by Lynne Fales and Kira Martell
Orthodontic practices not taking the time to plan and
organize their inventory systems are losing thousands of
dollars a year. The average dental practice spends 6.68
percent and orthodontic practices average >10 percent monthly on
their clinical inventory. Smart practices that take the time to plan,
organize, computerize, negotiate and pay attention are able to
reduce their inventory costs to 4.5-6 percent. Usual percentages
includes 4-10 percent of receipts after adjustments for clinical supplies.
Other inventory costs include .5-1.5 percent of receipts after
adjustments for office supplies and 1-3 percent of receipts after
adjustments for marketing. In a study done by FoxFales, practices
that put these tips for inventory management in place saved an
average of $27,693 per year. Use these suggestions to get started
with inventory management to ultimately save time and money.
Organize
Start by organizing your inventory. What inventory do you
have right now? Where is the inventory located? Organization
means supplies are easy to identify and available quantities can
quickly be determined. Like items should be stored together. For example, the cotton rolls should be kept near the dry angles
and the doctor gloves should be kept near the assistant
gloves. Identify overstocked supplies or supplies no longer
in use. Unused supplies can sometimes be sent back to suppliers.
Suppliers often provide credit on returns. Donate
supplies that are not returnable. Donations can be made to
assisting schools, Boy Scouts, Girl Scouts, charities, schools
and other community business. These organizations will
likely benefit from your donation and doing so can promote
good will toward the office.
Establish a distribution location for your supplies. This
is where the large quantity of your inventory will live. Use
the supplies in the distribution area to replenish areas where
supplies are used. The quantity levels in the distribution
area determine whether a supply needs to be ordered or
not. Once a supply leaves the distribution area; it should be
considered used. Your distribution area does not need to be
large, but should be capable of storing two to three months
of back-up supplies.
Label storage areas. Make a record of where each supply
is located. This will allow supplies to be put away by an
entry level employee. When supplies are received, replenish
them by rotating stock forward and adding new stock to
the back. Once storage locations are identified, discourage
future reorganization unless the entire team agrees upon
the new location. Often practices have a team member with
spare time and no other assigned task who will unnecessarily
reorganize. This might result in overstocking due to
duplicate ordering and also can result in running out of
stock because of supply location confusion.
Establish “fully stocked” number and “reorder level”
number for each supply to help determine when and how
much stock should be ordered. Creating a barcode, tagging,
or sticky note system will alert the team when a supply
needs to be ordered. Some offices record each time a supply
is used creating a “real-time” inventory count which can
calculate exactly what should be ordered when the supply
level reaches the reorder level. This counting of used supplies
can be done manually or using a barcode scanner. A
“keep it simple” method of preventing running out of stock
is to track the last order date and calculate the usual number
of weeks before a supply is ordered. Practices can then
create a report or sort an excel spreadsheet showing all supplies
that have not been ordered within the expected time
frame. Lastly, a quick visual check of these supplies will prevent
missing a supply needed for the order.
Each department within your practice should be
responsible for ordering its own supplies. Each area should
have a primary and a back-up ordering employee. Budgets
by department should be established and reports should be
created for verification.
Computerize
Computerize your inventory systems. Create a computer
database that tracks everything ordered from every
supplier. This can be an excel spreadsheet which will allow
sorting by supply name, order date or supplier.
Alternatively there are software programs specifically
designed for dental practices which track inventory purchase
orders, provide reporting capabilities and history.
Software programs should give practices the ability to do
cost comparisons, barcode scanning, e-mail purchase
orders and be able to create bid reports for multiple suppliers
to compare prices and determine who to order from.
Use the computerized system to track backorders and
expected due dates. Supplies that have been reported by
the supplier on backorder should have an alternate supplier
available. Typically supplies on backorder should not
be charged a separate shipping fee.
Use the computer system to identify supplies that are
taxable in your state. Create a report to show the dollars
spent and taxes paid to in state and to out-of-state vendors
that collect sales tax. Many states are now asking offices pay
the “use tax” for taxable supplies bought out of state if the
supplier is not collecting and remitting. Use this report to
identify tax liability and potentially save weeks of employee
time compiling information should it be required.
