Introducing E-Procurement in a Local Healthcare Agency

2010 ◽  
pp. 218-237 ◽  
Author(s):  
Tommaso Federici
Keyword(s):  
Public Sector ◽  
Healthcare Spending ◽  
Public Healthcare ◽  
Pilot Projects ◽  
Public Agency ◽  
Process Redesign ◽  
The Public ◽  
Electronic Procurement ◽  
Local Healthcare

This chapter deals with the introduction of electronic procurement in the public healthcare domain. After a brief discussion on the healthcare spending characteristics and on the suitability of e-procurement tools in the public sector; the long-lasting experience of e-procurement implementation promoted by an Italian Local Healthcare Public Agency is described. This initiative included some pilot projects and applied many different solutions; always involving both a new ICT tool and a thorough process redesign. The development of the innovation introductions is discussed; together with their organizational and managerial background; the description of the new processes; and the analysis of the most relevant results. The chapter provides a fairly comprehensive illustration of available solutions; opportunities; and challenges in this still neglected topic.

Introducing E-Procurement in a Local Healthcare Agency

2011 ◽  
pp. 2160-2178
Author(s):  
Tommaso Federici
Keyword(s):  
Public Sector ◽  
Healthcare Spending ◽  
Public Healthcare ◽  
Pilot Projects ◽  
Public Agency ◽  
Process Redesign ◽  
The Public ◽  
Electronic Procurement ◽  
Local Healthcare

This chapter deals with the introduction of electronic procurement in the public healthcare domain. After a brief discussion on the healthcare spending characteristics and on the suitability of e-procurement tools in the public sector; the long-lasting experience of e-procurement implementation promoted by an Italian Local Healthcare Public Agency is described. This initiative included some pilot projects and applied many different solutions; always involving both a new ICT tool and a thorough process redesign. The development of the innovation introductions is discussed; together with their organizational and managerial background; the description of the new processes; and the analysis of the most relevant results. The chapter provides a fairly comprehensive illustration of available solutions; opportunities; and challenges in this still neglected topic.

How well does Malaysia achieve value for money in public sector purchasing of medicines? Evidence from medicines procurement prices from 2010 to 2014

2020 ◽  
Author(s):  
Nurhafiza Md Ham ◽  
Prasadini N Perera ◽  
Ravindra P Rannan-Eliya
Keyword(s):  
Public Sector ◽  
Price Competition ◽  
Public Procurement ◽  
Weighted Average ◽  
Access To Medicines ◽  
Healthcare Sector ◽  
Public Healthcare ◽  
Continuous Increase ◽  
The Public ◽  
Pharmaceutical Procurement

Abstract Background Malaysia’s public healthcare sector provides a greater volume of medicines at lower overall cost, indicating its importance in providing access to medicines for Malaysians. However, the Ministry of Health (MOH), as the main healthcare provider, has concerns about the continuous increase in the public sector medicines budget, and achieving efficiencies in medicines procurement is an important goal. The objectives of this study were to assess the overall trend in public sector pharmaceutical procurement efficiency from 2010 to 2014, and determine if the three different ways in which MOH procures medicines influences efficiency.Methods We matched medicines from the public sector procurement report by medicine formulation to medicines with a Management Sciences for Health (MSH) International Reference Price (IRP) for each year. Price ratios were calculated, and utilizing the information on quantity and expenditure for each product, summary measures of procurement efficiency were reported as quantity- and expenditure-weighted average price ratios (WAPRs) for each year. Utilizing MOH procurement data to obtain information on procurement type, a multiple regression analysis, controlling for a number of factors that can influence prices, assessed whether procured efficiency (relative to IRPs) differed by MOH procurement type.Results Malaysia’s public sector purchased medicines at two to three times the IRP throughout the study period. However, procurement prices were relatively stable in terms of WAPRs each year (2.2 and 3.2 in 2010 to 1.9 and 2.9 in 2014 for quantity and expenditure WAPRs, respectively). Procurement efficiency did not vary between the three different methods of MOH procurement. Procurement efficiency of both imported innovators and imported generics were significantly lower ( P <0.001 and P <0.01) than local generic products, and medicine source and category influenced the procurement efficiency of each MOH procurement mechanism.Conclusion The design of different medicines procurement mechanisms, along with the balance of interests that Malaysia has sought to achieve in its public procurement procedures, have not been able to achieve lower public sector medicines procurement prices (relative to IRP). Introducing pooled procurement options along with continuous monitoring of procurement efficiency and exploring ways to improve price competition among local and foreign suppliers is recommended.

