Supply Chain Forum

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Supply Chain Forum

• A Perspective from the WRHA Regional Supply Chain

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Areas of Responsibility

• Direct
• HSC
• Grace
• PanAm
• Deer Lodge
• Corporate/Community
• Concordia
• Victoria

• Indirect
• Seven Oaks
• St. Boniface
• Misericordia
• Riverview

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Organizational Structure
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The Plan

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

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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?)

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How Does Innovation Affect Us?
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How does Innovation Affect Us?

• New methods of procurement and data management
• New products and services available for purchase
• Changing practices and requirements

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Innovation and the Legal Department

• Cheryl Jason
• Corporate Counsel, Manitoba eHealth
• Denis Le Heiget
• Associate General Counsel,
• Corporate  Logistics Services, WRHA

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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

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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

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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

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How does it fit into the overall WRHA org chart
structure?
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Who is Legal?(What area are you responsible for?
eHealth)

• 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

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

• 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

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

• 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

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

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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

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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

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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)

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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

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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

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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

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Conclusion

• Questions?

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

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A Manitoba eHealth Perspective
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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 RFRs were issue last year.
• Complex RFPs with multiple SOWs are the norm.

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A Manitoba eHealth Perspective

• Whats 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

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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!

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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

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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 RFPs for major
  equipment or maintenance work, as requested

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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
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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

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INTEGRATED DESIGN PROCESS
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PLANNING LAB
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LEAN INITIATIVES Work Flow Improvement
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UNIVERSAL DESIGN
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COMMUNITY ENGAGEMENT
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INNOVATION