Track & Trace E-Health Solutions Lina Abou Mrad MBA, PMP E-Health Director - MOPH Health Insight 6 – 2 nd June 2016 LE ROYAL HOTEL- DBAYEH
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 Source: www.moph.gov.lb MOPH E-Health Prog - 2016
Lebanon Current Pharmaceutical Expenditure: 2011-2019 2015 2011 2012 2013 2014 2016f 2017f 2018f 2019f Pharmaceutical sales, 1.301 1.301 1.464 1.586 1.711 1.840 1.975 2.117 2.236 USDbn Pharmaceutical sales, 12.98 -0.05 12.53 8.34 7.90 7.54 7.32 7.17 5.66 USDbn, % y-o-y Pharmaceutical sales, 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 LBPbn Pharmaceutical sales, 13.33 -0.17 12.76 8.53 8.34 8.18 8.02 7.87 7.71 LBPbn, % y-o-y Pharmaceutical sales constant 1.718 1.298 1.296 1.461 1.586 1.859 2.008 2.166 2.333 exchange rate, USDbn Pharmaceutical sales, 290.6 279.9 303.5 319.3 338.6 362.6 391.8 425.4 455.2 USD per capita Pharmaceutical sales, 3.24 2.94 3.10 3.23 3.31 3.37 3.39 3.39 3.38 % of GDP Pharmaceutical sales, 45.5 48.8 % of health 42.1 48.1 48.8 48.7 48.7 48.6 48.6 expenditure Source: BMI Lebanon Pharmaceutical and Healthcare Report -2015 MOPH E-Health Prog - 2016
Lebanon Current Pharmaceutical Expenditure: 2011-2019 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 MOPH E-Health Prog - 2016
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 o sources Standards make communication more easy and sharing of o information more efficient It Provides an opportunity to make the drug supply chain, safer and o 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 on 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 S trategic G oals 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
2D DataMatrix GS1 barcode 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 bar code 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: GTIN: (01) 06251234560011 Expiry: (17)010115 Batch/Lot: (10) ABC234 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 MOPH E-Health Prog - 2016
2D DataMatrix bar code 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 MOPH E-Health Prog - 2016
Objectives and Benefits 1. Enable Traceability of pharmaceuticals in all the supply chain: D rugs 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 T ransparency and A ccountability MOPH E-Health Prog - 2016
Objectives and Benefits Real-time and accurate information flow between 4. stakeholders Reduce costs 5. Speed-up the Reimbursement procedure and control 6. fraud at the third party payers (NSSF , Army, MOH, Cooperatives of Public Officers, Private Insurance Companies…) MOPH E-Health Prog - 2016
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
Scope of work 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
Barcode System Workflow National BarCode Data Base GS1- CHAMBER OF COMMERCE IMPORTERS MANUFACTURERS DELIVERY Patient MOPH Pharmacies/Hospitals/Wholesalers Central National DB for Pharmaceuticals TPP: NSSF, COOP, Private MOPH E-Health Prog - 2016
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
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