Medical Supplies Impact Assessment & Mitigation Strategies

Impact Assessment & Mitigation Strategies on
Medical Supplies and Services Sector
C R N VIRUS

Table of Contents for Coronavirus Impact Assessment and Mitigation
Strategies for Medical Supplies and Services (1/2)
2
Medical Supplies and Service
Sector Overview
• Medical Supplies and Services Industry Overview
• COVID 19 Pandemic Impact on Medical Supplies and
Services in World Economy
• Coronavirus Impact on Medical Supplies and Services
• Measures taken to overcome shortage of Medical Supplies
during COVID 19
• Impact of COVID 19 on Various Industries in US
• Impact of COVID 19 on Revenue and Market Share of
Global Medical Devices Market
Risk 1: Disruption Due to Social
Distancing
• Determine Impact of Social Distancing on Medical Supplies
and Service Industry
• Management of Medical Services during Social Distancing
due to COVID 19
Risk 2: Plummeting Employee
Productivity
• Risks associated to Medical Supplies and Services Staff
during COVID 19
• Key Issues in Employees’ Mind
Risk 3: Recession, Unemployment
and Investment Pull-back
• Key Medical Supplies and Healthcare Services Trends post
COVID 19
• Growing Risk of Unemployment and Job Loss in Medical
Service Sector during COVID 19
• COVID 19 Impact – Accelerating the Digital Trends in
Medical Supplies and Services
Risk 4: Risk Related to Medical
Supplies and Civil Unrest
• Medical Supplies and Service Shortages during COVID 19
• Addressing Economic Instability Risk in Medical Supplies
and Service due to COVID 19
• Risk of Civil Unrest Prevailing due to Covid-19
How Risks are Mitigated
• Impact Assessment Analysis in Medical Supplies and Service during
COVID 19
• Positive Impact on Medical Supplies and Service during COVID 19
Business Impact Analysis
• Assessment Checklist for Risk Mitigation in Medical Supplies and
Service Industry
• Decision Matrix for Final determination of risks in Medical Supplies
and Service Industry
• Crisis Management Checklist at Workplace
Risk Readiness Assessments
• Major Risks and Risk Mitigation Strategies
• Risk Assessment Matrix in Covid-19
• COVID 19 Risk Mitigation in Medical Supplies and Services Sector
• Risk Mitigation Strategies – Medical Supplies Shortages during
COVID 19
• Risk Mitigation Strategies – Essential Medical Supplies Conservation
during COVID 19
• Risk Mitigation Strategies – Medical Services Supply Chain
Diversification Issues during COVID 19
Risk Management Plans
• Medical Services Supply Chain Business Continuity Plan during
COVID 19
• Business Continuity Plan for Essential Medical Supplies and
Services during COVID 19
• Business Continuity Plan for Surge Capacity during COVID 19
• Business Continuity Plan for Logistics and Medical Supply
Management during COVID 19
• Medical Consumables Procedures to be followed during COVID
19 Surge
Business Continuity Plans
• Risk Mitigation Policies for Medical Facilities and Services during
COVID 19
• Risk Mitigation Policies for Surge Capacity Services during COVID 19
Policy Management

Strategies for Medical Supplies and Services (2/2)
3
Incident Management
• Incident Status Report and Other Details
Impact of Medical Supply Shortages on Healthcare Industries
Essential Medical Supplies and Services Checklist required
during COVID 19 Pandemic
Risk Maturity Model Scoring
• Risk Management Maturity Model Assessment
COVID-19 Guidance for Medical Services
and Health Care Workers

Strategies for Medical Supplies and Services
4
Medical Supplies and Service
Sector Overview
• Medical Supplies and Services Industry Overview
• COVID 19 Pandemic Impact on Medical Supplies and
Services in World Economy
• Coronavirus Impact on Medical Supplies and Services
• Measures taken to overcome shortage of Medical
Supplies during COVID 19
• Impact of COVID 19 on Various Industries in US
• Impact of COVID 19 on Revenue and Market Share of
Global Medical Devices Market

Medical Supplies and Services Industry Overview
5
This slide covers brief overview and introduction of medical supplies and service industry overview with details such as estimated market size of medical supplies market, medical supplies market by
segments, growth drivers in medical supply and service industry, recent developments in medical supply and service industry worldwide etc.
Medical Supplies Market by Segments
By Type
• Diagnostic supplies
• Disinfectants
• Sterilization supplies
• Infusion and injectable
supplies
• Wound Care supplies
• Personal protection
equipment
• Other medical supplies
By Application
• Urology
• Wound Care
• Sterilization
• Anesthesia
By Distribution
Channels
• Retail Pharmacies
• E-Commerce
• Others
By Region
• North America
• Europe
• Asia Pacific
• Rest of World (RoW)
By End User
• Hospitals
• Physician’s
Offices/Clinics
• Other End Users
Estimated Market Size of
Medical Supplies Globally
2020 e 2025 p
The growth of this market is driven largely by the increasing prevalence of
chronic diseases around the globe, increasing government and corporate
investment in healthcare and infrastructure development projects,
increasing demand for infection control measures to curb the occurrence of
HAIs, and increasing demand for medical devices.
e – Estimated
p – Projected
Growth Drivers in Medical Supplies and Services Industry
• Increasing incidence of COVID-19 cases and other chronic diseases
• Growing occurrence of road accidents and trauma injuries
• High demand for emergency care services
• Rising healthcare spending in developed as well as developing economies
Some Leading Medical Supplies Company
• 3M
• Abbott
• Cardinal Health
• Johnson & Johnson Services
• Smith & Nephew
Some Recent Developments in Medical Supplies and Service Industry Worldwide
• Baxter received the USFDA Emergency Usage Authorisation for Oxiris Blood Purification Filter for COVID-19 Care in
April 2020
• SanTan Brewing, USA, has repurposed its beer production line in Arizona to manufacture hand sanitizer. SanTan began
manufacturing 400 gallons of medical-grade hand sanitizer in April 2020 for first responders and healthcare
professionals.
• Add Text here
CAGR
4.6%
USD 132.6
Billion
USD 133.5
Billion
This slide is 100% editable. Adapt it to your needs and capture your audience's attention.

COVID 19 Pandemic Impact on Medical Supplies and Services in
World Economy
6
This slide covers the impact of Coronavirus pandemic on medical supply and services based on type along with details on macroeconomic effects of COVID 19 on US economy, growth opportunities in the
medical supplies market, estimated growth rate in 2021 etc.
Impact of COVID 19 on
Medical Supplies Worldwide
Based on Type, the Disinfectant Segment is
expected to grow at the highest CAGR during the
forecast period. This could be attributed to the
growing demand for sanitizers and other
disinfectants to protect people from coronavirus
cross-contamination.
Based on End Users, the Hospital Segment is
expected to grow at the highest CAGR due to
increased demand for hospital beds and intensive
care units in countries with increasing COVID-19
incidence.
Based on Region, North America accounted for
the largest share of the market in medical
supplies in 2020 and expected to reach 133 USD
Bn in 2025. The large proportion of this region
can be attributed primarily to the high adoption of
intubation and ventilation supplies, a high number
of positive COVID-19 cases and deaths in the
United States, a strong health care system, and
the presence of many large hospitals in the area.
Some Macroeconomic Effects of COVID 19 on US Economy
International Monetary
Fund predicted 31%
Decline in US GDP
worldwide by end
of year 2020
4.8%
Decrease in US
GDP in Q1 2020
38.8% - 65%
Decrease in US GDP by
Q2 (assumption)
28%
Suspect that pandemic
situation will persists 6
months or more
The COVID – 19 impact on medical supplies market is projected
to reach USD ~110 billion by 2021 from USD ~92 billion in 2019,
at a CAGR 9% during the forecast period.
The medical supply market is driven primarily by increased
awareness of environmental & personal hygiene leading to
increased demand for disinfectants, expansion of healthcare facilities
due to increased COVID 19 patients, increased demand for PPE kits
&N95 masks worldwide, increased demand for ventilators, and
increased demand for diagnostic supplies.
Repurposing production lines to manufacture sanitizer, PPE offer
significant growth opportunities for market players during the
forecast period.
2019 2021
Attractive Opportunities in the
Medical Supplies Market
31% 4.8% 28%
CAGR
13.4%
USD ~78
Billion
USD ~100
Billion
38.8%
- 65%

