ECAT

1. ECAT “The Tool for Purchasing Implants” Present by: Roy Dillard DLA Troop Support – Medical Supply Chain

2. Agenda • ECAT Overview • Multiple Award Schedules (MAS) • Competitive/Sole Source Contracts • Orthopedic Implants • ECAT Manufacturer Direct Program • Requirements Determination • Acquisition Strategy • Product Lines Covered • Navy Participation • Delivery Methods • How to Order • Wrap-Up • Questions/Answers FOR OFFICIAL USE ONLY

3. ECAT Overview • ECAT – An internet solution that uses the latest Electronic Commerce technology for Ordering, Receiving, and Bill Payment of Medical Devices and Supplies • Used for commodities not covered by Pharmaceutical and Med/Surg Prime Vendors • Interfaces with DMLSS • Suppliers Deliver Direct to Customers Worldwide FOR OFFICIAL USE ONLY

4. ECAT Overview • Facilitates ordering from the following types of Contracts: • ECAT Multiple Award Schedules (MAS) • Dental • Laboratory • Equipment • ECAT Competitive Contracts • Optical (LPTA) • Newborn Screening (Best Value) • ECAT Sole-Source Contracts • Hologic ThinPrep Pap Testing • Orthopedic Implants • Medical Readiness Contracts • Contracts have a Standard Length of Five or Ten Years FOR OFFICIAL USE ONLY

5. ECAT Multiple Award Schedules (MAS) • Contracts Awarded and Orders Processed pursuant to FAR Part 8.4 – Federal Supply Schedules • Multiple Catalog Ordering • On-line Comparison Shopping for Best Value • Customer Selects Product and Vendor • Price • Delivery • Past Performance • Other Factors • “Navy Medical Standard Operating Procedure (SOP) – Electronic Catalog (ECAT)” 14 SEPT 2011, Version 2.0 • Pursuant to DFARS 208.405-70, all Orders exceeding SAT are suspended and competed amongst ECAT Schedule Holders FOR OFFICIAL USE ONLY

6. ECAT Competed/Sole Source Contracts • Contracts awarded using the following acquisition strategies do not require competition at the ordering level: • FAR 15.101-1 Tradeoff process. • FAR 15.101-2 Lowest price technically acceptable source selection process. • FAR 6.302 Circumstances permitting other than full and open competition. • Always Follow Navy Policy and Local Guidance FOR OFFICIAL USE ONLY

7. Orthopedic Implants:Requirements Determination • Requirements Determination for “Physician Preference Items” • The Main Driver: “Physician Experience” • Physicians are trained on one manufacturer’s line • Each product line has its own features and therapeutic outcome • Physicians do not consider substitute items • Only one MFG can be solicited to meet physician needs • Factors normally considered for competitive procurements not considered for “Physician Preference Items” (i.e. Price, Delivery, etc.) • MTFs Drive Contracting Efforts based on Demand • DLA Troop Support conducts Market Research on MFGs Identified by Customers FOR OFFICIAL USE ONLY

8. Orthopedic Implants:Acquisition Strategy • ECAT Manufacturer Direct • Individual MFGs solicited on an Other than Full and Open Competition Basis • Establish Fixed Price (with Economic Price Adjustment) Indefinite Delivery/Indefinite Quantity (IDIQ) contracts with multiple Orthopedic MFGs FOR OFFICIAL USE ONLY

9. Orthopedic Implants • Product Lines on Contract at DLA Troop Support FOR OFFICIAL USE ONLY

10. Orthopedic Implants:Navy Participation FOR OFFICIAL USE ONLY

11. Orthopedic Implants:Zimmer Opportunity • Current Navy Spend on Orthopedics: $15.1 Million • Product Lines that can be supplied by Zimmer through ECAT Contract • Knee Joint Implants • Spinal Implants • Hip Joint Implants • Orthopedic Trauma Implants • Reusable Surgical Instruments • Consumable Surgery Supplies • Zimmer Market Share (90%) • Estimated Spend: $8.0 Million • Potential Savings: $7.1 Million FOR OFFICIAL USE ONLY

