Monday, May 9 – Professional Development Day

 

Concurrent I (All Day Session)

Understanding and Applying Value-Based Procurement Within Today's Health Systems

Dr. Gabriela Prada, Director, Health Innovation, Policy & Evaluation, The Conference Board of Canada

Kjetil IstadDirector, Procurement and Logistics South Eastern Norway Regional Health Authority

Teresa Mingo, Manager, Logistics and Supply Chain, Southlake Regional Health Centre

Janet MinichSenior Lead and Sourcing Specialist, Southlake Regional Health Centre

Paul EmanuelliGeneral Manager and Managing Director, Procurement Law Office

Healthcare Supply Chain Network (HSCN) is pleased to be partnering with The Conference Board of Canada to deliver this full-day workshop

 
Procurement decisions in Canada have traditionally been based on lowest cost.
 
The recent shift to value-based health care demands a shift to value-based procurement. This shift requires consideration to factors beyond price (including health outcomes, broader societal benefits, as well as benefits for clinicians) to make decisions on the products and services that bring the best value for money for health care systems. 
 
Governments in Canada are understanding that this shift is necessary to support health care sustainability efforts and are setting expectations for change.
 
Competitive Dialogue is a framework that supports the practice of value-based procurement.  It is a form of negotiation that allows for flexibility in cases where other procedures are not likely to lead to satisfactory procurement outcomes.  Competitive Dialogue has been recognized in the latest European Union directors from 2014 as an opportunity to advance value-based procurement.
 
Why you should attend:
In this full-day workshop, you will learn from national and international leaders in value-based procurement practices and will have the opportunity to:
  • explore the role of value-based procurement within value-based health care systems;
  • gain insight into the value and application of  competitive dialogue;
  • gain an understanding of the compatibility of competitive dialogue with the legal framework in Canada, particularly in Ontario, and learn strategies for mitigating any potential risks;
  • learn about a framework and a tool to support the practice of value-based procurement;
  • work through value-based procurement case studies to understand the processes and practices involved, lessons learned, and key success factors.

Concurrent II (1/2 Day Session)

Healthcare Procurement in Ontario: What Makes it Special?

Sarah Friesen, CEO and GM, COHPA

Shamsha Kanji, Principal, Kanji Consulting

As procurement professionals, we know our skills are easily transferrable between sectors. After all, an RFP is an RFP, right? Maybe not! This session has been developed for procurement practitioners who are new to the healthcare sector, to introduce you to practices that impact the planning and execution of the competitive procurement process. Areas of focus include the BPS Procurement Directive, which governs procurement policy and process, as well as the impact of physician preferences – which often makes development of specifications a challenging task.
 
Let our experts help you leverage your procurement experience so you can hit the ground running in healthcare procurement.  Join us for an eye opening session that will prepare you operationally and psychologically!
 

Concurrent IV (1/2 Day Session) 

Practical Guidance on Data Improvement Programs

Karen RyanPresident, Open Capabilities

Healthcare supply chain practitioners have a variety of legacy systems with master data that has been created, and continues to be created, without a controlled structure.  As a result, the data that they need for strategic sourcing, for year over year comparisons, or for participation in shared service contracting work, requires endless rounds of “data cleansing” that are costly and necessary but secondary to delivering value. 
 
It would be great if everyone could buy new systems and data warehouses to fix the problems, but the cost of such programs are well out of reach of most institutions.  There are practical strategies to eliminate data cleansing over time that can be implemented internally without hiring consultants or buying new systems.   Practical strategies are based on implementing standards, processes and governance, and then improving your master data over time.

