Material Management For Hospitals

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    DefinitionIt is concerned with planning, organizing and

    controlling the flow of materials from their initial

    purchase through internal operations to the service

    point through distribution.OR

    Material management is a scientific technique,

    concerned with Planning, Organizing &Control of flow

    of materials, from their initial purchase to destination.

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    The Materials Management Procedures

    enable centralised procurement and

    distribution of medical, biomedical,

    pharmaceutical, medical & non-medicalfurniture and general items.

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    AIM OF MATERIAL MANAGEMENT

    To get

    1. The Right quality

    2. Right quantity of supplies

    3. At the Right time

    4. At the Right place

    5. For the Right cost

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    PURPOSE OF MATERIAL MANAGEMENT

    To gain economy in purchasing

    To satisfy the demand during period of replenishment

    To carry reserve stock to avoid stock out

    To stabilize fluctuations in consumption

    To provide reasonable level of client services

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    FUNCTIONS

    The Materials management functions are asenumerated below:

    Standardisation of Items

    Purchase

    Storage as per product requirements

    Inventory Management

    Distribution

    Maintain Records utilisation pattern,

    supplierslist, etc.

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    Economy in material management

    Containing the costs

    Instilling efficiency in all activities

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    ORGANOGRAM

    Medical director

    Purchase manager

    Purchase and

    stores

    committee

    Asst. manager

    purchase & stores

    Stores manager

    Store asst.

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    Four basic needs of Material

    management1. To have adequate materials on hand when needed

    2. To pay the lowest possible prices, consistent with

    quality and value requirement for purchases

    materials

    3. To minimize the inventory investment

    4. To operate efficiently

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    Basic principles of material management1. Effective management & supervision

    It depends on managerial functions of

    Planning Organizing

    Staffing

    Directing

    Controlling Reporting

    Budgeting

    2. Sound purchasing methods

    3.Skillful & hard poised negotiations

    4.Effective purchase system

    5.Should be simple

    6.Must not increase other costs

    7.Simple inventory control programme

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    Elements of material management

    1. Demand estimation

    2. Identify the needed items

    3. Calculate from the trends in Consumption during last

    2 years.

    4. Review with resource constraints

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    Functional areas of material management1. Purchasing

    2. Central service supply

    3. Central stores4. The print shops

    5. The pharmacy

    6. Dietary

    & Linen services

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    Standardisation of Items

    All the items to be procured, stored and

    utilised will be fixed by The Material

    Standardisation Committee

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    REDUCTION OF VARIETY AND HOSPITAL

    STANDARDISATION

    Item codes are designed to avoid

    duplication, i.e. no item has two item codes

    or no two items share the same code Yearly review of the entire inventory,

    demarcating the non-moving items, slow

    moving items and the fast moving items

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    Contd...

    Non-moving items are removed from theinventory, levels of slow moving items

    inventory is reduced and adequate stock

    of fast moving items is maintained

    Inclusion of new items carried out through

    proper authorisation. This is made

    possible, if and only if, the respective

    departmental head is able to justify its

    utilisation on a regular basis.

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    PRODUCT STANDARDISATION GUIDELINES Policy Statement: It will be the policy of the hospital

    that any product or piece of equipment that isproposed for use within the hospital must firstundergo evaluation and approval by The MaterialStandardization Committee.

    The Material Standardization Committee, wouldprioritise the quality of the product in relation to theprice. Products not been in the market for a periodless than 10 years and tested for its accurateperformance would not be considered for listed.

    Exception to this will be only after authorisation by theMedical Director (Medical)/ Director (Administration)

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    on ...Procedural Documentation:

    All potential products are forwarded to the

    Purchase and Stores Department by the Doctor,Departmental Head, Hospital Personnel, Sales

    representativesetc.

    All items are screened by the respective

    department prior to forwarding to the Purchase

    and Stores Department. Their recommendations

    and comments about the item should accompany

    all the requests.

    An agenda is prepared and distributed to the

    members one week prior to the next committee

    meeting by the purchase/stores officer

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    Committee Meetings

    Arranged on a quarterly basis, or on aneed

    base.

