Material Management Concepts in Healthcare

MATERIAL MANAGEMENT
CONCEPTS & PRINCIPLES
RUPINDER DEOL
ASSISTANT PROFESSOR
AIIMS RISHIKESH
INTRODUCTION
The material management in the health care system is
concerned with providing the drugs, supplies and
equipment needed by health personnel to deliver health
services.
About 40 percent of the funds in the health care system are
used up for providing materials.
It is of great importance that materials of right quality are
supplied to the consumers
DEFINITION OF MATERIAL
Webster defines the word “materials” as “relating to
the production & distribution of economics, goods &
social relationships of owners & labourers”.
 Housely states, “materials” should be used universally
to refer to hospital supplies & equipments.
 “Materials” thus may be defined as “equipment,
apparatus & supplies procured, stocked & utilised by
an organisation”
TYPES OF MATERIALS
DRUGS & MEDICINES- 
Including anaesthetic agents, vaccines & drugs required
for specific purposes.
SUPPLIES- 
Required for diagnosing & treating ailments such as cotton,
bandages, gauze, dressing materials, syringes, needles, forceps, splints,
plasters, trays, bottles, linen, utensils, various chemicals & reagents/ ready kits
for investigations, x-ray plates, radiodiagnostic materials, drugs used in
radiology.
Supplies may also include items of linen like drawsheets, bed cover, mattress,
pillows, masks, aprons, surgical gowns, gloves, etc. or soaps, detergents,
antiseptics, broom, candles, match boxes, needles, stationary items, slippers
for OT, etc.
TYPES OF MATERIALS 
contd..
EQUIPMENTS & INSTRUMENTS
- Office furniture, refrigerators, AC,
trolley, tables, screen, examination tables, IV stands, bedside lockers,
sterilizers, X-ray machines, ABG analyzers, pulse oximeter, defibrillators,
cardiac monitor, endoscope, oxygen & nitrous gas cylinders, washing
machines, incinerators, etc.
FACILITIES-
 Include non movable materials used for long time compared
to equipments which have limited life span e.g. buildings, toilets, lifts,
water tanks, pumps, kitchen, cooking facilities telephone, etc.
MANAGEMENT
“Management may be defined as the art of
securing maximum results with a minimum of
efforts so as to secure maximum prosperity and
happiness for both employer and employee and
give the public the best possible service”.
                                                        John Mee
MATERIAL MANAGEMENT
Management means bringing together the available resources so as to achieve
a specific objective.
Management is the function responsible for the coordination of planning,
sourcing, purchasing, storing & controlling materials in an optimum manner so
as to provide a predecided service at minimum cost.
 Housely defined material management as, “The management & control of
goods, services & equipment from acquisition to disposition”.
Judith A Mnarandole defined material management as, “The management &
control of medical, surgical, clerical, interdepartment services & equipment
from acquisition on floor to disposition”.
 
MATERIAL MANAGEMENT
Material management is a scientific technique, concerned
with planning, organizing and controlling the flow of materials
from their initial purchase through internal operations to the
service point through distribution.
Material management is the integrated functioning of an
organisation dealing with supply of materials & allied activities
in order to achieve the maximum coordination & optimum
expenditure on materials.
 
