HOSPITAL LOGISTICS - LOGHEALTH : Healthcare Supply ?· HOSPITAL LOGISTICS ศูนย ความเป…

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HOSPITALLOGISTICS

(LogHealth)

1

(.)

.. .

.

2

(Patient Safety)

Stock Lambert(2001) 3

1) / (Material Flow)Physical Movement 2) (Information Flow)

3) (Financial Flow)

13 1

1 : 13

3

1. 2

(Operation Management) (Information Management)

(..) 3 1) (Nodes &Links) 2) (Materials Management) 3)(Information Management) 1.1 Nodes & Links

(Link) (Node) Node Link (Business Process) ( , 2556)

Node Link Node 3

1. (, ) - - - ()

2. 24

3. -

Node 3 1

4

1 Node - - - ()

- -

-

1.2 Materials Management Material

3

1.3 Information Management

2

5

2.

7 2

1)(Organization and Staffing) 2) (Warehousing and Storage) 3) (Inventory Control Processes) 4) (Obtaining Supplies and

Procurement) 5)(Forecasting) 6) (Logistics Management

Information System) 7) (Transportation and Distribution) 7 2 2

2 :

2.1(Organization and Staffing)

6

2.2 (Warehousing and Storage)

2 (1) (2)

7

3

NCDS

3 :

2 2

8

(On Hand) 4

4 :

2.3 (Inventory Control Processes)

6 (1) (2) (3) (4) (5) (6)

1.5-2

9

2

(Order Picking) 5

E

S

E

5 :

10

(ABC) 2.4 (Obtaining Supplies and Procurement)

.. 2535 .. 2557 ..

6

6 : 2

NCDs () (Economic of Scale)

..

11

(Reorder Point) 1 1.5-2

1

..

2.5 (Forecasting)

12

1 1

2.6 (Logistics Management Information System)

2

HOSxP LIS LIS HOSxP

INV DOS Microsoft Access

13

2.7 (Transportation and Distribution)

(Pick-Up Location) (Drop-Off Location)

2

()

3

14

3

3

: ,

4

15

4

- - -

3

2

3.

2 1)

, 2) 7 2

1) 5 1) 2) 3) 4) 5) 24 , TMT , GTIN, (EDI : Electronic Data Interchange) Manual Paper base (Traceability)

16

1) (Unique Identification) 1 (Trade Name) (Pack Size)

2) (Globalization)

3) (Machine Readable)

1) 2) 3) (Tracking)

(Traceability)

Harmonize code 3

1) GTIN (Global Trade Item Number) 2) TMT (Thai Medicines Terminology) Clinical 3) 24

3

7 Nationa

Refere

National

al Drug Cod

ence code

Drug Code

de and Data

and Databa

base (NDD)

ase ND

(Adverse

DD 5.

Drug Event

5.

17

.7

ts: ADEs) .8

18

8

/

()

/ ()

NDD NDC GTIN13 Trade Unit Prescription Unit Attribute, , .

19

NDD NDC GTIN13 Trade Unit Prescription Unit

(Attribute) .

/(

NDD NDC GTIN13 Trade Unit Prescription Unit Attribute , , .

()

GS1 Thailand GS1 Prescription Unit

(attribute) / / (, , ) .2,4

()

(DRUGNET)

20

()

()

()

24 . 24

24

24

Indirect HSC

Member ()

(IOWA Code)

GPSC

/

()

On-line 1 . 2 . 3.

/

()

()

/ On-line

/ ()

On-line

21

2)

2

1) (Flows/Links) 2) (Material Management) 1) (Flows/Links)

(Patient Flow) (Material Flow) (Information Flow) Trigger (Inpatient Department: IPD) (Information Sharing and Visibility) (Redundant Process) Lean

2 (Front office) (Back office) Front System

1) 2) trigger , 3) 4) IPD

Real-time (Redundant process)

22

2) (Material/Resource Management)

(Auto Replenishment)

Movement () () () (Inventory Turnover)

Barcode Barcode HN (Patient Safety)

(Auto Replenishment) ---Supplier ward/OPD---Supplier Vendor Managed Inventory (VMI)

/ / (..)

23

(..) (..) Supplier (..) (..) Cross Docking (..) Reverse logistics

Reverse logistics OPD IPD OPD IPD % Stock accuracy Cycle time % Stock accuracy

..

..

..

..

wardER

OPD ++

Supplier

24

1.

1). 2). 3). 4). Mapping 5). 6). Min-Max MRP Planning 7). 8). 9).

Mapping 2.

25

1). 2).

3). 4). 5). 6). 7).

3.

-

1).

2). 3). 4). 5). 6).

26

(Standard Data) Barcode Supplier ward (Traceability) item ward lot Supplier Expiry Date

27

Patient Flow Material Flow

Lean Material Management

Information Flow

1) 6 Online Auto Replenishment /

2) 1 Barcode Auto Replenishment Supplier (Vendor Managed Inventory -

VMI) (..)

