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Inventory is the amount of pharmaceuticals, medical supplies, food, and retail items a business keeps on hand to meet the demands of customers and patients. Depending on the nature or type of practice, the efficiency of your inventory management plan may have a significant impact on your cash flow and, ultimately, your business success or failure. Inventory remains one of the leading expenses that veterinarians face, and continues to be an area of very low management. Inventory impacts the practice; financial, operational, and managerial. In other industries, an inventory analysis consists of inventory turnover and average age of inventory. While these numbers are important, it is necessary to count inventory regularly to maintain an average cost of inventory on hand. The nature of veterinary medicine requires veterinarians to keep more medications readily available in case of an emergency. One can’t predict how often cases such as head trauma, snake bites, or other critical emergencies will be seen and, therefore, it is difficult to predict how much inventory to keep on hand. These examples cause a portion of cash to experience little to no turns for the year. The veterinary profession is unique, in that veterinarians buy one drug and sell it five different ways and often don’t take the time to reconcile inventory for every use. This can make managing inventory quantities and tracking profitability very difficult. There are numbers that can be tracked easily that do not require extra time in your software. How often are you comparing your actual spending to prior periods or to your budget? Do you have a budget? Is that budget communicated to your staff? Managing one of the largest expenses or assets requires a plan. This plan should consist of the right combination of duties by employees and a standard process by which the practice operates. The two most important steps in creating a solid inventory management system are a budget and established standard operating procedures. By combining the right person(s), the right practice, and the right solutions, inventory will maintain number two; behind your number one expense, employees, to care for your clients. Part 1: Right Person For successful inventory management, it is imperative to choose the right person for managing those responsibilities. Inventory managers should be hard-working, detail-oriented employees. Every practice doesn’t have the luxury of hiring one person to solely manage Inventory Management: The Right Inventory Person Article by Mary Brookings, Inventory Consultant, MWI Veterinary Supply Over the next three months, this series will address a critical topic for practice management, inventory management, and the three most critical components for success: The right person, the right plan and the right solution. We start with the right person. We hope you find this series helpful – Your Business, Your Success, Our Goal. AAHA
Transcript

Inventory is the amount of pharmaceuticals, medical supplies, food,

and retail items a business keeps on hand to meet the demands of

customers and patients. Depending on the nature or type of practice,

the efficiency of your inventory management plan may have a

significant impact on your cash flow and, ultimately, your business

success or failure. Inventory remains one of the leading expenses

that veterinarians face, and continues to be an area of very low

management. Inventory impacts the practice; financial, operational,

and managerial.

In other industries, an inventory analysis consists of inventory turnover

and average age of inventory. While these numbers are important, it

is necessary to count inventory regularly to maintain an average cost

of inventory on hand. The nature of veterinary medicine requires

veterinarians to keep more medications readily available in case of an

emergency. One can’t predict how often cases such as head trauma,

snake bites, or other critical emergencies will be seen and, therefore,

it is difficult to predict how much inventory to keep on hand. These

examples cause a portion of cash to experience little to no turns for

the year. The veterinary profession is unique, in that veterinarians

buy one drug and sell it five different ways and often don’t take the

time to reconcile inventory for every use. This can make managing

inventory quantities and tracking profitability very difficult. There are

numbers that can be tracked easily that do not require extra time in

your software. How often are you comparing your actual spending to

prior periods or to your budget? Do you have a budget? Is that budget

communicated to your staff?

Managing one of the largest expenses or assets requires a plan. This

plan should consist of the right combination of duties by employees

and a standard process by which the practice operates. The two most

important steps in creating a solid inventory management system are a

budget and established standard operating procedures. By combining

the right person(s), the right practice, and the right solutions,

inventory will maintain number two; behind your number one

expense, employees, to care for your clients.

Part 1: Right PersonFor successful inventory management, it is imperative to choose the

right person for managing those responsibilities. Inventory managers

should be hard-working, detail-oriented employees. Every practice

doesn’t have the luxury of hiring one person to solely manage

Inventory Management: The Right Inventory PersonArticle by Mary Brookings, Inventory Consultant, MWI Veterinary Supply

Over the next three months, this series will address a critical topic for practice management, inventory management, and the three most critical components for success: The right person, the right plan and the right solution. We start with the right person. We hope you find this series helpful – Your Business, Your Success, Our Goal.

