store management in hospitals

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    HOSPITAL STORES

    MANAGEMENT

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    Store Types

    General Store Pharmacy Store

    Main Store Sub Stores

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    General Store:

    MissionThe mission of the General Store Departmentis the acquisition of the right goods, in theright quantity, at the right place, from theright supplier, at the right cost, with aminimum inventory and operating

    investment, in order to service the needs ofthe Medical Center.

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    Core Tasks:

    Stores purchase

    Inventory Control

    Material

    Management

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    Terms Clarity:

    PURCHASE:

    An act of obtaining an article bymaking payments in terms of money or its

    equivalent, to buy for a price.

    INVENTORY:is itemized list of goods with their

    estimated worth, specifically annual account of

    stock taken in any business.

    CONTROL:An act of exercise, directing, guiding

    or retaining power over.

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    PURCHASE: After forecasting demand and after

    verifying budgetary allocation, purchase is

    initiated. The basic steps are as follows:

    1) Preparing detailed specifications

    2) Inviting offers by (a) quotations (b) tenders (c)direct enquiry

    3) Preparation of tabulated comparative statement

    of the offers received.4) Testing of samples/taking demonstration

    5) Placing purchase order.

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    INVENTORY:refers to the physical stocks of items

    which are kept idle in the store, but are essential for

    smooth functioning of the hospital.

    Importance & Need:

    1. To facilitate uninterrupted supply2. To guard against the risk of unpredictable

    changes in demands

    3. To take advantage of price fluctuations

    4. To exercise effective control over a) procurementb) holding c) distribution

    5. Effective inventory management seeks todetermine optimal level of stores items.

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    Techniques for Inventory control:

    ABC analysis: (Always Better Control)

    - About 10% of the items take away the budgetallocation to the extent of 70% of the totalallocation. These are grouped as A category items.

    - About 20% of items consume 20% of the budget.These are grouped as B category items.

    - About 70% of the inventory which will amount to

    only 10% of the total expenditure. These items aregrouped as C category items.

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    Cont.

    ABC ANALYSIS

    ITEMS QUANTITY % CONS. OF

    BUDGET ALLOCATION

    A 10% 70%

    B 20% 20%

    C 70% 10%

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    Limitations of A-B-C Analysis:

    a)The A-B-C Analysis, in order to befully effective, should be carried out

    with standardisation and codification.b)It indicates nothing regardingprofitability or criticality.

    c)The A-B-C analysis should bereviewed periodically so that changesin prices and consumption are takeninto account.

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    VED Analysis: (Vital, Essential & Desirable)

    - Vital:Items without which treatment comes tostandstilli.e. non availability cant be tolerated.

    - Essentials:Items whose non availability can betolerated for 2-3 days, as similar or alternativeitems are available.

    - Desirable:Items whose non availability can betolerated for a longer period.

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    Cont

    VED ANALYSIS

    Item Percentage

    Vital 10%

    Essential 40%Desirable 50%

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    Importance:

    As V-E-D analysis is based on thecriticality of the item, at times it can beused in the case of some materials whichare difficult to obtain.

    It gives some indication about the itemsthat should be disposed off so as to trim

    the inventories.This analysis is very relevant for drugs,instruments and equipments needed inoperation theatre and critical care units.

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    Economic Order Quantity: (EOQ)

    According to EOQ approach optimum level of

    investment in inventory is one where total cost of

    ordering cost and investment carrying cost will be

    minimum.

    EOQ = 2 AO

    PI

    A = Annual requirements in units

    O = Ordering CostP = Price per unit

    I = Inventory carrying cost

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    Economic order quantity

    CARRYING

    COSTPURCHASING

    COST

    ECONOMIC ORDER OF

    QUANTITY(EOQ)

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    Cont.....

    Ordering Cost: The cost to get theitems on inventory is ordering cost.

    This includes cost of staff,communications, stationary andtravel.

    Inventory carrying cost: This

    includes cost of staff, space, storagefacilities, security, insurance andwastage.

    B l i C i i t O d i

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    Balancing Carrying against Ordering

    CostsAnnual Cost ($)

    Order Quantity

    Minimum

    Total Annual

    Stocking Costs

    AnnualCarrying Costs

    AnnualOrdering Costs

    Total AnnualStocking Costs

    Smaller Larger

    Lowe

    r

    Higher

    EOQ

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    Material Management:

    Materials management for,

    General medical supplies

    Housekeeping and sanitary supplies

    Stationary and printing forms

    Operating room supplies

    Plant engineering, mechanical equipment

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    Materials management has 4 main

    components:

    1) Obtaining or

    acquiring

    2) Storage

    3) Distribution

    4) Exercising control

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    Acquisition of materials can be done by

    following methods:

    At departmental or sectional leveli.e. decentralized

    At Hospital levelcentralized purchase

    By a group or chain of hospitals:

    a. Having same management control e.g.. Municipal orgovernment hospital

    b. Chain of corporate hospitals having common governingbody e.g. Apollo hospitals, Wockhardt hospital etc.

    c. Three or four hospitals situated in the same citymaking joint, common purchase.

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    Personnel:

    Materials Manager or over all

    in-charge

    Store Keeper Store assistants

    Helpers

    Security personnel