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TRANSCRIPT
Supply Chain Integrity
GS1 Healthcare Tokyo Conference
29 October, 2008
Tokyo, Japan
Alfresa Corporation
Kentaro Iwasaki
The rice cakemaking of the
rabbitCrabCrabCrabCrab LionLionLionLion
Today’s Agenda
1 What is expected of us?
2 What is Supply Chain Integrity?
3 Challenge and Solution
4 Conclusion
33
1 What is expected of us?
Common issues developed countries face…
� Increasing medical expenses
� Safety and assurance
� Accountability
4
…In Japan, the super-aging society
accelerates them
Population pyramid in
Japan in 1950
Population pyramid in
Japan in 2050
100 years later…
4
The pharma industry is expected to…
� Enhance patient safety - Traceability
� Achieve Efficient medical support - Online Network
1 What is expected of us?
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…And Supply Chain Integrity is the solution to meet these expectations
2 What is Supply Chain Integrity ?
Supply Chain Integrity is…
A common platform for the pharmaceutical wholesalers that “enhances patient safety from a patient’s standpoint” and “achieves efficient medical
6
patient’s standpoint” and “achieves efficient medical support”
6
2 What is Supply Chain Integrity ?
The concept
The Concept
Patient Safety
Efficient Medical Support
“Cooperation” and “Competition”
7
Information Technology (Standardization)
Patient Safety Support
Supply Chain Integrity
7
2 What is Supply Chain Integrity ?
Shift from “Supply Side” to “Demand Side”
Necessary Products
The Right Product
For the Right PatientMatured Society
Demand Side Demand Side
Patient SafetyPatient Safety
8
Necessary Products
Necessary Place
Necessary Quantity
In the Right Dose
At the Right Time
By the Right Route
Matured Society
Supply Side Supply Side
For example… biological products, JGSP
8
2 What is Supply Chain Integrity ?
Why is counterfeit drug not active in Japan?
� No parallel imports because of administrative direction
� Strict pharmaceutical practice administration/crackdown
Strict Supply Chain Management by Pharmaceutical
Patient SafetyPatient Safety
9
� Strict Supply Chain Management by Pharmaceutical
Wholesalers
� Strong safety awareness of consumers
(purchase only from legitimate channels)
KIMURA
2 What is Supply Chain Integrity ?Patient Safety
Personalization + Codification
10出典:Diamond Harvard Business 1999年9月号
2 What is Supply Chain Integrity ?
Safety Management by Alfresa
� Information gathering (FINE DEM)
� Early Phase Post-Marketing Vigilance
Patient SafetyPatient Safety
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� Early Phase Post-Marketing Vigilance
� Provision of Information
� Product Recall
FINE DEM is…
Activities to collect information regarding quality, efficacy and safety of drugs
Aims
Patient Safety
2 What is Supply Chain Integrity ?
12
Aims
� To grow drugs
� To contribute to the proper use of drugs
A vial of Drug A of X company looks very similar in colorto drug B of the same company.
Comment from the company:We received similar report inside and send that to the section concerned.
Patient Safety
FINE DEM Report
Example of Package Design Change
2 What is Supply Chain Integrity ?
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Before AfterBoth Green
Gold
Drug ADrug B
Color Change
Wholesaler
2 What is Supply Chain Integrity ?
Patient
Health Insurer
Efficient Medical Support
Efficient Medical Support
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Wholesaler
Medical
Institution
manufacturer
14
For example…Online network
JPMA
Manufacturers
JD-NET JD-NET CouncilJPWA
FPMAJ
418 members
2 What is Supply Chain Integrity?Relationship between Drug Networks in Japan
Efficient Medical Support
15
PRO-NET Council280 Wholesalers38000 Medical institutions15 million Transactions /mth
JPMA :::: Japan Pharmaceutical Manufacturers Association
FPMAJ :::: Federation of Pharmaceutical Manufacturers
Association in Japan
JPWA :::: Japan Pharmaceutical Wholesalers Association
Wholesalers
Medical Institutions
PRO-NET
418 members60 million Transactions /mth
History of Drug Networks in Japan
Efficient Medical Support
1986 1987 1989 1990 1991 1993 2006 2007 2009
HM-NET HM-NET
HCM-NET HCM-NET
T-NET
CM-NET
KOS-VANEstablish
In Apr.
((((planned
))))
Med
ical serv
ice P
rovid
ors
2 What is Supply Chain Integrity?
16
PRO----
NET
JM-NET
TMS-NET
K-NET
HOSTY-NET
KMS-NET KMS-NET
JD-NETJD-
NET
Establish
PRP-NET
((((’’’’06.10~))))
Wh
ole
sale
rs ~~ ~~
Med
ical serv
ice P
rovid
ors
Ma
nu
fac
ture
rs
~~ ~~W
ho
les
ale
rs
Flow of Claims for Medical Treatment Fee
Medical
Institution
Audit & Payment
InstitutionMedical
Insurers
1.2 bio papers p/a Paper Receipt 77% 1.6 bio papers p/a
5 hundred times
higher than height of
Tokyo Tower(333m)
if piled
2 What is Supply Chain Integrity?Efficient Medical Support
1717
Online ReceiptOnline Receipt
Digital Device 23%
3 Challenges and Solutions
Challenge in maximizing IT potential
� Standardization requirements
� Technical Aspect
Conceptual Aspect
Technical Conceptual
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� Conceptual Aspect
� Shift from traditional to new paradigm
3 Challenges and Solutions
Towards Standardization…
Develop common rules for supply chain participants
E.g.
Build structure to ling products and various information
Data Structure Data Carrier
Technical IssueTechnical
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E.g.
• GTIN (Global Trade Item Number))))• Application Identifiers
• GLN((((Global Location Number))))
information
E.g.
E.g. EDI, XML
Data Communication
Source: GS1 Standard System
RSS JAN/EAN/UPC
UCC/EAN-128 RFID
Electronic Commerce
SCM
3 Challenges and Solutions
Accepting
standardization is
nothing but an inhibition
Standardization is a threat.
In order to protect the territories, unique criteria and labeling is sufficient
Conceptual AspectsConceptual
Traditional Paradigm
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nothing but an inhibition of free competition
20
3 Challenges and Solutions
New Paradigm
� Standardization based on total optimization
Conceptual AspectsConceptual
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4 Conclusion
Patient Safety
Efficient Medical Support
“Cooperation” and “Competition”
2222
Information Technology (Standardization)
Patient Safety Support
Supply Chain Integrity
Thank youThank you
23
Thank youThank you