The document discusses problems with traditional "par replenishment" inventory management systems used in hospitals and outlines alternative approaches. It notes that par replenishment relies on visual estimates by technicians which can lead to errors. Kanban systems are presented as a better option, using fixed replenishment quantities, automatic replenishment triggers, and mobility tools to simplify the process. The document advocates using different inventory management strategies tailored to specific item types and areas within hospitals in order to gain efficiencies and cost savings.
Hospital systems aren't yet delivering the efficiency and cost savings needed to improve healthcare. But supply chain leaders are working on it! This presentation uncovers the Top 10 Myths holding back inventory management in hospitals.
Sharing a New Ideal: How Tomorrow’s Understaffed, Multi-Site Lab Organization...mhartman1309
This presentation was presented by Chris Christopher at the Lab Quality Confab Conference on Nov 2, 2010. It shows how medical laboratories are using automation, technology and lean sigma improvement methodologies to meet organizational needs.
Hospital systems aren't yet delivering the efficiency and cost savings needed to improve healthcare. But supply chain leaders are working on it! This presentation uncovers the Top 10 Myths holding back inventory management in hospitals.
Sharing a New Ideal: How Tomorrow’s Understaffed, Multi-Site Lab Organization...mhartman1309
This presentation was presented by Chris Christopher at the Lab Quality Confab Conference on Nov 2, 2010. It shows how medical laboratories are using automation, technology and lean sigma improvement methodologies to meet organizational needs.
This presentation offers guidance to those hospitals that are rolling out a new pharmacy program as well best practices for maintaining and continuously improving current programs. Take a look and find out why annual program reviews are highly recommended.
Webinar presentation regarding waste stream analysis and best management practices. This presentations covers tactical topics including how to thoroughly and expediently analyze your own waste streams. It includes real life tactics for cost-efficient waste stream management.
With unprecedented change on the horizon, healthcare organizations are looking to redefine their workflows to focus on quality and efficiency.
Through utilizing SIMUL8 and Lean Six Sigma principles, ECG Management Consultants, Inc. has been able to help clinics and health systems to deliver on the new value proposition in the post-reform era.
A webinar hosted by CHIME. It shared thoughts on one of my areas of interest – harnessing both business intelligence and health IT, for more effective measurement of healthcare performance.
Inventory Management in hospitals is plagued by inefficient processes, high-cost systems that don't support key business needs, and hard-to-change relationships between supply chain leaders and nursing. This presentation suggests 10 ideas to help supply chain business leaders improve inventory management within their hospital.
Matt Brennan, formerly the director, Surgical Support Services, Supply & Logistics at a large academic institution, developed this presentation to share the story of his experience working with a combined team of emergency department nurses and supply chain staff to develop a new, lean approach to supply management in the ED. Matt reviews the benefits that can be achieved using a Lean Six Sigma approach to continuous improvement with nursing staff, including:
- Significantly increasing nurse satisfaction and reducing nurse turnover
- Measurably reducing labor and supply costs
- Ensuring the optimal match between inventory management approach and the unique needs of each department, specifically, identifying less expensive methods of commodity product replenishment
- Working with a black belt consultant, this team of ED nurses, supply & distribution and administration staff held a Lean Six Sigma Kaizen event to redefine and redesign processes. Their results included:
- Fewer SKUs ordered on a daily basis
- Reduced staff touches
- Elimination of cycle counts within PAR areas
- Elimination of data entry errors
- Reduced nursing time spent on supply management
- Reduced restocking time for staff
- Fewer stock-outs (1.5%)
- Improved cabinet-system compliance (74% to 97%)
- Improved nursing engagement
This presentation is designed to help supply chain leaders in hospitals create effective partnerships with nursing teams, leveraging the unique strengths of both nursing and supply chain leaders in designing systems, and avoiding pitfalls that cause delays in making improvements to your supply management programs.
This presentation offers guidance to those hospitals that are rolling out a new pharmacy program as well best practices for maintaining and continuously improving current programs. Take a look and find out why annual program reviews are highly recommended.
Webinar presentation regarding waste stream analysis and best management practices. This presentations covers tactical topics including how to thoroughly and expediently analyze your own waste streams. It includes real life tactics for cost-efficient waste stream management.
With unprecedented change on the horizon, healthcare organizations are looking to redefine their workflows to focus on quality and efficiency.
