Como seu hospital pode reduzir estoques e compras emergências?

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Entenda como é possível reduzir o estoque de mat&med em um hospital sem afetar a qualidade do atendimento ao paciente

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Pergunta: O nível estoque de mat&med (materiais e medicamentos) em seu hospital está alto?

Essa tem sido a grande preocupação que os gestores hospitalares têm em relação à redução do nível de estoques de mat&med: a possibilidade de faltar alguns desses itens, e não tê-los disponíveis no momento necessário à assistência ao paciente.

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Mas é com esse receio de faltar, que uma quantidade excessiva de estoque de mat&med pode ficar no almoxarifado, na farmácia central e muitas vezes nas farmácias satélites dos hospitais.

Mas será que é possível reduzir os estoques de mat&med, de tal forma que eles não faltem na assistência ao paciente?

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Não só é possível, como totalmente necessário. Principalmente nos dias atuais, onde cada vez mais há a necessidade de liberar o dinheiro parado na forma de estoques e utilizá-lo para outras necessidades do hospital.

Tradicionalmente, os níveis de estoques dos hospitais giram em torno de 20 a 60 dias. Em alguns hospitais, pode ser um pouco mais.

Se tempo é dinheiro, tempo de estoque também é dinheiro. Normalmente, a depender do tamanho do hospital, o capital financeiro parado na forma de estoque pode variar de R$ 500 mil à R$ 2 milhões.

E o que significa, por exemplo, 30 dias de estoque? É a relação entre a quantidade em estoque, dividido pela demanda média diária do hospital. Em outras palavras, isso significa que, na média, se o hospital ficar sem ser abastecido pelos fornecedores durante 30 dias, acabarão todos os itens disponíveis do hospital.

Imagine-se num cenário hipotético onde o seu hospital tem um estoque para apenas 1 dia. Isso mesmo, um dia de estoque. Para que isso fosse viável, o seu hospital teria que adotar algumas práticas. Algumas delas são:

4) Os custos logísticos não deveriam ser um empecilho para as entregas diárias;

5) Seu hospital teria uma estrutura de compras, recebimento de material e distribuição de mat&med às áreas do hospital bem ágil e organizada.

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Nossos clientes conseguem reduzir seus estoques de 20% a 70% com o Kanban Eletrônico

E usufruir dos benefícios gerados, tais como:

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[/fusion_li_item][fusion_li_item icon=””]Maior confiabilidade nos prazos de entrega[/fusion_li_item][/fusion_checklist][/fusion_builder_column][fusion_builder_column type=”1_3″ link=”https://hominiss.com.br/tecnologia/kanban-eletronico-hominiss/” target=”_blank” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” background_image_id=”” spacing=”” center_content=”yes” min_height=”” class=”” id=”” hover_type=”liftup” border_size=”0″ border_color=”” border_style=”solid” border_position=”all” border_radius_top_left=”” border_radius_top_right=”” border_radius_bottom_right=”” border_radius_bottom_left=”” box_shadow=”no” box_shadow_vertical=”” box_shadow_horizontal=”” box_shadow_blur=”0″ box_shadow_spread=”0″ box_shadow_color=”” box_shadow_style=”” padding_top=”” padding_right=”” padding_bottom=”” padding_left=”” margin_top=”” margin_bottom=”” background_type=”single” gradient_start_color=”” gradient_end_color=”” gradient_start_position=”0″ gradient_end_position=”100″ 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Então, se o seu hospital tem um estoque de 2 meses hoje, o próximo passo com certeza não será sair de um estoque de 2 meses para 1 dia. Longe disso. O próximo passo, mais plausível, será sair de 2 meses para 1 mês de estoque. Isso é ótimo. Se por exemplo, com 2 meses de estoque o seu hospital tem um capital parado de R$ 2 milhões, com 1 mês de estoque o seu capital parado será de R$ 1 milhão. Ou seja, o seu hospital consegue colocar R$ 1 milhão no caixa. O passo seguinte é continuar reduzindo o seu nível de estoque para 25 dias, 20 dias e assim sucessivamente. Essa é a tal da melhoria contínua.

Repare que, atualmente, uma quantidade significativa dos itens consumidos em seu hospital pode ser reposta semanalmente pelos fornecedores. E se isso de fato for verdade, não faz sentido o seu hospital ter estoques de 30 ou 45 dias, certo? Faz mais sentido ter estoques tendendo a 7 dias. E se, na média, a totalidade dos seus estoques estiverem em torno de 15 dias, você já está fazendo direitinho a sua lição de casa.

1) Conhecer a demanda de cada um dos seus itens em estoque e a variação dessa demanda

4) Padronizar os itens do seu hospital, de modo a reduzir a quantidade de itens;

5) Preparar o seu hospital para repor os seus estoques de acordo com o consumo de mat&med e não por previsão de demanda.

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Ultimamente tenho conversado com vários gestores hospitalares e eles tem se interessado muito sobre os mecanismos para a redução dos estoques de mat&med dos seus hospitais.

Hoje já é possível dimensionar automaticamente os níveis de estoque de mat&med, levando-se em consideração os parâmetros supracitados, de tal forma a minimizar os níveis de estoque, mas sem incorrer nos riscos de falta de mat&med.

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Ronaldo Mardegan é engenheiro de produção pela USP e possui MBA internacioal pela FIA/USP . Especialista em Gestão de Mudanças (Change Management), Melhoria de Processos e Lean Healthcare, trabalha há 17 anos como consultor em gestão da mudança e melhoria de processos de empresas de diversos segmentos. Com foco na área da saúde já atuou em parceria com diversos hospitais, Unimeds, Santas Casas além de ministrar cursos de Yellow Belt para o Hospital Leforte. Sócio diretor da Hominiss Soluções.

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