TNMSC Power Point

ISO 9001 Certified OrganisationTAMIL NADU MEDICAL SERVICES CORPORATION LTD417 - IInd Floor, Pantheon Road, Egmore, Chennai 600 008.Phone : 28190259 / 28191890 / 28191891 Fax : 044 28190636Email : [email protected] : www.tnmsc.com / http://tnmsc.tn.nic.in

Quality Policy Tamil Nadu Medical Services Corporation Limited supports the Government Medical Institutions in providing quality health care delivery system to the people of Tamil Nadu. We arrange to deliver on time high quality drugs, medicines, surgical and suture items to the Government Medical Institutions with courtesy and care for our customers. To achieve this objective we adopt a rational drug management system, abiding by the applicable laws of the land and other regulatory requirements pertaining to the drugs and medicines. We achieve our goal with involvement and empowerment of our personnel through continually improving a Quality Management System established in accordance with ISO 9001:2000.

Profile

Tamilnadu medical services corporation ltd..,(TNMSC) was incorporated under the Companies Act,1956 on 1/7/1994.

It has commenced its functions of purchase,storage and distribution of drugs and medicines from January 1995.

Its primary objective is to ensure ready availability of quality drugs and medicines in the Govt.Medical Institutions throughout the state.

BOARD OF DIRECTORSChairman, TNMSC Ltd.,Secretary, Health & Family Welfare DepartmentSpecial Secretary, Finance DepartmentManaging Director, TNMSC Ltd.,Project Director, Reproductive & Child Health ProjectDirector of Medical EducationDirector of Medical and Rural Health ServicesDirector of Public Health & Preventive MedicineDirector, Drug Control DepartmentChief Engineer, Public Work Department (Buildings)

OrganogramMANAGING DIRECTORChief Accounts Officer/ Company Secretary

Senior Regional Manager

Manager(Quality Control)Superintending Engineer

AccountsConstruction Work24 Drug WarehousesE D PAdministrationManager (Purchase)Purchase of EquipmentsMaintenance of EquipmentsMaintenance of CT & MRI ScanCHAIRMAN

Superintending EngineerDeputy ManagerAE (Electrical)AE - 3(Civil)

Senior Regional ManagerDrug WarehouseAssistant(Outsourced)

Manager (Purchase)Pharmacists -2DEO -1Packers -2(Outsourced)ENGINEERING SECTIONPURCHASE SECTION

Manager (Quality Control)QCAssistantAssistant-2Chief Accounts OfficerAssistant Accounts Officer - 2CashierAssistant(Outsourced)

EDP Section(Outsourced)Systems Analyst 1Programmer 3DEO 7Accounts OfficerAuditors 4(Outsourced)Company SecretaryAssistantDrivers - 7Security Persons - 50(Outsourced)DEO -2Receptionist- 1Despatch - 1(Outsourced)QUALITY CONTROL SECTIONACCOUNTS SECTIONADMINSTRATION SECTION

Comparison Before and After TNMSC

Purchase by Deans/JDs of the hospitals through Open Tender

Supply by dealers

Supplies were made in bulk quantities in loose form in bottles.

Effective Quality Control was not possible as the quantity on every purchase is low.

Quality deteriorationPurchase by TNMSC through open Tender.

Supply by manufacturers / Direct importers

Supplies are made in Strips/Blisters which is easy to handle.

Rigorous Quality control is done. Each and every batch is tested.

No Quality deterioration

Comparison Before and After TNMSC

Different rates for the hospitals

Payment to the supplier was done from different sources.

Rates are Higher.Uniform rates for all the hospitals.

Payment from Single source.

Bulk Purchase Rates are competitive and Cheaper.