    Committee actions are:

    1. Evaluation of the product time period

    determined

    2. Non-acceptance of the Product

    3. Acceptance of the Product

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    Exception

    All items must undergo the above procedure

    with one exception. If the product is requested

    on an emergency basis, it can be purchased,

    and a justification would have to be providedwith in 24 hours by the Purchase Officer

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    Emergency procedure

    Send requisition to the stores

    If the item available it is issued and if notavailable is forwarded to the purchase officer

    The purchase officer or the next person in

    authority would take authorisation from theManaging Director / Executive Director /

    Hospital Administrator and purchase the

    required item from the market. This would be

    accounted for as an ad hoc purchase The item is handed over to the stores officer

    who would issue the same to the

    requisitioning party

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    PURCHASE

    The centralisation of all the purchase enables

    to set up quality controls for all the items

    being procured by the hospital. Items required

    for all the departments are centrally monitoredat this level

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    Purchases are made for

    Pharmaceutical items by thepharmaceutical contractor/chief of

    pharmacy

    Medical Instruments - ExecutiveMaterials, along with stores and purchase

    officers

    Specific requirements of the Pathology

    and the Imaging departments by the

    respective purchase manager/officers

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    Contd...

    Bio-medical and General Maintenancebythe respective contractors

    Stationery requirements of the hospital -

    hospital stores and purchase officer

    Furniture & Fixtures - hospital stores and

    purchase officer

    Capital Equipment - hospital stores and

    purchase officer (under authorisation of theExecutive Director)

    Kitchen equipment and suppliesby the

    respective contractor

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    PROCUREMENT

    1. Direct from companies

    2. Medical stores/hospital stores

    3. Vendors/distributors of region

    4. Receiving donations/grants/supplies

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    Procurement cycle

    Review selection

    Determine needed quantities

    Reconcile needs & funds

    Choose procurement method

    Select suppliers

    Specify contract terms

    Monitor order status

    Receipt & inspection

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    Objectives of procurement systemAcquire needed supplies as inexpensively as possible