This session includes the following:

  1. Setting the strategy
    1. Data issue and risk review
    2. Data system inventory including data condition
    3. Use of Standards (external & internal) and Controls
    4. Creating the program plan
  2. Creating the governance processes
    1. Data ownership
    2. Change, creation and acceptance processes
    3. Quality measurement
    4. Governance of data as a corporate asset
  3. Building the tools
    1. Creating the data dictionary
    2. Using mapping templates
    3. Using data quality reports
  4. Improving the legacy systems
    1. Portfolio or commodity approach?
    2. Continuous improvement
    3. Iterative approach
    4. Alignment to system upgrades
    5. Alignment to new implementations

This session will provide practical advice, tools and templates to help Supply Chain Practitioners launch sustainable and affordable data improvement programs.  The presenter will outline how these techniques can be used to break the cycle of endless data cleansing and give the practitioners more time to do sourcing and procurement.  In addition it will help the healthcare institutions become more effective partners with any GPO or SSO that they are working with to create consolidated contracts through the use of shared external standards.  

 

 

Tuesday, May 10 – HSCN Annual Conference Day 1

 

HSCN Conference 2016: Opening Remarks

Sue Smith, General Manager, HSCN

Keynote: The Need for Transformation in Canadian Healthcare

Deputy Minister Robert BellMinistry of Health & Long Term Care

Over the past decade, Ontario’s health care system has improved significantly. Working with providers, we have reduced wait times for surgery, increased the number of Ontarians who have a primary health care provider and expanded services for Ontarians at home and in their communities. There are, however, a number of areas where we need to do more.

Too often, health care services can be fragmented, uncoordinated and unevenly distributed across the province. For patients, that means they may have difficulty navigating the system or that not all Ontarians have equitable access to services. The next phase of our plan to put patients first is to address structural issues that create inequities. We propose to truly integrate the health care system so that it provides the care patients need no matter where they live. Our proposal would improve access to primary care, standardize and strengthen home and community care, and strengthen population and public health.

In achieving better and sustainable care, attention must be paid to procuring the right services, materials and therapies at the right cost. Impro
ved strategic sourcing and supply chain management is an important piece of system improvement.

Sponsored by Medbuy

Concurrent Sessions

Concurrent Session 2.1

Leveraging BI and Data in Healthcare

Gustavo EstradaActing Provincial Director, Performance & TransformationBC Clinical and Support Services (BCCSS) Society

Over the past several years there have been significant advancements in technology that are directly contributing or driving change in the healthcare industry.  Advancements and innovation in technology have greatly influenced the manner in which we collect, share, store and leverage data in Supply Chains from end user to manufacturer to research and development.  

 

Concurrent Session 2.2 

Optimizing Hospital Staff for the Onsite Links of the Supply Chain

Astrid BowlbyDirector of Inventory and Logistics, Healthcare Materials Management Services (HMMS)

Astrid Bowlby, HMMS Director of Inventory and Logistics, will share the results of a recently completed strategic project that saw an overall reduction of ~35 FTE, an improvement to the quality of patient care and the resolution of a number of operational inefficiencies. These important outcomes came as a result of centralizing the last links  of the medical product supply chain from hospital department resources called Support Service Workers (SSWs) to HMMS.  Along with clinical department leaders, HMMS led the Support Service Worker Enhancement Optimization Project (SSWEOP) that saw over 50 clinical departments introduce Personal Support Workers (PSW) while having their supply replenishment process redesigned, the physical space refreshed and optimized with a 5S methodology, and important fire safety violations and clutter mitigated.  Astrid will share our approach, the outcomes (operationally and culturally) and some key lessons learned along the way. The project was conducted over the time period of Feb 2014 through Aug 2015 so metrics are available for sharing that will tell a very compelling story of success.

 

Concurrent Session 2.3

Community Shared Services - By the Community, For the Community

Jennifer Wilkie, Director of Shared Service and Information Technology, Reconnect Community Shared Services

Community Shared Services strives to ease administrative and procurement requirements for Health Service Providers (HSPs) through a host of procurement services. To maintain and grow the existing level of service delivered to clients, HSPs are continuously implementing strategies to improve efficiency, effectiveness, and looking for ways to reduce cost. The Toronto Central Local Health Integration Network (TC LHIN) supported an initiative to investigate the development of a shared service model to support the Community Sector. A model was developed and implemented to provide a collaborative approach to purchasing, procurement and back-office support.
 