AAHA

inventory. Most practices split inventory duties among several staff

members. It is a common practice for an employee to inherit the job

of ordering drugs and supplies when another employee leaves the

practice or retires. The problem with this scenario is that most of the

training for the new leader is limited to only what was done previously.

The veterinary management team must equip the inventory manager

to make the right decisions. The single most underutilized piece of

information provided to the inventory manager is a budget. A budget

is a guideline for the practice and the new inventory manager. While

some employees may not understand each drug and how it is used,

most would understand how to track the amount spent and how to

stretch a buck. The right plan is to provide the inventory manager with

the training and knowledge to make the most informed decisions.

Below we will look at why the inventory manager should have a budget,

how to research valuable information on inventory trends, and where

to go for current software training.

Set a BudgetUtilizing a budget keeps controlling expenses and awareness of what

can afforded foremost in the decision-making process; before the

money is spent. Budgets should be reviewed monthly with key staff

members, such as purchasers and managers. The average American

Animal Hospital Association member spends almost 15% of their

annual revenue on drugs and supplies alone. Spending can be itemized

on your vendor invoices using the General Ledger/Personalized

Product Code system within your mwivet.com account. A General

ledger code, or accounting code, is a number that a company assigns

to account groups, such as vendor payables. This coding system allows

the practice to monitor how much is spent on different categories of

inventory such as; drugs/supplies, heartworm/flea/tick medications,

and food. The inventory manager and practice manager should

compare the total spent, by category, for a specific period by creating

a simple spreadsheet of the budget for the period in one column and

the amount spent

per category in

another column.

For more details

on budgeting, find

the article Budgets

Made Easy, by

Angela Schneider

on mwivet.com;

from the main,

select Practice

Management, then Finanical Matters – Articles, or type this URL in

your web browsers address bar: http://www.mwivet.com/Portals/0/

POST/PracticeManagement/

FinanceArticles/Doc_InventoryBudgetsMadeEasy.pdf.

Purchases vs. Sales HistoryWhile understanding the workflow/caseload is important when

replenishing inventory, you can also utilize your purchase history of

ordering common drugs and supplies. If you are new to ordering drugs

and supplies, using your mwivet.com account’s reporting options can

provide you with the details of your previous purchases. The purchase

history is a great tool to use and will help new employees disguise

different names used for one drug or supply, for example; Microbore

Extension Set and T-port, Phenylbutazone and Bute, or Furosemide

and Lasix. The practice management software also keeps track of

what drugs have been sold. It is recommended that an analysis of your

inventory sales is completed once a year. The analysis, or ABC analysis,

should contain a priority list based on sales, usage, and cost. By sharing

this information with the entire practice team, the inventory manager

can make better decisions on how much to buy and which products

should be monitored more closely.

Provide software trainingSoftware that can save time, reduce errors, and increase profitability is

available to help manage these processes. Just as you understand the

life cycle of a flea - egg, larva, and adult - your inventory should follow

a cycle; before and after each purchase including, Starting Quantity,

Purchase Order, and Receipt of Order. Veterinary practices should

understand their current inventory software module before considering

a switch. Changing the program used to track inventory still means

spending time and energy on the system; just a different one, that also

entails a learning curve. Remember the saying, “Garbage in - garbage

out.”

• When is the last time you or your staff had training on your software’s inventory module? Most veterinary software implementations do not cover specific

training on tracking inventory. The sole focus during a new install

is to complete training centered on starting invoices, using medical

records, and setting up the profit centers for professional services.

Most training providers do have an option to “pay as you go” for

training, or offer some form of free training through workbooks/

instruction guides, online tutorials, or videos.

• Are you willing to pay for additional training if you change to new software? Investing in software and staff; missing this valuable opportunity,

the team never learn how to properly utilize the inventory tracking

system, once the support is gone. The inventory cycle should start

with using clean inventory/vendor codes, suggested reorder levels

that drive a purchase order in your practice management software,

and should end with receiving the purchase order to update current

pricing and agreed quantities, for starters. When the inventory

manager has been properly trained you will feel more confident in

empowering your staff to make the right decision when creating the

right inventory plan.