Institutions Served by TNMSCAll Medical Teaching Institutions 42All District Head Quarters Hospital. 25All Taluk Head Quarters Hospital. 240All Primary Health Centers 1413All Health Sub Centers 8682All ESI Hospitals and Dispensaries 185All TNEB medical facilities 28All Panchayat Union Dispensaries 51All Police Medical Facilities. 10Juvenile Homes. 10Prison and Rehabilitation homes. 11Co-operative Sugar Factories. 18Veterinary Institutions. 285Transport Corporation Dispensaries. 14All Local body Medical facilities. 45 Total 11059

Budget - Government makes budget allotment to Heads of departments every year - Heads of departments distribute this budget allotment to the institutions based on which passbook is issued for lifting the drugs. - Heads of departments deposit 90% of this budget in the P.D. Account of TNMSC for the purchase of drugs. - TNMSC withdraws this amount as and when required for making payment to the suppliers. - Heads of departments allocate 10% of budget allotment to the institutions for local purchase.

TNMSCs Transactions271 DRUGS 92 SUTURES 63 SURGICALS133 VETERINARY

No. of ItemsTotal Value Rs. 12142 Lakhs

Chart1

9711

1142

1289

Value of Medicines Purchased during 2003-2004 Rs. in Lakhs

Sheet1

Drugs9711052279711

Surgical & Suture1142716641142

Veterinary1289688201289

Sheet2

Sheet3

DRUG COMMITTEEDrug Committee consists of the following members.Managing Director, TNMSC Ltd.Director of Medical EducationDirector of Medical and Rural Health ServicesDirector of Public Health and Preventive MedicineDirector of Family WelfareDirector of Drug ControlProfessors of MedicineProfessors of Surgery

Purchase ProcedureDrug committee discuss and decide about the drugs to be purchasedTenderProcessingInvite Tender through Press and WebsiteReceipt & open TenderSigning of Agreement with SecurityDepositCover A OpeningL1 Rate MatchingL1 Rate ProcessingIssue of TenderDocumentInspection of Manufacture unitEvaluation ofSamplesCover B OpeningDrugsSurgicalSutureBlood Bank123456678910Issue of Purchase Order 11

Tender ProcessDrug committee to finalise the list of items (Essential Drug List) and quantity for tenderAdvertisements:- National Dailies through D.I.P.R.WebsitesTrade Journal like Pharma pulse, IDMALetters to Drugs Controllers & Pharma AssociationIssue and receipt of Tender Documents Tender Cover A opening Tender Committee. Scrutinizing TeamInspection of the manufacturing premises of new tenderers in case of drugsEvaluation of surgical/sutures samples by Experts

SALIENT FEATURES IN COVER A Licence for the product quotedMinimum three years market standing for the drug issued by the licensing authorityMinimum turn over of Rs. 35 lakhsNon conviction certificate for three yearsGMP certificate

SALIENT FEATURES IN COVER BPrinted format for quoting the landed price excluding Sales Tax.Printed format to furnish the break up details of landed priceThe tenderer is strictly prohibited to change /alter specification or unit size in the printed formatThe rate per unit(landed price)will be the criteria for determining the L1 rateThe manufacturing capacity for each item for effecting supplies to the warehouses within 60 days shall be given in the printed formatThe above details of rates and capacity shall be given in computer floppy

TENDER CONDITIONSThe tablet and capsule shall have the logogram in addition to the logogram on the strips/outer labelsThe cap of the bottle shall not have the name of the manufacturerSamples of supplies in each batch will be chosen for testingThe supply should be commenced within 30 days and completed within 60 daysLiquidated damages will be levied for delayed supply (0.5% per day subject to a maximum of 15%)If the product fails in quality test , the entire batch will be returned to the supplier.

The Cover B of only those tenderers who are eligible in Cover A and found eligible during inspection, are opened. For surgical and suture items / blood bank consumables, the rates of only those items are considered where the sample has passed in clinical evaluation.

Publication of L1 rates in the WebsiteL1 rates published on the same day on the Notice Board.

