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Supply Chain Forum

Supply Chain Forum. A Perspective from the WRHA Regional Supply Chain. Direct HSC Grace PanAm Deer Lodge Corporate/Community Concordia Victoria. Indirect Seven Oaks St. Boniface Misericordia Riverview. Areas of Responsibility. Organizational Structure. The Plan. SAP Phase 1

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Supply Chain Forum

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  1. Supply Chain Forum A Perspective from the WRHA Regional Supply Chain

  2. Direct HSC Grace PanAm Deer Lodge Corporate/Community Concordia Victoria Indirect Seven Oaks St. Boniface Misericordia Riverview Areas of Responsibility

  3. Organizational Structure

  4. The Plan • SAP • Phase 1 • Phase 2 planning and implementation • Data management • Process Re-engineering • Ward inventory management • Contracting • SAP procurement

  5. 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?)

  6. How Does Innovation Affect Us?

  7. How does Innovation Affect Us? • New methods of procurement and data management • New products and services available for purchase • Changing practices and requirements

  8. Innovation and the Legal Department Cheryl Jason Corporate Counsel, Manitoba eHealth Denis Le Heiget Associate General Counsel, Corporate & Logistics Services, WRHA

  9. 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

  10. 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

  11. 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

  12. How does it fit into the overall WRHA org chart structure?

  13. Who is Legal?(What area are you responsible for? eHealth) 13 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

  14. Who is Legal?(What area are you responsible for? eHealth) 14 • 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

  15. Who is Legal?(What area are you responsible for? eHealth) 15 • 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

  16. How does it fit into the overall WRHA org chart structure?

  17. 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

  18. 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

  19. 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)

  20. 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

  21. 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

  22. 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

  23. Conclusion Questions?

  24. Supply Chain Forum A Manitoba eHealth PerspectiveNovember 21st, 2012

  25. 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.

  26. A Manitoba eHealth Perspective

  27. 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.

  28. 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

  29. 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!

  30. 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

  31. 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

  32. 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

  33. 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

  34. INTEGRATED DESIGN PROCESS

  35. PLANNING LAB

  36. LEAN INITIATIVES Work Flow Improvement

  37. UNIVERSAL DESIGN

  38. COMMUNITY ENGAGEMENT

  39. INNOVATION

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