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FIM304_ILT_Case Management with WebOps R7.pptx

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FIM304/306
Bryce Broadhead
WebOps Processes and Changes

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2
Stryker operates under a strict “no training, no access” policy when it comes to SAP. To help you get the most out of your training:
Please turn off or silence your electronic devices, and refrain from using email, chat windows, or texting
Raise your hand (whether in-person or use the Teams function if virtual) to ask a question; you are highly encouraged to ask questions throughout the session
Housekeeping
Before we begin
Stryker’s confidential information – for internal use only
Scope of Slide
Global

Slide 3

Screen captures contained within this course are intended for the purpose of general understanding and reflect the system at the time of course development
There may be some discrepancies between features, functionality, or data demonstrated in this course and Stryker’s specific SAP system
Course disclaimers
Stryker’s confidential information – for internal use only
RAQ301_Course disclaimers

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Key terms and concepts
Term
Definition
Alias Quantity
The difference between a BC (Branch Custom) kit and MG (Manufacture Global) kits BOM (Bill of Materials).
Picks
Certain customers require same day replenishment. The Pick Process in WebOps replaces hospital inventory directly from branch shelf stock inventory after case usage. (Covered in detail in FIM 306)
TPR
Treatment Plan Request- this is for MAKO cases only and is an indicator of the sizing plan for each individual patient.
ASN
Advanced Shipping Notice- this is a new function coming to WebOps that will allow us to auto-receive restock and view tracking in real time.
MSC
Mass Status Change- this is a new function coming to WebOps that will allow users to select a large number of implants and change the status of all in a single action.
Stryker’s confidential information – for internal use only
RAQ301_Key terms slide 1

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Module 1
Case schedule

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Schedule at a glance
Search & Filter Options Include:
Customer/Facility: Locate cases by hospital or surgical site
Case Status: View new, shipped, returned, checked-in, consigned cases, etc.
Sales Rep: Filter by who is responsible for fulfillment
Usage Received: Filter for cases where the rep is finished with usage
The Case Schedule in WebOps helps you plan, track, and manage upcoming surgical cases. Use this view to filter and sort cases by key criteria. Multiple filters can be applied at once to home in on the exact cases you need.

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New and improved Case Schedule filters
Surgery Date Confirmed: Allows reps to plan and estimate case needs by planning for potential cases in the future. Product systems cannot be requested until surgery date is confirmed
Sales channel: Locate cases by sub-divisional distinction of products and procedures (FA, MK, TR, JR, etc.)
Robot Assisted: Users can filter on cases with Mako
Treatment Plan: Specific to TPR
Patient Specific Case Reference Type: Filter for cases with Preplanning prior to surgery (Blueprint, Prophecy)

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Case Schedule Hovering Feature
The hover feature in WebOps allows users to quickly preview the most relevant case information by hovering their mouse over the case, without needing to open the Case Details page.
Users will see
Case number
Customer name/facility
Procedure type
Sales Representative
Physician
Case Identifier
Surgery Time
New features include:
Preference: Free Text Field within the hospital settings that can be used for scenarios such as identifying Rapid Replen hospitals, etc.
TPR details are visible when hovering over TPR.
Rapid replenishment is visible in the hover.
TPR details visible in the hover.

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Module 2
Changes to “KITS” and Kit types

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Alias Quantity
Alias Quantity - Kit Alias Quantity represents the total quantity of an item calculated according to the standard Bill of Materials (BOM) configuration and when applicable will have a value of either Equal, Plus, or Minus.

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Stryker’s confidential information – for internal use only
RAQ301_Key terms slide 1
Automated TEMP Kits
When booking a cases Sales Reps will have the ability to officially request a TEMP kit for their surgery. This will allow them to request the individual items they may want as extra or backup and a per patient basis.
*Disclaimer- At launch this can only be done by the Sales Rep adding items to their temp kits with the Reference Number, future functionality will allow them to search based off of name.

