E-Health Solutions Lina Abou Mrad MBA, PMP E-Health Director - MOPH - - PowerPoint PPT Presentation

Track & Trace

E-Health Solutions

Health Insight 6 – 2nd June 2016

LE ROYAL HOTEL- DBAYEH

Lina Abou Mrad MBA, PMP E-Health Director - MOPH

Background

 The Ministry of Public Health has been working several

years ago on the reform of the pharmaceutical sector

 Achievements included:

• Drugs Registration, Pricing, Marketing Authorization, Good Storage and

Distribution Practices, Unified Prescription, Promotion of the Local Production and Generic Drugs ...etc.

• Facilitating access to information through improvement the different

digital frameworks: website moph.gov.lb, Mobile App., 1214

 Positive impact on the quality, safety and efficacy of

pharmaceutical products and therefore on the Health Status in Lebanon

MOPH E-Health Prog - 2016

Lebanon National Health Accounts 2012

MOPH E-Health Prog - 2016

Source: www.moph.gov.lb

Lebanon Current Pharmaceutical Expenditure: 2011-2019

2011 2012 2013 2014

2015

2016f 2017f 2018f 2019f Pharmaceutical sales, USDbn 1.301 1.301 1.464 1.586 1.711 1.840 1.975 2.117 2.236 Pharmaceutical sales, USDbn, % y-o-y 12.98

• 0.05

12.53 8.34 7.90 7.54 7.32 7.17 5.66 Pharmaceutical sales, LBPbn 1,959.757 1,956.508 2,206.254 2,394.382 2,594.092 2,806.342 3,031.514 3,269.973 3,522.053 Pharmaceutical sales, LBPbn, % y-o-y 13.33

• 0.17

12.76 8.53 8.34 8.18 8.02 7.87 7.71 Pharmaceutical sales constant exchange rate, USDbn

1.298

1.296 1.461 1.586

1.718

1.859 2.008 2.166 2.333 Pharmaceutical sales, USD per capita 290.6 279.9 303.5 319.3 338.6 362.6 391.8 425.4 455.2 Pharmaceutical sales, % of GDP 3.24 2.94 3.10 3.23 3.31 3.37 3.39 3.39 3.38 Pharmaceutical sales, % of health expenditure

45.5

42.1 48.1 48.8

48.8

48.7 48.7 48.6 48.6

Source: BMI Lebanon Pharmaceutical and Healthcare Report -2015

MOPH E-Health Prog - 2016

MOPH E-Health Prog - 2016

Despite all these reforms and continuous MOPH efforts to periodically revisit regularly the price structure of medicines that led to decreases in prices, pharmaceutical sales is significantly increasing and spending on pharmaceuticals remains as high as 49% of THE

Lebanon Current Pharmaceutical Expenditure: 2011-2019

Challenges

 Number of counterfeit drugs is increasing  Number of Recalls is increasing  An increasingly global marketplace means more complexity 

Quality and safety are more important than ever

 Ensuring a reliable supply of drugs to patients  The

healthcare industry is continuously facing costly patchwork of regulatory requirements

MOPH E-Health Prog - 2016

Standards as foundation for change

MOPH believes that:

• Using Global & Unified Standards in the healthcare field

leads to significant benefits:

• Standards also enable aggregation of information from disparate

sources

• Standards

make communication more easy and sharing

• f

information more efficient

• It Provides an opportunity to make the drug supply chain, safer and

yet more efficient and accurate

 A standardized identification

system from the

manufacturer to the patient is imperative to comply with

the increasing need for product integrity and traceability.

MOPH E-Health Prog - 2016

Neighborhood situation

 Jordan will start on 01/07/2018 to use

the GS1 DataMatrix symbology printed

• n all of the medicinal products on the

Secondary Package and Starting from year 2020, each medicinal pack coding must include a unique serial number

 Turkey started the ITS Serial Barcode

system in 2013

MOPH E-Health Prog - 2016

Implementation of the National Barcode System

Taking advantage of the innovation in the I CT (Information and Communication Technology) field and … …Aligning them with its Strategic Goals The Ministry of Public Health (MOPH) is going to implement the National Barcode System for imported and locally manufactured pharmaceuticals in Lebanon

MOPH E-Health Prog - 2016

 The Global Standards (GS1) system is globally

endorsed by the healthcare community

 It is one of the most widely used trade item

identification systems worldwide

 A standard way for all stakeholders in the supply

chain to Identify, Capture and Share information about the product

MOPH E-Health Prog - 2016

2D DataMatrix GS1 barcode

A GS1 DataMatrix Bar Code symbol is a two-dimensional (2D)

matrix barcode, consisting of black and white “cells” or modules, that can be arranged in a square or rectangular matrix.