Cover "B Opening

Drug DistributionTNMSCHead OfficeOther InstitutionsMedical InstitutionsHead of DeptWare HouseSupplierRequirementRequirementPurchase OrderSuppliesSuppliesIndentsIssue of Passbooks

Chart2

13.1411.9511.511.4211.24

3127.8527.327.8227.82

8.315.675.245.084.94

87.57.26.756.74

31.2282623.922.34

168129.699.993.0388

866749.94438.57

98-99

99-00

00-01

01-02

02-03

Drug Name

Value in Rs.

Rate Comparison Details (Last 5 Years)

Sheet1

95-9696-9797-9898-9999-0000-011-Feb

Income27422715471271756089639463614725660036829026975431121286

Expenses23797714393568044738890251311014496506356255542385026749

Profit

Sheet2

YearTurnOverDirect EmployeesTurn Over / Employee

95-967556012.583

96-977806013.000

97-987846013.067

98-998666014.433

99-009426015.700

00-0110296017.150

01-0210956018.250

Sheet2

000

000

000

000

000

000

000

TurnOver

Direct Employees

Turn Over / Employee

Year

Values in millions

TNMSC TURNOVER

Sheet3

Drug Name98-9999-0000-0101-0202-0303-04

2Paracetamol Tab13.1411.9511.511.4211.2412.4

5Co-Trimaxazole Tab3127.8527.327.8227.8224.88

40Cephataxime Sodium Inj8.315.675.245.084.944.41

42Ciprofloxacin Inj87.57.26.756.746.41

160Rantidine HCL Tab31.2282623.922.3422.05

231Ciprofloxacin Tab168129.699.993.038882

488Omperazole Cap866749.94438.5733.08

Sheet3

98-99

99-00

00-01

01-02

02-03

03-04

Drug Name

Value in Rs.

Rate Comparison Details (Last 5 Years)