HSPs are able to collaborate with Community Shared Services to access a variety of services, lowering their costs and improving overall efficiency. This approach empowers HSPs to make decisions based on relevancy to their specific needs while providing the best possible pricing. Community Shared Services experts provide support in planning and execution of sourcing, research, and strategic initiatives allowing HSPs to focus on providing the highest level of service to their clients. Not only does Community Shared Services strive to provide sourcing and planning best practices for HSPs, we are also constantly learning new strategies from other Health Care Service Providers, Vendors, and Partners. With this knowledge we are able to connect vendors and HSPs for the highest quality of products and services for the lowest cost.

The Canadian Healthcare Medical Device Standards Project

Jitendra Prasad, Chief Program Officer Contracting, Procurement and Supply Management, Alberta Health Services (AHS)

The Canadian Medical Device Standards Project, launched this September 2015, is a solutions-based initiative that will help healthcare provider and supplier organizations better understand the value they can gain from embracing GS1 standards within their organizations.
Theoretically we know standards have value, but few organizations in Canada have yet to experience it. The goal of this proof of concept project is to identify the value of GS1 standards implementation in terms of business outcomes derived from data synchronization and e-commerce transactions, and the patient quality and safety improvements that can be gained from using unique device identifiers (UDIs) within provider systems.
This project was initiated to drive real change within the healthcare industry. We want to establish a leading practice model that providers and suppliers can apply for synchronization of standardized product data within their own trading partner relationships.

Value-Based Procurement

Dr. Gabriela PradaDirector, Health Innovation, Policy & Evaluation, The Conference Board of Canada

The recent shift to value-based health care demands a shift to value-based procurement. This shift requires consideration to factors beyond price to make decisions on the products and services that bring the best value for money for health care systems.  Governments in Canada are understanding that this shift is necessary to support health care sustainability efforts and are setting expectations for change.  Dr. Prada will summarize her thoughts around Competitive Dialogue as a framework to support the practice of value-based procurement.  It is a form of negotiation that allows for flexibility in cases where other procedures are not likely to lead to satisfactory procurement outcomes.

Orphan 32

Thanh Campbell, Author and Professional Speaker

Thanh Campbell was born in Vietnam and came over to Canada as part of the last flight out of Saigon in 1975 with 56 other orphan children. Thanh was adopted into the family of Rev. William and Maureen Campbell in Hamilton, Ontario. He became the youngest of the six Campbell children.
 
In the recent past, Thanh reunited with many of the children that flew over with him back in 1975 as war orphans.  As the next chapter of Thanh’s life unfolds, you are invited to hear this amazing story of the value of family, life and the power of love.
 

Using Lean & TQM Methodologies as Catalysts to Build Effective & Efficient Supply Chain Partners

Anil Gupta, Lean Six Sigma Master Instructor at University of Toronto and McMaster University

Over the past 40 years, TQM methodologies have invaded the management dialogue in every organization, in every industry, and around the globe. Referred to by many names including Lean, Six Sigma, Excellence, Process Reengineering, etc. these methodologies have brought a shift in management thinking and leadership practices to the modern organization. A key tenet of TQM thinking is the blurred of the organization’s boundaries and the integration of customers and suppliers into the organization’s ‘value stream’ which has the potential of dramatically different relationships, a significant lowering of governance cost, greater efficiency of the supply chain and therefore a lowering of cost of product/service as well.
 
Using the Lean/TQM framework to rethink the supplier-buyer relationship requires both the transaction mechanism as well as the social interaction aspect of the relationship to be addressed. This presentation will present a summary of the contemporary research on how organizations deploying Lean/TQM are leveraging these methodologies to build sustainable competitive advantage.
 
