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Hospital pharmacy purchases and inventories.

The results of the hospital pharmacy purchases and inventories portion of a 1978 national mail survey of pharmaceutical services in short-term hospitals are reported. A sample of 815 hospitals was selected randomly from among 5,200 U.S. short-term hospitals that employ a pharmacist on at least a part-time basis. The inventory question had a response rate of 67.7%, the purchasing question, 62.2%; inventory turnover was calculated based on a response rate of 60.5% to both questions. Inventories were inordinately large in small hospitals. Inventory turnover rates, which increased with hospital size, were somewhat less than optimal in small and medium hospitals. The Pacific region's inventory/bed and purchases/bed values were substantially greater than those of any other region. Large hospitals had a 20% higher annual purchases/bed figure than the smaller hospitals, perhaps because of their relatively greater volume of outpatient services. Based on their respective demand (as measured by adjusted inpatient days), the drug purchases of the New England and Mid-Atlantic regions were less than expected, while the Mountain and Pacific regions' drug purchases were much greater than expected. Total 1979 purchases of pharmaceuticals and related supplies by pharmacies in all short-term hospitals are estimated to reach $2,215 to $2,772 million.

Hospital Bed Capacity↗

Can purchasing alliances adapt?

Hospital purchasing alliances' niche used to be buying products in bulk and passing on the savings to their members. Since multihospital networks often have enough economic clout to cut their own deals, alliances need to be more than go-betweens.

Cost Savings↗

Hospitals, group purchasing organizations, and the antitrust laws.

Hospital members of group purchasing organizations should ensure that their GPO's business practices do not restrain trade. Hospitals should monitor their GPO to minimize their antitrust exposure. GPOs and their hospital members should assess administrative fees, bundling arrangements, duration of contracts with suppliers, and product-breakthrough policies in relation to their impact on competition and product innovation. GPOs and their hospital members should closely monitor activities of federal and state antitrust agencies in light of the agencies' renewed antitrust concerns.

Antitrust Laws↗

Implementing value analysis in a small hospital.

Purchasing and materials managers at small hospitals are under the same pressures to reduce non-salary expense costs as their counterparts at larger institutions; however, they face a different situation and must employ different strategies. In several recent issues, HMM has looked at both why and how materials managers should perform value analysis. In this article, the author, a materials manager at a small hospital, discusses to problems in implementing value analysis in the smaller hospital.

Cost-Benefit Analysis↗