12. Orthopedic Implants • How to Place ECAT Orders for Orthopedic Implants and Procedures Present by: Thomas E. Rosenthal DLA Troop Support – Medical Supply Chain FOR OFFICIAL USE ONLY

13. Orthopedic Implants:Delivery Methods • Order Process for “Customer Direct” Orders • Orders flow from DMLSS through ECAT to Vendor • Vendor confirms orders • Vendor ships product directly to the Customer • Order Process for “Just-in-Time” (or “Carry-In”) & Consignment • Exclusive to Orthopedic Implants • Surgery is Scheduled • Customer Creates “Not-to-Exceed” (NTE) Purchase Order • Creating a NTE Purchase Order prior to a surgery taking place obligates funds and protects against ADA violations. • Vendor personally delivers product to Orthopedic Surgeon “Just-In-Time”; or MTF Staff take products that have been “Consigned” by the Contractor • Procedure is Performed • Customer issues Delivery Order using ECAT for Actual Products used during the Procedure • Vendor confirms order • Customer Posts Receipt FOR OFFICIAL USE ONLY

14. Orthopedic Implants:Processing JIT/Consignment Orders • Submit the “Not-to-Exceed” (NTE) • Placed in advance of a surgery taking place • Failure to do so may result in an Anti-Deficiency Act violation • Each NTE purchase order allows MTFs to place multiple items used during a Procedure onto a single ECAT Order • Items required for a procedure are typically not known until the time of surgery • NTE Orders can be created using one of the following methods: • Inventory Management (IM) Offline Submit • Used when the Supply Chain Management Office initiating the order has access to the “Inventory Management” Function in DMLSS • Chart 15 of this Presentation • Customer Area Inventory Management (CAIM) Offline Submit – Direct to ECAT as Source of Supply (SOS) • Used when Customer’s Logistics Office initiating the order does not have access to the “Inventory Management” Function, but can submit orders directly to ECAT’s SOS code of “ECA” • Charts 16-18 of this Presentation FOR OFFICIAL USE ONLY

15. Submitting NTE Purchase Orders“IM Offline Submit” Used when the Logistics Office initiating the order has access to the “Inventory Management” Function in DMLSS Step 1: Open “Inventory Management”, start a new “Offline” order, and search for the Orthopedic Procedure NTE Item ID Step 2: Add Customer ID (for the Orthopedic Department) to Order Step 3: Insert a Quantity of “1” and “Execute” the order. The NTE Order has been Submitted to ECAT! P01ZIM FOR OFFICIAL USE ONLY

16. Submitting NTE Purchase Orders“CAIM Offline Submit – Direct to ECAT as SOS” b a • Use “Customer Area Inventory Management” when • Customer’s Logistics Office initiating the order does not have access to the “Inventory Management” Function • But can submit orders directly to ECAT’s SOS code of “ECA” • Step 1: • Open “Customer Area Inventory Management” • Select your Customer DoDAAC • Start a new “Offline” order c FOR OFFICIAL USE ONLY

17. Submitting NTE Purchase Orders“CAIM Offline Submit – Direct to ECAT as SOS” • Step 2: Search for the Orthopedic Procedure Part Number (NTE Part Number) • Step 3: • Ensure SOS of ECA • Ensure an Order Qty of “1” • Submit as a Build, Process and Submit (BPS) Order • Step 4: Click through the confirmation dialogue boxes. • Step 5: After clicking “OK” on the last dialogue box, you will be taken to the BPS Order screen, and asked to make an SOS Selection. Re-Confirm “ECA” as your SOS. P01ZIM ZIMMER ORTHOPEDIC HIP,KNEE, EXTREMITY, OR TRAUMA PROCEDURE ECA $24,000.00 FOR OFFICIAL USE ONLY

18. Submitting NTE Purchase Orders“CAIM Offline Submit – Direct to ECAT as SOS” Step 6: Execute the Order. You will receive some additional confirmation dialogue boxes; simply click “OK” through these. The NTE Order has been submitted to ECAT! ECA $24,000.00 FOR OFFICIAL USE ONLY

