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Briefing to Pharmaceutical Manufacturers and Suppliers. Chief Pharmacist ’ s Office (CPO) & Pharmaceutical Supplies Services Team (PSST) Hospital Authority. Welcome. Aim. Explains HA ’ s : Objectives Procedures Plans on managing pharmaceutical quality and procurement
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Briefing to Pharmaceutical Manufacturers and Suppliers Chief Pharmacist’s Office (CPO) & Pharmaceutical Supplies Services Team (PSST) Hospital Authority
Aim • Explains HA’s : • Objectives • Procedures • Plans on managing pharmaceutical quality and procurement • Communicate to improve cooperation
Topics • Introduction • Product selection • Product Procurement • Product Use • Product Supplies • Upcoming Plans
Organization Structure of HA’s Pharmaceutical Service Chief Executive Director (Cluster Services) 7 Clusters Pharmacy Service Coordinators (Public Hospitals & Clinics) Chief Pharmacist’s Office (Chief Pharmacist) Senior Pharmacist Senior Pharmacist Senior Pharmacist SeniorPharmacist Corporate Pharmaceutical Management Pharmacy Practice Management Professional & Clinical Service Development SpecialServices Development
Roles of CPO • Advise on pharmaceutical matters • Steer the directions on pharmaceutical service • Lead the development and monitor standards and quality • Support and develop IT systems and applications • Establish and monitor drug quality, standards and selection • Promote and enhance efficacious, safe and cost-effective use of drugs
Corporate Pharmaceutical Management • Objectives • to ensure 5 Rights • right drug • right quality • right source • right purchasing channel • right price
Organization Structure of HA’s Business Support Services department Chief Executive Director (Cluster Services) Chief Manager (Business Support Services) Other BSS functional Sections Procurement and Materials Management Section Procurement Team A Procurement Team B Procurement Team C Procurement Team D Procurement Team E (PSST) IT products & Services Medical Consumables Services & Food Medical Equipment Pharmaceuticals
Product Registration • Safety • Efficacy • Quality
HA • Safety and efficacy demonstrated by proprietor through clinical trials at R&D, evaluated by Drug Advisory Committee (DAC), monitored by Drug Utilization Committee (DURC), and managed by the Drug Formulary (HADF) • Quality evaluated by Drug Selection Committee (DSC) and CPO
Patented Proprietary Products • Single supplying source • Use defined by clinical needs • Product quality criteria : • Manufacturing quality • GMP • Product Registration evaluated by CPO
Multi-source Products • Drug clinical use established • Product quality criteria : • Manufacturing quality • GMP • Product registration • Clinical application • Interchangeability evaluated by Drug Selection Committee (DSC)
Product Quality Requirements • Joint Procurement Policy with Department of Health • Applicable to all pharmaceutical products used in HA • Require documentary evidence on : • Manufacturer • Product • Local Supplier
Manufacturer Information *Separate GMP compliance documents may be required if status not manifested on submitted Manufacturer’s License
Product Information * Applicable for multi-source purchase
Product Sample • Actual sales pack must be provided • Essential for evaluation and logging of product details
Change in Product Particulars • Relevant documentary evidence(s) corresponding to the concerned change(s) are required • Statutory approval essential • Advance notice to CPO on change details and timeframe
IT • Logging of essential manufacturing and product information to facilitate : • Ordering and receipt • Prescribing • Dispensing • Use • Discrepancies in delivered product versus logged details would result in refusal of acceptance
Product Patents • Respect Intellectual Properties • Request to provide product patent information as necessary • Ad-hoc enquiry • Tender / SQ requirements
Drug Procurement Channels • Bulk Supplies Contract through Tender • Standing Quotation • Direct Purchase
Procurement Channels AnalysisProportion byNo. of Items (07/08)
Procurement Channels Analysis Proportion byExpenditure (07/08) Note: Expenditures in Million HK$
Bulk Supplies Contract • For items with large consumption or common use • Through tendering: • Single tender: Patented proprietary products • Open tender: Off-patent products • (tender notice posted in www.ha.org.hk)
Governance • Guidelines • Worldwide: • World Trade Organization (WTO) • In-house: • Procurement & Materials Management Manual (PMMM) • Board & Committee • Tender Assessment Panel (TAP) • Main Tender Board (MTB)
World Trade Organization (WTO) • Agreement on Government Procurement • Prescribes a set of requirements regarding non-discriminatory treatment of goods, tender procedures, tender specifications and challenge procedures in order to provide for open and fair competition • HA as a non-government public entity requires compliance for tender value > 400,000 SDR (approx HK$4.6M)
Procurement & Materials Management Manual (PMMM) • Tender for purchase value >HK$1M • Tender notice placed on HA website • Tender evaluated and endorsed by the Tender Assessment Panel (TAP) • Tender recommendation be approved by Main Tender Board (MTB) for award of contract
Tender Assessment Panel (TAP) for Drugs • Composition • Chairman: • Chief Pharmacist • Members: • Senior Pharmacist (CPM) + Pharmacists (CPM) • Chief Supplies Officer (PSST) • Department Manager (Pharm) – on rotation • Representative from Finance Department • Pharmacists and Supplies Officers • Observer: • Group Internal Audit • Monthly meeting • To make tender recommendation to tender board for approval
HA Main Tender Board (MTB) • Composition: • Chairman: • Chairman of HA Finance Committee • Members: • 3 HA board members • Chief Executive or his representative • Director (Finance) or her representative • Monthly meeting • To approve tenders recommended by TAP
Tendering Procedure Hospital CPO PSST TAP MTB Provide estimated quantity requirement Provide specification and raise request for tender to PSST Conduct tendering process Evaluate and recommend tender offers for MTB approval Approve tender recommenda-tions Perform technical evaluation of tender offers (DSC where applicable)
Standing Quotation • Procurement procedure similar to tender • Normally for a 12-month period • Provide estimated required quantity on a no commitment basis • Evaluation by the Quotation Assessment Panel • Recommended offers endorsed by CM(BSS) for award of SQ
Direct Purchase • Conducted at hospital level following the procurement procedures stipulated in the PMMM
Laboratory Testing • Discretionary at introduction of particular product • Random sampling of delivered stock on contract items for once per contract-cycle testing • Ad hoc testing of complaint samples where deemed appropriate
Risk Management • Surveillance of overseas health authorities • Product quality incidents • Product presentation
Overseas Surveillance • Daily screening of : • US FDA • TGA • MHRA etc. For product related clinical/quality information
Overseas Surveillance • If issue concerns HA in-use products, CPO would : • Confirm relevance to delivered products • Request local stand • Confirm regulatory picture • Follow-up as necessary
Product quality incidents • In-house quality surveillance • Manufacturer’s product alert • Manufacturer’s product recall
In-house quality surveillance • Product quality complaint procedure • Report on in use products : • Concerns on safety, efficacy, appearance and packaging, suspected contamination, or any other circumstances observed that may jeopardize patient safety or cause reasonable doubt on the routine and intended utilization of a pharmaceutical item
Product quality complaint procedure • Centrally managed and follow-up by CPO • Reporting through frontline pharmacies • Assessment of severity and prevalence for immediate precautions and necessary follow-up