The practice inventory system should keep track of
earned versus used discounts, coupons and specials. Be
sure to ask for discounts and take advantage of "two for
one" offers. Discounts will, obviously, reduce your costs,
but only if you ask for them. This can be done via e-mail.
Verify coupon use for those suppliers providing this benefit
and compare discounted prices with prices of other vendors
that might charge less without these coupons.
E-mail purchase orders to supplier representatives.
Phoned in orders take 15 to 20 minutes per call (expensive
employee time). When phone orders are placed, there is no
physical verification of exactly what has been ordered. It is
also valuable to e-mail a requisition to the office manager or
doctor prior to placing the order so that large purchase
items can be approved prior to ordering. A quick review can
save thousands if technique changes are being considered in
the office and the employee ordering does not know this.
Use your inventory database system to view purchase
histories and identify areas where you are overspending.
Assign each supply in the database to a group or category,
such as “disposable products” or “infection control.” This
will allow reports to be run showing the percentage of each
group of supplies. Comparing multiple years can be a
quick visual of areas in the office that need management
review to find the reason for increased spending. Focus on
high expense items first. Many times the best option is to pay for the supply that provides the best results for your
treatment techniques even though this item may be more
expensive. Sometimes there are alternative choices for buying
the same supply from another supplier to save money.
Percentage comparison reports can also help to compare
costs for specific time periods to identify trends and possible
shrinkage from one year to another.
Assign a constant general ledger account (chart of
accounts) to each supply in the database in order to allow
the computer to sort and subtotal for correct cost posting
by the bookkeeper. Print or preview bookkeeping reports
showing received items with their corresponding general
ledger account, tax and shipping costs to compare and
attach to vendor invoices.
Negotiate
Once per year, consider sending out bids to multiple
suppliers with information about how many of the specific
supplies have been purchased for the past year. Ask suppliers
for the best price and then make purchase decisions
based on price and supplier dependability. Use Internet
shopping sites like Froogle.com to compare prices for common
office products.
Quantity buying might be attractive, but there are
many areas that need to be considered before making the
large purchase. Consider storage room availability, the cost
of using your money up front instead of investing money
in an interest-bearing area, taxes that need to be paid in
advance, insurance costs that need to be increased because
of increased inventory value and the possibility of supplies
disappearing or becoming obsolete before use.
Avoid ordering online from individual suppliers.
Ordering online makes it easier for the supplier and harder
for the practice to create reports essential to negotiating
prices. Without accurate information from each supplier it
can be challenging to establish inventory value and compare
prices from multiple suppliers. Track and establish
accurate order frequency. Set a goal of ordering no more
than once per month to save money on shipping and handling.
Computer database reports can also help the office
recognize seasonal variances and plan for ordering needed
supplies accordingly.
Keep in contact with your supplier representatives and
have them e-mail specials and new products to the office
ordering e-mail. Create a Gmail ordering account (or similar
account) to use specifically for ordering. The single account
for ordering allows auditing by authorized administrative
employees. Change the password when ordering employees
leave employment. Using Outlook e-mail profiles per
employee can make auditing more challenging for offices.
Establish a supply budget based on industry averages
and compare your actual costs to your budgeted costs on a
monthly basis.
Are you confirming and comparing prices? Make sure
you only pay what you owe. Don't pay for backorders,
miss-shipped or returned items. Suppliers can make mistakes.
Prices and quantities need to be confirmed to eliminate
overpayments. If your office pays bills without this
confirmation, it might result in overpayments or missing a
credit due. Credits not tracked carefully might never be
received by the office or might take a long time for processing.
Verify packing tickets and invoices against your purchase
order for items shipped, price and quantity. Generate
a bookkeeping report or have the team member receiving
the supplies sign off to confirm invoice accuracy before giving
it to the bookkeeper to make a payment.
Inventory is an important area of your practice, one
that shouldn’t be ignored. With some organization, computerizing
your inventory system and negotiating with
your vendors, you will save valuable time and money. Time
and money that can be used to make your practice even
more successful.
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