Pressure ulcers and materiel management: cost-effective prevention and care

In summary, it's important for the materiel manager to have an understanding of the clinical aspects of pressure ulcers. By understanding how ulcers are staged, treated, and prevented, the materiel manager will have a better idea why certain products are needed and how they are used to reduce overall patient costs. Specialty beds, replacement mattresses, and high-end overlays represent a significant cost--approximately $500,000 to $1 million based on studies cited in this article. Further proven by research is the fact that these costs can be reduced by carrying out utilization plans with specific criteria for patient selection. Finally, materiel managers can be key coordinators in the entire process since they are often on the front lines in any institution's cost containment efforts.     

Doing more with less: smart stockroom management equals great service.

As manufacturers compete for a larger share of a shrinking market, cries for a better way of doing business can be heard resounding throughout the business community. Many companies are now looking toward these principles for help: working smarter, doing more with less, and supplying superior service. One area in which they can be applied successfully is stockroom management. Their implementation can result in positive, cost-effective changes. This article describes how a materiel control organization was able to meet the call for change and in the process increase accuracy, reduce cycle time, and enhance its commitment to providing "great service" to both internal and external customers.     

Strategic imperatives for managing materiel into the next century

The next century of opportunity is less than a decade away. Materiel management must involve itself in the strategic changes occurring within the health care industry and its respective institutions. Those materiel managers who are aggressively ensuring that their operations are supported by a well-developed and well-orchestrated operational infrastructure are now well positioned to address the future challenges of this decade. Unfortunately, many other materiel managers are focusing their attention and efforts solely on the management of materiel for which they currently have control. Materiel managers must develop an acute awareness of the support needs of their respective organizations. Those who are not apprehensive about venturing from the traditional materiel management world will be exposed to incredible educational opportunities and will receive responsibilities of unparalleled organizational importance.     

A simple process for controlling operating room specialized inventory

As with any new system, success would not exist without team efforts. Cooperation from the materiel service department played an important role in its success. Prompt purchase orders and a prompt delivery system are a must when PAR levels are kept at a minimum. The new manual inventory system became an efficient and effective alternative to controlling products within the surgery department at Tampa General Hospital. And now for automation!     

How is your materiel management audit program?

This article has provided a view from the auditor's eyes of some key components inherent in a sound materiel management system. Every system, however, has its own unique characteristics, some of which may contain internal control situations that are not addressed herein. Although most will apply, not every comment contained in this article will be practical to all systems. The hospital size, utilization, patient mix, service mix, physical outlay, organizational structure, financial condition, and management philosophy will all have an influence on the role of materiel management. Automation of various materiel management functions can be beneficial by providing informational and control enhancements not feasible in a manual system. However, automation also raises new internal-control concerns that need to be addressed. Strong internal control techniques and compliance with adequate policies and procedures will prepare materiel management for its role in future hospital operations.     

Purchasing without paper (well, almost no paper).

This article describes the process by which one company was able to substantially reduce the amount of paperwork required for purchasing material. After considering all the variables that affected the amount of paperwork, it developed three different models to use in ordering materiel, one for materiel delivered by the vendor in standard containers, one for materiel delivered by a carrier in standard containers, and the last for materiel that is best delivered in variable quantities.     

A new focus on inventory performance and bottom-line profits

This article is about a new way to measure inventory performance and about putting a dollar focus on inventory management priorities. It reviews the financial impact of inventories and shows how the information from any materiel requirements planning (MRP), MRP II, ERP, DRP, or orderpoint system can be used for setting individual objectives for inventory reduction, measuring performance by inventory segment, and monitoring continuous improvement. It will also consider the merits of paying performance bonuses to materiel planners and review some inventory reduction results.     

Materiel management and reimbursement in the American Association of Eye and Ear Hospitals

Simply stated, understanding how hospitals receive money enables materiel managers to save money. Reimbursement in the health care industry is a complex phenomenon, and the rules and regulations change annually, so that it is sometimes difficult to budget appropriately and estimate the hospital's bottom line accurately. The savvy materiel managers who can utilize the reimbursement concepts effectively will be highly regarded within their institutions.     

Efficient materiel handling and distribution: a design perspective

This article offers a condensed examination of facility design and the interface between owners, hospital managers, and architects in planning for hospital materiel handling and storage needs. A brief history is given of the evolution of materiel management and progress today in efficient ordering, storing, distributing, and inventory and billing. The article closes with a discussion of work redesign and personnel vs. equipment concerns. Two case studies exemplify similar goals from different approaches.     

