Statement_of_Need_IR_MGMT_SYSTEM.docx

Statement of Need: Inventory Management System Radiology & Imaging Sciences Department, NIH Clinical Center

Description of Need:

1. Type of product or service to be acquired:

Interventional Radiology dept. /Dept. of radiology/Clinical Center, request to acquire an inventory management system to tracks devices and supplies used in procedures by patient.

2. Explanation for how the agency intends to use the product or service in terms of function to be performed; and Interventional radiology is responsible for all image-guided procedures in the Radiology and Imaging Sciences within the Clinical Center. Interventional radiology (IR) services are crucial to care and treatment of patients throughout the Clinical Center and NIH. The NIH has a state-of-the-art IR suite including a one-of-a-kind combination angiography/CT scan suite with device tracking, CT scan -integrated robotics, and multimodality fusion. As a service to NIH intramural research, IR supports biomarker characterization (genomic/proteomic/molecular), drug discovery, analysis of disease progression patterns and baseline disease diagnosis with serial biopsy, and serial venous sampling. IR offers a variety of therapeutic procedures on which clinical care relies. This includes abscess, chest tube, biliary drainage and nephrostomy tube drainage procedures to alleviate fluid compartment maladies from cancer or chronic disease. Complex venous access, chemotherapies, bone marrow transplantations, T type neutrophil-cell harvesting, immunotherapies, and specialized cell apheresis are made possible by placement of long term intravenous access devices for medications. IR also offers thrombolytic therapy for clotting disorders to treat venous blood clots as well as prevent clots from migrating through the blood stream to vital organs (“deep vein thrombosis / pulmonary embolism”). Emergency internal bleeding resulting from disease or surgery are managed emergently with embolization, which can save lives, especially in patients too weak or hemodynamically unstable to survive open surgery.

Each of these unique research and clinically life preserving procedures require an extensive inventory of supplies. These supplies currently are not tracked beyond paper and pencil. Inventory management failures have occurred resulting in emergent requests in human resources to obtain needed products thus averting potential negative outcomes. Further, there is no capture into a central system of supplies used during procedures.

What is required would be a system for example that would track by radio-frequency identification or barcodes. This would simply allow devices delivered to be tracked before stocking and automatically be eliminated from stock inventory when used in patient care.

This information can provide analytics for determining accurate par levels to support ordering and management of supplies for planned and emergent procedures. Preventing waste from expired products. While also ensuring needed items are on the shelf for patients when needed.

Advantages include decrease in the time consuming work of 1-2 IR techs and instead deploy them as technologists supporting the IR procedures, better capture of materials used in specific types of cases, avoid wasted inventory because of expired products and reduces inventory by eliminating rarely used products.

3. Performance requirement or essential physical characteristics:

1. This system will also be integrated into the management of the storage cabinets (Pyxis).

2. Maintains an accurate and easily references Inventory of current supplies

3. Capable of identifying and tracking Preference trays

4. Capable of interfacing with NIH Clinical research Information system (CRIS) to tracking of implantable devices

5. Capable of maintaining pre-determined Par levels, and output predictive needs

6. Capable of direct communication to vendors of needs when PAR levels drop

7. Capable of Audit tracking of devices by SKU and Lot #

8. User friendly

9. User support available 24 hrs/day 7 days a week

10. Capable of generating reports to answer multiple metrics such as devices used per patient

11. Bar code input

12. Interfaces with NIH on-site radiology information system