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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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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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