Business process reengineering: a pathway for performance improvement

Health care materiel management executives are coping with a revolutionary environment. Demands and constraints are being placed on hospitals that necessitate both long-term solutions and rapid responses. Materiel management executives can play a vital role in transforming their areas from a passive service center to an active command center. It is essential that the materiel management executive play an active role in the change process.     

Restructuring materiel management functions: a method for prioritizing changes and reducing costs

The success of any manager depends highly on the ability to seize on opportunities that will achieve the organization's goals. Hospitals are currently searching for ways to reduce costs while maintaining or enhancing the quality of services. Quality services are increasingly being defined as those that are most responsive to customer needs. It is important, as hospital management restructures materiel systems or methods of operation for reduced costs, to focus on the user departments as the customers. The consolidation of materiel management activity should not be seen as a loss of control at the user department level. Instead it can be seen as a new way of providing service with higher quality. User departments should see concrete benefits on a weekly basis, including reduced time spent on materiel management functions; increased planning of purchasing, inventory, and distribution functions; and assistance in meeting restricted supply budgets.     

基于GSPN的装备器材供应链建模与分析

研究了广义随机Petri网（GSPN）的建模及分析方法,建立了基于GSPN的装备器材供应链流程模型,并将Petri网模型转化为等价的马尔可夫链,得出了供应链模型的主要性能指标,据此分析制约供应链的瓶颈。     

Hospital material management in Taiwan: a survey

The new insurance policy that began in 1995 for all people in Taiwan and severe competition within the health care industry are some of the pressing issues forcing hospitals to improve their operational efficiency. A primary productivity improvement for hospitals is the reduction of the cost of material management because the materiel function on average controls 30-40 percent of the operating dollars in a Taiwan hospital. In this article, a fuzzy clustering method is used to classify the different types of materiel management systems within Taiwan hospitals. Inventory turnover rates and fill rates are compared among those different types of systems by using multivariate analysis of variance. The results show that the differences in both inventory turnover rates and fill rates are statistically significant among different material management systems.     

Career survival strategies for materiel managers

The skill sets and attitudes required for materiel management professional survival continue to change. Just as the industry has evolved for calculators and three-part forms, so too must today's managers evolve into facilitators and information-oriented management. While these new skills are being perfected, three focused strategies initiated right now can enhance your chance for survival. First, get to know your customers intimately. Go to their meetings. Tour their departments. Second, assume responsibility and report materiel cost data that has meaning to senior management and customers. Fill rates and inventory turns offer little value to other managers, but supply cost per discharge can be of value. Third, be proactive in competing with outsourcing competitors. Do not wait until they are on your doorstep before developing a strategy to compete.     

Reengineering materiel management for strategic placement

The future of a hospital's materiel management function will depend on how well aligned it is with the institution's strategic direction. A sleek, customer-directed, information-rich supply process will provide the competitive edge. A reengineering mindset is needed to meet the challenge.     

CEO expectations of the pharmacist materiel manager

The pharmacist possesses the knowledge and skills required of a materiel manager. The pharmacist must be willing to adapt to the materiel management environment. The resultant loss of certain clinical skills is inevitable. The pharmacist who does not accept this will not succeed. The CEO should expect this.     

装备器材保障信息化建设研究

结合信息技术发展，分析了装备器材保障信息化建设的现状，提出了装备器材保障信息化建设的目标，研究了系统总体构成、各级网络系统拓扑结构、各应用系统功能。并对装备器材保障信息化整体建设内容进行了规划分析。     

World-class materiel flexibility: one plant's victory over materiel-related downtime

It is not uncommon for the materiel managers in a manufacturing company to be blamed for downtime and the consequent failure to meet production targets. To avoid downtime, materiel managers need to look at their role in solving materiel-related downtime and to address the problems that cause downtime in the same way they would address other process quality problems.     

Partnering as a key strategy of managing to outcomes

More than ever, administrators need "great" materiel managers to produce board room-worthy results. What are those? Administrators are less interested in the details of what we do and more interested in what have we done for them--today. This means performance output with less time and support for the why and how we get the job done. Are we delivering on the desired outcomes? In many instances we have become victims of the details of the profession, forgetting that the details, while important to sustain a process, are not in themselves the process or the solution needed for our troubled industry.     

装备保障资源配置问题及发展

装备保障资源配置作为军事物流的一部分,与民用物流资源配置相比。存在明显的特征。文章对其进行了详细分析．并据此提出了在信息技术快速发展的大背景下保障资源配置思路,以提高军队后勤力量：最后指出保障资源的配置工作应朝绿色资源配置方向发展。它是国家可持续发展和构建和谐社会的需要。