Through utilizing SIMUL8 and Lean Six Sigma principles, ECG Management Consultants, Inc. has been able to help clinics and health systems to deliver on the new value proposition in the post-reform era.
A webinar hosted by CHIME. It shared thoughts on one of my areas of interest – harnessing both business intelligence and health IT, for more effective measurement of healthcare performance.
Inventory Management in hospitals is plagued by inefficient processes, high-cost systems that don't support key business needs, and hard-to-change relationships between supply chain leaders and nursing. This presentation suggests 10 ideas to help supply chain business leaders improve inventory management within their hospital.
Matt Brennan, formerly the director, Surgical Support Services, Supply & Logistics at a large academic institution, developed this presentation to share the story of his experience working with a combined team of emergency department nurses and supply chain staff to develop a new, lean approach to supply management in the ED. Matt reviews the benefits that can be achieved using a Lean Six Sigma approach to continuous improvement with nursing staff, including:
- Significantly increasing nurse satisfaction and reducing nurse turnover
- Measurably reducing labor and supply costs
- Ensuring the optimal match between inventory management approach and the unique needs of each department, specifically, identifying less expensive methods of commodity product replenishment
- Working with a black belt consultant, this team of ED nurses, supply & distribution and administration staff held a Lean Six Sigma Kaizen event to redefine and redesign processes. Their results included:
- Fewer SKUs ordered on a daily basis
- Reduced staff touches
- Elimination of cycle counts within PAR areas
- Elimination of data entry errors
- Reduced nursing time spent on supply management
- Reduced restocking time for staff
- Fewer stock-outs (1.5%)
- Improved cabinet-system compliance (74% to 97%)
- Improved nursing engagement
This presentation is designed to help supply chain leaders in hospitals create effective partnerships with nursing teams, leveraging the unique strengths of both nursing and supply chain leaders in designing systems, and avoiding pitfalls that cause delays in making improvements to your supply management programs.
I m a physiotherapy student in Maharashi Markandeshwar University Mullana , Ambala
And i prepared the ppt on topic
Hospital Management System .
(HMS) Hospital management system is a computer system that helps manage the information related to health care and aids in the job completion of health care providers effectively.
In this ppt we have brief introduction of every module as given in index ...
Hope you like it
Thankyou!☺️
Kaizen is a culture, a management system, and a philosophy that can change the way hospitals are organized & managed. It is a methodology that allows hospitals to improve the quality of care for patients by reducing errors & waiting times.
Through statistical analysis tools and process improvement techniques, hospitals and other healthcare providers can save costs by reducing wasted materials.
Presentation by Rich Pollack, VP and Chief Information Officer, VCU Health, at the marcus evans National Healthcare CIO Summit held in Pasadena, CA March 13-14 2017
Presented by Bryan Baylis CSCP, Pharmaceutical Supply Chain Consultant, Merck, USA and delivered during the 38th annual SAPICS 2016 at Sun City, South Africa.
In 2008 a Nepali region of over 250,000 people that made $141 per year, lived 36 hours by bus one-way from the capital and healthcare center of the country, were recovering from a 10 year civil war, and didn’t have access to a single healthcare provider. A unique partnership between a non-profit and the local Nepali Government was born and exists today as the Bayalpata Hospital in Achham, Nepal. Fast forward to 2015, Bayalpata Hospital has provided healthcare to over 220,000 patents free of charge. As part of a philanthropic initiative through Merck & Co. Inc. three Supply Chain Professionals made the trek to Achham, Nepal to redesign both the internal and external medical and surgical tools supply chains. The goal, to implement a reliable process to efficiently procure stock and deliver life-saving medicines to the patient. Join Bryan to learn how this successful implementation included creatively implementing basic supply chain principles while constantly taking into account the cultural differences that exist in such an environment.
Have you ever asked the question -- Why Healthcare Facilities cannot be profitable? Maybe it is in the way they are designed. It is time for a change. We can make the difference.
Hospital database management system (1)Nishit Shah
Designed an automated hospital database management system to promote auto -staff scheduling, patient's appointments,room allocations and operations, patient's pharmaceutical needs and generation of billing statement containing patient's cost incurred during the stay.Generated report using self-reporting tool Power BI to give graphical summary of the project database.
