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chris wright Practice Lead, Data Visibility & Use CELL: +41.77.951.7144 | WWW.JSI.COM/SUPPLYCHAIN |
I'm sorry to say that I'll miss this next meeting as I will be on leave and off line next week.
On Thu, Apr 12, 2018 at 6:59 PM, Shivers, Jennifer Ellen <jesh...@regenstrief.org> wrote:
To: OHIE Supply Chain Community
At out last meeting, it was determined that a small group would begin to sketch out how supply chain system actors might fit with the OpenHIE architecture. As we being to frame this discussion for our next meeting on 20-April at 11:00 am EST, I wanted to share these sketches with you so that you have time to comment and provide input on possible alternative views. Please keep in mind that the OpenHIE diagram is meant to represent a logical view of how the components interact at a high-level. We find that logical and physical diagrams for projects may differ in placement of systems like HIMS. (Note that placement of applications like DHIS2 (HMIS) may depicted both above and below the interoperability layer - see diagram here.)
With that frame for the OpenHIE architecture diagram in mind, here are rough sketches of two possibilities for including the supply chain components:The rest of the slides depict how the descriptions for the system actors were defined and possible data exchange needs.
We look forward to discussing your views of how you see the system actors fitting into the OHIE architecture on the next call.Jennifer
Jennifer Shivers | Senior Integration Architect | Senior Business AnalystTel 317-797-1200 | Skype jennifer.shivers
Web and email addresses, and phone numbers will remain the same.Tel 317-274-9234 | Fax 317-274-9303Twitter: @Regenstrief | Facebook.com/regenstriefinstituteConfidentiality Notice: The contents of this message and any files transmitted with it may contain confidential and/or privileged information and are intended solely for the use of the named addressee(s). Additionally, the information contained herein may have been disclosed to you from medical records with confidentiality protected by federal and state laws. Federal regulations and State laws prohibit you from making further disclosure of such information without the specific written consent of the person to whom the information pertains or as otherwise permitted by such regulations. A general authorization for the release of medical or other information is not sufficient for this purpose.If you have received this message in error, please notify the sender by return e-mail and delete the original message. Any retention, disclosure, copying, distribution or use of this information by anyone other than the intended recipient is strictly prohibited.
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chris wright Practice Lead, Data Visibility & Use CELL: +41.77.951.7144 | WWW.JSI.COM/SUPPLYCHAIN
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chris wright Practice Lead, Data Visibility & Use CELL: +41.77.951.7144 | WWW.JSI.COM/SUPPLYCHAIN
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On Apr 12, 2018, at 2:32 PM, Chris Wright <chris_...@jsi.com> wrote:
I'm sorry to say that I'll miss this next meeting as I will be on leave and off line next week.
On Thu, Apr 12, 2018 at 6:59 PM, Shivers, Jennifer Ellen <jesh...@regenstrief.org> wrote:
To: OHIE Supply Chain Community
At out last meeting, it was determined that a small group would begin to sketch out how supply chain system actors might fit with the OpenHIE architecture. As we being to frame this discussion for our next meeting on 20-April at 11:00 am EST, I wanted to share these sketches with you so that you have time to comment and provide input on possible alternative views. Please keep in mind that the OpenHIE diagram is meant to represent a logical view of how the components interact at a high-level. We find that logical and physical diagrams for projects may differ in placement of systems like HIMS. (Note that placement of applications like DHIS2 (HMIS) may depicted both above and below the interoperability layer - see diagram here.)
With that frame for the OpenHIE architecture diagram in mind, here are rough sketches of two possibilities for including the supply chain components:The rest of the slides depict how the descriptions for the system actors were defined and possible data exchange needs.
