Dr. Kulkarni (Prof. of PSM, B.Y.L.Nair Medical
College)
Dr. Shilpa
MATERIAL MANAGEMENT
Definition
 Material may be defined as equipment,
apparatus and supplies procured, stocked and
utilized by an organization
 Management is a process which is applied to
convert inputs into outputs (goods or services)
or a process of planning, organizing, staffing,
directing and controlling, usually by a manager
Material Management
 A scientific technique concerned with planning,
organizing & control of flow of materials from
their initial purchase to destination
 An organizational concept in which a single
manager has the authority and responsibility
for all activities, principally concerned with the
flow of materials into an organization-
purchasing, production, planning, scheduling,
incoming traffic, inventory control, receiving
and stores normally included (National Assn.
Of Purchasing Mgmt-USA)
MM is a new concept in health care field. Modern
tech. of efficient MM were developed in USA
during second world war which helped them to
make a spectacular progress in improving their
productivity.
MM is a new concept in India introduced in
sixties. In last few years increasing awareness in
different areas of management is found. Hospital
organizations are an ideal situation for application
of this concept as 25-40 % of budgetary
expenditure is done on accomplishing the store
function.
Many hospitals have adopted this management to
provide efficient patient care
MM in health care Institutions
Why material management is of
importance
 Financially: Large proportion (25-40%) of health
expenditure is on materials
 For better availability: Material supplies are not
satisfactory at present
 Complex requirement: Medical and non-medical items
are more in number
 To maintain cold chain for vaccines
 Contraceptives are to be supplied to all over country
 Social marketing is to be supported
 There is need and potential for increased efficiency
and effectiveness
AIM
To ensure
1. The Right quality
2. Right quantity of supplies
3. At the Right time
4. At the Right place
5. At the Right cost
Primary Objectives
 Most important aspect of MM is to obtain correct
quality of materials at lowest possible cost (economic
order quantity)
 High inventory turn over
 Low storage cost (reduce capital and recurring
expenditure)
 Maintain continuous supply
 Maintain quality of purchase
 Cordial relationship with suppliers
 Low pay roll costs
 Development of vendors
 Good records
 Avoid wastage
Secondary objectives
These contribute to achieve primary objectives
 Favorable reciprocal relation
 New materials and product
 Economic make and buy
 Standardization
 Product improvement
 Interdepartmental harmony
 Economic forecast
Elements of MM
 Identification of items
 Estimating demand
 Purchase and procurement
 Inspection and quality control
 Storage
 Inventory control
 Issue procedure
 Maintenance, repairs, condemnation
 Information system
Material planning
 A ) Identification of items for eg: drugs. WHO
has published a guideline list of basic or
essential drugs, which are indispensable and
necessary for health needs and updated time
to time.
Finalization of drugs to be purchased for
hospitals or health centers , a committee may
be formed of clinicians, pharmacologists,
administrators, medical stores etc. to make
short lists..the lists should contain the non-
proprietary generic names, which helps in
lowering the cost .
 B. Estimate future demands: Time trend over
a period of 2-3 yrs, requirements may be
estimated for different items, fluctuations,
unusual occurrences in past, stock out
positions, excess stock . Any anticipatory
changes should also be considered.
Material planning
Planning for routine imm. In a sub center
1.Estimation of beneficiaries
2. Estimation of vaccines and logistics
Eg: for pregnant women TT vac. Coverage
Total population in a village
Annual target of pregnant women by multiplying the actual
headcount of pregnant women(by 2,for an estimate of 1 yr)
=A
Monthly target of pregnant women (A÷12)= B
Beneficiaries per month= B×2 doses=C
Requirements of vaccine vial (wastage of 25%, WMF of 1.33;
C ×1.33÷10
Syringes per month=C ×1.1
 Purchase procurement
Purchase is a strategic activity, directed
towards acquiring materials, supplies,
equipments and services for the purpose of
consumption and rendering services by
organization in an efficient manner.
Each organization has a purchase policy. This
saves time in making fresh decisions every
time and maintains uniformity.
Centralised purchasing
enables quality
control, improved
negotiating capacity,
hence minimizes the
cost.
may be delay in
supply and in
distribution of the
stores, possibility of
consumer
dissatisfaction
Advantage: Disadvantages :
Decentralized purchasing
 The peripheral units are
responsible for purchase
and distribution hence top
authority can get more
time for other organization
activity. Will be faster to
needs in emergencies,
better liaison and tight
control as purchase officer
will have more depth
knowledge of
requirements.
 Can be expensive as
replication by each dept,
increases manpower
consumption since they
have to spare time for
other than their regular
work. If purchase is not
managed well, inspection
and quality control can
suffer, inferior goods may
be supplied and out of
stock situations is common
Advantages Disadvantage:
Purchase
record
Specification
file
Need
recognized,
demand
estimated
Tender/enquiry/imports
Suppliers records
Follow up
Invoice
check
Inspection and quality control
 ISO and ISI stipulates standard of quality. It is
preferable to purchase items that bear such
certification , in other cases inspection is done before
purchasing/acceptance.