Resources:Talk to your MWI/AAHA MARKETLink Sales Representative about activating the General Ledger code feature or granting user access to a Report Library for invoice summaries. For related questions, call E-Commerce Support at (888) 562-3405.

For more resources on setting a budget, contact your IMC Inventory Consultant at [email protected].

For tips on how to create an ABC analysis, register for an Inventory Management workshop on mwivet.com or contact an Inventory Management Consultant via email at: [email protected].

Mary Brookings is an Inventory Management Consultant with MWI Veterinary Supply. She has supported practices with inventory strategies since 2008. Mary has maintained her Registered Veterinary Technician status in the State of Texas since 1998, and her Certified Pharmacy Technician status since 2008. For over ten years, she worked in a variety of roles and practice settings including, rural practices, surgery and internal medicine teams, as well as, managing teams, inventory and equipment.

AAHA

In Part One of this series we discussed the importance of having the right person in place when creating the right inventory plan. The inventory manager and practice manager or owner should be working together to create a weekly budget that will help the long-term goals of the practice. The inventory manager should be familiar with using a purchase history and sales history to assist in ordering inventory based on previous trends, monitoring prices, and product turnover. Now it is time to establish goals and outline the procedure for using your software or other available resources for ordering, receiving, and monitoring accountability of inventory.

Part Two: The Right PlanThe intent of this section is to highlight the right practice of

implementing a job description and standard operating procedures

to include analyzing your practice’s sales on a yearly basis. While the

act of writing instructions may seem daunting, it is an important step

that will create a culture of accountability and security for practice

owners to fall back on year after year. These legacy documents should

serve as training tools for new employees and will need to be kept up

to date. Employees can easily follow the plan if there are clear, written

instructions. The right solution(s) for managing inventory may differ

from practice to practice. We find the most successful practices are

using a combination of high- and low-technology based methods for

managing the inventory cycle. In Part Three, the final article in this

series we will discuss inventory solution ideas and tips.

1. Create a Job Description for Inventory Team Members

A job description is a written agreement of employee duties. We hire

employees with the expectations to complete certain tasks such as

greeting customers, checking in patients, monitoring anesthesia, or

maintaining a clean boarding facility, but often times do not have the

proper documents to review with a new hire. Some employees have

Inventory Management: The Right Inventory PlanArticle by Mary Brookings, Inventory Consultant, MWI Veterinary Supply

CONTINUED ON NEXT PAGE

AAHA

had previous experience and others have not had any experience. A job

description clearly outlines what is expected before and after a person

is hired. A job description should be the first document reviewed

during an interview and repeated the first week of training. While you

may only consider including inventory management duties on one or

more job descriptions, it is necessary to include inventory duties for

every position in the hospital. Inventory travels through the hospital

and passes through the hands of many staff members, a job description

can serve as a proactive approach to protecting your investment and

the patient. Below is a list of veterinary positions and inventory duties

that may relate to that position:

• Customer Service Representative – Field phone calls related to

prescription refills, check in medications for boarding animals, check

out customers with prescriptions, and invoice inventory.

• Technician Assistant/Kennel Staff – Check in medication for

boarding animals, assist in medication administration, unpack vendor

shipments, and invoice inventory.

• Accredited Technician/Senior Technician – Check in medication for

boarding animals, administer medications in house, fill prescriptions,

order/receive inventory, and invoice inventory.

• Practice Manager/Office Manager – Create inventory budget, order/

receive inventory, matching invoice/statements, bookkeeping duties,

and invoice inventory.

• Associate Veterinarian – Prescribe medication, administer

medication, assist in pricing strategy, order/request inventory, and

invoice inventory.

• Veterinarian/Owner – Create budget, create profit strategy, prescribe

medication, administer medication, order inventory, invoice

inventory, and pay vendor.

NOTE: If you hire a team leader to manage inventory within the

practice, take the time to create a job description and view expectations

from the perspective of owner and employee.

Labor time is a major concern in maintaining a successful inventory

control plan. From determining the amount to order to paying the

invoice already takes approximately four hours a week, and that doesn’t

include the new inventory projects’ tasks you would like to be doing.

Consider including a time table of duties to keep employees on track.

Both the Inventory Management Job Description and Inventory

Management Time Chart should be reviewed annually.