 GS1

DataMatrix is the preferred 2D matrix bar code symbology that efficiently meets all of the needs of the pharmaceutical industry

Exemple:

 2-D Data Matrix can hold more data and is smaller in size than

linear barcodes

 It is a highly secured type used by Manufacturers to protect

their brands internationally

2D DataMatrix bar code

MOPH E-Health Prog - 2016

GTIN: (01) 06251234560011 Expiry: (17)010115 Batch/Lot: (10) ABC234

MOPH E-Health Prog - 2016

The standard Bar Code Label will include:  Registration nb.  Expiry Date  Batch nb. How to read it?

To read the GS1 DataMatrix symbology, camera-based bar code scanners are required

When scanned using Mobile App. of the ministry it directly links to MOPH DB in order to retrieve information about the product

2D DataMatrix bar code

Objectives and Benefits

• 1. Enable Traceability of pharmaceuticals in all the

supply chain: Drugs on the market are traced in all

phases from production to consumption at each time point.

• 2. I ncrease patient safety.
• Reduce medication errors
• Prevent counterfeiting, fraud and illegal sale of drugs
• Improve

recalls and withdrawals efficiency and effectiveness

• 3. Increase Transparency and Accountability

MOPH E-Health Prog - 2016

4.

Real-time and accurate information flow between stakeholders

5.

Reduce costs

6.

Speed-up the Reimbursement procedure and control fraud at the third party payers (NSSF , Army, MOH, Cooperatives of Public Officers, Private Insurance Companies…)

MOPH E-Health Prog - 2016

Objectives and Benefits

Departments & committees at MOPH affected

1. The Service of Pharmacy 2. The Department of the Import/Export Drugs. 3. The Department of Inspection 4. The Department of Narcotics 5. The Technical committee of Drugs 6. The Pricing committee of Drugs

MOPH E-Health Prog - 2016

MOPH E-Health Prog - 2016

Stakeholders

• 1. Pharmaceutical Importers/Local

Manufacturers

• 2. Drug Warehouses
• 3. Pharmacies
• 4. Hospitals/Health Centers
• 5. Third Party Payers (NSSF, Cooperative of Public

Officers, Private Insurance Companies, others…)

• 6. GS1-Lebanon

MOPH E-Health Prog - 2016

Scope of work

• Building an infrastructure with new modern technologies
• Consolidating the National Central Database for imported and

manufactured pharmaceuticals in Lebanon

• Allocating standard and unified Barcodes, according to GS1

standards for all imported and manufactured pharmaceuticals in Lebanon:

The barcode is scanned at each step by supply chain stakeholders that physically handle the product.

• Interconnecting with Importers, manufacturers, distributors,

pharmacies, hospitals and third party payers through web services

MOPH E-Health Prog - 2016

 That data is then captured and sent to the MOPH database.  The data is published in real-time on MOPH website  Enabling the tracking of each batch of drugs as it travels

across the supply chain

MOPH E-Health Prog - 2016

Scope of work

Barcode System Workflow

MOPH E-Health Prog - 2016

MANUFACTURERS IMPORTERS MOPH

Central

National DB for Pharmaceuticals GS1- CHAMBER OF COMMERCE

National BarCode Data Base

TPP: NSSF, COOP, Private DELIVERY Pharmacies/Hospitals/Wholesalers Patient

System Integration

The Barcode system will be integrated with:

 The Management Information System in

the pharmacies

 The unified prescription system  The TPP reimbursement application

Key factors of Success

 All stakeholders need to coordinate and

comply with the proper procedures for the full benefits of the system

 Full

access to the internet from the different parties

 The WILL

MOPH E-Health Prog - 2016

Plan of action

• Issuing the regulations needed for the

implementation of the project

• creation of a steering committee including

the different stakeholders

• Defining an implementation timeline
• Elaborating a guideline for implementation

requirements

MOPH E-Health Prog - 2016

Thank You