Transcript TAMIL NADU MEDICAL SERVICES CORPORATION LTD.

ISO 9001 Certified Organisation
TAMIL NADU MEDICAL SERVICES CORPORATION LTD
417 - IInd Floor, Pantheon Road, Egmore, Chennai – 600 008.
Phone
: 28190259 / 28191890 / 28191891
Email
Fax : 044 – 28190636
: [email protected]
Website : www.tnmsc.com / http://tnmsc.tn.nic.in
Quality Policy
Tamil Nadu Medical Services Corporation Limited supports the Government Medical
Institutions in providing quality health care delivery system to the people of Tamil
Nadu.
We arrange to deliver on time high quality drugs, medicines, surgical and suture items
to the Government Medical Institutions with courtesy and care for our customers.
To achieve this objective we adopt a rational drug management system, abiding by the
applicable laws of the land and other regulatory requirements pertaining to the drugs
and medicines.
We achieve our goal with involvement and empowerment of our personnel through
continually improving a Quality Management System established in accordance with
ISO 9001:2000.
Profile
Tamilnadu medical services corporation ltd..,(TNMSC)
was incorporated under the Companies Act,1956 on
1/7/1994.

It has commenced its functions of purchase,storage
and distribution of drugs and medicines from January
1995.

Its primary objective is to ensure ready availability of
quality drugs and medicines in the Govt.Medical
Institutions throughout the state.

BOARD OF DIRECTORS
Chairman, TNMSC Ltd.,
Secretary, Health & Family Welfare Department
Special Secretary, Finance Department
Managing Director, TNMSC Ltd.,
Project Director, Reproductive & Child Health Project
Director of Medical Education
Director of Medical and Rural Health Services
Director of Public Health & Preventive Medicine
Director, Drug Control Department
Chief Engineer, Public Work Department (Buildings)
Organogram
CHAIRMAN
MANAGING DIRECTOR
Chief Accounts Officer/
Company Secretary
Accounts
Senior Regional
Manager
Administration
EDP
24 Drug Warehouses
Manager
(Purchase)
Manager
(Quality Control)
Superintending
Engineer
Construction
Work
Purchase of
Equipments
Maintenance
of Equipments
Maintenance
of CT & MRI
Scan
ENGINEERING SECTION
Superintending
Engineer
Deputy
Manager
AE - 3
(Civil)
AE
(Electrical)
PURCHASE SECTION
Senior Regional
Manager
Drug
Warehouse
Pharmacists -2
DEO
-1
Packers
-2
(Outsourced)
Manager
(Purchase)
Assistant
(Outsourced)
QUALITY CONTROL SECTION
Manager
(Quality Control)
QC
Assistant
ACCOUNTS SECTION
Assistant-2
Chief Accounts
Officer
Accounts Officer
Assistant
Accounts
Officer - 2
Cashier
ADMINSTRATION SECTION
Company
Secretary
DEO
-2
Receptionist- 1
Despatch - 1
(Outsourced)
Assistant
Drivers
-7
Security Persons - 50
(Outsourced)
Auditors –4
(Outsourced)
Assistant
(Outsourced)
EDP Section
(Outsourced)
Systems Analyst – 1
Programmer
–3
DEO
–7
Comparison Before and After
TNMSC
Purchase
by Deans/JDs of the
hospitals through Open Tender
Supply
by dealers
were made in bulk
quantities in loose form in bottles.
Purchase
Tender.
Supply