The Entrepreneurial State in Action: The Danish Robotics Cluster and the Role of the Public Sector

2020 ◽  
pp. 1-31
Author(s):  
JULIAN LAMBERTY ◽  
JEPPE NEVERS
Keyword(s):  
Public Sector ◽  
Industrial Robots ◽  
Public Programs ◽  
Public Agency ◽  
The Public ◽  
Thought Collective ◽  
Role Of The State ◽  
Risk Takers ◽  
Market Relations

The question of the role of the state in the creation of competitive clusters and innovation systems has drawn increased attention in recent years. Drawing on Mariana Mazzucato’s concept of “the entrepreneurial state,” this article investigates the role of the public sector in the development of the Danish robotics cluster, a world-leading cluster for production of industrial robots that has developed after the closing of Maersk’s shipyard in the city of Odense. In what ways did public programs and actors contribute to the development of this cluster? In what ways did public programs facilitate entrepreneurs, and when did they function as agents or perhaps even risk-takers? To answer these questions, this article tracks three layers of public agency: the local, the national, and the European. This article concludes that there were crucial initiatives at all three levels and that these initiatives were not coordinated, but nevertheless connected by a certain zeitgeist—the idea of public institutions taking responsibility for the competitiveness of private companies, an idea that blossomed in the period of high globalization from the late 1980s to the 2000s. In other words, what united the efforts of the public sector was not any master plan but an underlying thought collective that made the workings of “the entrepreneurial state” flexible and fit for the unpredictable nature of innovation. Thus, this article argues that industrial policy did not wither away in the age of neoliberalism but changed its form in an increasing complexity of state-market relations.

Government E-Procurement through the Internet

2011 ◽  
pp. 901-905 ◽  
Author(s):  
C. G. Reddick
Keyword(s):  
Public Sector ◽  
Private Sector ◽  
The Internet ◽  
Value For Money ◽  
Radical Process ◽  
The Public ◽  
Electronic Procurement ◽  
Public Sector Organizations ◽  
Conflicting Goals ◽  
Transparency And Accountability

Electronic procurement (e-procurement) is one business-to-government e-commerce venture that can benefit from the Internet. Government e-procurement is different from private sector e-procurement because of concepts such as value for money, transparency and accountability, which may be considered the main benefits for the public sector. Public sector organizations have to meet multiple, often conflicting goals, and they are subject to constraints of a financial, legal, contractual, personnel and institutional nature. In addition, radical process changes from e-procurement can only be achieved with deep changes in bureaucratic practices. These changes cannot normally be achieved without either changes in the law or privatization (Panayiotou, Gayialis, & Tatsiopoulos, 2004).

Differentiating between average and high-performing public healthcare managers: implications for public sector talent management

2020 ◽  
Vol 44 (3) ◽  
pp. 434
Author(s):  
Sandra G. Leggat ◽  
Zhanming Liang ◽  
Peter F. Howard
Keyword(s):  
Public Sector ◽  
Health Service ◽  
Health Services ◽  
Talent Management ◽  
Healthcare Sector ◽  
Public Healthcare ◽  
High Performing ◽  
The Public ◽  
Public Healthcare Sector ◽  
Service Managers

ObjectiveEnsuring sufficient qualified and experienced managers is difficult for public sector healthcare organisations in Australia, with a limited labour market and competition with the private sector for talented staff. Although both competency-based management and talent management have received empirical support in association with individual and organisational performance, there have been few studies exploring these concepts in the public healthcare sector. This study addresses this gap by exploring the perceived differences in demonstration of core competencies between average and higher-performing managers in public sector healthcare organisations. MethodsMixed methods were used to define and measure a set of competencies for health service managers. In addition, supervisors of managers were asked to identify the differences in competence between the average and high-performing managers reporting to them. ResultsSupervisors could clearly distinguish between average and higher-performing managers and identified related competencies. ConclusionsThe consistent pattern of competence among community health and hospital public sector managers demonstrated by this study could be used to develop a strategic approach to talent management for the public healthcare sector in Australia. What is known about this topic?Although there are validated competency frameworks for health service managers, they are rarely used in practice in Australia. What does this paper add?This paper illustrates the perceived differences in competencies between top and average health services managers using a validated framework. What are the implications for practitioners?The public health sector could work together to provide a more effective and efficient approach to talent management for public hospitals and community health services.