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Alternative Kit Types – Automated Temp Kits
The Show Items function will give you a pop up of what is currently in the kit, you no longer need to click into the separate kit screen to view contents

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Other Alternative Kit Types
External Kits
This function is used to manually assign a kit that does not exist in WebOps.
Example: JR Loaner Bank Kits ordered through LoanerTrak.
Existing Kits
This function allows you to manually assign a WebOps kit that is already available within the branch but was not part of the original request.
Consignment Kits
This function is used to manually assign a WebOps kit stored at a consignment location within WebOps.

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Module 3
National Loaner Request

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What is National Loaners?
A centralized facility that stores instrument and implant kits for distribution, intended to supplement branch operations by providing additional resources when local inventory is limited or unavailable.
Sites
WebOps
LoanerTrak
JR
Mahwah
Tustin
🟢
Legacy Trauma
Arlington
🟢
Foot and Ankle
Arlington
🟢
Upper Extremity
Bloomington
🟢
National Loaner Request – LoanerTrak
A request for Loaner Bank JR related resources that is submitted through LoanerTrak.
National Loaner Request – WebOps
A request for Loaner Bank Trauma related resources that is submitted through WebOps.
* Note: All restock orders for National Loaner Kits will be placed manually using a ZKB transaction. Further training on placing these orders will be covered in FIM 302.

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National Loaners - WebOps
WebOps – National Loaner requests for FA/Trauma related kits will be submitted directly in WebOps through the “Request From LB” button in the Customizations section of the Kits Tab.
Kit Assignment – The receiving National Loaners Branch will assign the kit and this will be reflected on the requesting branches case.

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National Loaners - LoanerTrak
LoanerTrak - is a 3rd party application where the user will request JR Loaner Kits through the LoanerTrak Web Portal
WebOps – For kits requested through LoanerTrak, a follow up activity needs to be executed in WebOps where the user will assign an external kit to the case.

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Module 4
Outbound

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Stryker’s confidential information – for internal use only
RAQ301_Key terms slide 1
FEDEX INTEGRATIONS WITH WEBOPS
There will now be functionality for a FedEx label to made directly within the Shipment Maker within WebOps, this is best utilized when loaning items between branches as it will automatically attach a live tracking number to the case.
*Disclaimer- This will not be set up ready for use on launch of WebOps 2.5, but is something that can be added as needed by request.

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Shipment options

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Stryker’s confidential information – for internal use only
RAQ301_Key terms slide 1
Missing Items Report:
There has always been a shipment report that lists all missing items within all kits assigned to a case. In WebOps 2.5 the sales reps will have the ability to view this report on their end anytime we ship a case.

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WebOps Pick Process
Term
Definition
WebOps Pick Process (AKA Rapid Replenishment)
WebOps Pick Process replenishes hospital inventory directly from Branch Shelf Stock Inventory after case usage.
Ex. Certain customers require same day replenishment.
Can be performed using WebOps pick process once usage is added to a case,
No integration with SAP – Inventory must be transferred in SAP separately
WebOps pick process will pull from shelf stock and transfer to customer inventory location
Characteristics
Why it matters
WebOps Pick Process helps maintain surgical readiness, reduces the risk of stockouts, and ensures that field inventory levels stay optimized without administrative delays.

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Setting WebOps Pick Process preference
WebOps Pick Process customers can be easily identified by updating the Hospital Preference field.
Once set, this designation becomes visible on the Case Schedule screen—simply hover over the case to view the customer’s replenishment status.
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Pick functionality
Once usage has been completed, Ops user will initiate the replenishment process by performing the Pick for the customer if they can replenish from branch inventory. This will require scanning the replacement items into the pick to ensure they are accurately reflected in the customer's shelf stock inventory.
Step 1
Step 2
The blue ‘P’ icon indicates that a pick has been initiated
Ready to pick
The green ‘P’ icon indicates this case is picked complete.
Pick is complete

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Pick process flow
Once the consignment location has been updated in WebOps, a similar transfer must be made by the user in SAP to keep the two systems in sync.
Inventory is added through Pick or through a transfer
Inventory is transferred in SAP through ZPTPINVLOC 998/997 movements

