Alliance Healthcare Allard van Rijn 01-11-2012
future 1
focus
Doel van de presentatie Transparantie
Vice Versa
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Agenda
Introductie Alliance Healthcare
Groothandel Feiten en cijfers Logistiek in beeld
Servicelevel Veranderende markt Kortom Vragen No elements of this document may be reproduced in any form without the written permission of Alliance Healthcare. All trademarks and registered trademarks are the property of their respective owners.
Introductie Alliance Healthcare
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Introductie Alliance Healthcare Nederland B2C
B2B
Pharma industry
Prewholesale
Wholesale
Services
Central Filling
Non-branded pharmacies, hospital pharmacies, transmural pharmacies, etc.
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Retail
Healthcare consumer
Groothandel feiten en cijfers
Alliance Healthcare in Nederland •3 distributiecentra. – – –
’s-Hertogenbosch, Meppel, Veghel
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Logistiek in beeld
Eigen transportafdeling • 50 bussen voor DC Meppel en DC Den Bosch
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Groothandel feiten en cijfers
DC Meppel
DC Den Bosch
• Aantal producten aanwezig
• 17.000 SKU
• 19.000 SKU
• Aantal dagen voorraad
• 16,5 dagen
• 15,5 dagen
• Waarde voorraad
• € 14 milj.
• € 17 milj.
• Aantal orderregels
• 30.000 regels
• 22.000 regels
• Aantal inkooporders ontvangen
• 1.300 regels
• 1.400 regels
• Leveringen per 24 uur
• 400 stops
• 450 stops
• Aantal medewerkers
• 180 FTE
• 170 FTE
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Servicelevel groothandel
Alliance Healthcare • Servicelevel EMR
• 93% - 94%
• Servicelevel IMR
• 96,5% - 97,5%
• Servicelevel Generiek
• 94% - 95%
• Servicelevel Specialite
• Fluctueert +/-95%
• Oorzaak farmaceut (IMR)
• 55%
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Servicelevel
Analyse intramuraal • Dagelijkse sturing op voorraad
Servicelevel • Handmatig verhogen van de voorraad EMR 93% - 94%
• Dikte van de orderregels IMR
IMR 96,5% - 97,5%
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Servicelevel Dikte van de orderregels
Analyse intramuraal
• Toename orderregels
• Afname aantal verpakkingen per regel • Afname voorraadwaarde
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Servicelevel Dikte van de orderregels 100% 99% 98% nulmeting
97%
pilot 2 96% 95% 94% zonder lever f outen
ser vicegr aad
120% 100% 80% stock value
60%
order handling
40% 20% 0% before
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after
Servicelevel Dikte van de orderregels
Samenwerking verhoogd het servicelevel
• 40% toename orderregels
• 40% afname aantal verpakkingen per regel • Afname voorraadwaarde • Toename van servicelevel met 4% • Proces is onder controle
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Servicelevel Cirkel van invloed?
• Contact tussen de groothandel, farmaceut en afnemer ten aanzien van voorraadrisico •
Voorraadwaarde (GIP)
•
Quoteringen
• Manco leverancier • Vertrouwen leverancier • Vertrouwen ziekenhuis
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Servicelevel Wie is er beter in voorraadmangement
Is het mogelijk dat de groothandel voorraad mangement van een ziekenhuis overneemt?
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Veranderde markt = Nieuwe kansen??
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Veranderde markt Uitdagende markt Verandering in het vergoedingssysteem
• In fases worden de specialistische geneesmiddelen van de extramurale setting naar de intramurale verschoven. – 2012: anti TNF alfa producten. – 2013: oncolitica and groeihormonen.
– 2014: andere specialistische geneesmiddelen.
• De veronderstelling is dat de verschuiving naar de ziekenhuizen er door de betere onderhandelingspositie ten opzichte van de farmaceutische industrie de prijzen zullen dalen.
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Veranderde markt Uitdagende markt Uitdaging voor de farmaceutische industrie • Voor de farmaceutische industrie betekend dit een grote verandering. • Naast het veranderende netwerk en DMU zijn er andere uitdagingen: – – – – – –
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Hoe krijgen wij onze medicatie bij onze patienten? Hoe krijgen wij alle afspraken en KPI’s op de juiste manier in ons systeem? Hoe informeren wij onze patient over de beste zorg? Hoe komen wij aan belangrijke informatie over gebruik van ons product? Hoe combineren wij dit in heldere rapportages? …
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Veranderde markt Uitdagende markt Behoefte van de farmaceutische industrie
Logistiek
Administratie
Proces management
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Financieen
Patienten data
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Veranderde markt Uitdagende markt Traditionele groothandel
ZBC ZBC ZBC
Single wholesale
• Verschillende groothandelaren nemen het product op voorraad
• 1 partner neemt de producten op voorraad
• Hele diverse verkoopstrategie. Alles lijkt mogelijk.
•Een salesstrategie zelfs op europeesniveau.
• Geen KPI controle en servicelevel rapportage
•Internationale ervaring.
• Specifieke sales data niet beschikbaar of groot verschil in format.
• Specifieke data beschikbaar
• Hoge kosten doordat er meerdere voorraden en distributiemanagement.
• Efficiënt voorraad en logistiek systeem • 1 groothandel wat zorgt voor efficiëntie verbetering
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ZBC ZBC ZBC
Veranderde markt Uitdagende markt
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Kortom • Leveringsproblemen • Verbeteringen tussen groothandel en ziekenhuis • Verbeteringen tussen groothandel en farmaceut
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Kortom
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Kortom • Servicegraad • Verbeteringen tussen groothandel en ziekenhuis • Verbeteringen tussen groothandel en farmaceut
• Nieuwe kansen
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No elements of this document may be reproduced in any form without the written permission of Alliance Healthcare. All trademarks and registered trademarks are the property of their respective owners.
No elements of this document may be reproduced in any form without the written permission of Alliance Healthcare. All trademarks and registered trademarks are the property of their respective owners.