19. Orthopedic Implants:Submitting NTE Purchase Orders • Notes to Remember: • NTE Orders should be: • Placed in advance of a surgery taking place • Failure to do so may result in an Anti-Deficiency Act violation • When indicating the Quantity of a Procedure, always insert as a Quantity of “1” • Once the contractor acknowledges the order in ECAT: • ECAT will automatically send the award status updates to DMLSS (AE_ and AB_ MILSTRIP status responses) • Provides the contract and call numbers • Adjusts the NTE order amount to match the actual value of the order • All unused funding will be de-obligated and can be used again by the MTF to fund any future requirements FOR OFFICIAL USE ONLY

20. Submitting Orders for Completed Orthopedic Procedures using ECAT After the Procedure takes place, the Logistics Office will be provided with a list specifying exact items used during the procedure. Use this List to complete the Order in ECAT using the following steps: Step 1: Log into ECAT Step 2: Go to your “Not-To-Exceed” Purchase Orders by going to “Order History”, then “View Consignment Carts” Step 3: Start Processing a new “Not-To-Exceed” Purchase Order by clicking on the Requisition Number N0025920610306 N0025920610304 FOR OFFICIAL USE ONLY

21. Submitting Orders for Completed Orthopedic Procedures using ECAT • Step 4: Add items to the NTE Order. From the Consignment Purchases Screen, you can add the items used during the procedure to the NTE Order. • Step 4.1: Insert the Part Number • Step 4.2: Insert the Serial Number • Some orthopedic products have serial numbers associated with them • Including them makes it easier to track and reconcile orders • Useful in rare cases of Product Recall • Step 4.3: Input the Quantity • Step 4.4: Add the Procedure Component • Step 4.5: Repeat 4.1 through 4.4 for each component used during the Procedure FOR OFFICIAL USE ONLY

22. Submitting Orders for Completed Orthopedic Procedures using ECAT • Step 5: Perform Final Checks. Ensure that: • All items used during the procedure have been accounted for • All quantities are correct • NOTE: If an Item is not found when trying to add it to the Order • Call the ECAT Help Desk and Report the Problem • Do Not Process the Order Until the Item has been Found and Added to the Order • Step 6: Submit Order by clicking on “Proceed to Checkout” • Step 7: Print the Order Confirmation FOR OFFICIAL USE ONLY

23. Submitting Orders for Completed Orthopedic Procedures using ECAT • After submitting the Order, the vendor acknowledges the Order, and ECAT automatically updates the price of the Procedure in DMLSS. • After Order Acknowledgement, you may post the receipt. • The receipt must be posted in both DMLSS and in ECAT. • Receipt in DMLSS acknowledges receipt of the “procedure” requisition number • Receipt in ECAT acknowledges receipt of the procedure’s “components” • To post the receipt in ECAT: • Log into ECAT • Pull up Order under “Order History” • Click on the “Confirm Receipt” Icon at the bottom of the Order FOR OFFICIAL USE ONLY

24. Wrap-Up • The Medical Electronic Catalog (ECAT) System is an internet based system that interfaces with DMLSS • ECAT Facilitates multiple types of ordering against Long-Term IDIQ Contracts • Multiple Award Schedules • Competed Contracts • Sole Source • Orthopedic Implants are considered “Physician Preference Items” • Orthopedic Implants are available through ECAT as well as other Med/Surg Ordering Mechanisms • Ordering Orthopedic Implants for Procedures through ECAT can help to greatly simplify MTFs’ current Order Process and also save MTFs money • To receive full training for MTF personnel on the ECAT JIT/Consignment Ordering Process, contact the ECAT Help Desk at 1-800-290-8201 or dscpecathelp@dla.mil. • Questions? FOR OFFICIAL USE ONLY

25. Points of Contact • Roy Dillard • Chief, ECAT Division • (215) 737-2296 (DSN: 444) • roy.dillard@dla.mil • Nancy Richardson • Team Lead, DLA Troop Support, Ft. Detrick Cell • (301) 619-4479 (DSN: 343) • nancy.richardson@us.army.mil • Thomas E. Rosenthal • Contracting Officer, ECAT Manufacturer Direct • (215) 737-0850(DSN: 444) • thomas.rosenthal@dla.mil • ECAT Help Desk • 1-800-290-8201 • dscpecathelp@dla.mil FOR OFFICIAL USE ONLY