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Module 5
Inbound Kit Check-in

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Inbound & Kit Check In Process Flow
(Inbound Method #1)
Add Incoming Shipment
Manually create an incoming shipment.
(Inbound Method #2)
Kit Process Tab Method
Auto creation of an incoming shipment.
Kit Check In
Check In
Admin Check In
Kit check in requires the creation and receipt of an incoming shipment. This can be done using two different methods
Or

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Manual Creation of Incoming Shipment
Shipments Tab
Add Incoming advances to the incoming shipment information section
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2

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Manual Creation of Incoming Shipment
Details are input for the incoming shipment and submitted upon saving.
*Note for Incoming shipments, the FedEx Integration does NOT produce a label; however, you can add the tracking number from a previously printed label into the tracking number field.

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Auto Creation of Incoming Shipment – Kit Process Tab
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4
Kit Process Tab
Scan or manually enter the kit barcodes
Submit Button submits everything that win in the scan window.
Truck Icon automatically creates inbound deliveries for all kits that were submitted. (If the truck is greyed out this means an inbound shipment already exists)

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Kit Check In
Kit Check In will display all kits that are ready to check in
1

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Kit Check In
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2
Check In - allows for kit check-in at the individual line level.
Admin Check In - checks in the kit, overrides status restrictions, and assumes the kit has the same contents as when it was sent out on the outbound shipment. Example: Use this when the tote comes back and is still zip-tied, ensuring nothing has been used or removed.

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Key terms and concepts
Term
Definition
ASN Receipt
Advanced shipping notification of inbound shipments to the field site and consignment locations within the field site network
ASN Number
Delivery number that is determined and sent by SAP
CNR – Cannot replenish
A part level flag for Stryker products that have a setting that does not allow them to be replenished. This setting is controlled by administrators.
DNR - Do not replenish
A part level flag for Stryker products controlled by Sales Rep/CSR/Ops to indicate that they would not like the product to be replenished after usage.
DNS – Do not submit
A part level flag for Stryker products that prevents replenishment and billing, typically used for hospital-owned product. User will manually create the ZOR sales order directly in SAP.
Special Stock Partner
This term is simply describing where the inventory is being placed digitally.

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Auto-receipt functionality and configuration in WebOps
When Special Stock Partner is an Internal House (IH) account;
Auto receipt = OFF (items must be received manually through ASN screen)
When Special Stock Partner is a Non-Internal House (IH) account;
Auto receipt = ON (the system receives the items automatically)
The auto-receipt functionality is configured in WebOps as follows:
IH ASN’s need to be managed on a daily basis
WebOps Reports are available to monitor Auto Receipt

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Receiving Replenishments via the ASN
Under the Receiving tab dropdown, Advanced Shipping Notice is selected to display the ASN List view. This is where the replenishment orders will come into WebOps via the ASN.
When first launching the ASN List page, filters can be used to narrow down the search criteria. The New, Partial Receipt, and Closed checkboxes search the Status of the ASN’s.
The column filters for Sales Order Number and ASN Number can be used to enter a specific number. In the Shipped Date column filter, a date range can be entered to search within.

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Advanced Shipping Notice – ASN List View
The Sales Order Number and ASN Number come over from SAP. The Sales Order matches the SAP Order Number shipped. The ASN Number is equivalent to the Delivery Document Number in SAP. As shown below, multiple sales orders can be tied to one delivery. There can also be one sales order tied to multiple deliveries.
The Reason Code field shows the Reason Code for the order coming over from SAP.
Shipped Date is the date the product was shipped from the Warehouse. Using the Shipped Date + Ship Method gives the user a way to calculate the expected delivery date.