by manufacturers / Direct
importers
Supplies
Supplies
Effective
Rigorous
Quality
No
Quality Control was not
possible as the quantity on every
purchase is low.
deterioration
by TNMSC through open
are made in Strips/Blisters
which is easy to handle.
Quality control is done.
Each and every batch is tested.
Quality deterioration
Comparison Before and After
TNMSC
Different
rates for the hospitals
to the supplier was done
from different sources.
Uniform
Payment
Payment
Rates
Bulk
are Higher.
rates for all the hospitals.
from Single source.
Purchase – Rates are competitive
and Cheaper.
Institutions Served by TNMSC
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All Medical Teaching Institutions
All District Head Quarters Hospital.
All Taluk Head Quarters Hospital.
All Primary Health Centers
All Health Sub Centers
All ESI Hospitals and Dispensaries
All TNEB medical facilities
All Panchayat Union Dispensaries
All Police Medical Facilities.
Juvenile Homes.
Prison and Rehabilitation homes.
Co-operative Sugar Factories.
Veterinary Institutions.
Transport Corporation Dispensaries.
All Local body Medical facilities.
Total
42
25
240
1413
8682
185
28
51
10
10
11
18
285
14
45
11059
Budget
- Government makes budget allotment to Heads of departments
every year
- Heads of departments distribute this budget allotment to the
institutions based on which passbook is issued for lifting the
drugs.
- Heads of departments deposit 90% of this budget in the P.D.
Account of TNMSC for the purchase of drugs.
- TNMSC withdraws this amount as and when required for making
payment to the suppliers.
- Heads of departments allocate 10% of budget allotment to the
institutions for local purchase.
TNMSC’s Transactions
Value of Medicines Purchased during 2003-2004
Rs. in Lakhs
No. of Items
1289
Drugs
1142
Surgical &
Suture
271
–
DRUGS
92
–
SUTURES
63
–
SURGICALS
133
–
VETERINARY
Veterinary
Total Value Rs. 12142 Lakhs
9711
DRUG COMMITTEE
Drug Committee consists of the following members.
•Managing
Director, TNMSC Ltd.
•Director
of Medical Education
•Director
of Medical and Rural Health Services
•Director
of Public Health and Preventive Medicine
•Director
of Family Welfare
•Director
of Drug Control
•Professors
of Medicine
•Professors
of Surgery
Purchase Procedure
Drug committee discuss and decide about the
drugs to be purchased
9
L1 Rate
Processing
L1 Rate
Matching
8
7
Cover B Opening
11
Issue of Purchase
Order
10
Signing of
Agreement with Security
Deposit
6
1
Evaluation of
Samples
Tender
Processing
2
6
Invite Tender through
Press and Website
Inspection of
Manufacture unit
Surgical
Suture
Blood Bank
3
Issue of Tender
Document
Drugs
4
Receipt & open
Tender
5
Cover A Opening
Tender Process
Drug committee to finalise the list of items (Essential
Drug List) and quantity for tender
Advertisements: National Dailies through D.I.P.R.
 Websites
 Trade Journal like Pharma pulse, IDMA
 Letters to Drugs Controllers & Pharma Association
Issue and receipt of Tender Documents
Tender Cover “A” opening