 
CONCEPTS OF MATERIAL
MANAGEMENT
Material management is concerned with providing the drugs, supplies and
equipment needed by health personnel to deliver health services.
The right drugs, supplies and equipment must be at the right place, at the
right time and in the right quantity in order that health personnel deliver
health services.
Without proper material, health personnel cannot work effectively, they feel
frustrated and the community lacks confidence in the health services and
unless appropriate materials are provided in proper time and is required
quantity, productivity of personnel will not be upto expectation.
INTEGRATED MATERIAL
MANAGEMENT
Close coordination of all departments which are concerned with utilisation of
materials. If some of functions are to be separately handled, normally a
conflict of interest occurs & there is bound to be an increase in materials
costs.
In an integrated set up, materials manager is responsible for all such inter-
related functions & is in a position to exercise control & coordination with a
view to ensure proper balance of conflicting objectives of individual
functions.
 Integrated material management concept has recently gained greater
importance in India. Although organisations may not be adopting it in totality,
there is a definite tendency to move towards an integrated approach.
NEED FOR INTEGRATED CONCEPT
The major functions served by materials management
include Material Planning, Purchasing, Receiving, Stores,
Inventory Control, Scrap and Surplus Disposal.
If handled separately it may lead to a conflict of interest.
Eg: if purchasing is handled separately they may over
purchase to avail discounts without considering the
expenditure for stores and inventory control, which will
result in over expenditure.
ADVANTAGES OF INTEGRATED
MATERIAL MANAGEMENT
BETTER ACCOUNTABILITY
- Centralisation of authority & responsibility for all aspects of
materials functions ensures specific accountability.
BETTER COORDINATION
- Coordination of various functions of material management is
facilitated.
BETTER PERFORMANCE
- As all inter-related functions are integrated organisationally,
an effective communication & enhanced performance is a natural sequelae.
ADAPTABILITY TO ELECTRONIC DATA PROCESSING (EDP)-
 All information with regard to
materials functions is centralised. This facilitates collection, collation & analysis of data
leading to better decisions. Advanced & efficient EDP systems can be economically
introduced under integrated set up.
MISCELLANEOUS ADVANTAGES-
 Team spirit is inculcated resulting in coordination &
cooperation. Opportunities of growth & development are better in integrated set up.
CORPORATE POLICY AND MM
General Corporate Policy
Are laid out to achieve the corporate goals the organization has set for itself
Policy must be laid out with regards to source selection, quotations, negotiations, price,
quality etc.
Quality Requirements
Quality requirements shall be laid out precisely and steps must be taken to ensure that
these are met. If a failure to meet the QR is found steps need be defined to achieve the
QR by alternate means.
Quantity Requirements
Clear policies shall be laid out as to what procurement procedures need be taken
according to the quantum of purchase.
 
ORGANISATION AND CONTROL
Relationship of Material Management with regard to other departments shall be
finalized to ensure adequate supply and effective utilization of resources.
Organizing Material Management
Organization based on Commodities –
items are classified according to their nature
such as raw materials used, spares, imported items etc.
Organization based on Location – 
based on the spread of locations where the
materials are to be distributed a centralized or distributed MM organization shall be
put in place.
Organization based on Function – 
 here the MM department is structured based on
various functions like Purchasing, Stores, Transport etc.
MATERIALS PLANNING AND
BUDGETING
Importance
Planning for materials and working out a realistic budget serves as a
control device.
Techniques
Bill of Material Explosion – 
to
 
