OSCP H1N1 Product Inventory Project

Maggie Savelberg's picture

At the OSCP AGM meeting this past weekend, September 11-12th, 2009, a discussion surrounding the possible implications of an H1N1 pandemic, on provincial wide perfusion departments, was brought to the members' attention by Jim’s presentation.

Questions of government funding, steps for preparation by perfusion, problems of resource attainment, and potential staffing issues were brought up by members from the floor and ideas were shared. One concluding recommendation from this discussion was that an H1N1 web based product inventory be set up through the OSCP website. Cyril Serrick suggested that while we are unable to plan for additional stocking at this point, that at least perfusion departments across the province should be able to share the status of their current stock necessary to be able to provide ECMO service to our patients. Steve Ditmore proposed that an online inventory through the OSCP site would eliminate the need for one individual person to check in and update site specific stock numbers. I think this would be a great idea, and furthermore would allow for real-time updates as stock numbers can be changed by hospital sites themselves. In these potential pandemic scenarios, fewer paths of second hand information save not only time, but also translate into more accurate data shared.

I have spoken to my colleague here at KGH, Andy Zajac, who is our OSCP website engine maintainer regarding this idea. He is willing to work on setting up a section of the website on which individual hospital sites are able to log on, maintain and edit their own ECMO product/disposable inventory. Andy will keep us updated as to the steps required to access this page, how to enter the inventory and so on. (See tab at top of page - OHPIP) This will hopefully allow Ontario perfusionists to be able to report our collective ability to provide this service to all Ontario patients requiring ECMO for H1N1, as well as to act as a networked resource for one another, to aid all Ontario perfusion departments, in meeting their commitment for ECMO services.

Anyone with additional ideas, or suggestions as to how this should be done or alterations to the OSCP H1N1 product inventory (OHPIP) project, please feel free to give them! In order to have a starting point prior to funding, stocking and preparation discussions we should aim to invite all department managers and have all inventories submitted to the OHPIP by a specified date. This will depend on the ease of set-up on the OSCP site, but should not be long. If anyone has a deadline to suggest, please let us know.

Thank you so much for opening this important discussion Jim, and to Andy for looking into making this happen. We will all keep in touch with regular updates.

OSCP H1N1 Product Inventory Project (OHPIP) Summary:

1.At the 2009 OSCP AGM it was suggested that a collective product inventory be established.
2.For ease of access, real-time updates, accuracy a web-based inventory was recommended.
3.Andy Zajac our OSCP web engine maintainer is working on the design and implementation of this inventory project.
4.All Ontario perfusion department leaders will be contacted/emailed and invited to participate, and a deadline to submit all numbers determined.
5.Updates will be provided as progress is made through the OSCP website.
6.Suggestions, recommendations and alterations are welcomed and encouraged, this is only a start. :)

Andrew Zajac's picture

The page is here:
http://www.oscp.ca/OHPIP

A link is also provided up on the top bar (next to Home, Documentation, etc..)

Steve brought up two points:
I am quoting his email:
There are 2 other considerations that you may want to consider regarding the sharing of equipment.

1. What legal considerations does your hospital have about you loaning out equipment. So, should each hospital loaning out equipment have a disclaimer form to say that the equipment is functioning to the best of their knowledge? Would this satisfy the hospital administration (lawyers, biomed, etc.) so that there is no liability placed back on the hospital loaning out equipment?

2. Will this loaning of equipment contradict the Ontario Medical Devices Act?

Maggie Savelberg's picture

I was able to sort out a few responses to Steve Ditmore’s proposed questions regarding the legality of moving equipment between hospitals. The following excerpt is from an article by Mark Bain and Heidi Visser (Corporate and Commercial Lawyers, Toronto, Ontario specializing in acting within the Healthcare field) regarding The Legal Issues of the Disposition of Hospital Assets in Ontario.

I didn’t know before, but a transfer of assets between hospitals in any way (sale, lease, mortgage etc.) is called a "disposition". New word! Ok, here is what the article said.

“The board of directors of a hospital corporation must authorize an asset disposition. The powers of the board may be delegated to the president or another executive officer of the corporation, either for all transactions or for those of minor significance only.

In Ontario, the Minister of Health (under section 4(5) of the Public Hospitals Act) must also consent to the sale, lease or mortgage of those assets of a hospital corporation comprising its land, buildings, premises or any part thereof.

With the introduction of the Savings and Restructuring Act, 1996, the Ontario Ministry of Health gained expanded powers, under section 6 the Public Hospitals Act, to direct hospital boards to engage in certain restructuring transactions, including asset dispositions, which the Minister considers to be in the public interest.
(Maggie: So it would seem that the normal routes can be overcome through the Ontario Ministry of Health??)

Ontario Regulation 87/96, under the Public Hospitals Act, authorizes the HSRC (Health Services Restructuring Commission) to issue such “section 6 directions” to hospitals. As a result, the HSRC may effectively require a disposition of assets, whether or not the board concurs. …..It is not beyond the province to usurp the power of a hospital board.” (Maggie: But for smoother transfer would it not be easier to be courteous and let them be aware?)

I can't attach the article here Andy... can you help me out?

Thanks everyone for your input,

Maggie