降低供應室包盤類成本之方案

A Project for Decreasing the Cost ofInstrument Packages in Central Supply Service

開源與節流是健保制度下醫院整體營運政策中的兩大方針，有效的資源管理來控制醫院營運成本之重要性 乃與曰俱增。本專案主要配合醫院節流政策，透過分析供應室包盤種類、配件、固定數、使用情形及要因圖分 析的方法，發現供應室包盤種類多但內部配件雷同性高、包盤固定數偏高及包盤使用率低等三大問題。經比對 各種包盤的共通項及差異項，透過各護理長重新了解臨床需求，統計分析實際使用量及與各單位協商後，重新組合包盤，將使用率低的內部配件刪除或游離出來改單一包裝，運用安全庫量計算式重新設定供應室包盤固定數，使包盤類成本每月減少10076元（約降低2.2%之成本），包盤種類由18種減少至13種，供應室包盤固定數由1487包減少為1247包，每包平均月使用率由2.2次提昇為3.3次，包盤使用更加靈活、效率更高。Since the establishment of health insurance systems in Taiwan, all hospital institutions have been broadening sources of income and reducing expenditure in an effort to balance finances. Consequently, effective and economical management of medical equipment and supplies to control budget is of primary importance. This project was intended to decrease the cost of instrument packages in central supply services (CSS) in cooperation with hospital policy. This project was implemented by researching various types of instrument packages: The inner fittings ; the amount of stationary included in instrument packages; requirements; and Cause and Effect Diagram. The results of this research were as follows: Interior fittings are similar; the amount of stationary is too high; the utility rate is too low. A cross- examination of package types was done in order to design a new equipment package and redesign stationary that would meet hospital requirements while decreasing cost by consolidating supplies and services-providing quality without surplus. The benefits of this research were: A decrease in the cost of instrument packages of