Sponsored by Voyageur

Title TBD

Scott Kress, President Summit Team Building, Motivational Speaker

Sponsored by Community Patient Transfer Group

 

Wednesday, May 11 – HSCN Annual Conference Day 2

 

Canada's Economic Prospects and Implications for the Healthcare Sector

Craig AlexanderVice President, Economic Analysis, C.D.Howe Institute

This presentation will begin with a high level overview of the Canada’s economic prospects and challenges.  It will discuss the outlook for economy and financial conditions, including interest rates and exchange rates.  The discussion will then shift to prospects for the health care industry and sector.  The discussion will include core public policy issues, but also the scope of growth in the sector over the coming decade or more.

 

Sponsored by Baxter

Concurrent Sessions

Concurrent Session 3.1

Breaking Down Knowledge Barriers: Redefining and Linking Strategic Sourcing for Healthcare Redevelopment Projects

Steven Fry, Director Redevelopment and Capital Equipment, Shared Services West (SSW)

The Government of Ontario’s Building Together infrastructure plan indicates investment in three to five major hospital expansion and redevelopment projects each year for the next 10 years, totalling $11 billion. Today, there are over 25 healthcare redevelopment projects under construction or pre-construction in Ontario, many of which are working in isolation.
 
Since its inception in 2010, the Redevelopment branch at Shared Services West (“SSW”), located in Oakville Ontario, has supported its customers in 12 capital redevelopment projects totalling over $300M in spend for the strategic sourcing of Furniture and Equipment (“F&E”), Capital Advisory Services, and non-ministry funded Construction Services (collectively “Strategic Sourcing”). With each project, this team has developed a unique knowledge bank, repository of tools and lessons learned, and risk mitigation strategies.
 
The focus of this presentation will be to highlight the current fragmented landscape of Strategic Sourcing for healthcare redevelopment in the province and the various issues that these projects face. The speaker will share best practices and lessons learned which SSW has experienced as a Provincial Centre of Excellence in Redevelopment Strategic Sourcing. At the end of this presentation, participants will be encouraged to discuss challenges they may have encountered in redevelopment projects and brainstorm ways they can incorporate best practices into their work.

 

Concurrent Session 3.2

Strengthening Health Care Supply Chain Through Value Analysis Teams

Berna Marcelino, Provincial Director, Standardization, BC Clinical and Support Services 

The presentation will take the audience through Health Shared Services BC’s (HSSBC) journey of Value Analysis Team (VAT) creation - from identifying the need to establishing the first VA teams.  Case studies will be presented to outline the current successes, especially in Supply Chain performance:
  1. Facilitated provincial discussion and alignment of products and practice
  2. Improved contract strategies and contract onboarding as decisions were based on best practices, effectively reducing financial and clinical risks for stakeholders
  3. Efficient decision making, reducing the number of resources required to complete procurement processes
  4. Accelerated and well-coordinated resolution to complex product disruptions
  5. Improved stakeholder engagement as a result of provincial dialogue
  6. Increased stakeholder awareness of the interdependencies between HSSBC (supply chain organization), vendors, group purchasing organizations, and the health authorities

 

Concurrent Session 3.3

The InterProvincinal Collaboration on the Procurement of Linear Accelerators: $180 Million Dollars, 4 Million Square Feet, 60 Machines, and More Than 100 Contributors

Jitendra Prasad, Chief Program Officer Contracting, Procurement and Supply Management, AHS
Robert WarnockDirector, Special Sourcing Projects, AHS
Heather LoganExecutive Director, Canadian Association of Provincial Cancer Agencies
 
Linear accelerators are used to deliver external beam radiation treatment to patients who have been diagnosed with cancer.  The installation, commissioning and use of radiation emitting devices, which includes linear accelerators, is tightly controlled by provincial, national and international legislation, regulation and standards.  However, there was considerably less coordination with respect to procurement practices across provincially designated or shared service organizations that purchase these devices for use in cancer treatment centres in spite of the large number of them across Canada. Working through the Canadian Association of Provincial Cancer Agencies, and with the support of the Chief Executive and Chief Operating Officers of all ten provincially designated cancer programs, a formal process was established to improve coordination and drive value.  The Interprovincial Collaboration on the Procurement of Linear Accelerators (ICLA) resulted in agreement across six provinces to commit their intent to purchase 60 linear accelerators over the term of the Agreement. For smaller provinces, this combined procurement multiplied their purchasing power fifteen-fold.
 
