...multidrug resistant tuberculosis drugs supply chain network design and performance measures at health facilities of Jimma town, southwest Ethiopia By: Alula Tadesse, SintayehuTarekegn&TadesseGudeta A term paper to be submitted to Dr.TemesgenGaroma (PhD) for partial fulfillment of advanced logistics and supply chain management course April, 2015 Jimma, Ethiopia Jimma University College of Health Sciences Department of Pharmacy Assessment of multidrug resistant tuberculosis drugs supply chain network design and performance measures at health facilities of Jimma town, southwest Ethiopia By: Alula Tadesse, SintayehuTarekegn&TadesseGudeta Advisor:-Dr.TemesgenGaroma (PhD) April, 2015 Jimma, Ethiopia ABSTRACT BACKGROUND: In all supply chains, correct logistics management optimizes the circulation of products and materials, and insures the link between flow of the physical items and the follow of information. It takes a holistic approach to company’s activities, as well as to the lifecycle of a given product, from its conception to its disposal. This system also has a great impact on the sustained availability of medicines including antiretroviral drugs where their absences resultin service interruption and loss of customer confidence on the institution. For this purpose an effective supply chain network and performance measures needs to be established. OBJECTIVE:-The objective of this study was to assess the supply chain network and performance measures...
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...This study will be conducted using a mixed methods approach which would entail a time-motion study, a focus group interview and a quantitative survey. Method 1: Qualitative (Focus group interview) A focus group interview would be conducted in order to obtain the local perceptions of barriers to and facilitators of quality of care. During this interview the continuum of care of care and the role of each unit involved in the provision of surgical care would be discussed in order to identify bottle necks and best practices. Sampling: The sampling method used is a purposive sampling because the information required is possessed by personnel intricately involved in the continuum of care of surgical patients. This includes consultant surgical...
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...Care Healthcare Supply Chain Management Supply Chain Management plays a vital role in our hospitals today. With the growing cost of healthcare and new technologies, it is vital for hospitals to run as efficiently as possible and without jeopardizing care. To the materials manager and to the financial minds of a hospital the area of supply chain is a tedius task at best, the kind of planning, strategizing and measuring that seldom goes recognized and rewarded. The work involved with inventory control fits tightly within that description. In many hospitals today, it is easy for inventory control to go astray and become uncontrolable. This is the case with I Care Healthcare System. Too many people with too much access to too much product procurement are controlling supplies and equipment coming into the facility without any regulation or little oversight. While the blame for over-ordering is frequently pointed at nursing staff, famous for squirreling away unseen, already paid-for stocks of goods, they are not the only offenders. More accurately, when it comes to inventory, it's the system that fails a hospital, not its people, over what is essentially an asset management issue. Currently I Care Healthcare System uses a mainframe that was develped internally with an outdated materials management system that allows you to generate purchase orders, but is lacking in running reports that track the usage. This is not uncommon in the hospital materials management environment...
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...PROCUREMENT EFFICIENCY IN PRIVATE HOSPITALS IN KENYA (A CASE STUDY OF CONSOLATA MISSION HOSPITAL, NYERI) NDUNG’U MARGARET NJERI A RESEARCH PROJECT SUBMITTED TO THE DEPARTMENT OF LOGISTICS AND SUPLLIES MANAGEMENT DEDAN KIMATHI UNIVERSITY OF TECHNOLOGY IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE AWARD OF DEGREE IN BACHELOR OF PURCHASING AND SUPPLIES MANAGEMENT. MARCH 2015 DECLARATION I Ndung’u Margaret Njeri, declare that the material in this research project has not been submitted to any university or institution of higher learning for any academic qualifications. This research project is a result of my own independent research effort and investigation Signature …………………………… Date………………………… Ndung’u Margaret Njeri ADM No.: B011-0678/2011 This research Project has been submitted for examination with my approval as The University Supervisor: Signature…………………………... Date……………………… Mr. ZakaryNjoroge DEDICATION This project is dedicated to my mum Ms. NjokiNdung’u for her financial and moral support geared toward my academic success; also to my friends Benson Kiarie, Ivy Patrick and Lucy Githinji for their support and motivation. Table of Contents DECLARATION ii DEDICATION iii List of figures vi List of tables vi ACKNOWLEDGEMENT vii ABSTRACT viii LIST OF ACRONYMS/ABBREVIATIONS ix OPERATIONAL DEFINITION OF TERMS x CHAPTER ONE 1 1.0 INTRODUCTION 1 1.1 Background of the Study 1 1.2 Problem Statement...