Coronavirus Impact on Medical Supplies and Services
7
This slide covers the impact of Coronavirus pandemic on medical supply and services in terms of commercial aspects, financial aspects and strategic aspects on a global scale.
• The coronavirus pandemic of 2020 will
cause OEMs to reconsider their supplier
lists.
• OEM’s procurement teams will be
considering which suppliers are best
suited to survive and deliver products in
the face of global health issues in the
coming years.
• Other reactions to the COVID 19
pandemic experience will include
increasing the dual procurement of key
components and a preference for larger,
more financially stable suppliers with
multiple production sites.
Long-Term Impacts
Strategic
• Financial strains will emerge as demand
shocks make their way to OEMs and
through the supply chain. Delayed and
decreased orders will present as cash
flow problems over the next 12 months ,
particularly for smaller suppliers and
heavily leveraged companies.
• Companies with exceptional debt loads
may be in conversations with their lenders
about the challenges of meeting bank
covenants.
• Nevertheless, the effects of the COVID 19
pandemic on cash flow are likely to be
limited to 3 to 9 months as companies
make difficult cuts to ensure profitable
operations.
Mid-Term Impacts
Financial
• There will be a series of demand shocks
over the next six months, both positive
and negative, as medical device OEMs
(Original Equipment Manufacturers for
medical supplies) and their suppliers
adapt to the changing needs of providers.
• Demand for medical supplies such as
masks, wipes, standard examination
supplies etc. is expected to rise sharply in
2020 , but a robust supplier base can
quickly ramp up to meet demand.
• A few companies will earn higher sales in
a few product lines, many of which are
commodity low-margin products. But the
cumulative effect is not going to be
exceptional.
• Non-critical device OEMs and their
suppliers will face bigger challenges in the
months ahead. No field of medicine will be
as much affected as orthopedics by the
demand shock.
Short Term Impacts
Commercial

Measures taken to overcome shortage of Medical Supplies during COVID 19
8
This slide covers the measures and steps that are taken by medical facilities to overcome and deal with the shortage of medical supplies and services during coronavirus pandemic such as initiative by
FDA (food and drug administration) to monitor medical services supply chain, securing raw material in advance to anticipate and deal with future medical supply shortages, implementing Essential Supplies
Forecasting Tool to project future medical supply needs etc.
01 The FDA Initiative
• The FDA (Food and Drug Administration) continues to take steps to monitor the supply chain.
The Drug Shortage Staff within the FDA’s Center for Drug Evaluation and Research (CDER)
has asked medical supply manufacturers to evaluate their entire supply chain, including active
pharmaceutical. ingredients, finished dose forms, and any components that may be impacted in
any area of the supply chain due to the COVID-19 outbreak.
• Lengthen Expiration Dates to Mitigate Critical Human Drug Shortages.
02 Secure Raw Material Supply
• Collaboration with suppliers and perform close monitoring of value chain to avoid any
shortages.
• Positively anticipation of future supply challenges and manage any interruptions
• Identification of fresh sources of medical supplies and prepare alternative solutions to adopt
quickly.
03 New WHO Tool
• To gauge the need for supplies/equipment and health work force requirements during the
COVID-19 pandemic, WHO has developed a COVID-19 Essential Supplies Forecasting Tool.
• This tool projects essential supply needs including estimation of personal protective equipment,
diagnostic equipment, case management biomedical equipment, essential supportive medicinal
products and consumable medical supplies.
04
Incoming Order Prioritization &
Establishment of Fast-Forward Distribution
• Government has identified the need and taken measures to supply the medical equipment's to
the countries and areas with highest need.
• Identification of new transport modes is under the consideration and non-essential steps have
also been skipped to reduce the transit time of medical supplies during COVID 19 pandemic.
#
MEASURE

Impact of COVID 19 on Various Industries in US
9
This slide covers the impact of Coronavirus pandemic on various industries in US such as pharmaceutical industry, medical devices company and tourism industry that has effected the overall country
financial and economic conditions adversely.
Impact on Pharmaceutical Industry
The outbreak of Wuhan
coronavirus in China could affect
both the supply of finished drugs
and APIs (Active Pharmaceutical
Ingredient) to the US.
Chinese factory lockdowns and
logistics delays resulting from
coronavirus measures at ports
would result in lower production
and delays in shipping APIs to
US manufacturers.
AstraZeneca, a US
Pharmaceutical Company, has
already indicated that COVID-19
is expected to affect its revenue
growth in 2020.
However, Biopharmaceutical
companies like Abbvie and
Gilead are expected to take
advantage of higher sales of their
existing Kaletra and Favilavir
products, respectively.
• Another industry which is likely to be affected
temporarily is the medical devices. China is
the largest exporter of medical devices to the
US, accounting for 39.3% of Chinese import
lines.
• Slow-downs in production would mean delays
in supply and losses in revenue for US
manufacturers and assemblers.
Impact on Medical
Device Companies
Impact on Tourism Industry
• Due to the US-China trade war, inbound travel from China declined by 2.2 percent during the first six months of 2019 and is forecast to decline further
in 2020 due to the coronavirus outburst.
• The US tourism industry is forecast to cumulatively lose $10.3 billion in Chinese spending due to coronavirus, half of which will be in 2020
• Tourism losses are expected to extend through 2024, as China is the US's single largest export market.
• Hotel room nights lost in 2020 will be 4.6 million, considering that roughly 65 % of Chinese visitors to the United States stay in a hotel for an average
of 15 nights.
Most Affected COVID 19 State in US
• New York reported the highest number of cases and deaths of coronavirus in the US and also accounted for 40 % of deaths in the country.
• Other regions that have witnessed a high number of cases are New Jersey, California, Washington, Michigan, Kentucky, Guam and Massachusetts

Impact of COVID 19 on Revenue and Market Share of Global Medical
Devices Market
10
This slide covers the impact of Coronavirus pandemic on revenue and market share of global medical devices market. There is a decline in revenue of global medical devices market due to outbreak of
coronavirus pandemic. However, the market share will considerably increase due to rising interest of medical companies for R&D Investment in the near future. Also, this slide covers the revenue tractions
based on medical supplies and services during COVID 19 pandemic along with revised revenue growth projections by major medical device company due to COVID 19.
Revised Revenue Growth Projections by Major
Medical Devices Companies due to COVID 19
• Boston Scientific Experts' revenues are expected to decline by $40 MM in Q1 2020
• Smith and Nephew experts project that revenue will decline by up to 9% in Q1 2020
• ConMed experts have downgraded their revenues from 5-7% to 2-4% in Q1 2020
List of Revenue Tractions
• Medical Clothing
• Medical Masks
• Ventilators
• Respiratory Devices
• Hospital beds
• Point-of-Care Diagnostics
• Rapid Diagnostics
• Critical Care Equipment
Ample supply of certain medical devices and equipment's with a medical device
retailer can help to foster the revenue. Some of these medical items are :
Global Medical Devices Market Size, 2015 – 2025 (USD Billion)
The short-term impact of COVID-19 is expected to cause a decline in yearly growth rate of
global medical devices market from 5.3% to 3% in 2020.
• The rising interest of medical companies for R&D Investment and approval by regulatory authorities
will likely boost the medical device industry in forecast period of 2018-2025 at a CAGR of 5.4%
445
450
455
460
465
470
475
Revenue
in
USD
Billion
Without COVID - 19 With COVID -19
Impact Of COVID – 19 Revenue in Medical Devices Market
425.5
612.7
0
100
200
300
400
500
600
700
2015 2016 2017 2018 2019 2020 2021 2023 2024 2025
Impact on Revenue Impact on Market Size in near Future
2019 2020
This graph/chart is linked to excel, and changes automatically based on data. Just left click on it and select “Edit Data”.

