal Trade • Compliance with Procurement Policies – Protection of confidential information – Development of Procurement Templates Who is Legal? (What area are you responsible for? Logistics Services) – Provide advice on bidding and tendering law and general legal support for Logistics Services and facility procurement activities including drafting of public tender templates (RFQ, RFT & RFP) – Assist the Contract Specialists with the drafting and negotiating of acceptable terms and conditions of purchase contracts, including agreements for the purchase of equipment, services & consumables Who is Legal? (What area are you responsible for? Logistics Services) – Provide advice with respect to privacy and protection of health information – General counsel including assessment and mitigation of legal risk How does it fit into the overall WRHA org chart structure? Arlene Wilgosh President &CEO Catherine Tolton General Counsel Glenn McLennan Chief Financial Officer Denis Le Heiget Peggy Maitland Associate General Counsel, WRHA Director, Regional Supply Chain Audrey Mulla Regional Director, Contracting Services Who is Legal? (What area are you responsible for? eHealth) Legal provides legal advice and services in the areas of: – Information technology contracting – Public procurement – Intellectual property rights – Protection of health information – General counsel including assessment and mitigation of legal risk 13 Who is Legal? (What area are you responsible for? eHealth) – Draft and negotiate information technology contracts, including software licenses, service level agreements, statements of work, outsourcing agreements, hardware purchases and leases, maintenance and support agreements – Provide advice on bidding and tendering law and general legal support for Manitoba eHealth procurement activities including drafting of public tender documents 14 Who is Legal? (What area are you responsible for? eHealth) – Assist business units in negotiations with suppliers, partners and customers of Manitoba eHealth services – Provide advice with respect to privacy and protection of health information 15 How does it fit into the overall WRHA org chart structure? Where do you fit into the Supply Chain? • The Legal Department plays an important supporting role in the Supply Chain • The Contract Specialists are trained professionals who conduct our purchasing processes • We provide valuable advice and guidance in the development of the processes and the conduct of those processes to ensure that the WRHA fulfills all of its obligations to the vendors Impact of Innovation • Healthcare Service Delivery affected by: – Consumer expectations : • Patient centered care • Reduction in boundaries • Quality service – Monitoring, indicators, evidence based change – Finite Resources: • Supplier Incentives – Increased pace of change Impact of Innovation • Legal Department of Logistics and eHealth are looking for ways to: – Speed up the procurement process – Allow for flexibility in procurement process: • Joint/Multi Stakeholder procurements • Iterative process- allow for vendor provided information to be part of the procurement (refined requirements) Impact of Innovation • Common-Law, Statutory Law and Trade Agreements affect the advice that we provide and requires us to amend our documents • Innovation also has an indirect affect on our agreements • Innovation in technology and service delivery requires us to adapt our procurement processes and the terms and conditions of our agreements Impact of Innovation • As a result, the Legal Departments of Logistics Services and eHealth have been working on new Terms and Conditions • To be used initially for all Purchase Orders issued when no agreement exists for the goods or services ordered or after a RFQ process Business Plan (12-18 months) • The New Terms and Conditions of the Purchase Orders will be used to develop new agreements which result from our RFT and RFP processes • The legal department will continue to educate itself on the latest development in the law of bidding and tendering and will adapt the terms and conditions Conclusion • Questions? Supply Chain Forum A Manitoba eHealth Perspective November 21st, 2012 A Manitoba eHealth Perspective • John Speidel, CAO of Manitoba eHealth • Responsible for all Financial, HR, Legal and Procurement for MeH • Manitoba eHealth is a provincial program responsible for ICT needs throughout the province. • Manitoba eHealth is administratively housed within the WRHA and is a separately funded entity. A Manitoba eHealth Perspective A Manitoba eHealth Perspective Where do we fit into the supply chain? • MeH is unique in the product/services that they require, it is unlike all other health related entities. • Approx. 100 RFR’s were issue last year. • Complex RFPs with multiple SOWs are the norm. A Manitoba eHealth Perspective What’s the plan? • Moving forward, breaking barriers. • Continued rollout of eChart Manitoba • Adoption of clinical EMRs • Community ADT/EPR enhancements • eReferral, etc. • Over $500M of projects lined up over next 12 years. • Many challenges for our SCT A Manitoba eHealth Perspective What is the impact of innovation for your area of responsibility? • Major impact as we are on the leading edge of technical innovation. • Vendor relationships and contract development and management are key! • Being flexible and integrated allows the SCT to meet the needs of the organization! WRHA CAPITAL PLANNING DEPARTMENT Is responsible for managing all phases of capital and non-capital projects, including: • Functional Programming • Feasibility Studies • Design • Bidding • Construction Contract Administration • Move and Occupancy Planning WRHA CAPITAL PLANNING DEPARTMENT Is responsible for procurement of professional services, construction, furniture and equipment in all projects for the majority of the Winnipeg Health Region Provides leadership for master planning at each hospital site as well as assisting with the strategic plan for the WRHA Assists other departments with RFP’s for major equipment or maintenance work, as requested WRHA CAPITAL PLANNING DEPARTMENT Over 50 active projects Total Approved Capital Budget over $529 million 39 in Hospitals 6 in Community 2 Corporate 2 Personal Care Homes 1 Agency WRHA CAPITAL PLANNING DEPARTMENT Projects typically last 1-8 years from conception to completion, depending on scale New initiatives for capital projects are submitted in the Regional Health Plan Major new upcoming projects include: • 3 Access Centres • Grace Hospital Emergency Department & MRI • Feasibility for 700 McDermot Multi-Tenant Building • Specialized Services for Children and Youth INTEGRATED DESIGN PROCESS PLANNING LAB LEAN INITIATIVES Work Flow Improvement UNIVERSAL DESIGN COMMUNITY ENGAGEMENT INNOVATION