A major provincial transit agency, responsible for aprovincial transit fare payment service, had embarked on an ambitiousmodernization plan for that service with the following strategic objectives:

·        Improve the Client experience (where a Client isa transit delivery agency)

·        Improve the Customer (end-user) Experience viaaccess (multi-channel) and equity

·        Enable Fare Policies and modern payment methodsfor an improved Customer & Client experience

·        Lower the Total Cost of Ownership of the transitfare collection service

In support of their strategic objectives, the client organization desired to move to a multi-vendor ecosystem supported by best-of-breed solutions and vendors for the modernized fare collection solution.  In order to support this transformation, the provincial transit agency retained GEF to develop a target operating model (TOM) to support the future state multi-vendor environment the transit agency envisioned.

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One of the significant challenges facing Canada’s health system is the need to improve the management of prescription medication. Since 2016, our Client has been working with the provinces and territories and other stakeholders to establish a multi-jurisdiction e-Prescribing Solution (“PrescribeIT”) that would facilitate better, safer, more cost-effective and more appropriate prescription drug use by Canadians.

Within a two-year timeframe, the objective of the program was to develop and conduct a limited production release of PrescribeIT that allowed prescribers (i.e. doctors) to transmit a prescription to a patient’s pharmacy of choice electronically. During this time, GEF exclusively provided program management services to provide short and long-term planning, strategic alignment, leadership, subject matter expertise, program &project management, operational oversight, negotiation, monitoring, and risk management to ensure the successful roll-out and Pan-Canadian implementation of the program.

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In 2019, GEF was engaged by a leading Canadian healthcare organization that champions childhood cancer care to understand the business processes from end-to-end (current state), as it relates to its survivorship and aftercare programs and then develop future state requirements in order to make recommendations in support of its long-term roadmap. GEF also compiled an inventory of business processes and made recommendations for greater efficiency and closer alignment to its strategic goals.

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GEF conducted a Hospital Utilization and Efficiency Review for the Pharmacy function at one of the largest hospitals in Ontario, Canada, with the goal of improving utilization, effectiveness and efficiency in order to optimize aspects of this important business and clinical functions. This included:

• Analysis the current state (“as is”) environment;
• Established benchmark productivity rates and KPI’s for the current pharmacy drug distribution processes identified (e.g. Dispensing First Doses of Medications, Missing Medication Doses, Overrides in Automated Dispensing Cabinets);
• Identified opportunities for improved efficiencies within the current workflow;
• Conducted an external scan (“benchmarking”) and analysis of other comparable hospital inpatient pharmacy KPI’s, to assist in making recommendations to the hospital;
• Developed a cost efficient future state (“to be”) pharmacy service model for the hospital within an electronic health record environment to identify, evaluate and support like processes in the future electronic health record environment, which includes the replacement of the current Pharmacy Information System, implementation of a Computerized Prescriber Order Entry, moving to an electronic Medication Administration Record, and bedside barcode verification, prior to medication administration.

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