COMPARISON OF RATES 2002-03

Sheet1

Sl. No.DRUG NAMEUNITTNMSCAPKAR

1Aspirin Tab. I.P. - 300 mg10 X 10 Tabs11.7012.0014.00

2Prednisolone Tab. I.P. - 5 mg10 X 10 Tabs22.9028.0028.00

3Acetazolamide Tab. I.P. - 250 mg10 X 10 Tabs41.1354.0058.00

4Ketamine Inj. I.P. - 50 mg/ml10 ml Vial14.0023.0020.00

5Thiopentone Sodium Inj. I.P. - 500 mg20 ml Vial15.5026.0030.00

6Folic Acid Tab. I.P. - 5 mg10 X 10 Tabs5.866.006.00

7Diethylcarbamazine Citrate Tab. I.P. - 100 mg10 X 10 Tabs7.358.0011.00

8Choloroquine Phosphate Tab. I.P. - 250 mg10 X 10 Tabs23.7727.0030.00

9Silver Sulphadiazine Cream U.S.P.50 gms Tube6.0321.0016.00

10Phenobarbitone Tab. I.P. - 30 mg10 X 10 Tabs7.6612.0010.00

11ORS Powder I.P.Pouches 27.9 gms1.561.581.58

12Hydrocortisone Sodium Succinate Inj. I.P. - 100mg100 mg/Vial9.2712.0011.00

13Frusemide Tab. I.P. - 40 mg10 X 10 Tabs13.3814.0016.00

14Frusemide Inj. I.P. - 10 mg/ml2 ml Amp0.760.860.95

15Metaclopramide Inj. I.P. - 10 mg/2 ml2 ml Amp0.740.850.96

16Rantidine Hcl Inj. I.P. - 50 mg/2 ml2 ml Amp0.760.820.90

17Rantidine Hcl Tab. I.P. - 150 mg10 X 10 Tabs22.3423.0030.00

18Metroniadazole Inj. I.P. - 500mg/100ml100 ml FFS Bottle5.256.256.75

19Pheniramine Maleate Inj. I.P. (IM or Slow IV Inj.)2 ml Amp0.770.820.92

20Peritonial Dialysis Solution I.P. - 1000 ml1000 ml Bottle13.4514.2518.00

CHART1

DCODEDRUG_NAMEUNITTNMSC RATEAP _RATEKAR_RATE






















DCODEDRUG_NAMEUNITTNMSC RATEAPP_RATEKARNATAKA_RATE

2Paracetamol Tab. I.P. - 500 mg10 X 10 Tabs11.2413.0014.00

21Diazepam Tab. I.P. - 5 mg10 X 10 Tabs3.964.007.00

75Dexamethasone Sodium Phosphate Inj. I.P. - 8mg/2ml2 ml Vial2.103.003.75

157Pentazocine Lactate Inj. I.P. - 30 mg/ml1 ml Amp2.822.953.10

176Adrenaline Inj. I.P. - 1 mg/ml1 ml Amp0.840.920.92

177Atropine Sulphate Inj. I.P. - 0.6 mg/1 ml2 ml Amp0.590.590.62

193Chlorpheniramine Maleate Tab. I.P. - 4 mg10 X 10 Tabs2.403.204.20

249Paracetamol Oral Solution U.S.P. XXII - 150 mg/ml15 ml Bottle4.564.904.95

255Ibuprofen Tab. I.P. - 400 mg10 X 10 Tabs22.6024.0023.00

351Paracetamol Inj. - 150 mg/ml2 ml Amp0.920.950.96

495Diclofenac Sodium Inj. I.P. - 25mg/ml3 ml Amp0.810.850.96


24Glybenclamide Tab.I.P. - 5 mg10 X 10 Tabs5.198.259.00

119Neostigmine Inj. I.P. - 0.5 mg/ml0.5 mg/ml Amp0.958.502.50

149Ascorbic Acid Tab. I.P. - 100 mg10 X 10 Tabs10.6243.0038.00

168Metformin Tab. I.P. - 500 mg10 X 10 Tabs15.9017.5016.50

188Imipramine Tab. I.P. - 25 mg10 X 10 Tabs11.7017.0016.50

191Haloperidol Tab. I.P. - 5 mg10 X 10 Tabs8.8220.0018.00

310Lignocaine Hcl Inj. I.P.30 ml Vial2.952.757.75

340Mannitol Inj. I.P.350 ml Bottle22.4525.0036.00

348Bupivacaine Inj. I.P.20 ml Vial16.9520.0028.00

523Ciprofloxacin Eye Drops U.S.P.5 ml Vial2.034.004.90

COMPARISON OF RATES 2002-03

Sheet1













































CHART1























DCODEDRUG_NAMEUNITTNMSC RATEAPP_RATEKARNATAKA_RATE























Thiruvannamalai Warehouse

1 Inward Goods Register 2 Material Receipt Certificate (MRC) 3 Q.C. Samples Outward 4 Stock Register 5 BIN Card 6 Inward Indent/Issue Form 7 Outward Goods Register 8 Frozen Stock Register

Stock Accounting in Ware houses

QUALITY CONTROLSamples fromWarehousesEliminatingCommon BatchesSent to LABReceipt of ResultsQUALITY with no CompromiseIf PassedDistribution to InstitutionsIf Failed return To supplierIf fails, samples are sent to G.A. and another lab for confirmation

DEDUCTION FOR QUALITY FAILURE If the product fails in quality test, the product will not be accepted and returned to the supplier.

Even if the field samples taken by the Drug Inspector fails in quality test the cost of the quantity remaining unutilized will be recovered from the supplier apart from the levying of other penalties / punishments including blacklisting.

If there is any complaint from the Medical Officer about the quality of the product the remaining quantity in the particular batch will be returned to the supplier and value equal to the quantity returned will be recovered.

