What Transparency in the Healthcare Supply Chain Looks Like

A typical company wastes 20-30% of all inventory. Obsolete inventory has posed a challenge since the development of the healthcare supply chain.

Specifically for healthcare providers and their suppliers, obsolete inventory expenses pose additional problems. Costs are pushed back onto the patient or insurance providers, making healthcare less affordable for all.

In a case study published in the Journal of Neurosurgery, a single neurosurgery department wasted $2.9 million per year on obsolete surgical supplies. The department purchased the supplies, never used them, and disposed of them. They could have avoided this sort of waste with proper initiative.

In this guide, learn to tackle the problem of obsolete inventory. Read on to discover what challenges healthcare organizations face and how to effectively deal with outdated inventory risks.

What is Obsolete Inventory in Healthcare?

Obsolete inventory is excess, unusable inventory. This term describes any product that can't be used or sold due to lack of demand. It also includes items that expire before you can use them.

In healthcare, demand typically comes from physicians and staff rather than patients and data. Physician preferences can create an additional hurdle when you aim to mitigate the risk of inventory obsolescence. This form of management is outdated and substandard for any stakeholders involved.

Managing Obsolete Inventory: Key Challenges

Managers in every industry must contend with handling and mitigating the risk of obsolete inventory.

However, managers in hospital supply chains face additional challenges. To effectively deal with obsolete inventory, managers must overcome the following:

  • Limited or inaccurate data
  • Shifting demands
  • Issues stemming from "links" in the supply chain you depend on
  • High cost of supplies and storage
  • Insurance fraud risk

Here are some of the factors that shape these challenges.

Limited or Inaccurate Data

Limited or inaccurate data makes it challenging to order the correct amount of supplies you need when you need them. Guesswork can result in stockouts of urgently necessary supplies. This could be the difference between life and death in the healthcare industry.

Moreover, healthcare managers may overstock on supplies that end up obsolete simply because they're trying to avoid the other extreme. Factors that limit access to accurate data include:

  • Supply tracking issues (poor or no tracking technology)
  • Human error in manual documentation of supply usage
  • Poor supply visibility
  • Outdated management software
  • Software that doesn't scale effectively

Shifting Demands From Healthcare Teams, Patients

All industries deal with shifting consumer demands. However, in healthcare, patient and staff needs are unique and unpredictable.

In 2020, the Covid-19 pandemic caused an unpredictable surge in demand for PPE.

According to an October 2021 WHO report, 80,000-180,000 healthcare workers died during the global pandemic. A lack of access to PPE exacerbated risks and contributed to worker deaths.

In 2022, workers and their family members have won lawsuits filed in Spain, Florida, and collectively against the United States federal government over PPE shortages.

As new diseases become crises, demands for specific medical equipment and devices change abruptly, which means that the healthcare industry needs real-time data on demand more urgently than any other market. Having a properly managed supply chain saves lives.

Supply Chain Issues, Delays

For years, just-in-time ordering was the norm to save on expenses and mitigate these issues. Nevertheless, that was short-sighted.

Yet, even when hospitals attempt to order with time to spare, supply chain issues can cause unexpected delays that contribute to inventory obsolescence. Factors that cause delays include:

  • Poor warehouse space management
  • Supply chain complexity
  • Inadequate communication tools and software
  • Order management challenges -last-minute orders, no resiliency
  • Sourcing challenges (shutdowns due to staff shortages, outbreaks)

Healthcare Supplies, Storage Costs

Obsolete inventory is costly on multiple fronts.

The supplies themselves are sometimes expensive. So is storing them: medical products sometimes require specialized storage, like cold storage. This leads to unnecessary stock taking up valuable, limited space and contributes to shortages of other, in-demand inventory.

Insurance Fraud Risk

In certain circumstances, systems automatically bill insurance companies for products that sit on shelves for more than 14 days.

If an insurance company is billed for a product prescribed to a patient, but the patient never receives (or picks up) that product, that can constitute insurance fraud.

Thus, poor management of obsolete inventory is a risk factor for unintentional insurance fraud.

How to Manage Obsolete Inventory: Overview

Managing obsolete inventory is a three-step process.

First, identify obsolete inventory your organization is currently storing and assess to what degree your organization risks possible future inventory obsolescence.

Next, unload obsolete inventory properly. Aim to recoup financial losses to the most efficient extent possible.

Finally, mitigate the risk of inventory obsolescence moving forward. Implement systems, protocols, and technologies that prevent obsolete inventory.