11
Risk 1: Disruption Due to Social
Distancing
• Determine Impact of Social Distancing on Medical
Supplies and Service Industry
• Management of Medical Services during Social
Distancing due to COVID 19

Determine Impact of Social Distancing on Medical Supplies and Service
Industry during COVID 19
12
This slide provides the major impact of social distancing on medical supplies and services sector. Key impacts include Shortages of PPE and other medical equipment, inability of medical facilities to
provide services to patients, severe shortages of testing supplies and prolonged results waiting etc.
• Hospitals reported widespread PPE shortages endangering staff and patients due
to social distancing as the supply chain for essential supplies has been disrupted.
• Hospitals reported that heavier-than-normal use of PPE contributed to the
shortage, and that the lack of a robust supply chain delayed or prevented them
from restocking the PPE needed to protect personnel.
• Hospitals reported an uncertain supply of standard, full-function ventilators
and sometimes used alternatives to support patients, including the adaptation
of anesthesia machines and the use of emergency transport ventilators for
single use.
• Hospitals reported being unable to meet the requirements of COVID-19 testing
because they lacked complete kits and/or the individual components due to
social distancing.
• The sourcing of medical supplies and services has become difficult due to
social distancing.
• Due to social distancing, the medical facilities are unable to proved medical
supplies and services to the necessary patients.
Shortages of PPE and other
Medical Equipment
Shortages of Ventilators
Severe Shortages of Testing Supplies
& Prolonged Results Waiting
Inability of Medical Facilities to
Provide Services to Patients

Management of Medical Services during Social Distancing due to COVID 19
13
This slide covers the methods and ways that the medical facilities are adopting to overcome the shortages of medial supplies and lack in medical services to the patients across world.
Securing Necessary
PPE, Equipment,
and Supplies
• Hospitals reported turning to new, at
times un-vetted, and non-traditional
sources of supplies and medical
equipment to secure the necessary
PPE, equipment , and supplies.
• Hospitals also reported turning to
non-medical PPE classes, such as
building masks or handmade masks
and gowns, which they worried might
put employees at risk.
Partnering with
Local Manufacturers
• Big manufacturers can boost their
production capacities by partnering
with small-scale pharmaceutical
companies and delivering huge
volumes of life-saving drugs and
medical supplies within time.
Manage Patient
Flow and Hospital
Capacity
• In order to manage patient flow and
hospital capacity, some hospitals
provided outpatient care for patients
with less severe symptoms, provided
telehealth services wherever
possible and established alternative
facilities
Outsourcing of
Medical Supplies
and Services
• Outsourcing the distribution of
pharmaceutical supplies to third
party logistics providers can save
pharmaceutical companies time in
planning distribution operations and
substantially reduce logistics costs.

Table of Contents for Coronavirus Impact Assessment and Mitigation Strategies for Medical
Supplies and Services
14
Risk 2: Plummeting Employee
Productivity
• Risks associated to Medical Supplies and Services
Staff during COVID 19
• Key Issues in Employees’ Mind

Risks Associated to Medical Supplies and Services Staff during COVID 19
15
This slide provides the risk associated to medical supplies and services staff during coronavirus pandemic such as risk related jo job security, risks related to job stress and risks related to COVID 19 virus.
The medical supply and service staff in various medical facilities are at a higher risk to the virus
as they are exposed to many patients on daily basis
Risks related to Job Security
• Due to COVID 19 pandemic, many health workers may loose their job as revenue structure is completely shacked due to this pandemic.
• Add text here
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Risks related to Job Stress
• Long work hours, psychological stress and tiredness due to excess number of patients on daily basis.
• Health workers becoming infected and remaining quarantined during an epidemic adds strain to the overly stretched health
care system.
• Doctors worldwide are going through a stress phase, attending patient's day and night and often sleeping in hospitals.
Risks related to COVID 19
• If there is a community spread, the first ones to be affected will be health workers as they are most closely attached with the infected
patients.
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Key Issues in Medical Supplies and Services Staff’s Mind during COVID 19
16
This slide provides the results of a survey which covers the percentage of respondents on top issues on employees' minds during the covid-19 crisis.
Key Issues on Medical Supplies and Services Staff’s Minds During the COVID-19 Crisis
5% 6%
8% 8% 9%
11%
14%
16%
18%
35%
60%
Managing Schedule Social Isolation Productivity Work Life Balance Stress & Mental
Health
Viability of Employer Remote Work Personal Finances Childcare & Home
Schooling
Personal Health Job Security

17
Risk 3: Recession, Unemployment
and Investment Pull-back
• Key Medical Supplies and Healthcare Services Trends
post COVID 19
• Growing Risk of Unemployment and Job Loss in
Medical Service Sector during COVID 19
• COVID 19 Impact – Accelerating the Digital Trends in
Medical Supplies and Services

Key Medical Supplies and Healthcare Services Trends post COVID 19
18
This slide provides certain key medical supplies and services trends post COVID 19 that will be effecting the medical supplies and service industry on a large scale.
Use of Digitized Healthcare Apps
› Aarogya Setu continually collects data about the user's location and cross-references it to the Central
Government database to see if the user has met an infected person. Health care workers will be
prominently using this app as they are at a higher risk as compared to normal civilians.
Application of Telehealth Services
› Due to COVIID 19, social distancing will be followed everywhere. In this case, the health care
workers check the patient and will provide medical supplies via online telehealth app.
Leveraging AI (Artificial Intelligence) Capability
› In case of unusual medical supply order placement, data and technology and some
supply chain management software's may be able to help identify shortages or other
reasons for the change.
Increased use of Technology, Telemedicine and Mobile hospitals
› As the fear of COVID 19 will be in the people for a long time, there will be more and increased use of
Technology, Telemedicine and Mobile hospitals in the coming. Online training sessions for nurses,
paramedics and primary health workers will also be frequently held.

Growing Risk of Unemployment and Job Loss in Medical Service Sector
during COVID 19
19
This slide provides risk of unemployment and job loss in medical services sector during coronavirus. This slide also provides a graph stating the intensity of persons that have lost their jobs in medical
supply and service sector as compared to other jobs.
-100
-50
0
50
1960 1965 1970 1975 1980 1985 1990 1995 2000 2005 2010 2015 2020
• Medical Supply and Service Industry alone — typically a job juggernaut — lost 42,500 jobs in March as dentists and doctors cut workers
during a decline in procedures (usually a major source of income) and an upsurge in emergency room care during coronavirus outbreak
• The healthcare industry has lost 1.4 million jobs in April 2020, as per the data of Bureau of Labor Statistics
• The ambulatory sector comprised 80% of April's job losses.
• Also, due to health concerns regarding spread of COVID 19, around 30-40% medial supply and service staff have resigned.
• Nursing care facilities lost 47,200 jobs in April, while residential care facilities shed 26,900 jobs.
• Offices of other health practitioners lost 205,000 jobs in April
Medical Supply & Services Jobs
All Jobs
-Recessions
Coronavirus Pandemic has Hit
Medical Service Jobs
Some Facts related to Job Loss in Medical Service Sector since COVID 19 outbreak

COVID 19 Impact – Accelerating the Digital Trends in Medical Supplies
and Services
20
This slide provides information about the digital trends that have and will become vital in medical supplies sand service industry due to coronavirus outbreak such as blockchain, online medial supply
platforms, big data and IOMT (Internet Of Medical Things).
Internet of Medical Things
• The Internet of Things (IoT) has been making a large impact across almost every industry.
• IOMT can reduce the overall supply costs because more connected devices can help to improve accuracy
and reliability with medical supplies production.
Big Data
• In case of medical supplies and services, big data provides enhanced supply chain management in prominent areas.
• Big Data can provide more informed analytics and medical supply information along with better adaption to the medical
services needs.
Rise of Blockchain
• Blockchain technology has become increasingly attractive to many medical supply and service companies
• Blockchain offer much more transparency across a firm’s medical supply chain management.
• Many Medical Supply & Service Industries are inclining to use Blockchain Technology as it provides a significant amount of security & reliability
across medical supplies
Online Medical Supply Platform
• The latest trend observed in the market is the development of an online store or eCommerce site.
• The market is increasingly witnessing the development of web store software to distributors and wholesalers of medical supplies.
• Due to coronavirus pandemic, the trends regarding medical supplies and services have completely changed throughout the world.
• Medical Supply Firms will have to look toward the past few months to help plan.

