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Cécile ROMEYER: Senior Lecturer in Management Sciences Researcher at PREACTIS (Université de Saint-Étienne) and CRET-LOG (Université de la Méditerranée – Aix-Marseille II)
INTRODUCTION
Product traceability issues are increasingly present in today's companies. This is particularly true in the food sector, with the various crises that have occurred in recent years and the application of European regulation no. 178/2002, which makes traceability a legal obligation, but other industrial sectors are also concerned.
This raises the question of the relevance of such issues to service activities: what does the notion of traceability cover in this type of activity? Are the issues the same as in the industrial sector?
The aim of this dossier is to show that, not only are traceability issues very present in service organizations, but that the notion of traceability is richer because it is twofold: while the notion of product traceability is found in the industrial sector, another type of traceability is developed here: activity traceability. In this presentation, we will be focusing on this second concept, which has been little studied in the context of industrial companies. The aim is to define the concept and analyze the various issues involved. We'll then take a closer look at the implementation of this type of traceability in an instructive context: the world of hospitals. We'll be looking at the traceability of productive activities in such a context, i.e. the traceability of the patient care process (a process that can extend far beyond the hospital). After explaining the principles and issues involved, we will analyze the difficulties of implementing this type of traceability, based on the practical experience of several French public hospitals. The aim is then to suggest some interesting ways of overcoming the many difficulties encountered by hospitals.
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Traceability in service activities: the case of the hospital
Particularities of the notion of traceability in service activities
References
Thesis
Organizations
ANAES (Agence nationale d'accréditation et d'évaluation en santé) created in 1996 and replaced by HAS (Haute Autorité de santé) on January 1 2005:
The latter is an advisory, public and independent body of scientific experts, responsible for :
evaluate the medical usefulness of all procedures, services and healthcare products...
Regulations
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French regulations on pharmacovigilance
Decision of August 5, 2005 appointing experts to the national pharmacovigilance commission.
Order of April 28, 2005 on good pharmacovigilance practices.
Decree no. 2004-99 of January 29, 2004 on pharmacovigilance...
Manufacturers – Suppliers – Distributors (non-exhaustive list)
The table at 1 shows a selection of ERP (enterprise resource planning) solutions that computerize the patient management process and, to a certain extent, provide traceability of this process (traceability of information relating to the patient management process is not systematically exhaustive).
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Websites
ANAES/HAS http://www.anaes.fr
GMSIH http://www.gmsih.fr
Page du ministère de la Santé présentant la réforme de la « tarification à l'activité » : http://www.sante.gouv.fr/htm/dossiers/t2a/accueil.htm
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