    Obtain high quality supplies

    Assure prompt & dependable delivery

    Distribute the procurement workload to avoid period of

    idleness & overwork

    Optimize inventory management through scientific

    procurement procedures

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    CALL FOR

    OFFERS

    CALL FOR

    OFFERS

    YESYES

    DETERMINE DRUGS & DRUG

    REQUIREMENTS

    DETERMINE DRUGS & DRUG

    REQUIREMENTS

    DRUG REQUIREMENTSDRUG REQUIREMENTS

    DONATION

    SOURCE

    DONATION

    SOURCE

    GOVERNMENT

    PRODUCTION

    GOVERNMENT

    PRODUCTION

    DETERMINE DRUGS & DRUG

    REQUIREMENTS

    DETERMINE DRUGS & DRUG

    REQUIREMENTS

    PURCHASE

    REQUIREMENTS

    PURCHASE

    REQUIREMENTS

    OPEN TENDEROPEN TENDER RESTRICTED

    TENDER

    RESTRICTED

    TENDERNEGOTIATED

    TENDER

    NEGOTIATED

    TENDERDIRECT

    PURCHASE

    DIRECT

    PURCHASE

    REQUEST OFFERS FROM

    ELIGIBLE SUPPLIERS

    REQUEST OFFERS FROM

    ELIGIBLE SUPPLIERSLOCATE

    RELIABLE

    SUPPLIERS

    LOCATE

    RELIABLE

    SUPPLIERS

    CONTACTRELIABLE

    SUPPLIER

    CONTACTRELIABLE

    SUPPLIER

    EVALUATE &

    SELECT SUPPLIER

    EVALUATE &

    SELECT SUPPLIER

    EVALUATE OFFERS

    & SELECTSUPPLIERS

    EVALUATE OFFERS

    & SELECTSUPPLIERS

    NEGOTIATE PRICE &

    SUPPLY CONDITIONS

    NEGOTIATE PRICE &

    SUPPLY CONDITIONS

    ESTABLISH

    PRICE

    ESTABLISH

    PRICE

    PURCHASE ORDER

    / CONTRACT

    PURCHASE ORDER

    / CONTRACTPURCHASE ORDER /

    CONTRACT

    PURCHASE ORDER /

    CONTRACTPURCHASE

    ORDER /

    CONTRACT

    PURCHASE

    ORDER /

    CONTRACT

    PURCHASE

    ORDER /

    CONTRACT

    PURCHASE

    ORDER /

    CONTRACT

    DRUGS RECEIVED, CHECKED AGAINST PURCHASE ORDER / CONTRACT SPECIFICATIONS & CLEARED

    FOR DISTRIBUTION

    DRUGS RECEIVED, CHECKED AGAINST PURCHASE ORDER / CONTRACT SPECIFICATIONS & CLEARED

    FOR DISTRIBUTION

    ADJUST

    QUANTITIES

    ADJUST

    QUANTITIES

    ADJUST

    QUANTITIES

    ADJUST

    QUANTITIES

    YES

    NO

    YES

    NO

    NO NO NO

    YES YES

    FLOW OF PROCUREMENT DECISIONSFLOW OF PROCUREMENT DECISIONS

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    Open tenderPublic bidding, resulting in low prices

    Published in newspapers

    Term - 4 weeks

    Quotations must be sent in the specific forms

    that are sold, before the time &date mentioned inthe tender form

    In technical items, two packets or two bins

    system is followed. Offers are given in two

    separate packets.1. Technical bid

    2. Financial bid

    Cont

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    First technical bid is opened & short listed

    Then financial bid of selected companies are

    opened & lowest is selected

    Delayed tenders & late tenders are not accepted.

    But if, in case of delayed tenders, if the rate quoted is

    very less, then it can be accepted.

    Quotations are opened in presence of indenting

    department, accounts & authorized persons of party

    Validity of tendersgenerally 90 days

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    Earnest money

    2 % of the tender amount or as decided has to be paid

    along with all quotations. In case of default 1/5 is withheld

    Restricted or limited tender

    From limited suppliers (about 10)

    Lead-time is reduced

    Better quality

    Negotiated procurementBuyer approaches selected potential Suppliers & bargain

    directly

    Used in long time supply contracts

    Direct procurementPurchased from single supplier, at his quoted price

    Prices may be high

    Reserved for proprietary materials, or low priced, small

    quantity & emergency purchases

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    Rate contractFirms are asked to supply stores at specified Rates

    during the period covered by the Contract

    Spot purchaseIt is done by a committee, which includes an officerfrom stores, accounts & purchasing departments

    Risk purchaseIf supplier fails, the item is purchased from otheragencies & the difference in cost is recovered from

    the first supplier

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    Points to remember while purchasingPROPER SPECIFICATION

    INVITE QUOTATIONS FROM REPUTED FIRMS

    COMPARISON OF OFFERS BASED ON BASIC PRICE, FREIGHT &

    INSURANCE, TAXES AND LEVIES

    QUANTITY & PAYMENT DISCOUNTS; PAYMENT TERMS

    DELIVERY PERIOD, GUARANTEE

    VENDOR REPUTATION (RELIABILITY, TECHNICAL CAPABILITIES,

    CONVENIENCE, AVAILABILITY, AFTER-SALES SERVICE, SALES

    ASSISTANCE)

    SHORT LISTING FOR BETTER NEGOTIATION TERMS

    SEEK ORDER ACKNOWLEDGEMENT

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    STORAGE

    STORE MUST BE OF ADEQUATE SPACE

    MATERIALS MUST BE STORED IN AN APPROPRIATE

    PLACE IN A CORRECT WAY

    GROUP WISE & ALPHABETICAL ARRANGEMENT

    HELPS IN IDENTIFICATION & RETRIEVAL

    FIRST-IN, FIRST-OUT PRINCIPLE TO BE FOLLOWED

    MONITOR EXPIRY DATE

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    FOLLOW TWO BIN OR DOUBLE SHELFSYSTEM, TO AVOID STOCK OUTS

    RESERVE BIN SHOULD CONTAIN STOCK THAT

    WILL COVER LEAD TIME AND A SMALLSAFETY STOCK

    Issue & use

    CAN BE CENTRALIZED OR DECENTRALIZED

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    METHODS OF PURCHASEAll purchases are usually based on Yearly tender

    system. The Standardisation of ProductsCommittee will decide the various suppliers for all

    the items, by March of the preceding year for the

    next financial year April to March. The call for

    tenders will be publicised by the month ofDecember

    All tenders are reviewed with utmost

    confidentiality

    The results declared and all the formalities

    complete by the first week of march ensuring that

    the products are received by the 1stof April

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    The Purchase Function

    Requisition for Purchase

    As per Reorder levels (ROL)

    Urgent requirement of stores / department

    1. Purchase Order

    2. Receiving Process

    3. Transfer to Stores

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    The requisition for purchase is generated

    Either when the product stock levels reach the

    ROL, which is explicit in a well maintained and

    upgraded stock register. The Quantity is decided

    as per Economic Order Quantity (EOQ), EOQ is calculated on consideration of the shelf

    life, utilisation pattern, and procurement time.