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...Supply Chain Efficiency in the Healthcare industry Introduction Healthcare in US is a major area with the country spending almost 16% of its GNP on healthcare costs. The healthcare industry is expected to grow and consume a greater share in the next few years. Hospitals are complex organizations providing a multitude of services to patients, physicians, and staff. These services include dietary, linen, housekeeping, physical plant engineering, pharmacy, laboratory, inpatient treatment (nursing units), surgery, radiology, administration, and others. In the national debate over how to make U.S. healthcare more efficient, one promising area for reform is often overlooked: supplies. Whether the products are knee implants, pacemakers, or expensive medications, hospitals have long purchased whatever doctors desired with little discussion among the parties involved about cost. Healthcare supply chain system is an extremely complex “adsorption model” that moves products downstream with limited visibility into product demand at the point of use. The outcome of the current model results in products that can be out-of-stock as much as 15 percent of the time. The pressures on hospital supply chains are changing too. In the past, a hospital that managed its purchasing costs well could operate efficiently. Today, the cost of materials management can exceed 35% of a hospital's operating budget, with nearly 20-25% attributable to supply costs alone. Despite the supply chain representing...
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...| Meditech surgical | | | 2/2/2015 | Case Study | | | Meditech surgical Case-Study Type A Introduction: Meditech is a major manufacturer and leader in endoscopic surgical instruments market, competing aggressively by introducing new products with enhancements to existing products. The growing market of endoscopic technology made Largo Healthcare, the parent company, to branch Meditech as an independent company. With this step, Meditech was highly successful in developing innovative low cost products, helping them in creating a market share of worth $800 million in a short span of time. On an average it introduced 12 or more products in any given year. Meditech’s aggressive sales force team was able to capture major market share by selling directly to hospitals, material managers and surgeons, unlike its major competitor, National Medical. The difference in its sales strategy, has helped Meditech to stand out in this market. Endoscopic instruments are not reusable by sterilization, and because of this reason hospitals require frequent replenishments, Bulk purchases they used group purchasing policies as it saved time taken for negotiations and money which in turn benefitted the suppliers too. Meditech thus maintained a production-line of approximately 200 end-products. The below flow charts models explains the distribution & internal operations of Meditech. Manufacturing Plant Central Warehouse Domestic Dealers International Dealers Dealers Warehouse ...
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...Physician Reimbursement Case Case Study Discuss the general differences between facility and nonfacility rates. Discuss the MS-DRG system for hospital inpatient services. Include in your discussion the history of the MS-DRG system and the need for the updated system. There are two types of bills used in healthcare. Which type of bill is used for physician services? Which type of bill is used for hospital services? The place of service can greatly affect reimbursement, depending on the type of service provided and the location. The reason being is that Medicare typically reimburses physicians based on a method called Relative Value Units (RVUs), which has three components: work, practice expense, and malpractice. Procedures that can be performed in either a facility or non-facility setting have different practice expense RVUs, depending on the place of service. Therefore, the practice expense is a major component in rate determination, because place of service is part of this practice expense component. The practice expense component includes rent/lease of space, supplies, equipment, and clinical and administrative staff expenses. In a general sense, facilities are hospitals, skilled nursing facilities, nursing homes, or any other place that bills for Medicare Part A. Some physicians work out of a hospital owned facility, meaning that they are employed by and work in a facility owned and billed for by a hospital, and those physicians would be billing based on the facility...
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...shortage of blood supply. The blood supply to the arteries of the brain is reduced leading to brain damage. This result from shortage of blood supply and glucose supply to the brain. In the US it is the fourth leading cause of death. Stroke is also known as cerebro-vascular accident and it is a medical emergency. TYPES OF STROKE There are two main types of stroke namely ischemic stroke and hemorrhagic stroke, though some authors belief that transient...