Tender Committee.

Scrutinizing Team
Inspection of the manufacturing premises of new
tenderers in case of drugs
Evaluation of surgical/sutures samples by Experts
SALIENT FEATURES IN
COVER ‘A’
Licence for the product quoted
Minimum three years market standing
for the drug issued by the licensing
authority
Minimum turn over of Rs. 35 lakhs
Non conviction certificate for three
years
GMP certificate
SALIENT FEATURES IN
COVER ‘B’
Printed format for quoting the landed price
excluding Sales Tax.
Printed format to furnish the break up details
of landed price
The tenderer is strictly prohibited to change
/alter specification or unit size in the printed
format
The rate per unit(landed price)will be the
criteria for determining the L1 rate
The manufacturing capacity for each item for
effecting supplies to the warehouses within 60
days shall be given in the printed format
The above details of rates and capacity shall be
given in computer floppy
TENDER CONDITIONS
The tablet and capsule shall have the logogram in
addition to the logogram on the strips/outer labels
The cap of the bottle shall not have the name of the
manufacturer
Samples of supplies in each batch will be chosen for
testing
The supply should be commenced within 30 days and
completed within 60 days
Liquidated damages will be levied for delayed supply
(0.5% per day subject to a maximum of 15%)
If the product fails in quality test , the entire batch
will be returned to the supplier.
Cover "B” Opening
The Cover B of only those tenderers who are
eligible in Cover A and found eligible during
inspection, are opened.
For surgical and suture items / blood bank
consumables, the rates of only those items are
considered where the sample has passed in clinical
evaluation.
Publication of L1 rates in the Website
L1 rates published on the same day on the Notice Board.
Drug Distribution
Head of Dept
Other Institutions
TNMSC
Head Office
Supplies
Ware House
Supplier
Medical Institutions
Value in Rs.
Paracetamol Tab
Co-Trimaxazole Tab
Cephataxime Sodium Inj
180 Inj
Ciprofloxacin
Rantidine160
HCL Tab
Ciprofloxacin Tab
140
Omperazole Cap
120
13.14
11.95 Details
11.5 (Last
11.42
11.24
Rate
Comparison
5 Years)
31
8.31
8
31.2
168
86
27.85
5.67
7.5
28
129.6
67
27.3
5.24
7.2
26
99.9
49.9
27.82
5.08
6.75
23.9
93.03
44
27.82
4.94
6.74
22.34
88
38.57
12.4
24.88
4.41
6.41
22.05
82
33.08
100
80
60
40
20
0
Paracetamol
Tab
CoCephataxime Ciprofloxacin
Trimaxazole
Sodium Inj
Inj
Tab
Rantidine
HCL Tab
Ciprofloxacin
Tab
Omperazole
Cap
98-99
13.14
31
8.31
8
31.2
168
86
99-00
11.95
27.85
5.67
7.5
28
129.6
67
00-01
11.5
27.3
5.24
7.2
26
99.9
49.9
01-02
11.42
27.82
5.08
6.75
23.9
93.03
44
02-03
11.24
27.82
4.94
6.74
22.34
88
38.57
03-04
12.4
24.88
4.41
6.41
22.05
82
33.08
Drug Name
COMPARISON OF RATES 2002-03
Sl. No.
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20
DRUG NAME
UNIT
TNMSC
Aspirin Tab. I.P. - 300 mg
10 X 10 Tabs
11.70
Prednisolone Tab. I.P. - 5 mg
10 X 10 Tabs
22.90
Acetazolamide Tab. I.P. - 250 mg
10 X 10 Tabs
41.13
Ketamine Inj. I.P. - 50 mg/ml
10 ml Vial
14.00
Thiopentone Sodium Inj. I.P. - 500 mg
20 ml Vial
15.50
Folic Acid Tab. I.P. - 5 mg
10 X 10 Tabs
5.86
