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Pharmaceutical Industry Supply Chain Management Kick-off

Program

July 10 - 11, 2001
Sheraton Ferncroft Resort
Danvers, MA USA

Tuesday July 10, 2001

Welcome
8:30 - 9:00
Opening Remarks/Object Management Group Overview
Richard Soley, Chairman and CEO, Object Management Group
9:00 - 9:45 Overview of the Healthcare Distributed Management Association (HDMA)
Lisa Clowers, Vice President, Standards & Technology, Healthcare Distribution Management Association (HDMA)
"Enhancing the Supply System"
Lisa Clowers, Vice President of Standards & Technology for the Healthcare Distribution Management Association will present an overview of the Association, discuss key areas challenging the healthcare distribution industry and why HDMA has joined in the efforts of The Pharma Initiative.
9:45 - 10:15 Q & A 
10:15 - 10:45

Break - Hosted by the Object Management Group

10:45 - 11:30 Overview of the National Council for Prescription Drug Programs (NCPDP)
Philip Scott, SVP, Healthcare Relations and Development
Overview of the National Council for Prescription Drug Programs

This presentation will offer advice on the National Council for Prescription Drug Programs (NCPDP) and our standards development process. NCPDP is a not-for-profit ANSI-accredited Standards Development Organization consisting of over 1300 members who represent all parties interested in electronic standardization within the pharmacy services sector of the health care industry. NCPDP is a membership driven organization that was named in the Health Care Portability and Accountability Act of 1996 (HIPAA). NCPDP's Telecommunication Standard Version 5.1 was named in the HIPAA Transaction and Code Sets Final Rule.

NCPDP has a standard, the SCRIPT Standard, which enables the electronic transfer of prescriptions from the prescriber to the pharmacy. This ANS approved standard is what industry leaders are using for electronic prescribing. The presentation will conclude with tips on how to maximize participation in the organization, followed by a question and answer period.
11:30 - 12:00  Q & A
12:00 - 1:00

Lunch - Hosted by the Object Management Group

1:00 - 1:45 Overview of the RxHub Initiative
Dale Chamberlain, VP & CTO, Express Scripts, Inc.
Pharmaceutical Supply Chain and RxHub

This presentation will begin with an overview of RxHub, why it was founded
and the problem domain it is tasked to solve. Although prescription drug
programs are the most highly automated segment in healthcare today, the
prescription writing process has remained largely a manual process. Many
transactional standards have been adopted over the years for the exchange of
information related to the prescription writing process, but there is still
a need for an open standard for the process itself, particularly with regard
to B2B interoperability. By streamlining this segment of the pharmaceutical
supply chain, all stakeholders, namely the physician, the patient, the
pharmacy and the health plan, will benefit from the efficiencies gained.
1:45 - 2:15 Q & A 
2:15 - 2:45

Break - Hosted by the Object Management Group

2:45 - 3:30 Overview of the Pharma Initiative
Ron Zahavi, CTO, MedContrax, Inc. 
  The healthcare industry, in general, is behind other industries in e-commerce and related technologies. While the financial and telecommunication industries have been in the forefront of technology usage and deployment, the healthcare industry is still plagued by many stove-pipe systems that do not interoperate. In many instances companies do not have the technological infrastructure to integrate supply-chain applications to each other. 

The lack of industry standards for data exchange has promoted the development and implementation of divergent contract administration systems within and between industry segments. As a result, half or all transactions are still paper driven - requiring manual processing or rekeying. Trading partners experience significant delays, long processing cycles and inefficient use of their resources resulting in increased cost and lost profits.

Market surveys have shown that between 85-100% of contract systems in the pharmaceutical industry (manufacturers, wholesalers and Group Purchasing Organizations) are homegrown or specially customized. This has contributed to lack of interoperation and integration of the supply chain. Since business partners are distributed, this creates the need for distributed technologies that can help integrate their systems. Although technologies exist for distributed computing and integration, agreement between partners is still required on the semantics and syntax for information that is exchanged between them. 