forecast of demand of end products and
based on the demand arriving at the requirements of various materials.
Past Consumption Analysis –
 used for items which are consumed on a
regular basis and items for which BoM cannot be prepared. Past
consumption is analyzed and projection for the future is made
BUDGETING
ABC Analysis
Always Better Control or Alphabetical approach tries to anaLyse the
distribution of any material by money value of importance in order to
determine its priority.
Based on the money value of importance the items can be classified
into A, B and C class items.
This approach helps the manger to have selective control and focus
his attention on a few items when he is confronted by a large variety
of items.
SOURCE SELECTION
Why Source Selection
Source Selection has to be kept as a corporate policy
Helps in bringing about a fair competition among the suppliers and
supply failures are kept at a minimum.
Stages of Source Selection
Searching
Selection
Negotiation and Trial Orders
Rating based on performance Quality
OBJECTIVES OF MATERIAL
MANAGEMENT
To reduce cost of material
Ensure a good support with suppliers(vendors)
Effective and efficient handling of materials at all stages and in all sections.
In other hand objectives of material management
Low purchase price
Maintaining continuous supply
Maintaining quality
Cordial relationship with supplier
Low pay roll cost
Development of vendors
OBJECTIVES OF MATERIAL
MANAGEMENT
Good record
Low storage cost
Favorable reciprocal relation
New material & products
Standardization
Product improvement
Interdepartmental harmony
Economic forecasting.
AIM OF MATERIAL MANAGEMENT
To get
The right quality
Right quantity of supplies
At the right time
At the right place
For the right cost.
PURPOSE OF MATERIAL
MANAGEMENT
To gain economy in purchasing
To satisfy the demand during period of replenishment
To carry reserve stock to avoid stock out.
To stabilize fluctuations in consumption
To provide reasonable level of client services
Increase efficiency of health care systems.
Develop knowledge and skills of health care
Provide materials in required quantity and quality as when required.
FUNCTIONS OF MATERIAL
MANAGEMENT
Material planning & budgeting
Purchasing
Inventory control
Cost reduction
 Value analysis
Receiving & inspection
Stocking & distribution
Disposal.
ELEMENTS OF MATERIAL
MANAGEMENT
Material planning
Purchasing
Receiving & warehousing
Store keeping
Inventory control
Value analysis
Standardization
Production control
Transportation
Material handling
Disposal scarp
BASIC PRINCIPLES OF MATERIAL
MANAGEMENT
Effective management and supervision; it deals on
material functions of; planning, organizing, staffing,
controlling, report and budgeting.
Sound purchasing method
Skillful and hard poised negotiation
Effective purchase system
Should be simple
Simple inventory control program.
MATERIAL MANAGEMENT IN HEALTH
CARE INSTITUTIONS
Material management is relatively a new concept in health care field.
 Modern techniques of efficient material management were developed in US of
America during & after 2
nd
 World war which helped industrial developed to make
spectacular progress in improving their productivity.
Term was unknown in India till 60’s. Terms such as purchasing, store keeping,
transportation, etc. were in use in country which in a vague manner represented the
functions covered by modern material management.
Many hospitals have started adopting this management concept in whole or in part to
accomplish the objectives of providing efficient patient care due to increasing
awareness of importance of material management in last few years.
CONCLUSION
Material management is an important management tool which will be  very
useful in getting the right quality & right quantity of supplies at right time,
having good inventory control & adopting sound methods of condemnation &
disposal will improve the efficiency of the organization & also make the
working atmosphere healthy any type of organization, whether it is Private,
Government ,Small organization, Big organization  and Household.
 Even a common man must know the basics of material management so that
he can get the best of the available resources and make it a habit to adopt
the principles of material management in all our daily activities
BIBLIOGRAPHY
Gupta S, Kant S. Hospital stores management. An integrated approach. 1
st
 ed.
New Delhi. Jaypee brothers medical publishers (P) Ltd. 2000.p.1-9,60-1,44-
6,58-90.
Chandorkar AG. Hospital administration & planning.1
st
 ed. Hyderabad. Paras
medical publishers.2004. p.181-215.
Barrett J. Ward management & teaching. 2
nd
 ed. New Delhi. The English book
store. 1967.
Kunders G D, Gopinath S, Katakam A. Hospitals planning, design &
management. 1
st
 ed. New Delhi. Tata Mc Graw Hill. 1998.p.282-8.
P. Gopalakrishnan   M. Sundaresan, Materials management - an integrated
approach
 
 
 
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Material management in the healthcare system involves providing essential drugs, supplies, and equipment for delivering health services. This includes a wide range of materials such as drugs, medicines, medical supplies, equipment, and facilities. Effective management ensures the right quality materials are supplied to meet the needs of healthcare providers and patients, optimizing resources and enhancing service delivery.

  • Material Management
  • Healthcare System
  • Drugs
  • Supplies
  • Equipment

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  1. MATERIAL MANAGEMENT CONCEPTS & PRINCIPLES RUPINDER DEOL ASSISTANT PROFESSOR AIIMS RISHIKESH

  2. INTRODUCTION The material management in the health care system is concerned with providing the drugs, supplies and equipment needed by health personnel to deliver health services. About 40 percent of the funds in the health care system are used up for providing materials. It is of great importance that materials of right quality are supplied to the consumers

  3. DEFINITION OF MATERIAL Webster defines the word materials as relating to the production & distribution of economics, goods & social relationships of owners & labourers . Housely states, materials should be used universally to refer to hospital supplies & equipments. Materials thus may be defined as equipment, apparatus & supplies procured, stocked & utilised by an organisation

  4. TYPES OF MATERIALS DRUGS & MEDICINES- Including anaesthetic agents, vaccines & drugs required for specific purposes. SUPPLIES- Required for diagnosing & treating ailments such as cotton, bandages, gauze, dressing materials, syringes, needles, forceps, splints, plasters, trays, bottles, linen, utensils, various chemicals & reagents/ ready kits for investigations, x-ray plates, radiodiagnostic materials, drugs used in radiology. Supplies may also include items of linen like drawsheets, bed cover, mattress, pillows, masks, aprons, surgical gowns, gloves, etc. or soaps, detergents, antiseptics, broom, candles, match boxes, needles, stationary items, slippers for OT, etc.