Diethylcarbamazine Citrate Tab. I.P. - 100 mg
10 X 10 Tabs
7.35
Choloroquine Phosphate Tab. I.P. - 250 mg
10 X 10 Tabs
23.77
Silver Sulphadiazine Cream U.S.P.
50 gms Tube
6.03
Phenobarbitone Tab. I.P. - 30 mg
10 X 10 Tabs
7.66
ORS Powder I.P.
Pouches 27.9 gms 1.56
Hydrocortisone Sodium Succinate Inj. I.P. - 100mg
100 mg/Vial
9.27
Frusemide Tab. I.P. - 40 mg
10 X 10 Tabs
13.38
Frusemide Inj. I.P. - 10 mg/ml
2 ml Amp
0.76
Metaclopramide Inj. I.P. - 10 mg/2 ml
2 ml Amp
0.74
Rantidine Hcl Inj. I.P. - 50 mg/2 ml
2 ml Amp
0.76
Rantidine Hcl Tab. I.P. - 150 mg
10 X 10 Tabs
22.34
Metroniadazole Inj. I.P. - 500mg/100ml
100 ml FFS Bottle 5.25
Pheniramine Maleate Inj. I.P. (IM or Slow IV Inj.) 2 ml Amp
0.77
Peritonial Dialysis Solution I.P. - 1000 ml
1000 ml Bottle
13.45
AP
12.00
28.00
54.00
23.00
26.00
6.00
8.00
27.00
21.00
12.00
1.58
12.00
14.00
0.86
0.85
0.82
23.00
6.25
0.82
14.25
KAR
14.00
28.00
58.00
20.00
30.00
6.00
11.00
30.00
16.00
10.00
1.58
11.00
16.00
0.95
0.96
0.90
30.00
6.75
0.92
18.00
COMPARISON OF RATES 2002-03
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DRUG NAME
UNIT
TNMSC
Paracetamol Tab. I.P. - 500 mg
10 X 10 Tabs
11.24
Diazepam Tab. I.P. - 5 mg
10 X 10 Tabs
3.96
Dexamethasone Sodium Phosphate Inj. I.P. - 8mg/2ml
2 ml Vial
2.10
Pentazocine Lactate Inj. I.P. - 30 mg/ml
1 ml Amp
2.82
Adrenaline Inj. I.P. - 1 mg/ml
1 ml Amp
0.84
Atropine Sulphate Inj. I.P. - 0.6 mg/1 ml
2 ml Amp
0.59
Chlorpheniramine Maleate Tab. I.P. - 4 mg
10 X 10 Tabs
2.40
Paracetamol Oral Solution U.S.P. XXII - 150 mg/ml15 ml Bottle
4.56
Ibuprofen Tab. I.P. - 400 mg
10 X 10 Tabs
22.60
Paracetamol Inj. - 150 mg/ml
2 ml Amp
0.92
Diclofenac Sodium Inj. I.P. - 25mg/ml
3 ml Amp
0.81
Glybenclamide Tab.I.P. - 5 mg
10 X 10 Tabs
5.19
Neostigmine Inj. I.P. - 0.5 mg/ml
0.5 mg/ml Amp
0.95
Ascorbic Acid Tab. I.P. - 100 mg
10 X 10 Tabs
10.62
Metformin Tab. I.P. - 500 mg
10 X 10 Tabs
15.90
Imipramine Tab. I.P. - 25 mg
10 X 10 Tabs
11.70
Haloperidol Tab. I.P. - 5 mg
10 X 10 Tabs
8.82
Lignocaine Hcl Inj. I.P.
30 ml Vial
2.95
Mannitol Inj. I.P.
350 ml Bottle
22.45
Bupivacaine Inj. I.P.
20 ml Vial
16.95
Ciprofloxacin Eye Drops U.S.P.
5 ml Vial
2.03
AP
13.00
4.00
3.00
2.95
0.92
0.59
3.20
4.90
24.00
0.95
0.85
8.25
8.50
43.00
17.50
17.00
20.00
2.75
25.00
20.00
4.00
KAR
14.00
7.00
3.75
3.10
0.92
0.62
4.20
4.95
23.00
0.96
0.96
9.00
2.50
38.00
16.50
16.50
18.00
7.75
36.00
28.00
4.90
Thiruvannamalai Warehouse
Stock Accounting in Ware houses
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•
1
2
3
4
5
6
7
8
–
–
–
–
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–
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Inward Goods Register
Material Receipt Certificate (MRC)
Q.C. Samples Outward
Stock Register
BIN Card
Inward Indent/Issue Form
Outward Goods Register
Frozen Stock Register
QUALITY CONTROL
Samples from
Warehouses
QUALITY with
no Compromise
Eliminating
Common
Batches
Sent to LAB
Receipt of
Results
If fails, samples
If Failed
return To supplier
are sent to G.A. and another
lab for confirmation
If Passed
Distribution to
Institutions
DEDUCTION FOR QUALITY FAILURE
If the product fails in quality test, the product will not be accepted
and returned to the supplier.