3) 3

(Standard Data and Supply Chain Network)

- Information Sharing and Visibility - Redundant Process

-Online/Auto Replenishment -Barcoding System -VMI

- Supply Chain Network -., ., .. -VMIto Supplier

28

5

1. (Demand forecasting)

2. (Order processing)

3. (Inventory management)

4. (Warehouse and storage) Rack Label (Picking)

5. (Transportation management) Milk run

Cross-functional team loop

29

End-to-end process Re-engineering (..) 4. Hospital Logistics

4.1 ( Kanban card )

(OPD: Outpatient Department) (IPD: Inpatient Department)

9: Kanban card

Kanbancard IPD 4.2

30

IPD One day dose

10 : IPD One day dose

31

4.3

11 : 4.4

CSSD (Centralized Sterile Supply Department)

12 : 2D

32

4.5 , ,

: HIS Hospital Information System

13:, ,

33

4.6

14:

15:

34

5.

(Healthcare Logistics) 7 20 4 1. 2.

(Best Practice) 3. 20

5.1

7 (Best Practice)

35

1. 7 2.

36

1 2 3 4

1.

37

1 2 3 4 5

2. 2.1

() ()

() ()

() ()

() () ( )

1 2 3

2. 2.2.

38

1 2 3 4

2.

2.3

1 2 3 4

3. (, ) (, )

39

1 2 3 4 5

4. Supplier Supplier

/

/

(EDI)

(VMI)

1 2 3 4

5.

5.1

(VMI)

40

1 2 3

5.

5.2/

/

/

/real time

1 2 3

6. 6.1

41

1 2 3 4 5

6.

6.2

Visual Sign (First Expired First Out : FEFO)

1 2 3 4 5

6.

6.3 3 3 2 1 1

42

1 2 3 4 5

7.

43

5.2 (Best Practice)

(Best Practice)

1.

: 1

2

3

4 (Best Practice)

2. 2.1 : 1 () ()

2 () ()

3 () ()

4 () ()

44

( )

5 (Best Practice)

2.2. : 1

2

3 (Best Practice)

2.3 : 1 2

3

4 (Best Practice)

3. (, ) (, )

45

: 1

2

3

4 (Best Practice)

4. Supplier Supplier : 1 / 2 / 3

4

(EDI) 5 (Best Practice)

(VMI)

5. 5.1 : 1 2

3

4 (Best Practice)

(VMI)

5.2/

46

: 1 / 2 / 3 (Best Practice)

/real time

6. 6.1 : 1 2 3 (Best Practice)

6.2 : 1 2

3 Visual Sign (First Expired First Out : FEFO)

4 5 (Best Practice)

6.3 : 1 3 2 3 3 2 4 1 5 (Best Practice)

1

7.

47

: 1

2 3

4

5 (Best Practice)

48

5.3 20

20

%

1. 4 1 25

2.

2.1 5 2 40

2.2 3 1 33

2.3 4 1 25

3. (, ) 4 3 75

4. 5 2 40

5.

5.1 4 2 50

5.2/

3 1 33

6.

6.1 3 2 67

6.2 5 4 80

6.3 5 3 60

7. 5 1 20

49

%

1.

25

(Organization and staffing) 1

(Best Practice)

50

%

2.1

40 ( ) ()

2 () ()

(Best Practice) () () ( )

1

(Best Practice)

%

2.2.

33

51

%

2.3

25

1

(Best Practice)

(Forecasting) 3

(Best Practice)

%

3. (, )

75

52

%

4. 40 /

1 /

(Best Practice) 2

1. (EDI)

2. (VMI)

%

5.1

50

1

(Best Practice) 2

1.

2. (VMI)

53

%

5.2 /

33 /

/ 1/

(Best Practice) / real time

2

(Best Practice)

%

6.2 80

%

6.1

67

54

4

(Best Practice)

%

6.3 60 2

3 2

(Best Practice) 1

%

7.

20

(Transportation and distribution) 1

(Best Practice)

55

1 (Kanban) (Just in Time)

16

( )

16 : 16

(Kanban Card)

-

2 LASA DRUG

3 Visual Control

56

17

.1 .2

17 : LASA DRUG 18

IBUprofen 400mgE

LASA DRUG

18 : LASA DRUG 3

4

1) 3 (Fast Track)

2)

3)

57

4)

4

19

19 : 5

2 20

58

S

E

20 :

(Batch) 2-3

1 2

21

59

EE

21 : 6

(Milk Run) - 22

..

22 :

7 (Future Board)

2 (Future Board) 8

60

23

()

()

()

S

E

23:

61

9 (Layout Plan)

Cycle Time -

10 (Cross Docking)

Cross Docking Shipment

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