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Supply Chain Logistics. Supply Chain Mechanics. Storage. Roche GSK. DOH. Hospital. Storage. INSPECTOR. Patient. Distribution Channels. Direct from source DOH as hub-and-spoke Primarily AIR and HIGHWAY distribution. Supply chain activation. Efficient use of inventory

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Presentation Transcript
supply chain mechanics
Supply Chain Mechanics

Storage

Roche

GSK

DOH

Hospital

Storage

INSPECTOR

Patient

distribution channels
Distribution Channels
  • Direct from source
  • DOH as hub-and-spoke
  • Primarily AIR and HIGHWAY distribution
supply chain activation
Supply chain activation
  • Efficient use of inventory
  • Prevent wastage
  • Assure constant, available stock
supply chain activation1
Supply chain activation
  • Information based on seasonal incidence
  • Weekly census information
  • Past information from previous outbreaks
  • 1-week operational stock at hand
  • mid-week re-evaluation
  • Minimum 2-day operation stock at hand
checkpoint systems
Checkpoint systems
  • Batch number logging at acquisition and storage
  • Batch number logging upon delivery and receiving at hospital
  • Batch number checking upon inspection prior to release for hospital use (ID representative supervised)
  • FIFO
  • Lot number logging upon giving to patient
breaks in the supply
Breaks in the supply
  • Damaged, contaminated batch contingencies
  • Emergency deployment contingencies
  • Maintaining inventory buffer
  • Referral systems
manpower logistics
Manpower Logistics
  • Orderlies
    • Effective mobilization of patients
  • Security
    • Peace and order
  • Maintenance
    • Cleanliness and sanitation
components
Components
  • Receiving bay
    • Kiosk with immediate triaging system
    • Specialized patient information sheet
    • Referral for companions to non-urgent for check-up
  • Evaluation section (2nd floor)
    • Final arbiter for quarantine
    • Non-quarantined patients sent back to main ER
traffic flow
Traffic Flow
  • One way – ED serves as ENTRY point only
  • Stamping of companions
  • Clearance checks for H1N1 patients/suspects
  • Strict 1 patient, 1 companion rule
additional measures
Additional measures
  • Remove television from ED
  • Include information posts for concerned parties regarding H1N1
  • Access to paging systems and direct notification systems (i.e. text) for status of patient
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