Even if the field samples taken by the Drug Inspector fails in quality
test the cost of the quantity remaining unutilized will be recovered from
the supplier apart from the levying of other penalties / punishments
including blacklisting.

If there is any complaint from the Medical Officer about the quality of
the product the remaining quantity in the particular batch will be returned
to the supplier and value equal to the quantity returned will be recovered.

PROCEDURE FOR BLACKLISTING
In case during the contract period the supplier fails to execute three
consecutive purchase orders issued in full within 90 days then the
product will be blacklisted for the firm after giving due opportunity the
firm to explain the reason for the non execution of purchase orders.
•
During the contract period if two batches of the particular item
supplied by the firm fails in quality test (Assay content) the product of
that particular firm will be blacklisted.
•
During the contract period if three batches of the particular item
supplied by the firm fails in quality test (description test and other
parameters mentioned in pharmocopeia / As per IS specification) then
that particular item will be blacklisted for the firm.
•
In respect of the firm supplying more than one item during the
contract period if more than 50% of the items are blacklisted based on
the above process then the firm will be blacklisted.
•
Assessment of Samples Sent for QC Test
Description
99-2000
2000-01
2001-02
2002-03
10065
10185
10476
11065
12012
14778
No. of Samples Passed
9736
9874
10186
10824
11844
14600
No. of Samples Failed
329
311
290
241
168
178
96.73
96.94
97.23
97.82
98.60
98.8
3.26
3.05
2.76
2.17
1.40
1.20
No. of Samples Sent to QC Lab
% Passed
% of Failure
98-99
2003-04
Management Information
System-MIS
• Exceptional Stock Statement
• Slow Moving Drug List
• Drug Order Statement
• Passbook Utilisation Report
• Unexecuted Order Statement
• Abstract Pending Bills Report
• Time Expiry Drugs
• Abstract Order & Supplied Value Report
Diagnostics Services
(i) ISO 9001:2000 certified GI Bleed and Hepatobiliary Centre
(Special Ward) maintained by TNMSC is functioning as a separate
unit under the Surgical Gastroentrology Department in
Government Stanley Hospital, Chennai.
(ii) TNMSC is maintaining the Master Health Checkup Scheme at
Government General Hospital, Chennai.
(iii) TNMSC is maintaining the Special Class Maternity Ward in IOG,
Chennai-8.
(iv) TNMSC has provided infrastructure facilities to the payment
ward in Govt. Kasturba Gandhi Hospital, chennai-5 and started
maintaining the same from 03-05-2004.
TNMSC CT Scan Center

TNMSC is maintaining 36 CT Scan Centres in
Govt. Hospitals.
The following charges are collected for scanning.
Category
Plain
Inpatients
Outpatients
Rs. 350/Rs. 500/-
With Contrast
Rs. 550/Rs. 700/-
TNMSC MRI Scan Center
TNMSC is maintaining 1.5 Tesla MRI at
- Govt. General Hospital, Chennai.
- Govt. Rajaji Hospital, Madurai.
Category
Plain
With Contrast
Larger Parts
Rs. 3500/- Each
Rs. 5000/- Each
Smaller Parts
Rs. 2500/- Each
Rs. 4000/- Each
Purchase and Supply of equipments
to hospitals
TNMSC
has finalized rate contract (CPC System) through open
tender for the purchase of equipments & accessories required for
19 departments in Government hospitals consisting of about 3078
items for the period 2002-2004. The medical institutions can
directly place purchase orders with the approved firms for the
supply of required equipments and accessories at the approved
rates depending upon the budget provision.
The
medical equipments required for the government
hospitals are procured and supplied by TNMSC based on
the Government order issued for this purpose from time to
time
Construction Activities of TNMSC
(i) Implementation of World Bank Assisted RCH Project
Under this project, construction of Buildings for 8 UHPs and 21 HSCs and
improvement works in 35 PHCs and 70 HSCs for Rs.5.65 Crores have been
completed by TNMSC in Madurai & Theni Districts.
(ii) Regional Diagnostic Centres
TNMSC has established 7 Regional Diagnostic centres in the State (Building and
Equipment)
at
Thiruvannamalai,
Villupuram,
Pudukottai,
Virudhunagar,
Ramanathapuram, Nammakkal and Tiruppur at a total cost of Rs.21.00 Crores
funded by the Government of India.
(iii) Accident and Emergency Ward (Trauma Care Centre)
Construction and procurement of equipments for the Accident and Emergency
ward at Ambur, Krishnagiri, Tindivanam, Sriperumbudur and Kovilpatti have been
completed at a cost of Rs.2.93 Crores provided by the Home Department.
Consultancy Services
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TNMSC is a Role Model for other states of India on
Drug Logistics and Warehousing.
TNMSC has taken up and completed the consultancy
project for the preparation of Feasibility report for
Andhra Pradesh.
Govt. of Rajasthan has entrusted preparation of
feasibility report to TNMSC. Draft Final report
submitted to Govt. of Rajasthan.
Training course on Drug Logistics and Warehousing
has been conducted for Pharmacists, H & FW
department , Govt. of Karnataka during May 2003
and for Pharmacists, H & FW department , Govt. of
Assam during June 2004.