21
Risk 4: Risk Related to Medical
Supplies and Civil Unrest
• Medical Supplies and Service Shortages during COVID 19
• Addressing Economic Instability Risk in Medical Supplies
and Service due to COVID 19
• Risk of Civil Unrest Prevailing due to Covid-19

Medical Supplies and Service Shortages during COVID 19
22
This slide provides information about the medical supplies and service shortages criteria during COVID 19 such as shortage of drugs, disinfectants and hand sanitizers.
• The COVID19 outbreak raised concerns over the availability of medical supplies, including disinfectants, hand sa
nitizers, medicines , medical devices and food / feed additives that has caused civil unrest across communities.
• Additionally, veterinarians were asked throughout the pandemic to assist healthcare providers with equipment
and services, including PPE, ventilators, laboratory support, and trained volunteers.
• The Environmental Protection Agency ( EPA) regulates
products (Disinfectants) with activity against antimicrobials on
inanimate objects.
• The AVMA has received information on shortages for the EPA
antimicrobial classes of wipes (sold out), building disinfectants
(allocation to prior orders), and sprays (backordered),
including allocation based on prior orders and backorders.
• Occasional hand sanitizer shortages have also occurred. During the public health
emergency COVID-19, the United States Pharmacopeia (USP) recently posted guidelines
on compounding hand sanitizer.
• These include:
• Compounding Alcohol-based Hand Sanitizer During COVID-19 Pandemic,
• FAQs – Alcohol-based Hand Sanitizer During COVID-19 Pandemic,
• Compounding Alcohol-based Hand Sanitizer During COVID-19 Pandemic Infographic,
• USP Hand Sanitizer Toolkit During COVID-19 Pandemic 2020
• FAQs – COVID-19 Compounding Resources.
Hand
Sanitizers
Drug Shortages
Disinfectants Shortages
Worldwide Shortages of Medical Supplies as per AVMA (American Veterinary Medical Association)
Product Status
Bouffant Caps Allocation - Prior Orders
Examination Gloves -
Vetone Aloe
Short Supply Inventory
Shoe Covers Allocation - Prior Orders
Surgical Gloves Short Supply Inventory
Surgical Gowns Shortage
Surgical Masks Short Supply Inventory
Dust Masks
(N95, Other Similar)
Shortage
Medical Items Supply Shortages Status

Addressing Economic Instability Risk in Medical Supplies and Service
due to COVID 19
23
This slide provides key risk in medical supplies and service sector (limited PPE’s and other medical equipment’s, scarcity of full functioning ventilators and severe shortages of testing supplies ) due to
economic instability.
Limited PPE’s & Other Medical Equipment's
• Hospitals reported widespread PPE shortages
endangering staff and patients.
• Hospitals reported that heavier-than-normal
use of PPE contributed to the shortage, and
that the lack of a robust supply chain delayed
or prevented them from restocking the PPE
needed to protect personnel.
Scarcity of Full Functioning Ventilators
• Hospitals reported an uncertain supply
of standard, full-function ventilators and
sometimes used alternatives to support
patients, including the adaptation of
anesthesia machines and the use of
emergency transport ventilators for
single use.
Severe Shortages of Testing Supplies
• Hospitals reported being unable to meet the requirements of COVID-19 testing because they
lacked complete kits and/or the individual components due to social distancing.
• The sourcing of medical supplies and services has become difficult due to social distancing.

Risks of Civil Unrest Prevailing Due to COVID 19 Pandemic
24
This slide provides information regarding the risk of civil unrest prevailing due to COVID 19 pandemic with increase in protests, panic buying, looting in various regions of the world.
In Sub-Saharan Africa, Individuals and businesses linked to Asian or European descent and wealthier
nationals or diaspora returnees are at risk of harassment, theft, and looting
Hundreds of people are protesting coronavirus stay at home orders in various parts of
world as nearly 2 billion of people across the globe depend upon daily work for survival
With more than 24 lakh cases of COVID – 19 and over 1,64,000 deaths, various countries are
following different degrees of restrictions and lockdown measures to combat virus
There is a high risk of panic-buying degenerating into looting across Latin America.
Small outbreaks of violent confrontations between security forces and residents refusing
to follow government social distancing guidelines are likely in most countries
Lockdowns in South Asia have been enforced strictly by security forces. This is likely to trigger anti-
government sentiment and protests and riots across South Asia and in Indonesia and Papua New Guinea

25
• Impact Assessment Analysis in Medical Supplies and
Service during COVID 19
• Positive Impact on Medical Supplies and Service during
COVID 19
Business Impact Analysis

Impact Assessment Analysis in Medical Supplies and Service during
COVID 19
26
The slides shows the examining of severity impact assessment (from point 1 to 5, where point 1 is low severity and point 5 is high) by identifying various concerns and their impact on business functioning.
Impact Area
Impact Severity
1
(Least)
2 3 4
5
(Greatest)
Comments
Increase in usage of
Disinfectants
Add text here
Shortages of Ventilators
Add text here
Shortages of Testing
Supplies
Add text here
Shortage of Special
Medical Supply
equipment's
Add text here
Add text here
Add text here
Add text here
Add text here

Positive Impact on Medical Supplies and Service during COVID 19
27
The slide shows the positive impact of lockdown (due to covid-19) on usage of medical supplies and services, as mew trends for medical supplies are being used.
Some Latest Technology trends that are used
for Medical Supplies during COVID 19
o Many modern technologies
are being used to tackle
medical issues, improve
delivery of medical supplies
and treat patients effectively
in leu of coronavirus
outbreak
o Due to coronavirus
pandemic, the trends
regarding medical supplies
and services have
completely changed
throughout the world
Artificial Intelligence will
Enhance Diagnosis,
Process ,Security and
medical supplies
efficiency criteria.
Telehealth will widen Its
reach and scope of
Services in terms of
medical supplies.
Many medical supplies will be online
delivered to the patients via various
online telehealth applications
Many medical service experts expect a significant growth in
the usage of Digital Medical Services to deal with COVID 19
11
7
10
16
26
26
30
33
47
47
38
16
18
21
33
40
29
27
43
36
30
22
7
14
20
15
20
18
Remote-working tools (e.g, wearables,
sensors, devices) allowing to measure
patient vitals
Clinical-decision-support tools such as
those driven AI
Remote Learning (Education online/ apps)
for myself
Remote Learning (Education online/ apps)
for my nurses & practice staff
Telemedicine for behavioral/ mental-health
consultation
Telemedicine for physical-health
consultation
Videoconferencing for professional use
Less Equal to Greater Significantly Greater

28
• Assessment Checklist for Risk Mitigation in Medical
• Decision Matrix for Final determination of risks in Medical
• Crisis Management Checklist at Workplace
Risk Readiness Assessments