    Or as an emergency requirement, this product

    might or might not be on the Standard Product

    list.

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    PURCHASE ORDER

    PO is Generated when the requisition is

    rechecked with the existing stock, and the

    requirement is genuine. The PO is prepared

    in duplicate to ensure that the productsreceived are as per the specifications laid

    down in the purchase order.

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    STORES

    Centralised stores ensures reduced

    inventory costs, more organised supply

    and improved utilisation of space and

    manpower. Stores control is necessary to

    curtail the pilferage to a large extent.

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    System of stores Establishes the initial inventories, sets up

    quantities and supplies of all the items, up-grades the same

    Specific day/s are fixed for the requisitioning of

    various items Emergencies are attended through a recheck

    with respective departmental head

    All departments send their requisitions withappropriate authorisation to the stores

    Stores department promptly delivers therequisitioned items to the respective department

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    When the requisitioned items are not in stock

    EITHER the items are delayed in thepurchasing process whereby store

    communicates with the respective

    department of the delay and provides the

    items as and when procured,

    OR the items are not stocked in the

    stores, in such a case the stores

    department is to return the requisitionwith same/similar items after confirming

    the acceptance of the same from the user

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    Receiving Process

    Specifications are as per the request placed

    by the respective department and/or

    consultant

    Items substituted without prior approval of the

    purchasing department Shelf life of the items

    Damaged and/or defective items

    Excess / Shortage in quantity Supplies for which purchase orders have not

    been placed (all the above should be verified

    by reviewing the purchase orders)

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    Contd...All the items when they arrive at hospital

    will have a Goods Received Note (GRN),which is a counter check to the itemsordered to the items received. The GRN

    would be verified during the physicalverification process

    The Physical verification of the Items iscarried out by the Stores Officer along

    with the respective departmental head /representative of the department toensure that the item received is the onerequisitioned item.

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    Contd... Physical verification for general items require

    verification of items in a random fashion, in

    case of high value items verification is a

    detailed verification of all the features

    After physical verification the bills areforwarded to the Finance Department, where

    the payment is made within the stipulated

    number of days mentioned in the contract.

    All the items are then transferred to the Storesalong with the item specifications and their

    quantities after physical verification

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    The Pharmacy Services

    Definition:-Premises licensed for the retail sale or

    supply to the Hospital Out Patient

    department and/or In Patient area of drugs

    which have qualified licensed person(s)and indulge in compounding of drugs.

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    Functions of Pharmacy Services

    1. Demand estimation

    2. Compounding and manufacturing of sterile and nonsterile products.

    3. Quality control of drugs purchased.

    4. Supply of Drugs to In patient, Wards, I.C.U., O.Ts,Emergency etc.

    5. Dispensing for Out Patients.6. Maintenance of formulary system.

    7. Furnishing Drug information to Physicians and otherprofessional staff.

    8. In-Service training, teaching and research and clinicaltrials.

    9. Patient Education

    10. Drug use review

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    Types of Pharmacies

    1. Pharmacy for O.P.D.

    2. Pharmacy for In Patients Services

    3. A combination of both.

    4. A retail sale counter in the Hospital

    5. A combination of above all type.

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    Managerial Issues in

    Pharmacy Services

    1. Control of Drug costs.

    2. Effective Staff utilization.

    3. Human Relation.

    4. Consumer Satisfaction.

    5. Non availability of Drug.

    6. Supply of Sub Standard Drugs.

    7. Drug pilferage.

    8. Drug distribution system.

    D b i i i h

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    Documents to be maintain in the

    Pharmacy Service

    1. Non expendable stores ledger.

    2. Expendable stores ledger.

    3. Indent file.

    4. Formula file for manufacturingmedicaments.

    5. Costing returns.

    6. Report file.7. Stock verification returns file.

    8. Hospital formulary.

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    INVENTORY CONTROL

    Ensures maximum efficiency in utilisation of

    the items and enables to bridge the gap

    between the forecasted and the actual

    demand of the materials. Inventory control does not mean minimum or

    lowest inventory levels

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    FUNCTIONS OF INVENTORY

    CONTROL

    TO PROVIDE MAXIMUM SUPPLY SERVICE,

    CONSISTENT WITH MAXIMUM EFFICIENCY& OPTIMUM INVESTMENT.

