Final Flashcards
What is the mission of supply chain management?
What are the 4 fundamental concerns in healthcare logistics and health care supply chains?
What do distributors do in supply chains for hospitals?
Provide the right goods, at the right time, to the right place, at the right price, in the right condition.
Inventory, Distribution, Facilities, Customer Service.
Access and options to a large portfolio of products, distribution, reduce costs, safety buffer.
Who pulls and pushes in supply and demand chains?
What are the principles of supply chain management?
What are the 5 most important capabilities supply chains should develop?
Supply chains push and demand chains pull.
Access to information, use of advanced decision support tools, pursuit of supply chain effectiveness, distributed intelligence.
Speed, Consistency, Acuity, Agility, Innovativeness.
Is supply to stock the opposite of just in time and do most hospitals want to keep a 24 hour stock in supply?
What are reverse logistics?
How much of a hopsitals inventory is assets?
Yes supply to stock maintains inventory and just in time orders just when needed(stockless environment). YES.
Expired drugs, things that go back to the manufacturer.
25%.
What are the 3 essential flows in supply chains?
What is materials management and what do they do?
Is culture of materials management historically poor?
Information, Funds or cash, Goods or services.
departments that direct the supply chain. Direct flow of everything, PATIENT TRANSPORTATION BIG ONE.
Yes.
What is a cost vs a profit center?
How does the customer get charged for having things in materials?
What is gross vs net units?
Cost–> revenues roll up to departments or service lines. Profit–>Managers have responsibility and authority to make decisions that affect both revenue and expenses.
HCPCS
Gross is total number needed and Net is what is needed to get there.
Are most older hospitals good or bad for efficiency?
What is a scorecard?
What is your three way match?
Bad.
Evaluation tool that lists key attributes or decision criteria.
Purchase order> Receipt> Invoice payment.
What is inventory?
What are functions of inventory?
What are Class A, B and C and how do you cycle?
Acquisition and storage of materials that will not be used today.
economies of scale, advantage of pricing discounts for larger quantities, hedges against price changes, protects against uncertainty in demand and lead times.
A is high annual volume(value), B is medium, C is low. Cycle counts based off ABC analysis.
How do hospitals prepare financial statements?
What is consignment in vs consignment out?
What is the most common valuation method?
Non profit so don’t follow public firm or GAAP.
Out–> inventory placed somewhere else for sale, in–> measures someone elses inventory held at no charge until sold.
FIFO. First in and first out. Can also uses LIFO.
What is timing?
What are holding, order, setup costs?
What are some holding costs?
In same period it is a supply expense, It’s capatlized inventory if purchased in one period but not used until another.
Yep.
Housing, Material, Labor, Investment, Pilferage, space, obsolence.
Is EOQ done on an annual basis?
When do you use safety stock?
What is an item?
Yes.
To achieve a desired service level and avoid stockouts.
physical good procured for consumpion. Intermediate if not made but finished if made.
What is Admixture vs compounding?
What are attributes?
What are SKU’s?
Admixture is combining multiple fluids, Compounding is breakdown of tablets or solids.
Quantitative or qualitative characteristics of items. Allows for categorization and classification, facilitates electronic transactions, allows managers to analyze patterns and trends.
Stock keeping Units, lowest level in a hierarchy(specific item and a specific unit of measure). Aggregating items to higher levels make for better decision making.
What do we need standards?
What does ERP help with?
Are horizontal product usage patterns predictable?
Lack of common standards, education, resources. Healthcare supply chain fragmented and segmented.
Finance, Human resources, quality, procurement, inventory management.
Yes.
Do pharmacies have clinical and operational roles?
What to know about NDC codes?
What are some key pharmacy trends?
Yes.
Created in 1969 by the FDA, comprehensive listing of all approved drugs, 10 digit identifier.
Big list, see slide.
What is JIT vs TPS vs Lean?
What are sources of variability?
What is maintenance vs reliability?
JIT is continuous forced problem solving, TPS emphasizes continuous improvement, Lean is supplies customer with their exact wants when they want it without the waste.
Incomplete or inaccurate drawings or specifications,Poor production processes resulting in incorrect quantities, late, or non-conforming units
Unknown customer demands
Maintenance is all activities involved in keeping a system’s equipment in working order
Reliability is the probability that a machine will function properly for a specified time
How do you improve reliability and maintenance?
What does MTBF mean?
Reliability–> improved individual components, redundancy. Maintenance–> implementing or improving preventative maintenance, increasing repair capability or speed.
Mean time between failures.