Assessment Checklist for Risk Mitigation in Medical Supplies and Service
Industry during COVID 19
29
This slide provides information regarding medical supplies and services readiness assessment checklist for risk mitigation.
Medical Services Assessment Checklist Criteria's Response
Is firm prepared for the possibility of coronavirus outbreak at workplace
Is medical facility able to continue operations, if any member or staff/workers are sick or unable to work and symptomatic to COVID 19
Do we have a formalized peer review process, which is governed by hospital and medical staff bylaws.
Does firm has developed critical planning and communications protocols regarding ventilators and patient treatment
Is firm planned to mitigate risks associated to coronavirus outbreak
Do the medical facility identify the foreseeable hazards as early as possible
Do the facility has formal process to increase staffing during peak times and when
patient flow exceeds normal capacity.
Add checklist criteria here
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No

Decision Matrix for Final determination of risks in Medical Supplies and
Service Industry
30
This slide shows the decision matrix on various risks in the fitness industry. It shows the level of risk (very low, low, moderate, very high) for risk such as subscription cancellation, loss of customers,
outbreak at workplace, business closure risk etc.
Shortages of Special Medical
Supplies and Equipment's
Very Low Very Low Low Moderate
Shortage of Full Functioning
Ventilators
Very Low Low Low Moderate
Outbreak at Workplace Low Low Moderate Very High
Business Closure Risk Moderate Moderate Very High Very High
Add Risk Here Very High Very High Very High Very High
Major Risks
76-100 51-75 26-50 0-25
Very Prepared to Mitigate
COVID-19 Impacts
Somewhat Prepared to Mitigate
COVID-19 Impacts
Somewhat Unprepared to
Mitigate COID-19 Impacts
Very Unprepared to Mitigate
COVID-19 Impacts

Crisis Management Checklist at Medial Device Facility during COVID 19
31
The slide provides the key parameters which the firm can track and mange as crisis management checklist at the medical supplies and services facility.
Key Parameters Completed In Progress Not Started
Create a coronavirus crisis management plan regarding medical supplies and devices
Develop a pandemic safety plan and appoint a safety officer to modify as required
Develop information sharing process both for internal staff and between EMS agencies.
Create an environment that promotes delivery of medical supplies online
Provide staff education about COVID-19 infection control and update polices as required
Monitor availability of N95 respirators/powered air purifying respirators (PAPRs) and other supplies including
alcohol-based hand disinfectants, gloves, etc.
Give special attention to your non-wired and remote employees
Assure fatality management plans are appropriate to address potentially increased numbers of deaths during a
COVID-19 outbreak
Safety Standards for medical supplies and equipment's
Update employees contact numbers and emergency contact details
Respect self isolation guidelines
Evaluate your coronavirus crisis management plan

32
• Major Risks and Risk Mitigation Strategies
• Risk Assessment Matrix in Covid-19
• COVID 19 Risk Mitigation in Medical Supplies and
Services Sector
• Risk Mitigation Strategies – Medical Supplies Shortages
during COVID 19
• Risk Mitigation Strategies – Essential Medical Supplies
Conservation during COVID 19
• Risk Mitigation Strategies – Medical Services Supply
Chain Diversification Issues during COVID 19
Risk Management Plans

Major Risks and Risk Mitigation Strategies to Minimize Impact of COVID-19
33
The slide shows the key risks (material shortage risk, supply chain diversification risk, space unavailability and staff risk) and mitigation strategies in the medical supplies and services sector during
COVID 19.
Major Risks Mitigation Strategies
Material Shortage Risk
─ Shortage of Medical Supplies
─ Shortage of Full Functioning Ventilators
─ Shortage of other medical essentials and PPE’s (Personal
Protective Equipment)
─ Add text here
• A mechanism to inform professional societies, healthcare providers and the public about anticipated
shortages and the substitutes to be used.
• Identification of additional suppliers and explore other options, such as repurpose local manufacture and
repair for products at risk.
• The medical devices company must buffer stock in inventory or have multiple sources of supply,
geographically separated
• Prioritize the use of gowns and surgical masks according to the type of patient activity required.
• Add text here
Medical Devices Supply Chain Diversification Risk
─ Skyrocketing Demand and plummeting medical supply
─ Non Availability of essential medical supplies
─ Add text here
─ Add text here
• The healthcare organizations must enhance the transparency level in raw material supply and imported
pharmaceuticals such as binding agents, stabilizing products, antimicrobials and other ingredients.
• Bringing more manufacturing to the United States and various regions to diversify domestic locations can help
in production and distribution medical supplies.
• In case of unusual medical supply order placement, AI and some supply chain management software's may
be able to help identify shortages or other reasons for the change.
• Add text here
Space Unavailability and Staff Risk
─ Non-Availability of space at medical facility
─ Staff constraints
─ Reputation Risk – If any medical staff member gets infected
with virus
─ Add text here
• Create and activate a step-by - step plan to expand physical space for COVID 19 patients that respect
protocols for infection prevention and control
• Follow basic hygiene practices in the facility i.e. washing hands, covering face with mask etc.
• Always ensure the safety and protection of health workers at the forefront of delivery of health care services
by implementing IPC (Infection Prevention and Control) approach.
• Upskill/Upgrade health care workers at the frontline of the COVID-19 response
• Add text here

COVID 19: Risk Assessment Matrix for Medical Supply and Services Sector
34
The side shows the risk assessment matrix along with the level (low, medium and high) and impact (low and high) of various risks in medical supplies and service sector. Additionally, it also covers the key
risk mitigation plans.
Probability
Business
Importance
Medium Risk
High Impact
• Global Trade Changes
• Declining Revenue and
Financial Position
• Space Unavailability
High Risk
High Impact
• Hinderance in Medical Services
Supply Chain
• Material Shortage Risk
• Medical Staff Risk
• Fraud Supplies Risk
Low Risk
Low Impact
• Add risk here
• Add risk here
• Add risk here
Medium Risk
Low Impact
• Add risk here
• Add risk here
• Add risk here
Risk Mitigation Plan will include :
• Physical Spacing Plan at Workplace
• Monitoring Medical Supply Availability
• Compliance Analysis
• Monitoring Systems
• Using advanced technology to identify
supply shortage
• Add text here
• Add text here
• Add text here
The matrix shows the Impact of risk on
medical supplies and services industry
(low or high) and level of risk (low,
medium, high)
The mentioned points represent the
areas of potential risks to medical
supplies and service industry worldwide.

COVID 19 Risk Mitigation in Medical Supplies and Services Sector
35
The slides covers the key risk mitigation steps which the medical supplies and service industry needs to follow as medial supply shortages management, essential medical supplies and equipment's
conservation strategies and health safety procedures and protocols in facility.
• The medical facility and health are
institutions must deploy a mechanism
to inform professional societies,
healthcare providers and the public
about anticipated shortages and the
substitutes to be used.
• Identify additional suppliers and
explore other options, such as
repurpose local manufacture and
repair for products at risk.
• The medical facilities should maintain
a buffer of medical supplies and
devices to face uncertain situation
such as COVID 19
• Add text here
Medial Supply
Shortages Management
• Extend the use of single use gowns
for health care providers without
altering the gown between patients
with the same diagnosis of infectious
disease
• Non-sterile disposable patient exam
gloves used in routine patient care in
health care settings are suitable for
patients with suspected or confirmed
COVID-19
• If the number of ventilators running in
your facility is low, consider
alternative devices that can deliver
breaths or pressure support to satisfy
medically necessary treatment
practices for patients requiring such
ventilation support
• Add text here
Essential Medical Supplies &
Equipment's Conservation Strategies
Medical Services Supply Chain
Diversification Issues
• In case of unusual medical supply
order placement, AI and some supply
chain management software's may be
able to help identify shortages or
other reasons for the change.
• The manufacturers must report
potential medical supply shortages to
the FDA (Food and Drug
Administration)
• Add text here
• Add text here

Risk Mitigation Strategies – Medical Supplies Shortages during COVID 19
36
The slide covers the risk mitigation strategies for management of medical supply and service shortages during coronavirus pandemic.
Various medical facilities reported using a range of strategies to maintain necessary medical supplies and services
Hospital administrators
reported turning to new,
sometimes un-vetted, and
non-traditional sources of
supplies and medical
equipment to secure the
necessary PPE,
equipment & supplies.
Medical Facilities must
identify additional
suppliers and explore
other options, such as
repurpose local
manufacture and repair
for products at risk.
National guidelines
for treatment should
be developed to aid
health workers in
following the
recommended
treatment.
The medical devices
company must buffer
stock in inventory or
have multiple sources
of supply and that too,
geographically
separated.
A mechanism to
inform professional
societies, healthcare
providers and the
public about
anticipated shortages
and the substitutes
should be used.

