How medical device companies can improve logistics operation
Medical Logistics - reliefweb.int · Pacific Logistics Medical logistics is the logistics of...
Transcript of Medical Logistics - reliefweb.int · Pacific Logistics Medical logistics is the logistics of...
Pacific Logistics
Definition
Principles
Administration
Transport
Storage (cold chain)
Distribution
Excercise
Session Objectives
Pacific Logistics
Medical logistics is the logistics of pharmaceuticals, medical and surgical supplies, medical devices and equipment, and other products needed to support doctors, nurses, and other health and dental care providers because its final customers are responsible for the lives and health of their patients, medical logistics is unique in that it seeks to optimize effectiveness rather than efficiency.
Definition
Pacific Logistics
Do no harm;
Adherence to recognised standards ;
Quality is essential - no local purchase unless certified by pharmaceutical professional;
Only medical professionals can order supplies;
Cold chain – people and the equipment;
Security
Principles
Pacific Logistics
Done by medical people, logisticians and other technical people = multi-sectoral;
Logistics looks into the local availability and quality of medical supplies; transport lines; storage options; cold chain; customs procedures; distribution methods/modalities.
Medical organisations are quick in providing basic medical assistance in emergencies – 48-72 hours (IEHK);
Supply Chain Procedures
Pacific Logistics
Medical personnel in charge of ordering
Logistics personnel to provide accurate figures on stock levels;
Logistics triggers minimum level ordering;
Logistics to ensure regular ordering, avoid emergency orders;
Logistics to ensure correct labeling and terminology requested
Logistics personnel in charge of procurement
Project , capital , international
Most drugs are ordered through big pharmas for the quality control;
Donations of drugs are not advised;
Order tracking and tracing
Ordering & Procurement
Pacific Logistics
Common international denomination (cid or generic name); Lot (batch) number; Pharmaceutical form and strength; Manufacturers name; Quantities by bottles; Packing condition; Expiry date; Must be in local languages (script)
Minimum Label Information
Pacific Logistics
• TYPE
•Air- for emergencies, expensive/fast •Road – for normal operations, optimal/medium to fast •Sea – for large quantities, cheap/slow •Railroad – for large quantities, cheap/slow
•CUSTOMS ARRANGEMENTS
•COLD CHAIN
Transport
Pacific Logistics
To maintain permanent stock of drugs and essential products of quality; To reduce costs; To save time and optimize work of staff; To facilitate management verification and continuous evaluation of consumable products; Area for immediate distribution/ pharmacy; Area for non-priority distribution; Storing area (bulk supplies);
Storage
Pacific Logistics
HUMIDITY
Fungus and bacteria; Hastens chemical reactions; Tablets may soften up;
TEMPERATURE • Vaccines & some other drugs require cold chain (refrigerators, ice boxes); Registry & control of temperatures (responsible person, thermometers); Loss of strength, degeneration into toxic product; Follow directions on label. ; Avoid extreme temperatures; Ambient temperature: 15-30oc Refrigeration temperature: 2-8oc Freezing temperature: 0 - -15oc
LIGHT – KEEP DRUGS OUT OF DIRECT SUNLIGHT
Storage, Environmental Factors
Pacific Logistics
• Maintain stock levels; • Do not allow stock at zero for needed products; • Shelf life control (fifo, fefo); • Expiry dates; • Spoiling signs;
• Turbidity on liquid solutions;
• Colour changing; • Bubbles in liquids; • Swollen bottles (plastic).
Storage, Control & Monitoring
Pacific Logistics
Space/volume (1m3 storage = 3m2 floor space);
Security (doors, locks, windows, ceilings);
Separate areas for dispensing and warehousing;
Proper ventilation;
Insulation;
Concrete construction with concrete floors;
Cold countries – cold chain needs to be maintained just the same;
Shelves (metal, no wood);
Receiving area/distribution area;
OHS issues for staff;
Stock control (stock cards & other paperwork);
DG’s, Restricted drugs, etc
Storage, Layout
Pacific Logistics
• Delivered to the health provider not directly to the population; • According to request and existing stock; • Remember cold chain; • Close coordination among organisations and institutions that receives these supplies and the MOH; •Logistics responsibility stops at the point of delivery.
Distribution
Pacific Logistics
BUILD A PHARMACY
Type of drugs;
Fifo / fefo
Packaging;
Controlled substances;
Cold chain;
Expired drugs;
Access & security;
Work area;
Paperwork.
Exercise