University of Macedonia, Thessaloniki, Greece.
Papageorgiou General Hospital, Thessaloniki, Greece.
Am J Health Syst Pharm. 2020 Feb 19;77(5):371-377. doi: 10.1093/ajhp/zxz264.
This case study describes the development and empirical validation of an easy-to-implement practical framework for improving hospital pharmacy inventory management.
Research suggests various inventory optimization models, which can lead to cost reductions while maintaining adequate service levels; however, they are facing limited adoption in healthcare settings. The main barriers appear to be the high effort and complexity of implementation, the dependence on data that are not available or might not be in the right form, and the one-size-fits-all approach often followed without addressing healthcare sector-specific particularities. A research framework was developed by adapting relevant inventory models to the healthcare context using the concept of data segmentation on the basis of a three-dimensional classification of hospital pharmacy inventory items based on their relative importance, clinical criticality, and consumption pattern. Suitable replenishment policies were assigned to high-impact classes, and an integrated performance-measurement component assesses the framework's effectiveness. The suggested approach was implemented and empirically tested at the pharmacy of a large public hospital using longitudinal data. The results demonstrate substantial improvements with respect to all of the selected key performance indicators and translate into inventory cost savings due to reduced stockholding costs and better synchronization of inventories to demand.
Use of standard software functionalities combined with targeted data segmentation efforts significantly improves hospital pharmacy inventory cost performance.
本案例研究介绍了一种易于实施的实用框架的开发和实证验证,以改善医院药房库存管理。
研究提出了各种库存优化模型,这些模型可以在保持足够服务水平的同时降低成本;然而,它们在医疗保健环境中的采用受到限制。主要障碍似乎是实施的高难度和复杂性、对不可用或可能格式不正确的数据的依赖,以及通常采用一刀切的方法而不解决医疗保健部门的特殊性。通过使用基于医院药房库存项目相对重要性、临床关键性和消耗模式的三维分类的基础上的数据分段的概念,将相关库存模型适用于医疗保健环境,开发了一个研究框架。将合适的补货策略分配给高影响类,并通过综合绩效衡量组件评估框架的有效性。该方法在一家大型公立医院的药房中实施并通过纵向数据进行了实证测试。结果表明,在所有选定的关键绩效指标方面都有显著改善,并通过降低库存持有成本和更好地将库存与需求同步,转化为库存成本节约。
使用标准软件功能和有针对性的数据分段工作,可以显著提高医院药房库存成本绩效。