This presentation will describe the process and timeline from first concept to first purchase under vendor specific multi-province Master Agreements, including a detailed review of:
  1. The process and importance of securing and maintaining the appropriate level of Executive level engagement and support for the project;
  2. Lessons learned about ensuring a common understanding of an innovative, multi-phase, complex project in a almost entirely virtual environment
  3. Procurement and contracting best practice and approaches that fostered equality and collaboration while delivering on a transparent and fair procurement process. The presentation will explicitly describe the two-tiered approach that was used to allow a pan-Canadian evaluation of vendor proposals to confirm the top two vendors of record, while enabling a second tier evaluation process for institutions to discuss local issues that could not have been taken into account during pan-Canadian discussion or evaluation. 
  4. Participating institutions perspective on engagement and transparency, and on the process of moving from Master Agreement to purchase. 
  5. The interim and final ICLA evaluation results. 
 
 

Evolution of Procurement in the Canadian Healthcare System: Product Focused vs. Outcome Based Process

Neil Fraser, President, Medtronic Canada

Currently fiscal healthcare systems are strained, budgets are under tremendous pressure and many healthcare organizations use purchasing power and supply chain management to achieve the best value for money. This process is dated and other sectors have been using it for far too long.
Thankfully, healthcare systems are constantly evolving. In order to be successful, organizations must be patient centric and focused on clinical outcomes. Today, more than ever, patients are highly informed and engaged in their disease management and providers have to adapt to evolving patient demands. Another consideration, especially in single payer healthcare systems like Canada, is the total cost of acquisition and implementation during the spectrum of a therapy. Typically, traditional product-focused valuation and procurement will consider the upfront cost of acquiring a device, rather than the long-term savings and system-wide impact of the technology. Many jurisdictions are placing increased accountability on providers for clinical and economic outcomes. Healthcare systems are evolving to link reimbursement and payments to these outcomes. As a result, procurement and implementation processes at healthcare provider organizations and health authorities must also evolve.

Higher Value – Lower Cost Supply Chains: Lessons from the Global Aerospace Sector

Rodney I. JonesSenior Advisor, Global Aerospace Exhibitors
 
The global aerospace sector is experiencing the longest growth cycle in its history, bringing pressures on suppliers both to increase production levels and to reduce costs.  Changes in global procurement and supply chain strategies by the major aircraft companies are driving suppliers at all levels in the supply chain to respond with innovative business models and more operational efficiency.
Lessons learned in the aerospace sector – both good and bad – may be valuable in improving the performance of Ontario’s health sector supply chains.

 

Acting Up: Taking Your Performance to the Next Level

Bill Carr, Actor, humourist, writer, speaker, and social activist

​Acting Up is about transformation. It is about using very human skills found in the theatre and applying them to the living of your life. Acting Up explores the importance of getting and keeping a clear perspective on who we are, what we do, and why. It also examines what affects our perspective and how we can better live the lives we want, rather than the ones that seen thrust upon us.
 
Shakespeare said, All the world’s a stage and all the men and women merely players.” It is this aspect of playing that Bill expands upon and shows to be a fun and wonderful opportunity to take charge of your life. How do we Act Up? How do we act the way we want to be seen and understood? How do we best communicate with others who share the stage with us?  To answer these questions, Bill calls upon the rich teachings of theatre,  spiritual and philosophical traditions as well as important discoveries in neurological research which show us scientifically that these ancient truths are part of our very nature. Using such ideas as “The Watcher”, “Epoche’”, “Bubbles”, “The Five Steps of Creative Living” and the “Play Journal”, Bill helps you discover and explore your authentic self.