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Advanced Shipping Notice – ASN Item List View
The Notes field for replenishments will display a letter S, this stands for Standard Items.
The ASN Tracking Number field gives a tracking number by line item for the shipment(s). This allows for multiple different tracking numbers to display for multiple deliveries. This is a hyperlinked field, if content of field matches FedEx/UPS formatting, when clicked, it will launch the carriers package tracking site.
Upon clicking on a Sales Order Number hyperlink, the ASN Item List screen is launched, this shows additional information for all the individual line items on the ASN.
The top checkbox can be selected to receive all items at once, or each line can be selected individually.
Once items are selected, clicking the Receive button launch’s the user into the Inventory Item Part Check In screen to complete receiving the items selected from the ASN.
When receiving Non-Sterile inventory, you will notice a lot/serial code is displayed, upon submitting and receiving the inventory, the lot code will get converted to Lot 0.

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Receiving Report to View Auto-Receipt ASNs
The Receiving Report can be accessed by clicking on the Reports tab, Under Inventory and Utilization Reports, select Receiving
A way to identify when a ASN was Auto-Received is by checking the Received By Field. “System” will display for ASN’s Auto-Received.
The Inventory Location in which the products were received on the ASN are displayed here. Notice this is a Non-Internal House (IH) Account the inventory was being received into which is why they were auto-received.
The ASN Number and ASN Tracking Number for items received in from Auto-Receipt ASN’s is captured here.

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RFID Tag Selection on Check In
RFID Tags help track inventory at check-in for field sites equipped with RFID technology.
Receive Inventory
Create RFID tag in WebOps
RFID Tag Created
Tag links to unique inventory item
Scanning/Tracking
Use RFID at check-in with ASN
or manual receipts
Select the radio button for “Create RFID Tag – Receive Inventory” on the Inventory Item Part Check In screen

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Phase out*
Vendor managed consignment*
(Ex: BIO4)
Bone cement*
Patient specific items*
(Ex: Prophecy)
Multi-packs*
(Ex: K-Wires)
National Loaner items
When restock is not needed
Loaner fees*
(Ex: Freight charges)
Can Not Replenish
Do Not Replenish
CNR vs. DNR
A part level flag for Stryker products that have a setting that does not allow them to be replenished. This setting is controlled by administrators.
A part level flag for Stryker products controlled by Sales Rep/CSR/Ops to indicate that they would not like the product to be replenished after usage.
*Auto checked at time of usage, this box can be unchecked
*Auto checked at time of usage, this box cannot be unchecked
Note: All items can be checked or unchecked for DNR.

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Module 6
Kit Maintenance

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Learning objectives
Understand the importance of kit management and the various reasons why kits are maintained
Navigate and utilize the Kit List Screen to manage inventory item statuses alerts and perform edits on kits
Execute procedures for editing, inactivating, and building kits to ensure accurate and efficient inventory management

Slide 43

Maintaining Kits
When a Branch Operations user is fulfilling daily cases, they will also need to manage the kits that are flagged for various reasons to keep them compliant and available to use on cases. To see the list of kits to be managed, navigate to the Kit List to view all the kit instances for the branch.
Why kits may need maintenance
Remove products that are on product holds
Remove expired products
Fill incomplete kits
Kit needs to be inactivated

Slide 44

Kit List screen
Users can utilize various filters to refine their search to see the relevant kits to be managed. Some common filters that are used:
Alerts – used to filter for kits containing expired or quality hold products
Complete – used to filter for kits that contain all their standard parts (complete), or kits that are missing components (incomplete)
Type – used to refine the kit list for only a specific type of kit (instruments, implants, combo, etc.)
Fig 1. Kit List Filter
Fig 2. Kit list Result List

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Inventory Item Level - Item Status Types
Item Status
Indications
Shelf Stock
Non-kitted inventory that is available for use and replenishment. This is the default status when receiving new inventory.
Kitted
Inventory that is included in a kit.
Used
Inventory that is recorded as usage in a case.
Returned
This status is assigned to an inventory item that has been returned to the Distribution center.
Not Returned
Kitted inventory items that are found missing during WebOps’ kit check-in process
Damaged
An inventory item that is damaged.
Expiring
Inventory that is within 90 days of expiration.
Transferred
Inventory that has been transferred and received at its destination location.
Dispositioned
This status will need to be manually updated post inventory adjustment in WebOps
Quarantine
Inventory that is currently on a Product Quality Alert (PQA).
On Transfer Shipment
Inventory that is currently on a saved but not submitted transfer shipment
Pending Receipt
Inventory that is currently included in a transfer that the destination location has not yet received
Kitted Pending Receipt
Inventory that is automatically assigned to a kitted item and its kit that is currently included in a transfer that the destination location has not yet received
Pending Disposition
Inventory that is currently pending decision on disposition.
Reconciled
Inventory that has been removed from WebOps due to data true up tool.
Link to Quick Reference Guide

