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

Supply Chain Forum

A Perspective from the WRHA Regional Supply Chain

Areas of Responsibility

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

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

Organizational StructureORGANIZATIONAL CHART - WRHA LOGISTICS SERVICES Revised – 2012

WRHA Vice President & CFOGlenn McLennan

gmclennan@wrha.mb.ca

WRHA Director,Regional Supply Chain

Peggy Maitlandpmaitland@wrha.mb.ca

Supply Chain SpecialistGayleen Jackmann

Site Material ManagerConcorida Hospital

Mike Carlowmcarlow@wrha.mb.ca

Regional ManagerContracting Services

Audrey Mullaamulla@wrha.mb.ca

Site ManagerProcurement

Susan Deeringsdeering@wrha.mb.ca

Community Care Supply Chain Staff

Regional ManagerSupply & Distribution

HSCJonny Hinz

jhinz@wrha.mb.ca

HSC Messenger Staff

Admin AssistantCarol Rudolph

HSC Storage Space Utilization Coordinator

VACANT

HSC Manager Patient Care Supply

Christina Fabas-Piriecfpirie@hsc.mb.ca

HSC Warehouse ManagerGerry Penner

gpenner@hsc.mb.ca

DLC S&D Staff

HSC S&D Admin Staff

HSC Warehouse Staff

HSC Unit Supply Staff

Executive AssistantAudrey Kuny

SBGHSite Material Manager

Sean McCarthysmccarthy@sbgh.mb.ca

MHCSite Material Manager

Larry Pattesonlpatteson@miseri.winnipeg.mb.ca

SOGHSite Material Manager

Ade Aiku

RHCSite Material Manager

Mike Howanykmhowanyk@rhc.mb.ca

Site Material ManagerGrace Hospital

Scott Wichenkoswinchenko@ggh.mb.ca

Manager HSC MailroomKim Militere

kmilitere@hsc.mb.ca

ReceptionistGretchell Macalos

HSC Traffic ManagerVACANT

HSC Traffic Staff

Administrative SecretaryVal Lachance

Administrative SecretaryEvelyn Yu

Administrative SecretaryShelley Grant

Administrative SecretaryTammy Habicht

Procurement Staff

Stores/Distribution SupervisorReyn Desautels

rdesautels@ggh.mb.ca

PurchasingPrintshopWHMIS

Stores

Receiving

Dispatch

Laundry/Linen

Mailroom

Supply Management

Contracting Services Department

Regional Supply Chain Systems Specialist

John Dammjdamm@wrha.mb.ca

Administrative AssistantHeather Williams

Site Material ManagerVictoria Hospital

Jack Muijmui@vgh.mb.ca

DLC Materials Management

CoordinatorSean Swan

PanAm Clinic Purchasing Department

HSC Purchasing Staff

Site ManagerHSC Purchasing

Brenda Boakbboak@hsc.mb.ca

ManagerPrinting ServicesRodney Sherwin

rsherwin@hsc.mb.ca

HSC Printing Staff

eHealth Procurement

Administrative SecretaryMelissa Johnsen

The Plan

• SAP– Phase 1– Phase 2 planning and implementation– Data management

• Process Re-engineering– Ward inventory management– Contracting– SAP procurement

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?)

How Does Innovation Affect Us?

How does Innovation Affect Us?

• New methods of procurement and data management

• New products and services available for purchase

• Changing practices and requirements

Innovation and the Legal Department

Cheryl JasonCorporate Counsel, Manitoba eHealth

Denis Le HeigetAssociate General Counsel,

Corporate & Logistics Services, WRHA

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

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

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

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

Arlene WilgoshPresident &CEO

Catherine ToltonGeneral Counsel

Glenn McLennanChief Financial Officer

Denis Le HeigetAssociate General Counsel, WRHA

Peggy MaitlandDirector, Regional Supply Chain

Audrey MullaRegional Director, Contracting Services

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

14

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

15

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

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

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

• 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

Impact of Innovation

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)

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

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

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

Conclusion

• Questions?

Supply Chain ForumSupply Chain Forum

A Manitoba eHealth PerspectiveA Manitoba eHealth PerspectiveNovember 21st, 2012November 21st, 2012

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.

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.

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

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 theneeds of the organization!

A Manitoba eHealth Perspective

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

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

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

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

INTEGRATED DESIGN PROCESS

PLANNING LAB

LEAN INITIATIVESWork Flow Improvement

UNIVERSAL DESIGN

COMMUNITY ENGAGEMENT

INNOVATION