Risk Mitigation Strategies – Essential Medical Supplies Conservation during
COVID 19
37
The slide covers the risk mitigation strategies for conservation of medical supply and service shortages during coronavirus pandemic.
• During periods of limited access to surgical masks,
facilities might consider maintaining the same surgical
mask for health care providers
• Use gowns that are beyond the shelf life designated by
the manufacturer for training, if available.
• Prioritize the use of gowns and surgical masks
according to the type of patient activity required.
Surgical Masks & Gown Conservation Strategies
• Use FDA-cleared medical gloves according to labeling & federal, state, and local
requirements
• Non-sterile disposable patient exam gloves used in routine patient care in health
care settings are suitable for patients with suspected or confirmed COVID-19
• Reserve use of sterile gloves for procedures in which sterility is required.
Medical Gloves Conservation Strategies
• When available, use FDA-cleaned conventional
/ standard full-featured ventilators to support
respiratory failure patients
• Non-invasive ventilation (NIV) interfaces can be
used for patients requiring such ventilation
support, including NIV Patient interfaces
marked with sleep apnea
• Emergency transport ventilators in a medical
facility setting may be used for prolonged
ventilation for stable patients.
Ventilator Conservation Strategies
01
02
03

Risk Mitigation Strategies – Medical Services Supply Chain Diversification
Issues during COVID 19
38
The slide covers the risk mitigation strategies for issues arising in medical services supply chain during coronavirus pandemic.
2 Increase U.S. & Near-
shore manufacturing
1
3 Leverage AI (Artificial
Intelligence) Capability
Enhance
Transparency
• The healthcare organizations must enhance the transparency level in raw material supply and imported
pharmaceuticals such as binding agents, stabilizing products, antimicrobials and other ingredients.
• The manufacturers must report potential medical supply shortages to the FDA (Food and Drug
Administration)
• Bringing more manufacturing to the United States and various regions to diversify
domestic locations can help in production and distribution medical supplies.
• Increasing production requires more infrastructure and short-term costs to pay for
this redundancy.
• In case of unusual medical supply order placement, data and technology and some supply chain
management software's may be able to help identify shortages or other reasons for the change.
• Add text Here

39
• Medical Services Supply Chain Business Continuity Plan
during COVID 19
• Business Continuity Plan for Essential Medical Supplies
and Services during COVID 19
• Business Continuity Plan for Surge Capacity during
COVID 19
• Business Continuity Plan for Logistics and Medical Supply
Management during COVID 19
• Medical Consumables Procedures to be followed during
COVID 19 Surge
Business Continuity Plans

Medical Services Supply Chain Business Continuity Plan during COVID 19
40
This slide shows a medical services supply chain business continuity plan to deal with disruption in medical supplies and devices that can be implemented by medical facilities worldwide in current
coronavirus pandemic.
Focus and Align Capability Assessments Initiative Realization Improvement Mindset
COVID-19 has disrupted global supply chain in terms of medical supplies and services leading to shortages and delay in delivery of such supplies. The medical facilities
must formulate a continuity plan to ensure rapid delivery of medical supplies and services during COVID 19 pandemic.
STEP 1 STEP 2 STEP 3 STEP 4
• Determining “where” to focus &
“who should be consulted.
• Reviews of strategy, processes
and technology related to medical
supplies and services.
• Prioritized Changes managed to
drive results & adoption.
• Establish measurements and
processes to drive future
improvements in medical supplies
and services.
• Defines your medical services
supply chain continuity plan
success and identify hazards,
strengths and opportunities.
• Add Text Here
• Evaluate all aspects of your
continuity plan for the medical
services supply chain including
people , processes, partners /
vendors, technology and data.
• Rationalize and prioritize
initiatives; create a strategic
roadmap and align roadmaps with
all areas of your medical services
supply chain that are affected.
• Implement medical services
supply chain strategic roadmap
and celebrate key milestones.
• Implement organizational change
management tools in order to
increase adoption of new policies,
processes and technologies
related to medical services supply
chain.
• Create a plan to review the
medical services supply chain
needs, technology and process
improvements on a regular basis;
leverage new technologies,
predictive indicators and lessons
learned from ongoing
assessments regarding medical
services.

Business Continuity Plan for Essential Medical Supplies and Services during
COVID 19
41
This slide shows business continuity plan for the availability of essential medical supplies sand services in the medical facility that must be implemented during coronavirus pandemic.
National guidelines for treatment should be developed
to aid health workers in following the recommended
treatment.
Medical Facilities must identify additional
suppliers and explore other options, such as
repurpose local manufacture and repair for
products at risk.
Identify & maintain the essential hospital services,
i.e. those that always need to be available in any
circumstances, especially during COVID 19 such
as masks, gloves, sanitizers etc.
Ensure the availability of appropriate back-up
arrangements for essential lifelines, including water,
power and oxygen.
Change the ordering numbers based on current and
projected resource utilization.
06
05
04
01
02
03
The medical facility and health are institutions must
deploy a mechanism to inform professional societies,
healthcare providers and the public about anticipated
shortages and the substitutes to be used.

Business Continuity Plan for Surge Capacity during COVID 19
42
This slide shows business continuity plan for the management of surge capacity (ability of a health service to expand beyond its normal capacity to meet increased demand) in the medical facility that must
be implemented during coronavirus pandemic.
01
Identify methods of
expanding hospital
inpatient capacity
(taking physical
space, staff, supplies
and processes into
consideration).
08
Refurbish non-
medical facilities
opportunities – and
establish temporary
medical facilities to
meet peak demand
(coronavirus
pandemic)
07
Identify the health
workforce available
to meet the demands
of increased
capacity, and
repurpose and
upgrade rapidly to
meet the needs of
increased capacity
06
Optimize existing
and alternative
delivery platforms for
essential medical
services: develop
remote work
solutions, boost
home hospitalization
programs and
expand existing e-
Health strategies
quickly
05
Adapt hospital
admission and
discharge criteria
and prioritize clinical
COVID 19
interventions
according to
available treatment
capacity and
demand.
04
Accelerate discharge
and define stricter
admission criteria for
essential medical
services in order to
create additional
boost capacity for
COVID-19 patients
03
Estimate the
increase in demand
for hospital services,
using available
planning
assumptions and
tools
02
Increase hospital
capacity by
outsourcing the care
of non-critical
patients to
appropriate
alternative treatment
sites so that enough
space is left for
COVID 19 patients
at a point of time.