  5. TYPES OF MATERIALS contd.. EQUIPMENTS & INSTRUMENTS- Office furniture, refrigerators, AC, trolley, tables, screen, examination tables, IV stands, bedside lockers, sterilizers, X-ray machines, ABG analyzers, pulse oximeter, defibrillators, cardiac monitor, endoscope, oxygen & nitrous gas cylinders, washing machines, incinerators, etc. FACILITIES- Include non movable materials used for long time compared to equipments which have limited life span e.g. buildings, toilets, lifts, water tanks, pumps, kitchen, cooking facilities telephone, etc.

  6. MANAGEMENT Management may be defined as the art of securing maximum results with a minimum of efforts so as to secure maximum prosperity and happiness for both employer and employee and give the public the best possible service . John Mee

  7. MATERIAL MANAGEMENT Management means bringing together the available resources so as to achieve a specific objective. Management is the function responsible for the coordination of planning, sourcing, purchasing, storing & controlling materials in an optimum manner so as to provide a predecided service at minimum cost. Housely defined material management as, The management & control of goods, services & equipment from acquisition to disposition . Judith A Mnarandole defined material management as, The management & control of medical, surgical, clerical, interdepartment services & equipment from acquisition on floor to disposition .

  8. MATERIAL MANAGEMENT Material management is a scientific technique, concerned with planning, organizing and controlling the flow of materials from their initial purchase through internal operations to the service point through distribution. Material management is the integrated functioning of an organisation dealing with supply of materials & allied activities in order to achieve the maximum coordination & optimum expenditure on materials.

  9. CONCEPTS OF MATERIAL MANAGEMENT Material management is concerned with providing the drugs, supplies and equipment needed by health personnel to deliver health services. The right drugs, supplies and equipment must be at the right place, at the right time and in the right quantity in order that health personnel deliver health services. Without proper material, health personnel cannot work effectively, they feel frustrated and the community lacks confidence in the health services and unless appropriate materials are provided in proper time and is required quantity, productivity of personnel will not be upto expectation.

  10. INTEGRATED MATERIAL MANAGEMENT Close coordination of all departments which are concerned with utilisation of materials. If some of functions are to be separately handled, normally a conflict of interest occurs & there is bound to be an increase in materials costs. In an integrated set up, materials manager is responsible for all such inter- related functions & is in a position to exercise control & coordination with a view to ensure proper balance of conflicting objectives of individual functions. Integrated material management concept has recently gained greater importance in India. Although organisations may not be adopting it in totality, there is a definite tendency to move towards an integrated approach.

  11. NEED FOR INTEGRATED CONCEPT The major functions served by materials management include Material Planning, Purchasing, Receiving, Stores, Inventory Control, Scrap and Surplus Disposal. If handled separately it may lead to a conflict of interest. Eg: if purchasing is handled separately they may over purchase to avail discounts without considering the expenditure for stores and inventory control, which will result in over expenditure.

  12. ADVANTAGES OF INTEGRATED MATERIAL MANAGEMENT BETTER ACCOUNTABILITY- Centralisation of authority & responsibility for all aspects of materials functions ensures specific accountability. BETTER COORDINATION- Coordination of various functions of material management is facilitated. BETTER PERFORMANCE- As all inter-related functions are integrated organisationally, an effective communication & enhanced performance is a natural sequelae. ADAPTABILITY TO ELECTRONIC DATA PROCESSING (EDP)- All information with regard to materials functions is centralised. This facilitates collection, collation & analysis of data leading to better decisions. Advanced & efficient EDP systems can be economically introduced under integrated set up. MISCELLANEOUS ADVANTAGES- Team spirit is inculcated resulting in coordination & cooperation. Opportunities of growth & development are better in integrated set up.

  13. CORPORATE POLICY AND MM General Corporate Policy Are laid out to achieve the corporate goals the organization has set for itself Policy must be laid out with regards to source selection, quotations, negotiations, price, quality etc. Quality Requirements Quality requirements shall be laid out precisely and steps must be taken to ensure that these are met. If a failure to meet the QR is found steps need be defined to achieve the QR by alternate means. Quantity Requirements Clear policies shall be laid out as to what procurement procedures need be taken according to the quantum of purchase.

  14. ORGANISATION AND CONTROL Relationship of Material Management with regard to other departments shall be finalized to ensure adequate supply and effective utilization of resources. Organizing Material Management Organization based on Commodities items are classified according to their nature such as raw materials used, spares, imported items etc. Organization based on Location based on the spread of locations where the materials are to be distributed a centralized or distributed MM organization shall be put in place. Organization based on Function here the MM department is structured based on various functions like Purchasing, Stores, Transport etc.