1. Identify Current Obsolete Inventory, Future Obsolescence Risk

Inventory analysis makes your supplies both visible and quantifiable. Analytics tools give you a clear picture of your organization's inventory strategy and the extent to which you risk losses from obsolete inventory. This lets you determine trends and specifics to make more informed decisions in the future.

Calculate Inventory Turnover, Conduct Analysis

calculate inventory turnover To calculate your inventory turnover ratio, first look at the total number of units used in a given period. Then, divide that by the average unit inventory for the same period.

Once you calculate inventory turnover, use that to run an inventory analysis, which allows you to track supply chain performance.

Determine Time of Inventory on Hand (Per Supply Type)

time-on-handInventory on hand is a critical metric that gives you granular data relevant to each SKU.

To calculate this, multiply the cost of total units by 365. Then, divide the average inventory by the product of your first calculation.

2. Unload Obsolete Inventory Properly

As a healthcare organization, you must adhere to state and federal regulations regarding inventory disposal to avoid penalties.

Fortunately, it is possible to unload obsolete inventory safely. Some unload options offer opportunities to recoup losses.

Resell Obsolete Inventory in the Secondary Market

One way of legally recouping losses is to sell surplus, quality medical equipment in secondary markets. Many secondary markets enable virtual bidding. Popular secondary healthcare supplies markets include:

  • BioMed LLC
  • Centurion Service Group
  • MedWow
  • MEDmarketplace

If quickly getting obsolete inventory out is more critical than recouping losses to the greatest extent possible, you may consider a liquidation service.

Specialized liquidation services purchase and remove surplus inventory at extremely low rates.

Discard Expired, Recalled, Poor-Quality Supplies

Legally, you cannot resell most expired medical supplies. These products must be disposed of safely. Consult FDA guidelines on correctly disposing of specific items (like needles and sharps).

Donate Obsolete, Functional Supplies and Equipment

Non-profit organizations are always looking to facilitate donations of medical equipment and supplies. These organizations may de-install or pick up equipment from the hospital site. One respected non-profit is Partners for World Health.

Organizations typically give donated medical supplies to hospitals in low-income countries.

Write-Off Obsolete Inventory Per GAAP

GAAP (Generally Accepted Accounting Principles) allow healthcare organizations to write some inventory off their taxes. The write-off notes the item will not provide the organization with future economic value.

Not all obsolete inventory can be written off. For more information, see Understanding Inventory Write-Off.

3. Mitigate Risk of Inventory Obsolescence

After dealing with the current obsolete inventory, take further steps to prevent it from occurring in the future. Inventory obsolescence is much less likely in an organization that puts preventative strategies and systems into place.

Here's what these systems look like in practice.

Implement Effective Inventory Tracking, Management Systems

Implement a system that enables effective and efficient inventory tracking and management. A quality system is:

  • Visible
  • Automated
  • Evidence-based

For example, you may start a Kanban System. This simple system makes on-premises inventory highly visible and, in turn, makes tracking inventory more manageable.

A scanning system can automate inventory tracking, preventing human errors due to manual data entry. In contrast, automated item tracking technology may use RFID tags and IMS software to avoid human errors.

An evidence-based system integrates real-time data analytics into your process. It describes, predicts, and prescribes the following steps, given the current state of your inventory.

Source Strategically

Obsolete stock can also happen when over-ordering. Managers sometimes over-order inadvertently to build up supply reserves in defense against out-of-stocks and delays at the manufacturer or distribution level, but this can harm the company.

A better strategy is to source from multiple vendors, then determine the ideal reorder point for each supply. Industries could make this sourcing strategy more cost-effective while considering horizontal collaboration with other healthcare organizations.

A strategic sourcing strategy is part of a broader enterprise resource plan (ERP). To implement it well, obtain the necessary data and determine accurate lead times.

Next, automate. Let the system place recurring orders of high-frequency supplies, saving you time and allowing you to invest in further analysis of low-frequency or expensive inventory to prevent obsolescence.

Integrate Product Quality Evaluation Into the Workflow

Product quality evaluation must be routine to keep up. Build it into your everyday workflow. That way, if a supplier's products are of poor quality, you'll discover that sooner rather than later.

Supply Chain Solutions for Medical Inventory Management

Effective inventory management can mitigate the risk of obsolete inventory drastically. At BlueBin, we offer unique inventory management solutions at all levels of the supply chain.

Want to learn how BlueBin solutions can elevate your inventory management? Contact us. One of our experts will get in touch quickly.

 

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