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...SUMMARY…………………………………………………………………..3 INTRODUCTION……………………………………………………………………………4 CASE STUDY 1: OFFER AND ACCEPTANCE…………………………………………5 CASE STUDY 2: CONSIDERATION……………………………………………………..6 CASE STUDY 3: INTENTION TO CREATE LEGAL RELATION……………………..7 CASE STUDY 4: contractual terms……………………………………………...……7-8 CASE STUDY 5: exclusion clause……………………………………………………8-9 CASE STUDY 6: Tort of negligence …...……………………………………………9-11 CASE STUDY 7: vicarious liability……………………………………………………12. REFERENCE LIST………………………………………………………………………..13 EXECUTIVE SUMMARY CASE STUDY 1: OFFER AND ACCEPTANCE This case involves term such as: offer, acceptance offer, difference between offer and treat, invitation of treat and acceptance of an offer by post. CASE STUDY 2: CONSIDERATION This case of study involves terms such as: part payment, principle of promissory estoppel Pinnels case (1602) and foakes beer (1884). CASE STUDY 3: INTENTION TO CREATE LEGAL RELATION This case of study involves terms such as: intention to create legal relation, domestic contract, social contract and commercial contracts. CASE STUDY 4: contractual terms This case of study involves terms such as: meaning of contractual terms, representation, types of contractual terms. CASE STUDY 5: exclusion clause This case of study involves terms such as: meaning of exclusion clause and legal rules governing the legality of the exclusion clause. CASE STUDY 6: Tort of negligence This case of study involves terms such as: Hedley Byne and Co ltd Heller...
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...Read the attached article regarding new techniques for treating heart attack victims and identify the problem statement for a study among residents in the Minn. area where this new technique is being practiced. This study is to learn how the residents feel about the new technique being used. You might want to include survivors of this technique to learn of their assessment of the technique vs. the more commonly used techinque of clot busting. |PAGE ONE | | | | | | | | | | | |[pic] | |[pic] ...
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...Health Human Resources Planning: an examination of relationships among nursing service utilization, an estimate of population health and overall health status outcomes in the province of Ontario November 2003 Gail Tomblin Murphy, PhD(c) Linda O’Brien-Pallas, PhD Chris Alksnis, PhD Stephen Birch, PhD George Kephart, PhD Mike Pennock Dorothy Pringle, PhD Irving Rootman, PhD Sping Wang, PhD Decision Maker Partners: Lucille Auffrey, RN Jean-Marie Berthelot Tom Closson Doris Grinspun, RN Mary Ellen Jeans, RN, PhD Kathleen MacMillan, RN, MA, MSc Barbara Oke, RN Judith Shamian, RN, PhD Barb Wahl, RN Funding Provided by: Canadian Health Services Research Foundation Nova Scotia Health Research Foundation University of Toronto Principal Investigators: Gail Tomblin Murphy Professor, School of Nursing Dalhousie University 5869 University Avenue Halifax, Nova Scotia B3H 4H7 Linda O’Brien-Pallas Professor and CHSRF/CIHR Chair, Nursing Human Resources Unit Co-Principal Investigator, Nursing Effectiveness, Utilization & Outcomes Research Unit Faculty of Nursing University of Toronto 50 St. George Street Toronto, Ontario M5S 3H4 Telephone: (416) 978-1967 Fax: (416) 946-7142 E-mail: l.obrien.pallas@utoronto.ca Telephone: (902) 494-2228 Fax: (902) 494-3487 E-mail: gail.tomblin.murphy@dal.ca This document is available on the Canadian Health Services Research Foundation Web site (www.chrsf.ca). For more information on the Canadian Health Services Research Foundation, contact the Foundation...
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...Graduate School of Business Rollins College PEARSON Prentice Hall Upper Saddle River, New Jersey 07458 About the Authors vi Foreword xx Preface xxi PART i l l 1, Introduction to Operations Management 1 Operations and Productivity 1 Global Company Profile: Hard Rock Cafe 2 What Is Operations Management? 4 Organizing to Produce Goods and Services 4 Why Study OM? 4 What Operations Managers Do 7 How This Book Is Organized 7 The Heritage of Operations Management 8 Operations in the Service Sector 9 Differences between Goods and Services 10 Growth of Services 11 Service Pay 12 Exciting New Trends in Operations Management 12 The Productivity Challenge 14 Productivity Measurement 15 Productivity Variables 17 Productivity and the Service Sector 19 Ethics and Social Responsibility 20 Summary 20 • Key Terms 21 • Solved Problems 21 < Self-Test 22 • Internet and Student CD-ROM/DVD Exercises 22 • Discussion Questions 22 • Ethical Dilemma 23 • Problems 23 • Case Studies: National Air Express 24; Zychol Chemicals Corporation 25 • Video Case Study: Hard Rock Cafe: Operations Management in Services 25 • Additional Case Study 26 • Bibliography 26 • Internet Resources 26 Developing Missions and Strategies 34 Mission 34 Strategy 35 Achieving Competitive Advantage Through Operations 36 Competing on Differentiation 36 Competing on Cost 37 Competing on Response 37 Ten Strategic OM Decisions 39 Issues in Operations Strategy 42 Research 42 Preconditions 43 Dynamics 43 Strategy Development...