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
Deep Leg Vein Thrombosis occurs when a blood clot forms in one or more of the deep veins in the legs. These clots can impede blood flow, leading to severe complications.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...
Par replenish is not inventory management 120815
1. The Cost of Using “Par Replenishment” in Place
of Inventory Management
Presented by Matt Brennan, healthcare supply chain industry expert;
John Freund, CEO, Jump Technologies
Confidential. Copyright 2015 Jump Technologies. All rights reserved.1
2. Agenda
• Affordable Care Act and impact on supply chain
• What costly problems are occurring in hospitals today and why?
• What are alternate approaches to inventory management?
• What criteria must you consider?
• How do you match the right approach to each area of your organization?
• What will you need from inventory management technology?
• Q&A
2
3. Impact of Affordable Care Act on Hospitals
CMS actuaries estimate that by 2040 half of all hospitals will
be losing money2.
Centers for Medicare and Medicaid Services (CMS) reports
that in 2013, 27% of hospitals had a negative operating
margin. This is expected to increase to 28-30% by 20191.
1Triple Tree Blog Post, 11/24/2015
2Mercatus Center, George Mason University, 10/27/2015
5. The Solution Is In The Supply Chain
• Savings in the supply chain
• Supplies are the second highest expense after payroll
• Cuts here have less direct impact on patient facing services
• Most common supply chain problems
• Labor costs are too high
• Items stock out causing
• Inventory hoarding
• Off contract spending
• Waste due to expiring products
• Procedure cancellation/rescheduling
• Very few hospitals manage inventory
• Most inventory solutions are really replenishment solutions that don’t manage
inventory
6. Brief History of Healthcare Financial Reform
• Inpatient Prospective Payment System (1987) first major attempt by the federal
government to control hospital costs
• Diagnostic Related Groupings (DRGs) set a fixed reimbursement amount for all hospitals within a
designated Metropolitan Statistical Area (MSA)
• Until that time, more tests performed and longer patient stays resulted in revenue
• Many modifications made, none as significant as the ACA
• The shift to disease prevention focuses on keeping people out of the hospital
• Experts believe Walmart and Walgreens’ patient care efforts will be expanded to include
simple, more profitable procedures hospitals rely on to stay profitable
Hospitals need simple, reliable systems that rapidly determine change in product
consumption and report that change to the Supply Chain Management Team
6
7. Shifting Forward
• Often, attempts to standardize supply replenishment with a one size fits all solution can
increase operating costs without improving supply chain performance
• It’s our responsibility to determine the most efficient, reliable and affordable technological
solution to manage the different types of inventories
• Closed cabinet point-of-use systems for high dollar, low inventory items that need to
reorder same day may make sense but not for commodity items like gloves, needles,
syringes, etc.
• How do we establish the best solutions for our institutions?
7
8. What is Par Replenishment?
• Par levels are set for items stocked in the hospital / health system
• At scheduled intervals, a supply technician visits storerooms and supply areas
and conducts a visual assessment of every item
• Experienced technicians don’t count each item – far too time-consuming
• Based on experience with items and estimate of current levels, the technician
reports item quantities to trigger a reorder
• If an item has par of 10 and inventory is 11, but the technician thinks the supply
looks low, he or she may report it at 6 to trigger a reorder to avoid a stock-out
8
9. Par Replenishment Hazards
• Traditional par replenishment requires someone:
• Make a decision (should I count it or not, looks like enough – “eyeballing” it)
• Count quantity on hand
• Record count on paper or enter into data collection device
• “Do the math”
• Par is written on the label; supply staff must subtract the count quantity from the par on the
label and record or enter that result
• With busy supply locations, distractions occur constantly, which can cause errors
• Additional risks…
• A lot of responsibility in the hands of low-compensation employees
• System can fail based on expertise of tech
• Inexperienced tech can cause havoc
9
10. What Are the Options?
• Closed Cabinet Systems
• Expensive, critical care, one of a kind items that need to be kept available
• Patient chargeable/trackable
• Kanban
• 2Bin – Inexpensive stock usually maintained in large quantities
• Stock in virtually every clinical department of hospital includes15-80% of these items
• Watermark – Similar functionality to 2Bin, used frequently for items that don’t fit in bins
• RFID – Human Tissue products, Vascular Stents, Coils, etc.
