3 checklists you can use today: -hospital monthly, -hospital accounting, -purchasing inventory and control.
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Although it can be argued that shared purchasing arrangements are lawful in most circumstances, competent legal counsel should examine the agreements to be sure. Courts are likely to examine such arrangements to distinguish managerial reform from anticompetitive actions.
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Today, the VHA stands as the country's largest hospital purchasing program, representing hospitals that purchase over $1.5 billion in supplies each year. But not all of that comes through VHA programs, and it is in the relationship between the individual institutions and the VHA system, that the group draws its strength and discovers its limitations. At once highly sophisticated and fiercely independent, the materials managers that make up the VHA program must weigh the significant opportunities inherent in the group's size and scope against the individual demands of their institutions. Mutual understanding leads to consensus and eventually to commitment and out of that process comes a number of highly innovative programs, such as standardization and single sourcing and the VHA Plus private label program, that are helping to make the VHA not simply the country's leading purchasing organization, but its most innovative as well--a true materials management system.
Some hospital associations and purchasing groups are negotiating contracts with the manufacturers of basic, large volume surgical, housekeeping, and maintenance supplies which permit the associations to package the products under their own label. This apparently gains some cost advantages as well as group recognition. Dr. Decker discusses some legal concerns that should be addressed before such a program is undertaken.
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