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	<title>Comments on: &#8220;The State of Healthcare Logistics&#8221;</title>
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	<description>A comprehensive exploration of the intersection between the pharmaceutical supply chain, track and trace technology, standards and regulatory compliance</description>
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		<title>By: Anonymous</title>
		<link>http://www.rxtrace.com/2009/10/state-of-healthcare-logistics.html/comment-page-1/#comment-14</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Sat, 10 Oct 2009 02:41:16 +0000</pubDate>
		<guid isPermaLink="false">http://rxtrace.com/?p=15#comment-14</guid>
		<description>I agree with you, Dirk, this survey failed to pass survey methods 101.  It was just an opinion pool.</description>
		<content:encoded><![CDATA[<p>I agree with you, Dirk, this survey failed to pass survey methods 101.  It was just an opinion pool.</p>
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		<title>By: Sarah Oaks, Associate Executive Director, AHRMM</title>
		<link>http://www.rxtrace.com/2009/10/state-of-healthcare-logistics.html/comment-page-1/#comment-13</link>
		<dc:creator>Sarah Oaks, Associate Executive Director, AHRMM</dc:creator>
		<pubDate>Fri, 09 Oct 2009 19:34:21 +0000</pubDate>
		<guid isPermaLink="false">http://rxtrace.com/?p=15#comment-13</guid>
		<description>Please consider these additional thoughts and clarifications regarding your blog post on the AHRMM-CIHL survey. Every question of this survey to identify cost and quality efficiencies and improvement opportunities within the healthcare supply chain was designed with the help of the University of Arkansas Survey Research Center, which has designed numerous research surveys.  You make the claim that AHRMM/CIHL are trying to “lead the respondents to indicate support for only GS1 data standards”. We are not leading anyone.  We are asking if they are moving toward data standards, and specifically if they are moving towards GS1, which AHRMM along with a majority of healthcare supply chain institutions have now endorsed. Neither the Research Center nor the expert cross-industry panel which reviewed the questions found the data standards question to which you refer to be a leading question. The question was purposely written.  When the researchers framed the question, they were framing it to see who was moving toward GS1 and how close they were to achieving their sunrise goals (i.e. the reason for the additional questions to those that respond yes-GS1).   The researchers added the additional Yes - Other response to accommodate those that were not moving to GS1. &lt;br /&gt;&lt;br /&gt;I don’t think you give enough credit to our survey’s respondents.  Two out of three respondents have more than ten years of healthcare supply chain experience, and forty-five percent have more than twenty years of experience working in the healthcare supply chain.  Experienced professionals are capable of deciding between these multiple choice options. Respondents were asked to specify the “Other system.”  The exact question wording is below.   &lt;br /&gt;&lt;br /&gt;• Is your organization moving towards the adoption of a data standards system (such as GS1) in the next five years?&lt;br /&gt;o Yes – GS1&lt;br /&gt;o Yes – Other (Please specify) ____________________________&lt;br /&gt;o No &lt;br /&gt;o Don’t Know&lt;br /&gt;&lt;br /&gt;The expert interviews conducted when vetting questions for the survey clearly indicated that there was confusion in the industry about what a data standards system was.  The responses to the open ended (Yes – Other) question are below.  You can see that some confusion does exist.&lt;br /&gt;&lt;br /&gt;Response Count %&lt;br /&gt;Do Not Know 44 61%&lt;br /&gt;UNSPSC (United Nations Standard Products and Services Code) 9 13%&lt;br /&gt;GS1 6 8%&lt;br /&gt;Government 3 4%&lt;br /&gt;Lawson 2 3%&lt;br /&gt;GHX 2 3%&lt;br /&gt;SAP 1 1%&lt;br /&gt;KPI’s 1 1%&lt;br /&gt;HIBCC (Health Industry Business Communications Council) 1 1%&lt;br /&gt;GIP 1 1%&lt;br /&gt;E-Clinical 1 1%&lt;br /&gt;DMLSS (Defense Medical Logistics Standard Support) 1 1%&lt;br /&gt;Also, please note that your summary of the results (quoted below) is incorrect.  &lt;br /&gt;“Over 50% of the respondents chose answer “1”, over 30% chose answer “4”, and about 20% chose answer “3”. What about answer “2”, indicating support for “other” data standards systems? Only about 3%.”&lt;br /&gt;The most common response is Don’t Know (47%).  