Speaker 1: Welcome to the future. In the next few minutes, you will learn about the day-to-day operations of a hospital and how standardization and automation help guarantee quality, patient safety, and appropriate management of the supply chain in this industry. GS1 Brazil, Brazilian Automation Association, integrating business and organizations, the whole world speaking the same language. Now let's see how this works in practice. The hospital is an important and essential resource for taking care of our health. It must always be ready to efficiently offer good service and guarantee its patients' safety. Thus, hospitals are increasingly investing in the qualification of their professionals, purchasing new equipment, and developing computer and automation systems to guarantee the efficiency, safety, and reliability of their operations. Efficiency is an important factor for an industry that guarantees quality services. When we use hospital services, we hope that the desired results are obtained as efficiently, safely, quickly, and affordably as possible. Therefore, process automation is becoming an important component, especially to guarantee that medication and health products are available whenever necessary. In order to do this, the hospital's computer system always registers the use or consumption of a product through the use of a barcode. The consumption data registered is simultaneously updated in the stock management, financial management, medical bills, and accounting systems. When the amount of the medication or health product reaches the limit which has been deemed the stock minimum, the system automatically prepares a refill request. This request is sent to the medication supplier via an electronic messaging system, the EDI, through Web EDI solutions or directly on the Internet. This integration with suppliers makes restocking medications and materials faster and more efficient. After receiving the purchase order from the hospital electronically, the supplier checks the request information and verifies the availability of the products in stock. Once the order is validated, the supplier notifies the hospital electronically with the confirmation and the expected delivery date. After the sale is confirmed, the supplier begins the preparation process for the delivery in the picking area. The operator does the picking based on the information in the order. With the information necessary for picking the merchandise, the operator will go to the location of the requested item in the inventory and scan the barcode on the product box, where all the information necessary for product traceability is located, such as item identification, quantity, expiration date, manufacturing lot number, etc. This information, which is captured automatically, guarantees speed, precision, more control, and more safety in the distribution of medication or health products. As they close the boxes or pallets for transporting the products, the operator labels each unit with the logistical data for delivery. The logistical data is printed as a barcode, which highlights the Serial Shipping Container Code, SSCC. The SSCC is a standard used to identify logistic units and can be used in every leg of the supply chain as the key to recovering information. It makes the units traceable and integrates the physical movement and the flow of information, as well as process automation, shipping, and receipt. The SSCC is also the key to information on items that have been shipped. This information will be sent electronically in a shipping notification. Upon receiving the shipping notification, the hospital begins the preparation process for receiving the order, verifying if what was sent is in accordance with the request made. If there are no problems during this stage, the receiving system awaits the arrival of the shipment. This allows the receiving process in hospitals to be automated with traceability data that includes the lot number and expiration date. This way, the hospital will know exactly what it will receive, preventing supply and product inventory problems. The relationship between the flow of information and the physical flow of the merchandise is the main component which makes this process more efficient. After receiving the product information in advance through the shipping notification, the receiving sector checks the identification of the logistic units with the Serial Shipping Container Code, or SSCC, registering the receipt and the entry of the products in the management system. This automates and speeds up the receiving process and the availability of the products for hospital use. The supplier can also send an electronic invoice in advance, which allows the bookkeeping for the accounting and fiscal information of the received merchandise to be automated. This method is a way to guarantee reliability and swiftness in the payment process, since this can also be done automatically through integration with the financial institution being used. The perfect operation of the supply chain in a hospital depends on certain requirements, such as structured integrated management systems, standardized procedures, and a consistent data structure. With these elements, it is possible to automate the entire refilling process for the hospital pharmacy's stock. After being received, the products are placed in the central medication and health products inventory in accordance with the procedures created by the hospital. The central inventory will supply various stock units throughout the hospital based on their consumption, which is controlled through the internal management system. This system uses information obtained with data readers or collectors when the products are given to patients. Using the barcode, it is possible to capture the data for the automatic stock refilling system and view the traceability information for that item, which product, how much, which patient, the expiration date, and the manufacturing lot number. When we need complementary information, the products have a standard GS1-128 barcode for the logistic units. The GS1-128 barcode is made up of application identifiers, or AI, that identify the data and provide complementary information. There are over 100 different types of application identifiers that can be used for various functions, depending on necessity. For example, when identifying boxes of medication, some information is very important, and if it is displayed in the barcode, it streamlines and regulates the processes, which is the case with the identification of the product content, the lot number, the expiration date, and the number of items in the box. In order to make identification and data capture for the medication and health products more efficient in its dosage form or unit dose, which are normally a reduced size, these products can receive a GS1 Data Matrix barcode. The GS1 Data Matrix is a two-dimensional barcode which is used for products in reduced spaces and includes the product's codification and identification. It also provides additional information, such as the lot number and product expiration date, among other things. An important benefit of the automatic capture of product identification information, lot number, and expiration date is traceability. Traceability allows for precise inventory control, reduced possibility for mistakes, detailed identification of the consumption record by product and patient, fast identification and solution of problems with products. The supply management system in a hospital should be integrated with the rest of the hospital systems, such as the one that handles patient information. This system includes all of the patient's information regarding their hospital stay, including doctors, procedures, recommended treatment, and medications prescribed, among other things. The system must be updated with the patient information by the person responsible for this data. Doctors can write prescriptions with any device, such as a tablet, that is already connected to the management system and will automatically add the information to the patient's file and send the prescription to be dispensed by the pharmacy and administered by a nurse. After accessing the doctor's prescription in the system, the pharmacy will separate the medication into the recommended doses and with the GS1 data matrix barcode found on the unit dose, the management system will know exactly which medication, dosage, lot, and expiration date will go to which patient. The unit doses are placed in a package for the patient who will then receive an exclusive identification number, the SSCC. Next, the packages are sent to the unit where the patient is located. When they receive the medication, the person responsible for that department will scan the barcode on the packages. This will let the management system know that the products were received. The nursing staff will attend to the patient according to the doctor's prescription. Through the use of a data collector, tablet, or any other scanning device, the nursing team will scan the patient's identification barcode and that of the medication being administered. This procedure aims to guarantee that the correct medication will be administered in the correct dosage, in the correct way, at the designated time, and to the right patient with complete safety and reliability, thus eliminating the possibility of error. The quality of this information, which is linked to the standardization of the system, is also beneficial for the relationship with payment institutions, such as health plans and insurance companies. It provides the conditions necessary for implementing automated data exchange systems for operations such as the exchange of standardized electronic messages for billing and payment. The automation of logistical processes in a hospital, done through the utilization of barcodes and electronic messages in the GS1 system, allows for the total integration of the flow of materials and information in internal operations, as well as the relationship with suppliers and clients. This integration is crucial to ensure efficiency and safety in the improvements to the quality of the services the hospital provides. Hospital automation and GS1 system. Vital factors for everyone's benefit and satisfaction. Efficiency, innovation and speed in business management. GS1 Brazil. Brazilian Automation Association. Commercial partners speaking the same language.