• Patient chargeable/trackable
• Usually smaller quantities of many different sizes
• Par Replenishment
• Small quantities – many different sizes
• Vendor Managed Inventory (VMI)
• Commonly consigned orthopedic implants (OR)
10
11. Let’s Talk About Kanban
The 6 Most Common Errors Solved by Kanban:
1) Decision making (eyeballing)
2) Counting
3) Transcription
4) Data entry
5) Math errors
6) Stock rotation
11
14. Low Unit of Measure vs. Logical Unit of Measure
• LUM (Low Unit of Measure)
• While allowing many hospitals to lower on hand inventory and go stockless with a Just in Time
strategy, if not carefully managed, service fees can cost more than products!
• Example:
• Inexpensive commodity type items managed in a closed-cabinet system, such as a 2 cent needle
or 11 cent box of tissues, ordered by the each, had a $1.30 transaction fee added
• Fixed quantity replenishment schemes that deploy Kanban methodology using 2Bin and
Watermarks prevent this; they don’t allow the supply staff to determine the quantity. Quantity is
determined by manager utilizing the Velocity Report tool
• Combine Kanban and LUM (Logical Unit of Measure) to create a very effective
replenishment scheme for all commodity-type items
14
15. New Key Performance Indicators (KPIs)
ARV vs. PRV
• When Actual Replenishment Velocity (ARV) is added to KPIs, and compared to historical or Projected
Replenishment Velocity (PRV), supply staff can focus on the 10-15% of the stock moving more quickly
than expected (greatest chance of stocking out)
• The other end of the spectrum – 10-15% of stock moving more slowly than expected
• This is the stock that sits idle, with greater chance of expiring
• When managed, it can provide space to increase the quantities of the rapidly moving stock
• Remaining 70-75% of stock being consumed at the projected rate only needs a simple barcode scan to
trigger an error free order
15
17. Efficiencies Gained
17
- Fixed quantity replenishment
- Fewer SKUs ordered on a daily basis (40% fewer)
- Reduced touches by staff
- Eliminated cycle counts within PAR areas
- Eliminated data entry errors
- Reduced nursing time
- Reduced restocking time for supply staff
- Fewer stock-outs (1.5%)
- Improved Pyxis compliance (74% to 97%)
- Improved nursing engagement
18. One Size Does Not Fit All
Patient Care Units
• Kanban (2Bin and Watermark) works perfectly for commodity items
• Example: Large academic Level 1 Trauma Center with a Children’s Hospital
• Determined 80% of the inventoried supplies on the patient care floors cost less than $20 each
• Moved low-cost supplies to Kanban; remaining 20% managed through a combination of closed cabinetry, RFID
tracking and traditional par methods
Specialty Procedure Areas
• Same institution discovered only 15% of the OR, Cath Lab, EP Lab and Interventional Radiology Labs
were commodity items; the other 85% more expensive specialty items
• In specialty areas, Kanban is still a good fit for commodity items but the overwhelming majority of the stock requires
one of the other methods of inventory control
Bone/Tissue Banks
• FDA requirements for human tissue products strict yet achievable
• RFID technology good fit with discoverable chain of custody, which tracks who, when, where of the product right up
until the time of implant
18
19. What Do You Need from Your Inventory Management Technology?
Mobility
• Supply staff cover more departments/units and travel greater distances than ever
• Staff spending more time out of department; need simpler, lighter, smaller technology tools to collect
replenishment data. Large $1,800 terminals with $450 annual maintenance contracts not ideal
Affordability
• Capital Equipment Dollars get smaller each year; priority will be to replace aging patient care technology
• Supply Chain solutions will need to be developed with little or no capital investment
Versatility
• The same software tools must be capable of managing:
• Kanban – Nursing Units and Clinics
• Perpetual Inventories – OR Storeroom
• Par Areas – Cath Lab Storeroom
• RFID – Bone/Tissue
• Closed Cabinets - Intraocular Lenses19
20. IT Impact and Software Development
• IT resources
• Largely focused on the many applications and interfaces needed to get and keep systems
communicating with each other
• Not unusual to take several months for a request to be approved in concept, scheduled for
development or deployment a year or two later
• Cloud Computing / New Applications
• New applications in the healthcare supply chain becoming more viable
• Usually don’t require initial capital investment
• Cloud computing shaving months off traditional implementation schedules
• Best practices being incorporated into applications available to all users without cost or time
needed for development
20