31% of respondents chose “Yes-GS1,” 17% chose “No,” and 5% chose “Yes – Other.”&lt;br /&gt;&lt;br /&gt;This survey did not set out to determine if the industry needs multiple competing data standards or to review the merits of different data standards systems. AHRMM conducted due diligence on this issue many years ago and publicly supported GS1. AHRMM has consistently and unambiguously declared its support of GS1 standards since 2006. It has been leading GS1 data standards adoption and implementation efforts alongside many other companies and healthcare institutions representing all sectors of the healthcare supply chain as I am sure you are aware.&lt;br /&gt;&lt;br /&gt;Another important note: AHRMM/CIHL did not receive financial support from GS1 to conduct this survey.  AHRMM has never received any financial support from GS1 or its affiliates, and Heather Nachtmann and Ed Pohl of University of Arkansas/CIHL are independent academic researchers who do not have a stake in the success of GS1 or any other data standards system.   &lt;br /&gt;&lt;br /&gt;Sarah Oaks&lt;br /&gt;Associate Executive Director&lt;br /&gt;AHRMM</description>
		<content:encoded><![CDATA[<p>Please consider these additional thoughts and clarifications regarding your blog post on the AHRMM-CIHL survey. Every question of this survey to identify cost and quality efficiencies and improvement opportunities within the healthcare supply chain was designed with the help of the University of Arkansas Survey Research Center, which has designed numerous research surveys.  You make the claim that AHRMM/CIHL are trying to “lead the respondents to indicate support for only GS1 data standards”. We are not leading anyone.  We are asking if they are moving toward data standards, and specifically if they are moving towards GS1, which AHRMM along with a majority of healthcare supply chain institutions have now endorsed. Neither the Research Center nor the expert cross-industry panel which reviewed the questions found the data standards question to which you refer to be a leading question. The question was purposely written.  When the researchers framed the question, they were framing it to see who was moving toward GS1 and how close they were to achieving their sunrise goals (i.e. the reason for the additional questions to those that respond yes-GS1).   The researchers added the additional Yes &#8211; Other response to accommodate those that were not moving to GS1. </p>
<p>I don’t think you give enough credit to our survey’s respondents.  Two out of three respondents have more than ten years of healthcare supply chain experience, and forty-five percent have more than twenty years of experience working in the healthcare supply chain.  Experienced professionals are capable of deciding between these multiple choice options. Respondents were asked to specify the “Other system.”  The exact question wording is below.   </p>
<p>• Is your organization moving towards the adoption of a data standards system (such as GS1) in the next five years?<br />o Yes – GS1<br />o Yes – Other (Please specify) ____________________________<br />o No <br />o Don’t Know</p>
<p>The expert interviews conducted when vetting questions for the survey clearly indicated that there was confusion in the industry about what a data standards system was.  The responses to the open ended (Yes – Other) question are below.  You can see that some confusion does exist.</p>
<p>Response Count %<br />Do Not Know 44 61%<br />UNSPSC (United Nations Standard Products and Services Code) 9 13%<br />GS1 6 8%<br />Government 3 4%<br />Lawson 2 3%<br />GHX 2 3%<br />SAP 1 1%<br />KPI’s 1 1%<br />HIBCC (Health Industry Business Communications Council) 1 1%<br />GIP 1 1%<br />E-Clinical 1 1%<br />DMLSS (Defense Medical Logistics Standard Support) 1 1%<br />Also, please note that your summary of the results (quoted below) is incorrect.  <br />“Over 50% of the respondents chose answer “1”, over 30% chose answer “4”, and about 20% chose answer “3”. What about answer “2”, indicating support for “other” data standards systems? Only about 3%.”<br />The most common response is Don’t Know (47%).  31% of respondents chose “Yes-GS1,” 17% chose “No,” and 5% chose “Yes – Other.”</p>