    TO PROVIDE CUSHION BETWEEN

    FORECASTED & ACTUAL DEMAND FOR AMATERIAL

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    Guidelines for an effective Inventory Control Policy

    Review past records, and analyse theutilisation of the all the items

    Assign responsibilities with respect tovarious to various functions of inventory

    management Co-ordinate the procedures of inventory

    management with the internal auditors

    and computer systems Clear instructions describing the

    procedure of inventory procurement,issue, records maintenance and stock

    audit

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    Contd...All items should be identified with a distinct

    code which are to be followed either in anautomated or manual system, the code is to

    be clearly visible (specific colour can be

    provided)

    The Bin Cards and Stock Register should also

    contain the specifications of the respective

    item

    Classify the inventory, and segregate physicalareas for the various items as per their

    similarities in function and/or specifications

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    Contd...All the items are arranged in the following

    manner The items are segregated with respect to

    medical, surgical, linen, spare parts(Electrical, Plumbing, air-conditioning,

    ventilation etc.), equipment (all thedepartments), Radiology, Sonography,Laboratory, Pharmacy etc

    Further the items can be arranged

    alphabetically for easy access and retrieval ofitems

    Sign boards are placed identifying the zoneswith similar items

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    REPLENISHMENT SYSTEMS

    Fixed Order Quantity

    Economic Order Quantity (EOQ)

    Quantity to be ordered is fixed for each and

    every product

    As the order is fixed, the orders are placed at

    irregular intervals and reduces the ordering

    cost and inventory carrying cost

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    Contd...

    The Re-Order Levels ( ROL ) for ordering

    is reached when the item reaches the

    quantity reaches the buffer stock plus

    consumption required for the period ofprocurement

    These two methods for quantity required

    along with the time at which to orderwould maintain adequate stock and

    reduce stock out situations to a large

    extent

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    Economic order of quantityEOQ= Average Monthly Consumption X Lead Time [in

    months] + Buffer StockStock on hand

    CARRYING

    COSTPURCHASING

    COST

    ECONOMIC ORDER OF

    QUANTITY(EOQ)

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    Economic Order Quantity (EOQ)

    Q =

    Where,

    Q = Economic Order Quantity or optimum number

    of units per order to minimise the total cost C = Cost of one unit of item

    I = Inventory Carrying cost, expressed as apercentage of the value of the average inventory

    R = Total annual quantity requirement or total

    demand

    S = Ordering cost per order All the factors involved in placing an order are included in

    determining the EOQ; hence it would reduce pilferage to a

    large extent.

    2RS

    CI

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    RE-ORDER LEVEL: STOCK LEVEL AT

    WHICH FRESH ORDER IS PLACED

    AVERAGE CONSUMPTION PER DAY X LEAD

    TIME + BUFFER STOCK

    LEAD TIME: DURATION TIME BETWEEN

    PLACING AN ORDER & RECEIPT OF

    MATERIAL; IDEAL2 TO 6 WEEKS.

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    Re Order Level (ROL)

    ROL = B + Lc + Rc/2 where

    ROL = Re-Order Level

    B = Buffer Stock

    Lc = Lead Time Consumption Rc = Review Period Consumption

    The ROL looks into all the aspects like

    lead-time, buffer stock and theconsumption patterns, hence this wouldensure to reduce the stock possibilities toa large extent.

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    ABC ANALYSIS(ABC = Always Better Control)

    THIS IS BASED ON COST CRITERIA.

    IT HELPS TO EXERCISE SELECTIVE CONTROL WHENCONFRONTED WITH LARGE NUMBER OF ITEMS IT

    RATIONALIZES THE NUMBER OF ORDERS, NUMBER OF ITEMS &

    REDUCE THE INVENTORY.

