Presentation on theme: "The Life Cycle of the Medical Equipment PURCHASING Heikki Teriö, Ph.D. Department of Clinical Engineering."— Presentation transcript:
The Life Cycle of the Medical Equipment PURCHASING Heikki Teriö, Ph.D. Department of Clinical Engineering
Medical Technology Management Need Procurement Management Disposal Market analysis Need analysis Technical specification Clinical test Control measurement Experience feedback Evaluation Delivery control Education Maintenance planning Registration Preventive maintenance Corrective maintenance Safety assessment Economy Documentation Continuing education Reserve Storage Spare parts Sale
Purchasing a function or a solution From Vision to Function
Vision how will our work look like in 3, 5, 8 years how will the medical methods be developed how will the medical technology be developed how will the economy of the health care system be developed Purchasing a function or a solution
What we mean by purchasing a function or a solution function of a piece of device function of a system function of an entire treatment room Purchasing a function or a solution
We need a dialog between the different categories of staff from the very beginning. This is extremely IMPORTANT! Purchasing a function or a solution
The dialog between the different categories of staff must include: how the equipment will be used what special functions will be needed what information is needed for the treatment – where can we find this information what availability is needed what environmental demands we can state how are we going to maintain the function/equipment how are we going to finance the function/equipment Purchasing a function or a solution
The new role of the Clinical Engineering Internal consult technical knowledge economic knowledge medical knowledge good ability to co-operate Purchasing a function or a solution
The Purchasing Process
Purchasing team Tender documents Announcement Opening the tenders Selection of supplier Contract Delivery control Appeal time 10 daysAppeal Qualification/evaluation Delivery Commission Restart the process Payment Follow-up
The Annual Purchasing at Karolinska Total 237 M 21 % of turnover Material 128 M Medical equipment 34 M Services 76 M
Decision to Purchase A formal decision to allocate money must be made by authorised person. Specify the type of goods/services required. Specify the estimated cost. Also a formal commission to start the purchasing process.
Commission to the Purchase Department The commission is registered and given an unique ID-no. The purchasers are assigned commissions by the Purchasing Manager Larger and/or unusual commissions are discussed within the group and sometimes assigned to a pair of purchasers.
Investment number On all investments over 1500 are assigned with the number Follow-up of the investment from budget to the inventory register
Who is responsible for what? Invitation to tender – Purchasing department Specifications – User/Clinical Engineering Contract terms – Purchasing department Grupp Underlag Annonsering Öppning Avtal Besiktning Remisstid (10) dagar Överprövning Utvärdering Leverans Uppdrag Gör om upphandling Uppföljning
Preparing the tender documents The Purchaser contacts the end users and clinical and technical experts. Together the group prepare the tender documents: - Invitation to tender - Requirements specification (LCC) - Contractual terms The Purchaser has the overall responsibility for the quality of the documents The demands on the product shall not be changed
Demands on the goods/service in the invitation to tender Explain all the demands that has to be full filled (goods, services, time schedule etc.) Explain the demands as a goal, function or result when ever it is possible Describe the demands so that they are measurable Ask for the prise for all goods and services that will be included (service, maintenance, new versions, updaters etc.) Grupp Underlag Annonsering Öppning Avtal Besiktning Remisstid (10) dagar Överprövning Utvärdering Leverans Uppdrag Gör om upphandling Uppföljning
Environmental demands of the purchasing Environmental demands are part of the hospitals environmental control system Relevant environmental demands in central purchasing There is also national recommendations for different types of medical equipment
Making the purchase public The invitation to tender is advertised in the bi-weekly Anbudsjournalen and their homepage. If open procedure advertisement is made in EGT S/TED i Luxemburg. Open procedure >EUR
Distribution of the documents Companies who see the advertisement and are interested contact the purchaser and request the documents. Sometimes we contact companies and ask if they are interested to ensure competition. The purchaser distribute the documents via or regular mail. In the future the documents will be made available on our external web. Clarifications are distributed to the companies usually via
Opening the tenders The tenders must be clearly marked At least two (2) persons must be present at the opening and sign each page Copies are distributed to end- users, experts etc.
Qualification and evaluation The purchaser check the tending company and contractual terms. The purchaser make a price/cost evaluation. The end-users and experts check how the tender meets the requirements specification. The tenderer might be given a chance to clarify their tender. Evaluation is made – different methods
Evaluation Lowest price OR Economically most preferable Ergonomics Quality Price Functionality Environment Give the weight / share in the process Grupp Underlag Annonsering Öppning Avtal Besiktning Överprövning Utvärdering Leverans Uppdrag Gör om upphandling Uppföljning
Selection of supplier(s) After evaluation we decide on one or more suppliers. The reason for the selection must be documented and based on the requirements and criteria stated in the tender documents. All tending companies are informed about which company was selected and why. They can appeal against the decision within 10 days.
Contract Any open issues in the contract is discussed and final terms agreed. The contract is sent to the supplier for signature. We return a signed copy after the 10 days waiting period. Copies of the contract are distributed to the clinic, Clinical Engineering Department and the Financial Department
Delivery of the goods All deliveries are made to the goods receipt area. The goods passed on to the Clinical Engineering department for delivery inspection. After approved delivery inspection the equipment can be put to use and the warranty time starts.
Termination and follow-up The contract is entered into a database for future follow-up. All original documents are archived and kept for minimum 2 years. Decisions and contract for ever. Follow-ups Signing service contract after the warranty. Price adjustments. Prolonging the contract. Checking the financial status of the supplier and how they perform.
Clockwork logistics The users order through the database or by writing free text Electronic authorizing Buyer handles the free text order Central creation of the orders to the distributor through EDI or automatic fax The barcode is read at the delivery centre Invoice control at the dept. of Economics. Received - Payment Received at the clinic Faktura
Current problems Lack of discipline – respect for the law. Short planning horizon – no understanding for time consuming process. Purchases are getting more complex; technically, financially and legally. Competence must be constantly improved. The law, LOU develops in the wrong direction – detailed regulations instead of framework guidelines. New, political criteria, e.g. environment, equality, social justice Acceptance for the e-purchase system - conservatism.
Smart Buy in the County Council, SMIL Increase the co-operation within the county council Large volumes give better prizes and functionality Better knowledge give better terms Less suppliers give better terms Guaranteed volumes give better terms
SMIL Steering group with county and hospital directors Project group with purchasing managers meets every 14 th day User engaged via reference groups New way of purchasing 2 new analyzer positions to the county council