<p>This survey did not set out to determine if the industry needs multiple competing data standards or to review the merits of different data standards systems. AHRMM conducted due diligence on this issue many years ago and publicly supported GS1. AHRMM has consistently and unambiguously declared its support of GS1 standards since 2006. It has been leading GS1 data standards adoption and implementation efforts alongside many other companies and healthcare institutions representing all sectors of the healthcare supply chain as I am sure you are aware.</p>
<p>Another important note: AHRMM/CIHL did not receive financial support from GS1 to conduct this survey.  AHRMM has never received any financial support from GS1 or its affiliates, and Heather Nachtmann and Ed Pohl of University of Arkansas/CIHL are independent academic researchers who do not have a stake in the success of GS1 or any other data standards system.   </p>
<p>Sarah Oaks<br />Associate Executive Director<br />AHRMM</p>
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		<title>By: Anonymous</title>
		<link>http://www.rxtrace.com/2009/10/state-of-healthcare-logistics.html/comment-page-1/#comment-12</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Fri, 09 Oct 2009 03:49:10 +0000</pubDate>
		<guid isPermaLink="false">http://rxtrace.com/?p=15#comment-12</guid>
		<description>I too am tired of the slanted marketing propaganda.  One of the things that often gets overlooked in supply chain standards is what is needed for unit dose medications and patient medication safety.  Manufacturers and wholesalers think in the terms of the pallets and case lots they sell and often do not package and label medications at the unit dose level.  Therefore no unit dose &quot;id&quot; is issued.  Recent HIBCC standards (ANSI\HIBC 3.0) have strived to combine the patient med safety / BPOC needs and also service supply chain needs.  You can build a bar code or RFID tag that encodes just an ID or a virtual electronic label.  Many providers are stuck using whatever their purchased systems support and more interoperability work need to be done here.&lt;br /&gt;Another thing to look at when evaluating standards is the cost.  Some standards organizations charge users a fee based on sales for a unique id they manage, some acharge nominal or one time fees and some are free.  Standards tha only allow numeric identifier fields can contain a hidden cost for information systems conversion whennumber ranges are exhausted.  Alphnumeric identifiers have larger ranges and greater flexibility.&lt;br /&gt;&lt;br /&gt;Harry Manolopoulos</description>
		<content:encoded><![CDATA[<p>I too am tired of the slanted marketing propaganda.  One of the things that often gets overlooked in supply chain standards is what is needed for unit dose medications and patient medication safety.  Manufacturers and wholesalers think in the terms of the pallets and case lots they sell and often do not package and label medications at the unit dose level.  Therefore no unit dose &quot;id&quot; is issued.  Recent HIBCC standards (ANSI\HIBC 3.0) have strived to combine the patient med safety / BPOC needs and also service supply chain needs.  You can build a bar code or RFID tag that encodes just an ID or a virtual electronic label.  Many providers are stuck using whatever their purchased systems support and more interoperability work need to be done here.<br />Another thing to look at when evaluating standards is the cost.  Some standards organizations charge users a fee based on sales for a unique id they manage, some acharge nominal or one time fees and some are free.  Standards tha only allow numeric identifier fields can contain a hidden cost for information systems conversion whennumber ranges are exhausted.  Alphnumeric identifiers have larger ranges and greater flexibility.</p>
<p>Harry Manolopoulos</p>
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		<title>By: Anonymous</title>
		<link>http://www.rxtrace.com/2009/10/state-of-healthcare-logistics.html/comment-page-1/#comment-11</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Thu, 08 Oct 2009 22:13:44 +0000</pubDate>
		<guid isPermaLink="false">http://rxtrace.com/?p=15#comment-11</guid>
		<description>Not surprising...I will not take the ahrmm surveys any more because of this &quot;slanting&quot;.  By the way if you figure out half way through the survey that there is slanting the survey monkey won&#039;t let you out either and it sends the half baked survey.</description>
		<content:encoded><![CDATA[<p>Not surprising&#8230;I will not take the ahrmm surveys any more because of this &quot;slanting&quot;.  By the way if you figure out half way through the survey that there is slanting the survey monkey won&#39;t let you out either and it sends the half baked survey.</p>