    ABOUT 10 % OF MATERIALS CONSUME 70 % OF RESOURCESABOUT 20 % OF MATERIALS CONSUME 20 % OF RESOURCES

    ABOUT 70 % OF MATERIALS CONSUME 10 % OF RESOURCES

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    A ITEMS

    SMALL IN NUMBER, BUT CONSUME LARGE

    AMOUNT OF RESOURCES

    MUST HAVE:TIGHT CONTROL

    RIGID ESTIMATE OF REQUIREMENTS

    STRICT & CLOSER WATCH

    LOW SAFETY STOCKS

    MANAGED BY TOP MANAGEMENT

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    B ITEM

    INTERMEDIATEMUST HAVE:

    MODERATE CONTROL

    PURCHASE BASED ON RIGID REQUIREMENTS

    REASONABLY STRICT WATCH & CONTROL

    MODERATE SAFETY STOCKS

    MANAGED BY MIDDLE LEVEL MANAGEMENT

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    C ITEMSLARGER IN NUMBER, BUT CONSUME LESSER

    AMOUNT OF RESOURCES

    MUST HAVE:ORDINARY CONTROL MEASURES

    PURCHASE BASED ON USAGE ESTIMATES

    HIGH SAFETY STOCKS

    ABC ANALYSIS DOES NOT STRESS ON ITEMS

    THOSE ARE LESS COSTLY BUT MAY BE VITAL

    CUMMULATIVECUMMULATIVEANNUAL COSTANNUAL COST COS %

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    3-11-2008 6820000050020

    19950050019

    19900050018

    19850050017

    19800050016

    19750050015

    19700050014

    19650050013

    196000150012

    194500150011

    193000175010

    19125027509

    18850040008

    18450045007

    18000050006

    17500075005

    16750075004

    160000200003

    140000500002

    90000900001

    CUMMULATIVECUMMULATIVE

    COSTCOST [Rs.]ANNUAL COSTANNUAL COST

    [Rs.]ITEMITEM COST %COST %ITEM %ITEM %

    70 %70 %

    20 %20 %

    10 %10 %

    10 %10 %

    20 %20 %

    70 %70 %

    ABC

    A

    N

    A

    L

    Y

    S

    I

    S

    WORK

    SHEET

    VED ANALYSIS

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    VED ANALYSIS BASED ON CRITICAL VALUE & SHORTAGE COST OF AN ITEM

    IT IS A SUBJECTIVE ANALYSIS.

    Items are classified into:

    VITAL:Shortage cannotbe tolerated.

    ESSENTIAL:

    Shortage can be tolerated for a short period.

    DESIRABLE:

    Shortage will not adversely affect, but may be using more

    resources. These must be strictly ScrutinizedV E D ITEM COST

    A AV AE AD CATEGORY 1 10 70%

    B BV BE BD CATEGORY 2 20 20%

    C CV CE CD CATEGORY 3 70 10%

    CATEGORY 1 - NEEDS CLOSE MONITORING & CONTROL

    CATEGORY 2 - MODERATE CONTROL.

    CATEGORY 3 - NO NEED FOR CONTROL

    SDE ANALYSIS

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    SDE ANALYSIS

    Based on availability

    ScarceManaged by top level management

    Maintain big safety stocks

    Difficult

    Maintain sufficient safety stocks

    Easily availableMinimum safety stocks

    FSN ANALYSIS Based on utilization.

    Fast moving.Slow moving.

    Non-moving.

    Non-moving items must be periodically

    reviewed to prevent expiry & obsolescence

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    HML ANALYSIS

    Based on cost per unit

    HighestMedium

    Low

    This is used to keep control over consumptionat departmental level for deciding the frequency of

    physical verification.

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    Stores Systems Bin cards - product identification code,

    product specifications, and stock ofproducts (procured, issued (to whichdept), and the balance stock as per date

    Stock Registers - the stock received,issued, balance, their respective ROL andEOQ

    Requisition/s issued file

    Requisition/s pending file

    Requisition for purchase file

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    SALE OF SCRAP Sale of all the scrap and by-products

    handled by the stores department i.e. co-ordinate procurement storage & sale

    Authority to deem items as scrap lies withstore officer

    Bio-medical items and Linen decided byMaterial Standardization Committee

    Vendors for purchase of the scrap andby-products decided on an annual basisthrough tenders

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    Stores Officer, Manager Finance and the

