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Content about Barbara Williams

January 11, 2012

CHICAGO — Taking inventory is often cause for headaches at any laundry facility, and a recent webinar on linen inventorying addressed how to make the process work for each individual system.

Barbara Williams has more than 30 years of experience in the textile industry. As a consultant with Standard Textile Co., she frequently speaks about linen process improvements, linen management, and cost-reduction programs for healthcare operations.

During the webinar sponsored by the Association for Linen Management, Williams stressed the many rewards of taking a regular inventory and touched on a few challenges a laundry facility faces during the process.

Your Inventory Involves What?

The major items that most healthcare laundry facilities count during an inventory are adult patient linen, nursery/pediatric linen, surgical linen, surgical apparel, other staff apparel, pillows, mops and napery. Each facility will need to determine what is important to count, and it isn’t necessary to count everything at the same time. For instance, Williams says, some facilities will count the adult patient linens and the nursery linens, then tally the surgical linen and apparel at a different time.

Where to Conduct an Inventory

Determining where linen is kept is a necessary step before beginning an inventory. Healthcare facilities will need to count linens in patient rooms as well as in ancillary departments. This involves linens on the beds, on the patients and staff, exchange carts, utility carts, in bathrooms, drawers, closets, exam room, cabinets, stretchers, and even on chairs and windowsills.

Staff may again be an issue when determining where linens are stored. In some cases, Williams says, facilities will do what is called a bed-standard method of counting. “Staff members know the actual standard of what is put on a bed, (and) they then take that times the number of beds in a unit,” she says. “And they still take a quick walk-through to see what extras are in the rooms.”

A linen room count and the laundry count need to be conducted as accurately and efficiently as possible. The laundry will be the largest, and it is the most important to get right, Williams says.

Remember to include off-site locations such as clinics. And while many facilities no longer utilize a storeroom, include that location—if applicable—in an inventory.

Who Conducts an Inventory

Where many healthcare facilities ask their nursing staff, including personal care aides, to conduct linen inventories, only 10% of the webinar participants indicated they utilize this population. The majority of participants—40%—use linen distribution or environmental services staff. The more people involved, the better, according to Williams. She says many inventories are conducted by a combination of nursing staff and environmental services staff.

Another possibility is to use laundry personnel, which 30% of webinar participants acknowledged they do. This demographic will be crucial in counting linens in the laundry areas as well as picking up soiled linens and marking them as counted or uncounted.

The use of temporary personnel to help with inventorying is another possibility, but the training required could deter this practice.

The Process of Inventorying

Williams suggests that a 30-day plan be put into place before an inventory. Preparations include identifying the areas and products to count, identifying the facility and areas within a facility that will be involved, and identifying the staff responsible for the counting and recording of linens.

Lists, instructions, forms, signs and schedules are imperative when communicating with staff about an upcoming inventory and while an inventory is being conducted. Education, such as in-service meetings and training, will be another key to success.

Before an inventory begins, the staff involved will need to communicate the date and time of the project, present the procedures to any involved personnel, and communicate with off-site laundries and with customers or patients. A list of names, phone numbers and e-mail addresses is important to communication before, during and after an inventory.

Inventory Day Arrives

Williams provided a list of inventory day events, including sending final communications to all units involved. Collect and pick up all soiled linens in bulk carts and mark as “uncounted,” and verify that these steps have been completed. Close laundry chutes during the inventory.

When the count begins on each unit, teams of two—one to count and the second to record the results—are recommended.

It would be a good idea, Williams says, to establish an “Inventory Central,” or a place, person, or phone extension that those involved in the task can contact for questions and concerns.

When an inventory is complete, either collect the forms or have them returned to Inventory Central. At that time, it would be a good idea to review the forms to confirm numbers and that any comments can be understood. Tabulate results.

Remove signs, and be sure to communicate the cut-off point with all involved. Lastly, Williams recommends an enthusiastic show of appreciation to all those who helped with the inventory.

After the Inventory

When an inventory has been successfully completed, it is time to generate statistics and results; generate the total inventory and the inventory dollar value; calculate replacement or depletion rates; and calculate mysterious disappearance.

Share the results with management, with the nursing staff and with other staff members. And most importantly, Williams says, take action on the results.

