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Supply Chain

Identifying Critical Supplies and


Technology, Evaluating Integrity. Making
Decisions, Tracking Critical Items

John C. Wocher, M.H.A, LFACHE


Consultant
Joint Commission International
Problem?

A Chinese policeman walks across a pile of fake medicines seized in Beijing. The rapid growth of Internet
commerce has led to an explosion of counterfeit drugs sold around the world, with China believed to be the
biggest source of fake medicines in the world. (Source & Photo Newsweek 2015)
Serious?
More than a third of the malaria-fighting drugs tested over
the past decade in Southeast Asia and sub-Saharan Africa
were either fake or bad quality, seriously undermining
efforts to fight the disease, a study said Tuesday.
With up to 1 million people - mostly children in Africa -
already dying every year from malaria, bogus drugs and
those containing the wrong chemical makeup could upend
a decade of progress fighting the mosquito-transmitted
disease, the U.S.-funded review said.
International efforts to combat drug counterfeiting - much
of it believed to take place in China - are urgently needed.
Why Evaluate Integrity?
* Ensure Timely Availability
* Ensure Alternative Sourcing
* Prevent Contamination
* Prevent Fake Products
* Prevent Substitution
* Prevent Diversion
* Prevent Patient Harm

* Minimize the Above Risks


What Are Critical Items?
Sole Source
No Substitutes
High Cost
Short Shelf Life
Mission Impact (Essential)
Could be a Drug or Technology
Tracing The Supply Chain For Critical
Items
Manufacturer
Distributor
Delivery/Storage
Receipt
Storage
Use
Reporting
Manufacturer
One or Several?
Licensed? Certified?
Quality Plan
Packaging/Labeling
Can You Visit?
Distributor
Exclusive or Many?
Licensed? Certified?
Storage/Delivery
Can You Visit?
Storage Conditions Temperature Controlled?
Storage Conditions Clean?
Delivery Vehicles Temperature Controlled?
Delivery Vehicles Clean?
If Delivered to Distributor From Overseas
How?
Security
Receipt
Inventoried?
Inspected for - Proper Labeling, No Indication
of Damage, Tampering, Contamination,
Leakage or Substitution?
Your Storage Conditions Proper
Temperature? Internal Security?
Relabeling - LASA? High Alert?
Use
Authorized Requestor/User?
Secondary Storage Ward Or Unit
Controls, if Any Example: Narcotics
Prevention of Theft? Misuse?
Reporting
Policy on Detecting & Reporting
Suspected Fake Products
Suspected Contaminated Products
Evaluating the Vendor Required
Integrating Quality Measures into Vendor
Contracts Essential
Integrating Vendor Quality Measures into
Hospital Quality Program - Essential
Due Diligence
The Bottom Line
Not All Supplies and Technology Are Critical
Select on a Highest Risk Priority Basis
Be Suspicious Fakes Are Increasing
Do Not Allow Internet Ordering From
Unknown Vendors
Identify Reliable Alternative Source(s), If
Available
Thank You!