 Organizations/officers should be aware of
unscrupulous supplies (quality)/un ethical practice
(payments) of supplies
 Qualified Quality control inspectors are usually
appointed for this purpose.
 After receiving goods are sent to testing lab for
evaluation, the receiving personnel prepares a
detailed Material receipt note(MRN), in case of
rejected goods, a Goods rejected memo is prepared.
Storage of materials
 Medical and non-medical items to be kept
separate
 Convenient place for receipt of supplies and
delivery with adequate space and facilities,
preferably located in basement
 Combustible and non-combustible substances to
be kept separate
 Place to be free from rodents
 Poisonous and narcotic substances to kept
separately
 Most recently received drugs are placed behind
old stock on the shelf, should be well arranged,
placing drugs in shelves in alphabetically order
corresponding to essential drug list
 Rule of first in first out (FIFO) should apply
 After receiving materials, check consignment
belongs to you, later check the materials in detail,
quarantine and separate if materials are not in
conformity with order and intimate the supplier
immediately, MRN to be prepared if they are
correct and enter in stock ledger with out any
mistakes and submitted to stores manager.
Materials are arranged and stored as necessary.
Indenting of stores:
Annual
Supplementary
Emergent
Local purchase
Purchase committee
 Tender system is a form purchasing materials
at competitive price, without compromising the
quality to be transparent and accountable to
people .
 Single tender
 Limited tender- by registered firm /short listing
 Open tender (NIT)
 Global tender
Forecasting
 Forecasting: A process of estimating the relevant
events of future, on the basis of their past and
present analysis.
 Sales forecasting is to be done first and then
should be converted into material requirement
 Various methods are business barometers (state
of economy), time series analysis (chronological
order), extrapolation, visionary forecast, market
research, Delphi method, panel consensus,
moving average method, exponential smoothing,
input-output / diffusion index, correlation analysis,
regression model, econometric model, opinion
poll, casual model.
summary
material
management
material
planning
purchase &
procurement
inspectio
n
&quality
control
storage
inventory
control
issue
procedur
e
maintenance &
repairs
information
system

Material management

  • 1.
    Dr. Kulkarni (Prof.of PSM, B.Y.L.Nair Medical College) Dr. Shilpa MATERIAL MANAGEMENT
  • 2.
    Definition  Material maybe defined as equipment, apparatus and supplies procured, stocked and utilized by an organization  Management is a process which is applied to convert inputs into outputs (goods or services) or a process of planning, organizing, staffing, directing and controlling, usually by a manager
  • 3.
    Material Management  Ascientific technique concerned with planning, organizing & control of flow of materials from their initial purchase to destination  An organizational concept in which a single manager has the authority and responsibility for all activities, principally concerned with the flow of materials into an organization- purchasing, production, planning, scheduling, incoming traffic, inventory control, receiving and stores normally included (National Assn. Of Purchasing Mgmt-USA)
  • 4.
    MM is anew concept in health care field. Modern tech. of efficient MM were developed in USA during second world war which helped them to make a spectacular progress in improving their productivity. MM is a new concept in India introduced in sixties. In last few years increasing awareness in different areas of management is found. Hospital organizations are an ideal situation for application of this concept as 25-40 % of budgetary expenditure is done on accomplishing the store function. Many hospitals have adopted this management to provide efficient patient care MM in health care Institutions
  • 5.
    Why material managementis of importance  Financially: Large proportion (25-40%) of health expenditure is on materials  For better availability: Material supplies are not satisfactory at present  Complex requirement: Medical and non-medical items are more in number  To maintain cold chain for vaccines  Contraceptives are to be supplied to all over country  Social marketing is to be supported  There is need and potential for increased efficiency and effectiveness
  • 6.
    AIM To ensure 1. TheRight quality 2. Right quantity of supplies 3. At the Right time 4. At the Right place 5. At the Right cost
  • 7.
    Primary Objectives  Mostimportant aspect of MM is to obtain correct quality of materials at lowest possible cost (economic order quantity)  High inventory turn over  Low storage cost (reduce capital and recurring expenditure)  Maintain continuous supply  Maintain quality of purchase  Cordial relationship with suppliers  Low pay roll costs  Development of vendors  Good records  Avoid wastage
  • 8.
    Secondary objectives These contributeto achieve primary objectives  Favorable reciprocal relation  New materials and product  Economic make and buy  Standardization  Product improvement  Interdepartmental harmony  Economic forecast
  • 9.
    Elements of MM Identification of items  Estimating demand  Purchase and procurement  Inspection and quality control  Storage  Inventory control  Issue procedure  Maintenance, repairs, condemnation  Information system
  • 10.
    Material planning  A) Identification of items for eg: drugs. WHO has published a guideline list of basic or essential drugs, which are indispensable and necessary for health needs and updated time to time. Finalization of drugs to be purchased for hospitals or health centers , a committee may be formed of clinicians, pharmacologists, administrators, medical stores etc. to make short lists..the lists should contain the non- proprietary generic names, which helps in lowering the cost .