“Assess your inventory needs by comparing your inventory with your demand,” she says, “and adjust linen orders accordingly. Retrieve any ‘dead’ or hoarded inventory and review security measures.

“Today, we’re in a budget crunch, and we really need to protect our linen assets.”

Click here for Part 1.

January 10, 2012

CHICAGO — Taking inventory is often cause for headaches at any laundry facility, and a recent webinar on linen inventorying addressed how to make the process work for each individual system.

Barbara Williams has more than 30 years of experience in the textile industry. As a consultant with Standard Textile Co., she frequently speaks about linen process improvements, linen management, and cost-reduction programs for healthcare operations.

During the webinar sponsored by the Association for Linen Management, Williams stressed the many rewards of taking a regular inventory and touched on a few challenges a laundry facility faces during the process.

Among the rewards, Williams says, are balancing supply with demand and assuring that an adequate supply is circulating. Too few linens causes shortages, which can lead to hoarding and a lack of confidence in the system. “Too much inventory can cause misuse and over-utilization of products,” she says.

An inventory also can help a laundry, whether it be on the premises or off site, determine effective allocation of linens, as well as replacement rates.

Determining those rates can lead to a planned purchasing program, thus helping to eliminate panic buying and rush orders. Administrative reporting is another advantage, she says, and allows a facility to have information on hand in the case of an insurance claim after a flood or fire. Budgeting is high priority during these economic times, and taking an accurate inventory can help determine future needs.

Other inventorying goals are ascertaining a facility’s loss rates, determining if a facility has a high rate of “mysterious disappearances” of linens, recirculating so-called “dead” inventory, and identifying locations that may be hoarding linens. As a result, facilities have the opportunity to implement security programs to reduce loss and are able to put some quantities of inventory back into circulation or reallocate supplies.

“As many of you know,” Williams says, “you end up with a lot more in circulating inventory right after a count is taken.”

She recommends taking a proactive approach to linen inventory to identify potential roadblocks or problems and take a closer look at shortages or overages.

Challenges Facing an Inventory

In today’s market, most facilities are being asked to do more with less, which can result in fewer staff resources available to help with an inventory. This can also result in a problem with time commitments and cooperation from a staff that already sees itself as overburdened.

Another challenge can be the large networks that many healthcare facilities are part of these days. “It takes a lot more cooperation and communication,” Williams says, “but many large networks are doing inventory successfully.”

Linen supplies are different from a product kept on a shelf; constant movement of the linens is a cause for concern when contemplating taking an inventory. A healthcare facility, for instance, cannot simply stop the movement of linen, so timing of an inventory is crucial. The number of locations where linen is stored and used, as well as the number of stock-keeping units in a healthcare facility, challenges an inventory manager.

Inventory accuracy often hinges on a cut-off point and a clear delineation between what is to be counted and what is not counted.

A commitment by management, as well as nursing management in a healthcare facility, is essential to an accurate inventory. If the results show a high return on the investment, this can help persuade management to cooperate. Determining what the actual ROI is important as well.

“Are you willing to act on the results of your inventory?” Williams asked participants. “If you aren’t willing to act, then there may be no return on investment. Acting on the results is crucial to making an inventory worthwhile.”

When to Take Inventory

“Today, most large laundries have gone to an annual inventory,” Williams says. “We recommend doing the inventory at the same time of the year so there is a consistency of inventory.”

Williams also recommends semi-annual inventories, more for on-premise laundries than large, shared or pooled laundries. Smaller operations, such as hospitality facilities, can do a quarterly or monthly inventory.

Another possibility is a cycle count. Williams says this works well if a facility doesn’t require a complete inventory, if the manpower is not available, or if there isn’t the level of cooperation required for a complete inventory. She suggests taking one or two of the highest use items and counting those. Then, the following month, select another two items and count those.

When the webinar participants were polled anonymously, 64% indicated they inventory once a year and 9% inventory on a semi-annual basis. Williams was slightly disappointed to hear the remaining 27% don’t take a linen inventory at all.

Also factoring into inventorying is choosing the best day and best time of day during which to act.

Base this on several elements, Williams says: staff availability, low-activity time, nursing practices, shift changes and linen delivery schedules. The important thing, she says, is to be consistent; take inventory at the same point each year, on the same day and at the same time of day.

Tomorrow: Your Inventory Involves What?