tailieunhanh - Lecture Purchasing and supply chain management (3/e): Chapter 17 - W. C. Benton

Chapter 17 - Health care purchasing and supply management. Chapter 17 is a special feature of the textbook. There are critical differences between the health care supply chain and industrial supply chain, such as the automotive supply chain. The focus of this chapter is on purchasing day-to-day supplies and capital equipment acquisition. | 1 Chapter 17: Health Care Purchasing and Supply Management Purchasing and Supply Chain Management 3rd edition, Copyright 2013 W. C. Benton Jr., All rights reserved Content Inventory control The DRG System and Operating Cost Health Care Supply Chain Group Purchasing Organization (GPO) Opportunities in Health Care Supply Management Process Overview of Capital Equipment Acquisition 2 The Health Care Industry Hospitals are complex organizations providing services including: Inpatient treatment (nursing units), surgery, radiology, pharmacy, laboratory Dietary, housekeeping, physical plant engineering, administration Outlook Expected to grow and consume an even greater share of GNP Challenges Uncontrollable non-salary costs and declining profits 3 Inventory and Health Care Inventory control An important component in supporting the objective of providing patient care The 2 primary functions of inventory (in the hospital setting): To maximize supply service consistent with maximum efficiency | 1 Chapter 17: Health Care Purchasing and Supply Management Purchasing and Supply Chain Management 3rd edition, Copyright 2013 W. C. Benton Jr., All rights reserved Content Inventory control The DRG System and Operating Cost Health Care Supply Chain Group Purchasing Organization (GPO) Opportunities in Health Care Supply Management Process Overview of Capital Equipment Acquisition 2 The Health Care Industry Hospitals are complex organizations providing services including: Inpatient treatment (nursing units), surgery, radiology, pharmacy, laboratory Dietary, housekeeping, physical plant engineering, administration Outlook Expected to grow and consume an even greater share of GNP Challenges Uncontrollable non-salary costs and declining profits 3 Inventory and Health Care Inventory control An important component in supporting the objective of providing patient care The 2 primary functions of inventory (in the hospital setting): To maximize supply service consistent with maximum efficiency and optimum inventory investment To provide a cushion between the forecasted and actual demand 4 Complicating Factors Unique to Health Care Inaccurate demand estimations Complex patterns of the length of stay and patient mix (types of patients and diagnoses) More accurate forecasts could be made by using DRG or CPP related practices Communication is vital between: The practitioners (medical staff) The supply management function However, communication has traditionally been difficult Hospitals as a set of “little fiefdoms” 5 Complicating Factors Unique to Health Care (cont.) Safety Stock High cost of stock outs unique to healthcare Classification of the stockout tolerances: Use-location urgency Facility-location urgency Regional-location urgency No urgency 6 Operating Cost in Hospitals The DRG system A reimbursement system Based on specific diagnosis-related groups (DRG) Flat rate reimbursement based on a patient’s diagnosis Regardless of the associated costs Under the DRG system, .

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