2. Create a Standard Operating Process for InventoryDoes your practice have standard operating procedures for inventory?

A practice generally assumes the act or objective of “keeping low stock,

while not having an overstock” is considered an operating procedure.

Most practices do not have written instructions on how to manage

the inventory procurement process. By not having a simple guide

on how and when to purchase drugs and supplies, the inventory

manager is practicing a reactive approach vs. creating a proactive plan

to managing inventory. The inventory manager may become the only

person that really knows what is being done. All inventory operating

procedures should be documented in the event that someone should

need to fill in for the purchaser or if the employee is replaced. Standard

operating procedures can be written by a team using a team approach.

This means that if one person is very detailed in the “unpacking” of

inventory; ask them to help write down each step. This guide can start

simple, but ideally should become an extensive document capturing

the full perpetual inventory cycle.

Create a list of inventory duties to be done daily, weekly, monthly,

quarterly, semi-annually, and yearly. Then document a sequence of

steps to accomplish each duty. Among these lists and steps, be sure to

include:

1. Review reorder reports and want list.

2. Calculate budget for ordering.

3. Ordering, receiving, and stocking.

4. Monitor and adjust internally used items.

5. Cycle count inventory and record variances.

6. Review re-order points.

7. Complete an ABC analysis on yearly sales and purchases.

8. Annual review of inventory operating procedures.

Note: Each duty or inventory function should be outlined in your

Standard Operating Procedure for Inventory.

Resources: Talk to your MWI/AAHA MARKETLink sales representative about consulting with an Inventory Management Consultant.

Find a Standard Operating Procedure template on managing inventory, an Inventory Job Description and more at: http://www.mwivet.com/PRACTICEMANAGEMENT/SystemsProcedures.aspx#manual, or log onto www.mwivet.com and search under Practice Management.

Mary Brookings is an Inventory Management Consultant with MWI Veterinary Supply. She has supported practices with inventory strategies since 2008. Mary has maintained her Registered Veterinary Technician status in the State of Texas since 1998, and her Certified Pharmacy Technician status since 2008. For over ten years, she worked in a variety of roles and practice settings including, rural practices, surgery and internal medicine teams, as well as, managing teams, inventory and equipment.

AAHA

Greetings! Let’s discuss the final portion of The Right Inventory Plan.

Part one of this series addressed the importance of aligning the right

person for managing inventory functions; part two highlighted how

to implement job descriptions and standard operating procedures

for inventory functions. This section will discuss evaluating the right

inventory plan for moving forward.

The right solution for managing inventory is different from practice to

practice. We find that most successful practices are using a combination

of both high and low technology-based methods for managing the

inventory cycle.

Part 3: The Right SolutionTo determine the best solution for your practice, start first by writing

down how you currently operate. Do you use a practice management

system? What are its limitations? Are you using it to its full capability?

Do you have a person responsible for inventory? What are your current

inventory plan’s vulnerabilities?

Next, make a list of the critical items needed to improve your inventory

system. Some possible scenarios might look like these:

Scenario A: We are not currently using a Practice

Management Software program, and feel now is the

time to invest in one. A Critical Items list for this

scenario might look like this:

• Identify needs.

• Research software capabilities.

� MWI Tip: For an excellent resource on software options, refer to

the AAHA Reader’s Choice Software Survey 2012 at http://content.

yudu.com/A1y1w7/AAHATrendsSept2012/resources/31.htm

• Take a test drive.

Scenario B: We are currently using a Practice Management Software

program, but we are not using it to its full potential. A Critical Items

list for this scenario might look like this:

• Bring software up to date.

• Expand software usage to store all important information such as

vendor information, item codes and reorder levels.

• Take advantage of the system’s Purchasing Work List functionality

to generate a record of clinic purchases.

Scenario C: We are currently using a Practice Management Software

program and are ready to introduce new tools to supplement our

software’s capabilities. A Critical Items list for this

scenario might look like this:

• Implement Reorder Point Cards to flag items not

tracked in the software.

� MWI Tip: Did you know that you’re MWI

or AAHA MARKETLink Representative can

provide you with complimentary Reorder Point

Cards? They are even available in a variety

of colors so that you can visually distinguish

products by category.

• Establish “Templates” within mwivet.com based on each area of our

clinic. Utilize these templates for quick reordering of supplies and

drugs, and to print physical count sheets that correspond to each

room when it’s time to take physical counts.