  15. MATERIALS PLANNING AND BUDGETING Importance Planning for materials and working out a realistic budget serves as a control device. Techniques Bill of Material Explosion to forecast of demand of end products and based on the demand arriving at the requirements of various materials. Past Consumption Analysis used for items which are consumed on a regular basis and items for which BoM cannot be prepared. Past consumption is analyzed and projection for the future is made

  16. BUDGETING ABC Analysis Always Better Control or Alphabetical approach tries to anaLyse the distribution of any material by money value of importance in order to determine its priority. Based on the money value of importance the items can be classified into A, B and C class items. This approach helps the manger to have selective control and focus his attention on a few items when he is confronted by a large variety of items.

  17. SOURCE SELECTION Why Source Selection Source Selection has to be kept as a corporate policy Helps in bringing about a fair competition among the suppliers and supply failures are kept at a minimum. Stages of Source Selection Searching Selection Negotiation and Trial Orders Rating based on performance Quality

  18. OBJECTIVES OF MATERIAL MANAGEMENT To reduce cost of material Ensure a good support with suppliers(vendors) Effective and efficient handling of materials at all stages and in all sections. In other hand objectives of material management Low purchase price Maintaining continuous supply Maintaining quality Cordial relationship with supplier Low pay roll cost Development of vendors

  19. OBJECTIVES OF MATERIAL MANAGEMENT Good record Low storage cost Favorable reciprocal relation New material & products Standardization Product improvement Interdepartmental harmony Economic forecasting.

  20. AIM OF MATERIAL MANAGEMENT To get The right quality Right quantity of supplies At the right time At the right place For the right cost.

  21. PURPOSE OF MATERIAL MANAGEMENT To gain economy in purchasing To satisfy the demand during period of replenishment To carry reserve stock to avoid stock out. To stabilize fluctuations in consumption To provide reasonable level of client services Increase efficiency of health care systems. Develop knowledge and skills of health care Provide materials in required quantity and quality as when required.

  22. FUNCTIONS OF MATERIAL MANAGEMENT Material planning & budgeting Purchasing Inventory control Cost reduction Value analysis Receiving & inspection Stocking & distribution Disposal.

  23. ELEMENTS OF MATERIAL MANAGEMENT Material planning Standardization Purchasing Production control Receiving & warehousing Transportation Store keeping Material handling Inventory control Disposal scarp Value analysis

  24. BASIC PRINCIPLES OF MATERIAL MANAGEMENT Effective management and supervision; it deals on material functions of; planning, organizing, staffing, controlling, report and budgeting. Sound purchasing method Skillful and hard poised negotiation Effective purchase system Should be simple Simple inventory control program.

  25. MATERIAL MANAGEMENT IN HEALTH CARE INSTITUTIONS Material management is relatively a new concept in health care field. Modern techniques of efficient material management were developed in US of America during & after 2ndWorld war which helped industrial developed to make spectacular progress in improving their productivity. Term was unknown in India till 60 s. Terms such as purchasing, store keeping, transportation, etc. were in use in country which in a vague manner represented the functions covered by modern material management. Many hospitals have started adopting this management concept in whole or in part to accomplish the objectives of providing efficient patient care due to increasing awareness of importance of material management in last few years.

  26. CONCLUSION Material management is an important management tool which will be very useful in getting the right quality & right quantity of supplies at right time, having good inventory control & adopting sound methods of condemnation & disposal will improve the efficiency of the organization & also make the working atmosphere healthy any type of organization, whether it is Private, Government ,Small organization, Big organization and Household. Even a common man must know the basics of material management so that he can get the best of the available resources and make it a habit to adopt the principles of material management in all our daily activities

  27. BIBLIOGRAPHY Gupta S, Kant S. Hospital stores management. An integrated approach. 1sted. New Delhi. Jaypee brothers medical publishers (P) Ltd. 2000.p.1-9,60-1,44- 6,58-90. Chandorkar AG. Hospital administration & planning.1sted. Hyderabad. Paras medical publishers.2004. p.181-215. Barrett J. Ward management & teaching. 2nded. New Delhi. The English book store. 1967. Kunders G D, Gopinath S, Katakam A. Hospitals planning, design & management. 1sted. New Delhi. Tata Mc Graw Hill. 1998.p.282-8. P. Gopalakrishnan M. Sundaresan, Materials management - an integrated approach

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