PROCEDURE FOR BLACKLISTING In case during the contract period the supplier fails to execute three consecutive purchase orders issued in full within 90 days then the product will be blacklisted for the firm after giving due opportunity the firm to explain the reason for the non execution of purchase orders. During the contract period if two batches of the particular item supplied by the firm fails in quality test (Assay content) the product of that particular firm will be blacklisted. During the contract period if three batches of the particular item supplied by the firm fails in quality test (description test and other parameters mentioned in pharmocopeia / As per IS specification) then that particular item will be blacklisted for the firm. In respect of the firm supplying more than one item during the contract period if more than 50% of the items are blacklisted based on the above process then the firm will be blacklisted.

Assessment of Samples Sent for QC Test2003-04147781460017898.81.20

Management Information System-MIS Exceptional Stock Statement Slow Moving Drug List Drug Order Statement Passbook Utilisation Report Unexecuted Order Statement Abstract Pending Bills Report Time Expiry Drugs Abstract Order & Supplied Value Report

Diagnostics Services(i) ISO 9001:2000 certified GI Bleed and Hepatobiliary Centre (Special Ward) maintained by TNMSC is functioning as a separate unit under the Surgical Gastroentrology Department in Government Stanley Hospital, Chennai.

(ii) TNMSC is maintaining the Master Health Checkup Scheme at Government General Hospital, Chennai.

(iii) TNMSC is maintaining the Special Class Maternity Ward in IOG, Chennai-8.

(iv) TNMSC has provided infrastructure facilities to the payment ward in Govt. Kasturba Gandhi Hospital, chennai-5 and started maintaining the same from 03-05-2004.

TNMSC CT Scan CenterTNMSC is maintaining 36 CT Scan Centres in Govt. Hospitals.

The following charges are collected for scanning.

Category Plain With Contrast Inpatients Rs. 350/- Rs. 550/- Outpatients Rs. 500/- Rs. 700/-

TNMSC MRI Scan CenterTNMSC is maintaining 1.5 Tesla MRI at - Govt. General Hospital, Chennai. - Govt. Rajaji Hospital, Madurai.

CategoryPlainWith ContrastLarger PartsRs. 3500/- EachRs. 5000/- EachSmaller PartsRs. 2500/- EachRs. 4000/- Each

Purchase and Supply of equipments to hospitalsTNMSC has finalized rate contract (CPC System) through open tender for the purchase of equipments & accessories required for 19 departments in Government hospitals consisting of about 3078 items for the period 2002-2004. The medical institutions can directly place purchase orders with the approved firms for the supply of required equipments and accessories at the approved rates depending upon the budget provision.

The medical equipments required for the government hospitals are procured and supplied by TNMSC based on the Government order issued for this purpose from time to time

Construction Activities of TNMSC (i) Implementation of World Bank Assisted RCH Project Under this project, construction of Buildings for 8 UHPs and 21 HSCs and improvement works in 35 PHCs and 70 HSCs for Rs.5.65 Crores have been completed by TNMSC in Madurai & Theni Districts. (ii) Regional Diagnostic Centres TNMSC has established 7 Regional Diagnostic centres in the State (Building and Equipment) at Thiruvannamalai, Villupuram, Pudukottai, Virudhunagar, Ramanathapuram, Nammakkal and Tiruppur at a total cost of Rs.21.00 Crores funded by the Government of India. (iii) Accident and Emergency Ward (Trauma Care Centre) Construction and procurement of equipments for the Accident and Emergency ward at Ambur, Krishnagiri, Tindivanam, Sriperumbudur and Kovilpatti have been completed at a cost of Rs.2.93 Crores provided by the Home Department.

Consultancy ServicesTNMSC is a Role Model for other states of India on Drug Logistics and Warehousing.TNMSC has taken up and completed the consultancy project for the preparation of Feasibility report for Andhra Pradesh.Govt. of Rajasthan has entrusted preparation of feasibility report to TNMSC. Draft Final report submitted to Govt. of Rajasthan.Training course on Drug Logistics and Warehousing has been conducted for Pharmacists, H & FW department , Govt. of Karnataka during May 2003 and for Pharmacists, H & FW department , Govt. of Assam during June 2004.