The supply chain includes many components such as catalogs, contracting, order placement, order tracking, inventory replenishment, and more. Clear and standardized interfaces must be produced between and within each of the business function areas. If an agreement is not established between trading partners, proper purchasing and order fulfillment cannot take place.

This session explores the technical (development and operations), process, organizational and political, as well as security issues that must be overcome to successfully deploy a B2B system across the Internet. Differences between user-to-system and system-to-system integration and security requirements and solutions are discussed. Also highlighted is the Pharma Initiative, a prototyping and standardization activity led by several of the supply chain trading partners, vendors, the Healthcare Distribution Management Association (HDMA), and the Object Management Group (OMG). Status and results of the initiative will be given related to the integration of MedContrax's Contract Processing Network (CPN) with other systems using EDI and XML technologies.
3:30 - 4:00 Q & A 
4:00 - 5:00 Roadmap session (Separation of concerns & identify areas of collaboration)
Ron Zahavi, CTO, MedContrax, Inc. 
There are several areas where the industry could benefit from standardization. Among others, these include membership and eligibility, contract negotiation, catalog interfaces, sales history, and more. There are also various related initiatives, related standards and organizations that should be leveraged. In this session we will openly discuss the best way to approach the standardization activities, how to solicit open participation, and decide which standards to work on first. 
Wednesday July 11, 2001
10:00 - 10:30 Overview/Tutorial of the Healthcare DTF with an emphasis on Pharmacy
Thomas Culpepper, Senior Architect, 2AB, Inc.

The Health Care domain is a complex enterprise consisting of specialized pockets of information as well as a vast number of individuals whose role within the enterprise may be different depending on a certain context or location or both. In order for these individuals to perform their various responsibilities in a productive manner, it is imperative that they have access to the pockets of information that exists within the enterprise. Unfortunately, that information is usually in some ancillary system that is interoperable with any other system in the enterprise and thus making the job of information sharing less than optimal, which, in turn, makes individuals less productive. Of course, the ideal solution is to have one system for the entire enterprise (not likely to ever be the case) that includes all the necessary ancillary functionality and although many vendors claim such a system and many have tried ultimately, they are expensive, difficult to maintain, extremely difficult to extend and provide general functionality where specialty functionality is needed. Furthermore, the majority of enterprises already have a substantial investment in existing systems. Hence, a more reasonable approach would be to provide interoperability between the heterogeneous systems through standardized Health Care interoperability solutions, which is exactly what the OMG Healthcare DTF is working to provide.

10:30 - 10:45 Q & A 
10:45 - 11:30 Protecting Patient Information
Carol Burt, President and CEO of 2AB, Inc.
A typical security infrastructure contains authentication, confidentiality and integrity controls. That means that the user has proved that they are who they say they are, and it allows for private communications with mechanisms to detect if a message has been tampered with. Unfortunately that isn’t enough to protect sensitive personal information. Just because you  know who someone is and can communicate privately with them doesn’t mean that they should tell you everything they know.  For example, HIV and psychiatric information may be considered more sensitive than other parts of a patient record and must be filtered from unauthorized access.  This is the type of fine-grain access control that privacy legislation in healthcare demands. This session will explore the OMG Resource Access Decision Facility framework & architecture that can be leveraged to protect personal information.
11:30 - 12:00  Q & A
12:00 - 1:00

Lunch - Hosted by the Object Management Group

1:00 - 1:45 The Hitchhiker's Guide to the OMG Technology Adoption Process
Fred Waskiewicz, Director of Standards, Object Management Group
This presentation will offer advice on navigating through the OMG technology adoption process, covering that process through its entire lifecycle - from requirements gathering through specification development and on to finalization and revision. The structure of the organization employing the process to develop specifications will be described, as will OMG resources that help track technology development and adoption. The presentation will conclude with tips on how to maximize participation in the organization, followed by a question and answer period.
1:45 - 2:15 Q & A 
2:15 - 2:45

Break - Hosted by the Object Management Group

2:45 - 4:00 Continued Roadmap session (RFP identification)
Ron Zahavi, CTO, MedContrax, Inc.
4:00 - 5:00 Wrap-up

 
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