scholarly journals Institutional responses to electronic procurement in the public sector

2013 ◽  
Vol 26 (6) ◽  
pp. 495-515 ◽  
Author(s):  
Neil F. Doherty ◽  
Danny J. McConnell ◽  
Fiona Ellis‐Chadwick
Keyword(s):  
Public Sector ◽  
The Public ◽  
Electronic Procurement ◽  
Institutional Responses

scholarly journals PRÁTICAS VICIOSAS EM LICITAÇÕES: ANÁLISE DE CASOS INVESTIGADOS PELA CONTROLADORIA-GERAL DA UNIÃO (CGU)

2018 ◽  
Vol 7 (2) ◽  
pp. 91 ◽  
Author(s):  
Antônio Eronilton Pereira Buriti ◽  
Maria Lírida Calou de Araújo e Mendonça ◽  
Marco Antônio Praxedes de Moraes Filho
Keyword(s):  
Public Sector ◽  
Point Of View ◽  
Public Works ◽  
Public Agency ◽  
The Public ◽  
Public Money ◽  
General Aspects ◽  
And Control ◽  
Official Records ◽  
Selection Of

O principal escopo desta pesquisa se concentra em investigar algumas das práticas viciosas mais comuns durante a realização de processos licitatórios no setor público brasileiro. A pesquisa foi desenvolvida na metodologia exploratória, sendo aplicada a partir de casos práticos examinados por um dos órgãos de fiscalização e controle da verba pública brasileira. Foram estudados 70 (setenta) relatórios da Controladoria-Geral da União, os quais estão disponíveis na página eletrônica do referido órgão. A seleção dos casos práticos se deu aleatoriamente, sem comparar localização, perfil político e grau de repetitividade. O que se buscou foi apresentar o que é considerado bastante “grosseiro” do ponto de vista de erros administrativos. Preliminarmente, o estudo trata de aspectos gerais da licitação pública, abordando os princípios setoriais deste microssistema jurídico e as diferentes modalidades estabelecidas pelo ordenamento. Na sequência, adentrando na proposta central deste trabalho, foram examinados alguns casos práticos constatados a partir de fiscalizações em atividades de execução de obras públicas em diversos períodos e locais do Brasil. O instrumento utilizado na sondagem foram os registros oficiais dos órgãos públicos de controle, bem como, seus documentos disponíveis em suas páginas eletrônicas. A título de conclusão foi possível verificar inúmeras lacunas no tocante a organização destes procedimentos, causa principal do não cumprimento da legislação especializada. VICIOUS BIDDING PRACTICES: ANALYSIS OF CASES INVESTIGATED BY THE BRAZILIAN OFFICE OF THE COMPTROLLER GENERAL (CGU) ABSTRACT The main scope of this research focuses on investigating some of the most common vicious practices during bidding processes in the Brazilian public sector. The research was developed in the exploratory methodology, being applied from practical cases examined by one of the organs of fiscalization and control of the Brazilian public money. We studied seventy (70) of the Comptroller General's reports, which are available on the website of this public agency. The selection of practical cases occurred randomly, without comparing location, political profile and degree of repetitiveness. What was sought was to present what is considered quite "huge" from the point of view of administrative errors. Preliminarily, the study deals with general aspects of public bidding, addressing the sectoral principles of this legal micro-system and the different modalities established by the ordinance. Following, in the central proposal of this work, we examined some practical cases verified from inspections in activities of execution of public works in diverse periods and places of Brazil. The instrument used in the survey were the official records of the public control bodies, as well as their documents available on their electronic pages. As a conclusion, it was possible to identify a number of shortcomings in the organization of these procedures, the main cause of non-compliance with the specialized legislation.

scholarly journals Practical aspects of assessing the efficiency of the modern system of public procurement in Ukraine