    Hospital Administrator review the tenders,then decision is taken; and the contracts

    are usually valid for one year, under the

    approval of the competent authority like

    executive director

    After this scrap sold at rates fixed in the

    contract

    \Stores Officer, Manager Finance decide

    about fresh tenders

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    The by-products include (some of the itemsare):

    a). Silver [Radiology Department]

    b). Paper waste c). Plastics and glass ware

    d). Furniture and fixtures

    (Market survey is carried out to get the bestprice)

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    Guidelines of MATERIAL

    STANDARDIZATION COMMITTEE

    STORESRequisition for items from the stores:

    Stock of respective item reaches ROL

    Fast moving, high cost and irregular/

    consignment items

    ACCOUNTS & BILLING

    Maintain Accounts for the payment

    against bills raised

    Product Identification and requisition

    for purchase

    Procurement Process

    Prepare and Release Purchase OrdersReceipt and Physical verification of

    items and hand-over to Stores

    department

    (Forward the bills to the accounts for

    payment)

    PROCUREMENT PROCESS ACTIVITY FLOW

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    RECEIPT OF ITEMS

    Physical verification of items along with the

    respective departmental representative

    Ensure that the Goods received note is for theitems physically received

    Transfer of items to stores

    STORES MANAGEMENT

    Uupdate the stock records

    Pphysically place the item/s in the respective place

    Eensure that the required environmentAC/ Moisture

    free etc. is appropriate

    Iinventory ManagementEOQ, ROL etc.

    REQUISITION FROM USER

    DEPARTMENTS

    STORES AND INVENTORY MANAGEMENT

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    PERIODICAL REPORTS:Monthly reports

    Statement of revenue and expenditure

    Manpower Planning

    Cost Escalation and Inflation

    Usage of surgical and medical items

    Standardisation of new product/items

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    Quarterly Reports

    Linen Inventory and Usage Report

    Pharmaceutical services

    Stock outs

    Electrical / Air-conditioning / plumbing

    supplies utilisation

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    Half Yearly Reports

    Outstanding Purchase Orders

    Physical Inventory

    User review User review

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    Annual Reports

    Inventory levels

    New requisitions by medical and other staff

    for the next year

    Requests for equipment / instruments for thenext year

    j f i f

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    1. To procure right thing at the right time from the right

    place at the right price.2. To finalize contract for the continuous supply

    3. To identify indigenous/import substitutes.

    4. Preparation of Yellow page book of Vendors.

    5. To finalize AMCs6. To identify procedures leading to reduction in Lead-time.

    7. To maintain Economic Order Quantities & Minimum

    Inventory Level.

    8. To ensure that the activities of all user departments are insmooth flow.

    9. To release Purchase order.

    Major functions of purchase department

    Receiving Indent From Stores

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    Locate Vendor From Vendors Master Book

    Find Out Import Substitutes If AvailableLocally.

    Invite Quotations

    Decide terms, Conditions & Issue P.O

    Follow Up With Vendors & Action To Inform

    To Concerned Dept:

    Material To Be Laid Down In Store

    FUNCTIONS OF SUPPLY & STORE DEPARTMENT

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    1. To maintain minimum inventory level2. To maintain continuous & stable supply system

    3. To ensure proper storage conditions as per the nature of the

    items.

    4. To take adequate measures to prevent pilferage.

    5. To formulate Bin Card system6. To undertake ABC analysis.

    7. To implement FIFO system, GRR system.

    8. To prepare formats of various stores related documents.

    9. To ensure that there is proper co-ordination with all the user

    departments.

    FLOWCHART OF THE STORES ACTIVITIES

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    Receive requisitionfrom users.

    Check in the stores

    for availability

    Issue to user if

    available in the

    store & record

    If unavailable indent

    sent to purchase

    department

    FLOWCHART OF THE STORES ACTIVITIES

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    ON LUSION1. Material management is an important management tool which will

    be very useful in getting the right quality & right quantity ofsupplies at right time, having good inventory control

    2. Adopting sound methods of condemnation & disposal will improve

    the efficiency of the organization & also make the working

    atmosphere healthy in any type of organization, whether it isPrivate, Government, Small organization, Big organization and

    Household.

    3. Even a common man must know the basics of material

    management so that he can get the best of the available resourcesand make it a habit to adopt the principles of material management

    in all our daily activities

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