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...and Management Operations and Supply Chain Case Studies In: Business and Management Operations and Supply Chain Case Studies Operations and Supply Chain Case Studies In today’s environment of global shopping where the demand for products is as wide as the number of firms offering them, orders can be placed in advance or at a moment’s notice from across the globe. The question of the manufacturer or reseller is how to best manage production across the supply chain. This paper will have two parts to it; part one will review the case study of the Realco Breadmaster. It will provide analysis on the current supply chain management and will make recommendations for a more strategic approach. Part two will focus on a case study for Toyota. This case will focus on quality and the Lean philosophy. First, it is important to provide some foundation support of what operations and supply chain management entail. Every firm or organization must make a product or provide a service to someone that is needed or valued. Operations are the collection of people, technology, and systems that are in a firm whose primary responsibility is to provide the company’s products or services (Bozarth & Handfield, 2008). “Supply chain is the network of manufacturers and service providers that convert and move good from the raw materials state through to the end user” (Bozarth & Handfield, 2008, p.4). Planning and controlling operations and supply chains are critical to the strategic...
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...the founder of a medical device maker called Retractable Technologies, spends a lot of time being agitated. One of the topics that gets him most riled up these days is bloodstream infections. And with good reason—while most people rarely think about them, these are the most dangerous of the hospital-acquired bugs that afflict one in ten patients in the United States. Their spread has helped to make contact with our health care system the fifth leading cause of death in this country. A few years ago, Shaw, an engineer by training, decided he wanted to do something to help solve this problem and quickly homed in on the mechanics of needle-less IV catheters. Rather than using needles to inject drugs into IV systems, most hospitals have moved to a new design, which involves screwing the threaded tip of a needle-less syringe into a specially designed port. The problem is that if the tip brushes against a nurse’s scrubs, or a counter, or the railing of a hospital bed, it can pick up bacteria. And the rugged threaded surface makes it difficult to get rid of the germs once they’re there. Often, the bacteria go straight into the patients’ bloodstream—which explains why, according to some studies, the rate of bloodstream infections is three times higher with needle-less systems than with their needle-based counterparts. After months of trial and error, Shaw hit on the idea of surrounding the tip of the syringe with six petal-like flanges, which could flare open to make way for the...
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...Health Care Case Study: Financial Statements The paper is a health care case study on Patton-Fuller Community Hospital’s financial statements. The summary of the paper is a review on the annual report financial statements at Patton-Fuller Community Hospital. A discussion on how the audited and unedited financial statements differ. An explanation will be discussed on the financial ratios for the hospital improving. The relationship between revenue sources and expenses on Patton-Fuller’s financial performance will be discussed. The effect of revenue sources on financial reporting at the hospital will be discussed. The hospital’s revenues and expenses grouped for planning and controlling will be explained. Audited & Unaudited Financial Statement Differences The balance sheet for the Patton-Fuller Community Hospital for the years of 2009 and 2008 appear to have a differences or discrepancy of $1,000,000 in the patient accounts receivable. On the 2009 unaudited statement there was $59,787,000 and on the audited statement there was $58,787,000 which accounts for the $1,000,000 difference (Patton-Fuller Community Hospital, 2011). Additionally, on the Statement of Revenue and Expense for years 2009 and 2008 there was a discrepancy of $1,000,000 in 2009. The differences or discrepancy appeared on the provision for doubtful accounts. The unaudited report showed $13,797,000 and the audited report showed $14,797,000 which accounts for the $1,000,000 difference (Patton-Fuller Community...
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