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1
2 GDP GPOGroup Purchasing Organization GPO GPO GPO POS
3
4 ,831 2, , , ,619 2, , ,127 13, , , , , ,284 1, , , , , , , , ,
5 Dorenfest & Associations Dorenfest & Associations GDP GDP
6 ,965 6,649 5, , ,904 5,420 4, ,830 5,384 4, ,322 3,191 2, ,778 1,444 1,
7 ,801 4, Non-government not-for-profit State and Local Government Investor-owned (for profit) ,248 1, NA
8 Integrated Healthcare Network IHN Sentara IHN 5
9 IHN IHN 2 IHN IHN IHN Group Purchasing Organization Health Industry Group Purchasing Association: HIGPA
10 Novationwww.novationco.com Premierhttp://my.premierinc.com AmeriNetwww.amerinet-gpo.com Assessing the Value of Group Purchasing Organization: by The Lewin Group GPO 8 Medical-surgical supplies 7
11 Radiology and laboratory supplies Pharmaceuticals Medical devices and clinical preference items Capital equipment Dietary products and services Office supplies Cleaning supplies and services X CT MRI GPO 8
12 1 1 patronage dividend [Baseline GPO Contract Price] [Price with Volume Commitment] [Price with Market Share Commitment]
13 Commodities Specialty Capital Novation Neofoma Neoforma ,110 1,330 27,572 8,520 7,750 7,530 27,272 8,094 6,640 6,200 28,630 22,081 24,247 17,883 54,411 62, Lawton R. Burns The Health Care Value Chain
14 Enterprise Resource Planning Neofoma Novation Global Healthcare Exchange Revenue Neutral Business Model GPO
15 PURCHASING DEPT. Hospital Manufacturers Distributor Warehouse Hospital General Stores Hospital Manufacturers Wholesaler Warehouse Hospital Patients Hospital Warehouse Hospital Manufacturers Hospital Information Product 10 Results & Benefits Compressed and Rationalized Supply Chain MMIS ILLUSTRATIVE Build hub-and-spoke model to streamline supply chain activities between hospitals, GPOs and manufacturers Manufacturer leverage IDN hub-and-spoke and forward DC Migration from Push to Pull Supply Chain Demand Planning and Replenishment Hub can be self-managed, distributor managed, 3PL managed or managed through Strategic Alliances Manufacturers Manufacturers Manufacturers Regional Service Center Hospital Hospital Hospital Hospital Hospital Patients Information Product/Information MMIS = Material Management Information System 12
16 13 IC
17 [The Healthcare Supply Chain 2002 Survey Results] by HFMA & McKESSON 14
18
19 ,119 1, , ,119 1,830 7,289 16
20
21 7, ,633 49,273 4, ,100 35,218 6, ,347 44,974 2, ,010 19,560 2, ,000 13,
22 American Hospital Association, Hospital Statistics 2003 The Lewin Group, Assessing the Value of Group Purchasing Organizations, 2003 Health Financial Management Association, Streamlining the supply chain, 2003 HFMA & McKKESSON, The Healthcare Supply Chain 2002 Survey Results Lawton R. Burns, The Health Care Value Chain, 2002, Jossey-Bass Herbert Hovenkamp, Competitive Effects of Group Purchasing Organization s (GPO) Purchasing and Product Selection Practices in the Health Care Industry,
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1950 1970 1990 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 6,788 7,123 5,384 4,915 4,908 4,927 4,895 4,919 4,936 4,927 4,897 5,010 5,008 1,456 1
1950 1970 1990 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 6,788 7,123 5,384 4,915 4,908 4,927 4,895 4,919 4,936 4,927 4,897 5,010 5,008 1,456 1,616 927 824 826 821 813 808 802 803 801 808 806 18,483
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Evaluation of the Social Benefits of the Regional Medical System Based on Land Price Information -A Hedonic Valuation of the Sense of Relief Provided by Health Care Facilities- Takuma Sugahara Ph.D. Abstract
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50 Financial Information >> 52 54 66 68 69 71 72 51 2004 4,625,151 2,605,343 2,019,807 N/A 373,435 139,401 234,034 (7,603) 2005 2006 2007 2008 2008 4,664,514 4,637,657 4,769,387 6,409,727 $ 63,976 2,650,586
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FINANCIAL RESULTS FOR FISCAL YEAR 2017 TABLE OF CONTENTS 2 HIGHLIGHTS OF FISCAL YEAR 2017 3 OUTLOOK ON FISCAL YEAR 2017 4 CONSOLIDATED NET SALES 4.4% 6,000 5,728 5,981 5,000 4,000 3,000 2,000 1,000 3,830
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CONTENTS 01 02-03 04-05 06-07 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 48-49 50-51 52 01 02 Mishima,Michiaki 03 04 05 06 07 09 10 11
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