Slide 48

Inventory Item Status Updates
If multiple expiring or product hold items are taken out of a kit and the Item Statuses need to be updated, the user can utilize the Bulk Change Item Status feature.
The Item Statuses can also be changed at the individual piece level by opening the Inventory Item Part Edit screen for the individual part and selecting the Item Status that it needs to be changed to.

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Usage Types – Loaner, Consignment, and External
Upon usage entry, the WebOps Decision Tree searches inventory available in WebOps and places each usage item in one of the following sections based on where it is found.
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2
3
Loaner Items
These are items used from the branches inventory location.
Consignment Items
These are items used from the linked WebOps customers/shared rep/hospitals inventory locations.
External Items
These are items used but not found in any linked WebOps Branch / shared rep / Consignment inventory locations.  
Click each screenshot to zoom

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Module 7
Biologics/Tissue Management

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Learning objectives
Understand the concept of biologic tissue and identify products that qualify for Biologics/Tissue Management
Utilize the BTI tag for bio products and perform pass/fail assessments, including disposition of Biologics/Tissue Management data
Download and interpret the Biologics/Tissue Management data from WebOps, including handling pass/fail results during kit check-in and generating the History Report

Slide 57

What is biologic tissue?
Stryker partners with regulatory bodies, like the FDA and American Association of Tissue Banks (AATB), to ensure our biologics meet strict quality and safety standards.
Biologics are designed to enhance healing and improve outcomes for patients of our Trauma and Extremities business.
Stored at Branch: Biologic products are temperature-controlled and monitored.
Tracked in WebOps: Full traceability of product movements and usage.
Biologics History: FDA requires full inventory history.
Inspection Required: Disposition must be logged as pass/fail with reason code.

Slide 58

What products qualify for Biologics/Tissue Management?
Bone Grafts: Including allografts, demineralized bone matrices (DBMs), and synthetic options to support bone regeneration.
Cellular Therapies: Products that include viable cells to promote healing.
Biologic Scaffolds: Designed to support tissue regeneration and integration.
Products include:
Prolayer
Bio4
ProChondrix
DBM
Allograft
Cancellous Chips
Human Tissue Bank

Slide 59

Cellular TherapiesContain viable cells to promote healing
What products qualify for Biologics/Tissue Management?
Biologic ScaffoldsSupport tissue integration and regrowth
Bone GraftsSupports bone regeneration
Allografts
DBMs
Synthetic options
Cellular TherapiesContain viable cells to promote healing
Cellular TherapiesContain viable cells to promote healing
These products must be logged in WebOps for compliance.
Prolayer
Bio4
ProChondrix
DBM
Allograft
Cancellous Chips
Human Tissue Bank

Slide 60

BTI tag for bio products
When reviewing product details in WebOps, look for the Biologics Tissue Indicator (BTI). This label flags any product that requires tracking and ensuring compliance with FDA regulations.
The BTI appears on various screens within WebOps and filters can be applied to screen for only BTI products. (click screenshot to zoom)
Tip: If a product is marked as a biologic, inspection and disposition must be completed.

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Inspecting Biologics — Pass/Fail
"Describes when the pop up appears. Pass/Fail workflow anytime product is received in or sent out. User must select the Pass/Fail
Consider the Biolog Balrog as an example"
For each Biologic product that triggers an inspection, there are two paths. The user can choose to Pass or Fail that product based on the condition of the product as it enters or leaves the facility.

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Inspecting Biologics — Pass/Fail
Pass
Fail