2018 ◽  
Vol 16 (2) ◽  
pp. 353-363 ◽  
Author(s):  
Bohdan Dmytryshyn ◽  
Ruslana Zhovnovach ◽  
Oleksandr Levchenko ◽  
Yurii Malakhovskyi ◽  
Viktoriya Gonchar
Keyword(s):  
Public Sector ◽  
High Efficiency ◽  
Public Procurement ◽  
Logistics System ◽  
Public Funds ◽  
The Public ◽  
Electronic Procurement ◽  
Before And After ◽  
The Individual ◽  
Procurement System

The issue of reforming the institute of state (public) procurement is one of the key directions of the modernization of the administrative sector of our state. Increasing the efficiency of this institute should be recognized as one of the conditions for ensuring stable economic growth. In this regard, issues relating to the assessment of the efficiency of the use of public funds are of particular interest. The indicators of the efficiency of the activity of the public procurement sector in Ukraine in the context of the introduction of the “ProZorro” electronic procurement system are calculated and analyzed. The existing works of the individual scientists in the direction of developing indicators of the efficiency that can be used to evaluate the results of the operation of the procurement logistics system in the public sector in Ukraine are generalized. As a result, approaches have been identified that can be used to determine the effectiveness of the participation of customers, private sector representatives and the system of electronic public procurement in general. On the basis of retrospective data of past years and the first half of the current year, a number of estimates of absolute and relative savings, as well as indicators of the effectiveness of the open bidding in the public sector of Ukraine have been identified. The dynamics of these indicators before and after the introduction of the “ProZorro” electronic procurement system was analyzed. The analysis shows that the first results of the functioning of the “ProZorro” system demonstrate the existence of negative trend of competition and reduction in the amount of savings in public funds. Ensuring high efficiency and competitiveness, integrity and transparency of the procurement process are the main tasks of the Ukrainian government in the field of public procurement. The authors argue that the introduction of the “ProZorro” system can help to solve them successfully, and the application of the analytics module enables to calculate the savings from the use of this system.

scholarly journals Strategizing Public Sector Hospitals In Megacity Karachi: A Case Study On Gender Based Healthcare Facility Selection Criteria And Concerns (From Demand And Supply Perspective)

2019 ◽  
Vol 19 (1) ◽  
pp. 179-196
Author(s):  
Shamaila Burney ◽  
Khalid Mahmood Iraqi
Keyword(s):  
Public Sector ◽  
Selection Criteria ◽  
Healthcare Facility ◽  
Health Care Facilities ◽  
Public Hospitals ◽  
Public Healthcare ◽  
Demand And Supply ◽  
Healthcare Facilities ◽  
The Public

Karachi is the most populous city in Pakistan and it plays an important role in urban demography of Pakistan. It is growing rapidly, as every fifth urban citizen lives here. This urbanization creates serious challenges for all sectors of Karachi. Especially the health sector, from demand and supply view point is facing serious challenges in terms of non-availability of qualified doctors, specifically female doctors, medicines, latest equipment, poor infrastructure, and patient’s queues belonging to other rural areas because of the lack of quality healthcare facilities, makes the public hospitals crowded and overburdened. Like all over Pakistan, public sector hospitals are very much neglected in Karachi also and needs special consideration. The focus should be on developing patient oriented supply chains for efficient patient’s care and healthcare facilities. Moreover, the case study of Qatar hospital a part of our basic research study also highlighted the depriving condition for women patients’ in Emergency Department, because only male doctors are there but female doctors are not available. Although we observed that the gender wise daily patient flow was consist of 65% females, whereas only 35% male patients. The study suggests that there is an urgent need of women doctors and paramedics staff in the public sector hospitals of suburbs of Karachi. This paper presents a synoptic view of concerns of the residents of Karachi, and identification of their selection criteria of health care facilities. The study also aimed to provide solutions and recommendations for the improvement of these facilities. Cross sectional questionnaire and random sampling with two stage clusters sampling was used to record the responses of 1991 households, 46% respondents were female and 54% were male. Among the total of 11127 respondents, only 580, (5.2 %) sought treatment in public health hospitals and, 2440 (21.9 %) visited private hospitals. Research results shows that Cost is the only significant factor because of which people opt for treatment at public healthcare facility.

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