Group 3A Hospital Logistics

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    Supply Chain and Logistics Hospitals

    Responding efficiently can save lives.

    By: Ananta Kanoria| Gagan Vermani| Ravitosh Srivastava| Saurabh Saboo| Sumit Mallik

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    Hospital Value Chain

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    Information Facility

    InventorySourcing

    Supply chain

    &

    Logistics

    Transportation

    Pricing

    Hospital

    Facility

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    Facility

    Facility plays a central role in thefunctioning of the supply chain of hospital.

    Leading Factors :

    Location density of population, proximity to suppliers

    Type of services Specialized or General

    Layout size of machines, changes in technology

    Flexibility and Expandability

    Number of beds size

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    Hospital Facility Layout

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    Inventory

    Information Facility

    InventorySourcing

    Supply chain

    &

    Logistics

    Transportation

    Pricing

    Inventory

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    Inventory

    Inventory averages about 30-35% of the hospitals Supplychain costs

    A typical hospital pharmacy has more than 2,000 products

    in its inventory

    Hospital pharmacists are expert at evaluating the efficacy

    of drugs, many haven't looked closely enough at their

    inventory management processes

    In fact, the typical health system pharmacy does not use

    calculated methods for determining product orders.

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    Consequences of traditional pharmacy purchase:

    Low inventory turns per year

    Missed contract compliance

    Excess inventory levels

    Frequent stock outs and costly emergency deliveries

    Workflow interruptions and expensive rework

    Increased health system labour requirements

    Inventory

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    Inventory - Optimizing

    Inventory Process Redesign

    Technology

    B

    uye

    r

    Expe

    rience

    Change

    Managem

    ent

    Buyer Experience

    Velocity Ranking

    Technology

    Inventory management tools

    HIMS

    Change Management

    Streamlining product

    replacement process

    Organizational acceptance

    of new process

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    Inventory - Optimization

    Benefits of Optimized Inventory

    Increased Inventory Turns

    Increased capital availability

    Improved Contract Compliance

    Improved service due to reduced stock outs

    Freeing up of pharmacist time to focus more on

    patients rather than inventory.

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    Transportation

    Information Facility

    InventorySourcing

    Supply chain

    &

    Logistics

    Transportation

    Pricing

    Transportation

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    Transport - Functions

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    Optimized Transport - Benefits

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    Sourcing

    Information Facility

    InventoryInformation

    Supply chain

    &

    Logistics

    Transportation

    Pricing

    Sourcing

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    Sourcing non core functions

    Major functions outsourced to third party vendors Medical transcription is very big abroad

    Canteen

    Cleaning/Sanitization

    Managing inventory only pharmacy supplies taken

    care of by hospitals. Inventory management

    outsourced (Nebraska Medical Center outsourcing to

    Owens & Minor)

    IT AMC, website maintenance, data storage

    Help desk

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    Sourcing Why or why not!

    Advantages Cost saving leads to additional capital for expansion

    Specialization achieved by way of focusing on

    providing healthcare service to patients Functions outsourced to institutions specializing in the

    field so no compromise on quality

    Disadvantages

    Loss of Vision - third parties not attached to the cause

    Third parties may divulge certain data to competitors

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    Information

    Sourcing Facility

    InventorySourcing

    Supply chain

    &

    Logistics

    Transportation

    Pricing

    Information

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    Contribution of

    Information Technology

    Integration Supply chain management system with

    Financial Management system, Clinical Management

    system.

    Electronic Data Interchange Patient data, Invoice

    Payment.

    Tracking Bar Code scanning, RFID usage.

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    Contribution of

    Information Technology

    Automation Technology

    Automated point-of-use data capture that automatically initiate

    restocking

    Automated integration with patient accounting system

    Robots to transport medium-sized items

    Pneumatic Tube systems to rapidly transport small items horizontally

    and vertically.

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    Pricing

    Information Facility

    InventorySourcing

    Supply chain

    &

    Logistics

    Transportation

    PricingPricing

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    Pricing Driving Factors

    Products & Services surgical supplies, radiographic film

    laboratory reagents, therapeutic agents. Reduction of

    commodity prices, inventory levels and distribution fees by

    hospital Group Purchase Organizations (GPO).

    Participants & Processes manufacturers, vendors . Right

    product to the right user at the right time .

    Accountabilities No departmental silos, clinician

    choices to be evaluated in context of bottom line.

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    Pricing Driving Factors

    Departmental initiatives To achieve commodity savings.

    Facilitate value analysis process that enables physicians

    and line managers to take supply decisions.

    Assessment of Savings potential Benchmarking and

    process analysis. Handled by Cross functional team.

    Focus Initiatives to attack areas where supply cost is a

    significant portion of total cost per case. Scope,

    Complexity, Risk to be considered.

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    Hospital

    Sourcing Facility

    InventoryInformation

    Supply chain

    &

    Logistics

    Transportation

    Pricing

    Supply chain

    &

    Logistics

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    Thank You