PHARMACEUTICAL INVENTORY MANAGEMENT ANALYSIS & OPTIMIZATION AT RSKD DADI MAKASSAR
Universal health coverage means that all people have access to the health services they need, when and where they need them without financial hardship. Before releasing the resolution of the WHA, the Indonesian government had issued a National Social Security System Act to provide a complete and...
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Format: | Theses |
Language: | Indonesia |
Subjects: | |
Online Access: | https://digilib.itb.ac.id/gdl/view/55294 |
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Institution: | Institut Teknologi Bandung |
Language: | Indonesia |
Summary: | Universal health coverage means that all people have access to the health services they need, when and
where they need them without financial hardship. Before releasing the resolution of the WHA, the
Indonesian government had issued a National Social Security System Act to provide a complete and
integrated social protection for the community in 2004 created by the Social Security Organizing Agency
through Law Number 24 of 2011 concerning the Social Security Organizing Board. With this Law, 2 (two)
BPJSs are formed they are BPJS Kesehatan & BPJS Ketenagakerjaan.
The presence of BPJS made the number of hospital patients increased sharply. That is because patients who
have paid BPJS contributions every month feel entitled to receive health services from minor illness to
severe illness. The increasing number of BPJS participants every year has made increasing demand for
medicines that are included in the Formulary national category. These problems are mainly adding potential
risk for the stock medicines. Stockout condition where the medicine supply in the warehouse is empty and
unable to meet the increasing patient needs & understock condition where the medicine supply in the
warehouse is below the standard hospital needs.
Pharmaceutical Item planning in pharmacy RSKD Dadi has been using the method of consumption. The
pharmaceutical medicine used for inpatient and outpatient pharmacy, including in Formulary National and
Hospital, then forwarded the procurement process to review every week. This method is not accurate
because it cannot provide data on demand, stock turnover and safety stock. The use of the consumption
method at RSKD Dadi based on consumption by patient and units, so when the pharmacy warehouse is
running low, procurement will be carrying out. It also supported that patented and generic medicine's total
inventory turnover ratio is 9.23 in 2019, still below the ideal standard of 10-23 times. This problem
influence by undesirable conditions such as excess purchases of items, government regulations or
interference, and items from suppliers are out of stock. From the search for causal factors, there are several
leading causes. There are inaccurate safety stock, unclear order quantity & no evaluation for demand.
In the proposed inventory control system, two combined systems are suitable for classifying medicines item
classes with ABC-VEN classification & a continuous review system for medicine with category I. Based
on the analysis result, it can be concluded that hospital management can specifically make an inventory
level savings potential of Rp 109.131.623- & value of Inventory turnover ratio increase from 10.30 to 20.5
on overstock item Category I. The hospital can raise from the actual estimated service level of 93.17% to
99.00% from the service level side. From simulation with actual daily demand on first-quarter obtained
potentially save an inventory level by reduced by -27.22% with 99.91% Service level. This study proves
that as long as the hospital can run & implement the policy for a long time, the inventory turnover ratio will
be increased as long as the inventory level can be used minimally and efficiently. |
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