Business Continuity Plan for Logistics and Medical Supply Management
during COVID 19
43
This slide shows business continuity plan for the management of medical supplies and delivery chain in the medical facility that must be implemented during coronavirus pandemic.
Develop and maintain an
updated inventory of all
equipment , supplies and
pharmaceutics; establish an
alert mechanism for shortages
The healthcare organizations must
enhance the transparency level in raw
material supply and imported
pharmaceuticals such as binding agents,
stabilizing products, antimicrobials and
other ingredients
Identify physical space within the hospital
for storing and storing additional supplies,
considering accessibility, safety,
temperature , ventilation, light exposure
and level of humidity
Stockpile essential supplies
and pharmaceuticals in
accordance with national
guidelines
Consult with authorities to
ensure the continuous provision
of essential medications and
supplies during COVID 19
01
02
03
04
05

Medical Consumables Procedures to be followed during COVID 19 Surge
44
This slide covers the medical consumables and supplies procedure that must be followed by medical facilities during coronavirus pandemic. This procedure involved three phases and relative procedures
in each phase that must be followed during intense COVID 19 surge. The three phases are prevention and anticipation phase, response phase and follow up and recovery phase.
• Supplies that are commonly needed must be
anticipated and hospitals should consider caching
or increasing these supplies
• Change the ordering numbers based on current
and projected resource utilization.
• The hospital should consider shifting surplus
supplies from storage in surplus areas to the areas
that will need them within the week before a surge
occurs.
• Identify alternative supply ordering, receiving and
tracking mechanisms, such as seeking out
alternative suppliers.
• Identify multiple delivery locations when multiple
health care facilities simultaneously require
additional medical supplies.
• Define thresholds (e.g., levels of medical supplies)
required before the emergency plans are activated.
• Conservation and use of replaced medical and
non-medical supplies
• Consider limiting the number of providers on
COVID-19 patients with direct exposure.
• Clinical care teams should not open the ICU
supplies until they are ready to use them
• Work force shortages planning and alternative
supply, storage and distribution channels
• Maintaining partnerships across all relevant
supply chains
• Add Text Here
• Add Text Here
• Add Text Here
• Add Text Here
Prevention &
Anticipation Phase
Response
Phase
Follow up &
Recovery Phase
• Providers can return to normal operations in the
recovery phase including standard supply chain
strategies.
• Quarantine of existing COVID-19 patients, limit
contact with COVID-19 patients and avoid
unnecessary exposure.
• A plan for managing medical consumables for
future pandemics should be in place based on
the lessons learned
• Future medical supply planning should include
stockpiles and rationing
• Add Text Here
• Add Text Here
• Add Text Here
• Add Text Here
Procedure to be Followed during

Medical Consumables Procedures to be followed during COVID 19 Surge
45
This slide covers the medical consumables and supplies procedure that must be followed by medical facilities during coronavirus pandemic. This procedure involved three phases and relative procedures
in each phase that must be followed during intense COVID 19 surge. The three phases are prevention and anticipation phase, response phase and follow up and recovery phase.
• Supplies that are commonly needed must
be anticipated and hospitals should
consider caching or increasing these
supplies
• Change the ordering numbers based on
current and projected resource utilization.
• The hospital should consider shifting
surplus supplies from storage in surplus
areas to the areas that will need them
within the week before a surge occurs.
• Identify alternative supply ordering,
receiving and tracking mechanisms, such
as seeking out alternative suppliers.
• Identify multiple delivery locations when
multiple health care facilities
simultaneously require additional medical
supplies.
• Define thresholds (e.g., levels of medical
supplies) required before the emergency
plans are activated.
Prevention & Anticipation Phase
• Conservation and use of replaced
medical and non-medical supplies
• Consider limiting the number of providers
on COVID-19 patients with direct
exposure.
• Clinical care teams should not open the
ICU supplies until they are ready to use
them
• Work force shortages planning and
alternative supply, storage and
distribution channels
• Maintaining partnerships across all
relevant supply chains
• Add Text Here
• Add Text Here
• Add Text Here
• Add Text Here
Response Phase
• Providers can return to normal operations
in the recovery phase including standard
supply chain strategies.
• Quarantine of existing COVID-19
patients, limit contact with COVID-19
patients and avoid unnecessary
exposure.
• A plan for managing medical
consumables for future pandemics should
be in place based on the lessons learned
• Future medical supply planning should
include stockpiles and rationing
• Add Text Here
• Add Text Here
• Add Text Here
• Add Text Here
Follow up and Recovery Phase

46
• Risk Mitigation Policies for Medical Facilities and Services
during COVID 19
• Risk Mitigation Policies for Surge Capacity Services during
COVID 19
Policy Management

Risk Mitigation Policies for Medical Facilities and Services during COVID 19
47
This slide provides information regarding risk mitigation policies which medical facilities must implement for essential supplies and equipment's during Covid-19.
• N95 respirators, face shields / gloves, surgical
masks, and gowns should be provided for
personnel as well as patients.
• The medical facility should have a policy to
conduct symptoms and temperature checks
prior to the start of any shift
• Health care facilities should provide
personal protective equipment (PPE’s)
according to current CDC guidelines and
OSHA standards
• Add Text Here
• Alcohol-based hand sanitizer and masks
placed at the front of medical facility
• Informational materials on COVID 19
and relevant policies must be developed
or identified for patients
• Ensure contingency mechanisms for the
collection and disposal of human, hazardous
and other hospital waste, especially in case
of coronavirus as it gets spread quite easily
and stay on the surface for a longer time.
• Add text Here
• Adequate medical supplies should
be maintained at all point of time.
• Monitor and manage any
healthcare personnel that might be
exposed to COVID-19
• The medical facility and health
care institutions must deploy a
mechanism to inform
professional societies,
healthcare providers and the
public about anticipated
shortages and the substitutes
to be used.
• Add Text Here
02
04
06
05
03
01

Risk Mitigation Policies for Surge Capacity Services during COVID 19
48
This slide provides information regarding risk mitigation policies which medical facilities must implement for surge capacity management during Covid-19.
• Surge capacity policy
must include
strategies to help
increase hospital bed
capacity.
01
• Surge Capacity Policy
should include
strategies that could be
used in emergency
departments to mitigate
surge and
accommodate
additional patients.
02
• Surge Policy must be in
place to increase
physical bed capacity
(staffed beds), including
the equipment, trained
personnel and
pharmaceuticals needed
to treat a patient with
COVID-19.
03
• Surge Capacity Policy must
support shifting healthcare
services away from the
hospital, e.g., to home care
or pre-designated
alternative care facilities in
case of existing capacity
shortage.
04
• Surge Capacity Policy
must adapt hospital
admission and discharge
criteria and prioritize
clinical COVID 19
interventions according to
available treatment
capacity & demand.
05
• Refurbish non-medical
facilities opportunities –
and establish temporary
medical facilities to meet
peak demand
(coronavirus pandemic).
06

49
Incident Management
• Incident Status Report and Other Details

Incident Status Report and Other Details during COVID 19
50
This slide provides the incident status reports which covers details such as incident criteria , details of facility/location, date of incident, status, date of incident resolved etc.
Incident
Incident
Criteria
Facility/
Location
Date of
Incident
Status
Date of Incident
resolved
Incident 1
Shortage of essential
Medical Supplies
Medical Facility 1 20th May 2020 Resolved 28th May 2020
Incident 2
Unavailability of Full
Functioning
Ventilators
Medical Facility 2 15th May 2020 Resolved 25th May 2020
Incident 3 Inefficient Surge
Capacity
Medical Facility 1 5th May 2020 Not Resolved -
Three Incidents have Occurred in 2 Medical Facilities
Facility 1 Details
Add text here
Add text here
Facility 2 Details
Add text here
Add text here

51
COVID-19 Guidance for Medical
Services and Health Care Workers

COVID 19 Guidance for Medical Services and Health Care Workers
52
This slide covers the guidelines for medical services and supplies along with guideline for front line health care workers during coronavirus pandemic.
Guidelines for Medical Supplies & Services
Medical Supply Companies should revise their strategies on sourcing raw
materials, sub-assemblies or finished products.
Companies could stabilize their supply chains in multiple ways such as
enlisting new medical suppliers, boosting medical inventories etc.
Find the lowest-cost medical devices supplier and the most
efficient producer or distributor in order to save costs
In COVID 19 pandemic, in order to overcome capacity
shortages, more capital must be employed for medical devices
production planning and equipment delivery
Add text here
The medical devices company must buffer stock in inventory or
have multiple sources of supply, geographically separated.
Guidelines for Front Line Health Care Workers
Use health workforce data to distribute PPE and personnel equitably
Use data and planning to surge health worker deployment
Use appropriate, available digital health tools to connect health workers to information
Listen to and elevate the voices of frontline health workers on exactly what they need
Add text here