  • 11.
     B. Estimatefuture demands: Time trend over a period of 2-3 yrs, requirements may be estimated for different items, fluctuations, unusual occurrences in past, stock out positions, excess stock . Any anticipatory changes should also be considered.
  • 12.
    Material planning Planning forroutine imm. In a sub center 1.Estimation of beneficiaries 2. Estimation of vaccines and logistics Eg: for pregnant women TT vac. Coverage Total population in a village Annual target of pregnant women by multiplying the actual headcount of pregnant women(by 2,for an estimate of 1 yr) =A Monthly target of pregnant women (A÷12)= B Beneficiaries per month= B×2 doses=C Requirements of vaccine vial (wastage of 25%, WMF of 1.33; C ×1.33÷10 Syringes per month=C ×1.1
  • 13.
     Purchase procurement Purchaseis a strategic activity, directed towards acquiring materials, supplies, equipments and services for the purpose of consumption and rendering services by organization in an efficient manner. Each organization has a purchase policy. This saves time in making fresh decisions every time and maintains uniformity.
  • 14.
    Centralised purchasing enables quality control,improved negotiating capacity, hence minimizes the cost. may be delay in supply and in distribution of the stores, possibility of consumer dissatisfaction Advantage: Disadvantages :
  • 15.
    Decentralized purchasing  Theperipheral units are responsible for purchase and distribution hence top authority can get more time for other organization activity. Will be faster to needs in emergencies, better liaison and tight control as purchase officer will have more depth knowledge of requirements.  Can be expensive as replication by each dept, increases manpower consumption since they have to spare time for other than their regular work. If purchase is not managed well, inspection and quality control can suffer, inferior goods may be supplied and out of stock situations is common Advantages Disadvantage:
  • 16.
  • 17.
  • 18.
    Inspection and qualitycontrol  ISO and ISI stipulates standard of quality. It is preferable to purchase items that bear such certification , in other cases inspection is done before purchasing/acceptance.  Organizations/officers should be aware of unscrupulous supplies (quality)/un ethical practice (payments) of supplies  Qualified Quality control inspectors are usually appointed for this purpose.  After receiving goods are sent to testing lab for evaluation, the receiving personnel prepares a detailed Material receipt note(MRN), in case of rejected goods, a Goods rejected memo is prepared.
  • 19.
    Storage of materials Medical and non-medical items to be kept separate  Convenient place for receipt of supplies and delivery with adequate space and facilities, preferably located in basement  Combustible and non-combustible substances to be kept separate  Place to be free from rodents  Poisonous and narcotic substances to kept separately  Most recently received drugs are placed behind old stock on the shelf, should be well arranged, placing drugs in shelves in alphabetically order corresponding to essential drug list  Rule of first in first out (FIFO) should apply
  • 20.
     After receivingmaterials, check consignment belongs to you, later check the materials in detail, quarantine and separate if materials are not in conformity with order and intimate the supplier immediately, MRN to be prepared if they are correct and enter in stock ledger with out any mistakes and submitted to stores manager. Materials are arranged and stored as necessary. Indenting of stores: Annual Supplementary Emergent Local purchase Purchase committee
  • 21.
     Tender systemis a form purchasing materials at competitive price, without compromising the quality to be transparent and accountable to people .  Single tender  Limited tender- by registered firm /short listing  Open tender (NIT)  Global tender
  • 22.
    Forecasting  Forecasting: Aprocess of estimating the relevant events of future, on the basis of their past and present analysis.  Sales forecasting is to be done first and then should be converted into material requirement  Various methods are business barometers (state of economy), time series analysis (chronological order), extrapolation, visionary forecast, market research, Delphi method, panel consensus, moving average method, exponential smoothing, input-output / diffusion index, correlation analysis, regression model, econometric model, opinion poll, casual model.
  • 23.

Editor's Notes

  • #4 Housley has defined as the management and control of goods, services and equipment from acquisition to disposition. Mnarandole defines it as the management and control of medical, surgical, clerical, interdepartment services and equipments from acquisition on floor to disposition
  • #8 Economic order quantity: at a particular quantity of item to be ordered the purchasing cost and inventory carrying cost will also be minimum, purchase will be economical at this quantity
  • #11 Each country has to draw up its national drug list acc. to its needs, policies, priorities . Limited list has advantages, where tremendous reduction in no. of medicinal products to be purchased, stored, maintained and distributed. There is an improvement in quality of drug utilization, management, information and monitoring.
  • #13 Vaccine, cold chain maintenance, meetings, cards, waste pits, polythene bags, training, ice packs - inventory cost
  • #14 Buying is a act of exchange of item at a price
  • #15 Centralised purchasing is when a person or a department makes purchase of all material required by an organization
  • #16 Decentralised is the user dept. is responsible for purchasing.
  • #21 MRN- materials recepit note
  • #22 NIT- notice inviting tender