We look forward to discussing your views of how you see the system actors fitting into the OHIE architecture on the next call.Jennifer
Jennifer Shivers | Senior Integration Architect | Senior Business AnalystTel 317-797-1200 | Skype jennifer.shivers
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Web and email addresses, and phone numbers will remain the same.Tel 317-274-9234 | Fax 317-274-9303Twitter: @Regenstrief | Facebook.com/regenstriefinstituteConfidentiality Notice: The contents of this message and any files transmitted with it may contain confidential and/or privileged information and are intended solely for the use of the named addressee(s). Additionally, the information contained herein may have been disclosed to you from medical records with confidentiality protected by federal and state laws. Federal regulations and State laws prohibit you from making further disclosure of such information without the specific written consent of the person to whom the information pertains or as otherwise permitted by such regulations. A general authorization for the release of medical or other information is not sufficient for this purpose.If you have received this message in error, please notify the sender by return e-mail and delete the original message. Any retention, disclosure, copying, distribution or use of this information by anyone other than the intended recipient is strictly prohibited.
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chris wright Practice Lead, Data Visibility & Use CELL: +41.77.951.7144 | WWW.JSI.COM/SUPPLYCHAIN
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Hi Chris
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Hi all.
I must admit that I’m worried about scope creep. I agree with Chris and Alpha that trying to embody the entirety of supply chain management into our HIE architecture might be biting off more (way more!) than we can chew. I think we’re better served to appropriately treat the entire supply chain domain as a full architecture and technology stack in its own right and, instead, look for where/how health transactions connect with and relate to supply chain transactions.
Doing such a mapping between health transactions and supply chain transactions will require that certain master data elements can be related to each other. The most obvious of these are “locations” and “items”. For the first – this will mean we’ll need to be able to get the GLN (or whatever ID# the SCM side is using) for each of our facilities in the ILR. And for the latter, we’ll need to be able to map the meds referenced in a “dispense” transaction to the GTINs for these products. Similarly, we can imply consumption of commodities in our labs based on the execution of certain lab tests and the consumption of med/surg commodities during surgeries (or the consumption of medical devices, if these were implanted)… and so on.
This gets more complicated the deeper we decide to go. Happily, however, the first basic maps we develop could yield significant benefits pretty much right away. In SCM, generally – and particularly in how SCM is applied in the manufacturing sector – there is a concept called backflushing. Backflushing is were we take a transaction that is relatively easy to track and measure and imply from it a whole family of transactions that also must have occurred. For example if we manufacture little red wagons, each one of these that rolls off the assembly line “backflushes” the consumption of 4 wheels, 2 axles, one red box and one handle.
I think it might be smart to look for the data maps we’d need to support in order to allow us to support backflushing; in order for us to imply inventory transactions from healthcare events we will have recorded in our SHR, for example. Doing this would focus us on one key piece of the SCM puzzle: the consumption transactions. There will have to be, of course, replenishment and physical stock keeping and logistic network planning and all sorts of other things… but this whole inventory ecosystem doesn’t all need to be in OpenHIE. Or not yet, at least.
I’m very interested to know what others think of such an approach (and the narrower scope it implies).
Warmest regards,
Derek
Derek Ritz, P.Eng, CPHIMS-CA
ecGroup Inc.
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Hi all.
I’d advocate for us separately considering supply chain management vs. logistics network management (the former is a superset of the latter). Although the healthcare system will usually have its own sector-specific supply chain solution, the logistics network that replenishes demand may be made up of a mix of both common commercial carriers and dedicated logistics – some of which may be health-sector specific and others which may be operated on a whole-of-government basis.
Making these distinctions will help us be explicit about any assumptions we’re making as we do our modeling. There will be connections/relationships between OpenHIE and the healthcare supply chain’s supporting ICT systems and between these SCM solutions and the underlying logistics network that replenishes demand. My sense is that the OpenHIE-SCM connections will afford us ways to improve the effectiveness of demand management. Improving demand management opens opportunities to do a better job of supply management (replenishment) – and there are potentially significant health-related and economic benefits that can be associated with this. 😊
Warmest regards,
Derek
Derek Ritz, P.Eng, CPHIMS-CA
ecGroup Inc.
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