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		<title>By: Rob Leibrandt</title>
		<link>http://www.rxtrace.com/2009/10/state-of-healthcare-logistics.html/comment-page-1/#comment-10</link>
		<dc:creator>Rob Leibrandt</dc:creator>
		<pubDate>Thu, 08 Oct 2009 21:28:43 +0000</pubDate>
		<guid isPermaLink="false">http://rxtrace.com/?p=15#comment-10</guid>
		<description>I&#039;ve designed a few surveys in my time and it is easy to develop one that gets the answer you want, but hard to get the ground truth.&lt;br /&gt;&lt;br /&gt;There are a number of competing standards that are related to supply chain master data including identification and data exchange among others. The good news is there is not always a best answer, &quot;one size fits all&quot; so ISO has established a number of standards that seek to standardize data elements and not the data tags among the standards.  They recognize HIBCC, GS1, ATA, ANSI MH10 and others.  So all you really need to know is what data is required and ensure clear standard definition of the data, represented by the data tags and you can ensure interoperability.  &lt;br /&gt;&lt;br /&gt;The turf war you describe needs to be about capability to meet the business need.  That can be broad or sector specific applications and not settled by who has the biggest budget for advertising/propoganda.  Bottom line each &quot;Enterprise&quot; needs to make a choice of what best fits their business processes and ensure they follow the common standard elements and definitions for data exchange to work.</description>
		<content:encoded><![CDATA[<p>I&#39;ve designed a few surveys in my time and it is easy to develop one that gets the answer you want, but hard to get the ground truth.</p>
<p>There are a number of competing standards that are related to supply chain master data including identification and data exchange among others. The good news is there is not always a best answer, &quot;one size fits all&quot; so ISO has established a number of standards that seek to standardize data elements and not the data tags among the standards.  They recognize HIBCC, GS1, ATA, ANSI MH10 and others.  So all you really need to know is what data is required and ensure clear standard definition of the data, represented by the data tags and you can ensure interoperability.  </p>
<p>The turf war you describe needs to be about capability to meet the business need.  That can be broad or sector specific applications and not settled by who has the biggest budget for advertising/propoganda.  Bottom line each &quot;Enterprise&quot; needs to make a choice of what best fits their business processes and ensure they follow the common standard elements and definitions for data exchange to work.</p>
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		<title>By: Anonymous</title>
		<link>http://www.rxtrace.com/2009/10/state-of-healthcare-logistics.html/comment-page-1/#comment-9</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Thu, 08 Oct 2009 19:43:35 +0000</pubDate>
		<guid isPermaLink="false">http://rxtrace.com/?p=15#comment-9</guid>
		<description>This is an excellent post Dirk...These kind of &quot;surveys&quot; involving GS1 have been going on for as long as I can remember.  It was very refreshing to realise that there are people out there like yourself that can still apply some basic critical thinking.</description>
		<content:encoded><![CDATA[<p>This is an excellent post Dirk&#8230;These kind of &quot;surveys&quot; involving GS1 have been going on for as long as I can remember.  It was very refreshing to realise that there are people out there like yourself that can still apply some basic critical thinking.</p>
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		<title>By: Adam J. Fein, Ph.D.</title>
		<link>http://www.rxtrace.com/2009/10/state-of-healthcare-logistics.html/comment-page-1/#comment-8</link>
		<dc:creator>Adam J. Fein, Ph.D.</dc:creator>
		<pubDate>Thu, 08 Oct 2009 02:46:13 +0000</pubDate>
		<guid isPermaLink="false">http://rxtrace.com/?p=15#comment-8</guid>
		<description>Which blog (such as RxTrace) is finding its groove?&lt;br /&gt;&lt;br /&gt;1. RxTrace&lt;br /&gt;2. Other&lt;br /&gt;3. Don&#039;t Know&lt;br /&gt;&lt;br /&gt;I pick answer (1). &lt;br /&gt;&lt;br /&gt;Great post, Dirk!</description>
		<content:encoded><![CDATA[<p>Which blog (such as RxTrace) is finding its groove?</p>
<p>1. RxTrace<br />2. Other<br />3. Don&#39;t Know</p>
<p>I pick answer (1). </p>
<p>Great post, Dirk!</p>
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