53
Risk Maturity Model Scoring
• Risk Management Maturity Model Assessment

Medical Supply and Services Industry: Risk Management Maturity
Model Assessment
54
The slide provides scoring chart of risk management maturity model. Score is given based on effectiveness, proactivity and coverage of risk management.
Risk Management Effectiveness Proactivity Coverage Average
Material Shortage Risk 7 6 8 7
Medical Devices Supply Chain
Diversification Risk
7 9 8 8
Space Unavailability &
Staff Risk
6 4 8 6
Add Risk Here 10 9 8 9
Add Risk Here 4 6 5 5
• Frequency and effectiveness of key risk
management activities
• Are assessments ad-hoc or completed annually
• Are high risks reviewed at least quarterly
• Nature of risk management, whether it is proactive or
reactive
• Does the organization wait until an adverse event occurs
to mitigate risk or are future scenarios planned for
• Measures the breadth and depth of risk management
within the organization
• Does responsibility span across all departments and
all vertical levels of the organization
Proactivity Coverage
Effectiveness
for High Risk
10 for Low Risk
1

55
Impact of Medical Supply
Shortages on Healthcare Industries

Impact of Medical Supply Shortages on Healthcare Institutions during COVID
19 Pandemic
56
This slide covers the impact/effect of medical supply and device shortages on Healthcare Institutions and Services they provide during coronavirus outbreak. These effects include limited hospital patient
monitoring ability, rising capacity (space) concerns, threat to financial viability, usage of various un-vetted means to cope up with medical supply shortages and compulsion of providing additional services
to patients to manage their flow and treatment effectively.
# Limited Hospital Patient Monitoring Ability
• Severe shortages of test supplies and extended waits
for test results limited the ability of hospitals to
monitor patient and staff health, and widespread PPE
shortages put both staff and patients at risk.
# Rising Capacity Concerns
• Capacity concerns emerged as hospitals expected to
be overwhelmed if patients experienced a surge in
need of specialty beds and isolated areas for effective
treatment.
• Add Text Here
• Apart from widespread shortages of critical
supplies, ventilators and logistical support,
hospitals also described rising costs and
decreasing revenues as a threat to their financial
viability
• Inconsistent federal , state and local government
guidance posed challenges and confused both the
hospitals and the public.
# Threat to
Financial Viability
• In order to expand patient caring capacity and
to secure the necessary PPE, equipment and
supplies, hospital administrators reported
turning to un-vetted and nontraditional sources
of supplies and medical equipment.
• Add Text Here
# Using various Un-Vetted Strategies
to secure Medical Supplies
• To manage patient flow and hospital capacity,
some hospitals provided outpatient care for
patients with less severe symptoms and, where
possible, telehealth services as well.
• Some Healthcare Institutions are setting up
alternate facilities such as fairgrounds, non-
operating college dorms and closed correctional
facilities as additional space for patient care.
# Compulsion of providing
Additional Services to Patients

Expectations of Healthcare Institutions from Government during
COVID 19 Pandemic
57
This slide covers the expectations of Healthcare Institutions from Government Authorities during coronavirus outbreak and current scenario of healthcare Facilities. These expectations are related to quick
arrangement of COVID 19 rest kits, relaxing restrictions on transfer of supplies, financial assistance in obtaining medical supplies etc.
Current Scenario in Healthcare Institutions
Hospitals are struggling to step up to the challenges because of a COVID-19 testing shortage.
Hospitals across the country cannot keep up with coronavirus demands due to a severe COVID-19 testing shortage, and the lack of testing kits is
exacerbating other key issues, including personal protective equipment (PPE) shortages and limitations on capacity
Expectations from Government
• Provide test kits and swabs or ensure supply chains can provide adequate supply of tests to
hospitals
• Make testing faster by allowing more entities to create tests and relate supplies or perform
testing
• Assist in obtaining a range of supplies
• Offer equipment such as ventilators, triage tent and beds, or enforce measures to strengthen
medical equipment supply chains
• Relax restrictions on the transfer or gifting of equipment and supplies
Recommendations to
Government Authorities
The hospital administrators also recommended that
the government must help them with workforce,
capacity and financial challenges through
accelerated reimbursements for Medicare and
regulatory flexibilities

58
Essential Medical Supplies and
Services Checklist required during
COVID 19 Pandemic

Essential Medical Supplies and Services Checklist required during
COVID 19 Pandemic
59
This slide covers the essential medical supplies and services checklist that should be maintained by every medical facility to effectively deal with coronavirus pandemic. Items in this check list include
diagnostics and testing supplies, medical consumables, advanced medications, basic medical equipment's, PPE’s (Personal Protective Equipment's), healthcare facility infrastructure and equipment's etc.
This Checklist includes the Supplies that may currently face, or be at-risk of facing, major shortage
Diagnostics
& Testing
Health
Facilities
Infrastructure
& Equipment
Personal
Protective
Equipment
ELISA & RT PCR laboratory equipment & reagents
Sample collection tubes
Swabs for buccal/nasal sample collection
Leak proof cups for aspirate collection
Respiratory viral panel (RVP)
CT contract agents
Regular basic blood panel supplies
Specimen transport bags
Rapid influenza test Kits
Viral Transport Medium
PCR testing Kits
Mobile, basic diagnostic X-ray system
Medical triage/treatment/isolation facilities
Portable ultrasound
Anesthesia machines
Beds
BiPAP/CPAPS
Nasogastric tubes
Suction catheters with tubing
CT Scanners
Isolation room negative pressure HEPA filtration machines
Ventilators with portable & back-up power supply
Ambulance with air isolation system for transport of contagious patients
Hemodialysis Machines
Peritoneal dialysis machines
Hemodialysis tubing/connectors
Peritoneal dialysis tubing/connectors
Intra-abdominal catheter & caps
Central line catheter for hemodialysis
Access needles
RO water purifier machines
Gloves
Gowns (disposable & linen)
ISO masks (PAPRs, CAPRs,N95s)
Surgical level 1/111 masks & caps
Tyvek suits, sleeves, hoods or equivalent
Safety box/sharps container(must
be labelled “Biohazard”)
Scrubs
Protective eyewear/face shield
Medical
Consumables
Oxygen
Infrared thermometer
Sublingual thermometers
Blood pressure cuffs
Leads for continuous rhythm monitoring
Advanced
Disinfection
Consumables
Biohazardous
Waste
Management
Antivirals/vaccines (in development)
Home Care Kits for home isolation of asymptotic cases or mildly symptomatic1
Medical
Equipment
Cardio hardware devices that connect
your leads, BP cuff, O2 saturation meter
Laryngoscope, adult, child set
Endotracheal tubes
Oxygen concentrator
Oxygen face mask with reservoir
bag, disposable
Tubing that connects vents to the
wall ports (air & O2)
Pulse oximeter, portable & non-portable
Syringes:0.5 ml autodestruct (AD) & 5
ml reuse prevention(RUP)
Infusion setup including pumps
Oropharyngeal & Nasopharyngeal airways
Incentive spirometer/Acapella valves
Bag valve mask (BVM) Tracheostomy
kits & devices
Nasoenteric tube feeds
Tube feed pumps
Sequential compression devices
IV(devices & tubing)
Central line
Nasal cannulas
Alcohol based hand-rub/sanitizer
Bag(disposable for biohazardous waste PPE, clinical waste, no sharps)
Body bags (suitable for burial or cremation)
Disinfectant
Soap, surgical
Set: mask, gel & soap for targeted population
Bleach

Coronavirus Impact Assessment and Mitigation Strategies on Medical Supplies and
Services Sector Icons Slide
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