� MWI Tip: If you are unfamiliar with the Template functionality of

your mwivet.com or aahamarketlink.com account, you can view a

quick overview video of the system on the MWI YouTube Channel

at http://www.youtube.com/watch?v=UCqci8qB4Gg.

• Bookmark the mwivet.com mobile ordering site on our phones so

that we can access our Templates and place reorders while walking

the clinic.

� MWI Tip: Place orders away from your desk by visiting our mobile

ordering site, m.mwivet.com.

Inventory Management: The Right SolutionArticle by Mary Brookings, Inventory Consultant, MWI Veterinary Supply

CONTINUED ON NEXT PAGE

In this final installment of our 3-part series on Inventory Management, we will delve into the concept of creating an inventory plan based on where your practice is today and what investments you may be considering for the future.

AAHA

Scenario D: We are currently using the Cornerstone® Practice

Management System and would like to streamline the product

replenishment process by implementing SmartOrder™ functionality.

• Confirm that our Cornerstone® software is version 8.3 or higher.

• Schedule and receive Cornerstone® Purchase Order training.

• Identify team members that will be responsible for entering MWI

Item Codes into the SmartOrder™ system.

ConclusionWhen considering these critical items, recognize fully the dedication

that the project of implementing these changes will require. We suggest

you begin the process by having your team responsible for making

changes to your inventory management processes create an Inventory

Project Statement to keep everyone focused on the shared goal.

Last but not least, commit to the challenge.

Take at least one action step in the first 24 hours.

Case StudyMWI thanks Boat Club Road Animal Hospital (BCRAH) of Fort

Worth, Texas and particularly Katherine Harold, Assistant Practice

Manager, for sharing with us their process and experience in

implementing “The Right Plan” for their inventory management needs.

In an interview with Katherine Harold, MWI had the opportunity to

do a post-project review.

MWI: Overall, was the project successful?

BCRAH: Total Revenue increased by 19.7%

Total Inventory Cost increased by 7%

Cost as a % of Revenue decreased by 3%

MWI: How did MWI help you meet your inventory project goals?

BCRAH: MWI’s assistance was invaluable to us as we began trying

to get a handle on our inventory and COGS. We could tell

by our balance sheet that things were out of whack, but had

no idea how to proceed with changing it. MWI’s Inventory

Specialist really gave us a quick education about all things

inventory and gave us real, specific instructions about how

to start making some changes. It’s also very helpful to us that

we can rely on MWI as a reliable partner for our supplies

and inventory - we receive our deliveries in a very timely

manner and can count on them.

MWI: What tips would you provide others that are trying to

“streamline” their inventory processes?

BCRAH: I’d say the most important things are to have an

understanding of how your inventory controls are working

(or not) right now and know clearly where you want to get

to; know your goals. Also, make sure that all staff members

who have anything to do with inventory control have a good

working knowledge of how it affects the running of the

hospital, both medically and financially.”

Mary Brookings is an Inventory Management Consultant with MWI Veterinary Supply. She has supported practices with inventory strategies since 2008. Mary has maintained her Registered Veterinary Technician status in the State of Texas since 1998, and her Certified Pharmacy Technician status since 2008. For over ten years, she worked in a variety of roles and practice settings including, rural practices, surgery and internal medicine teams, as well as, managing teams, inventory and equipment.

OCT 2011

NOV 2011

DEC 2011

JAN 2012

APR 2012

MAY 2012

DEC 2012

JAN 2013

FEB 2013

MWI provides inventory basics and e-commerce training

Team creates Inventory Project Statement

Team conducts physical inventory and tracks cycle counts

MWI and the Team complete ABC analysis

MWI and the Team review twelve month budget tracker to measure success

Team begins process of implementing Cornerstone® SmartOrder™ Electronic

Inventory Solution

Team successfully completing 72% of all orders using SmartOrder™

Team sets 2012 Inventory Goals: - Order once weekly using budget

- Reduce COGS to 22% - Go paperless

MWI activates General Ledger codes to track spending and trains staff on creating a

budget tracking sheet

Team creates Inventory Standard Operating Procedures

MWI and the team conduct a six month business review

Boat Club Animal Hospital Inventory Management Plan Timeline

AAHA


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