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 : enquiry@tnmsc.com

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

Senior Regional Manager

Manager (Purchase)

(Quality Control)

Manager

Superintending Engineer

Accounts

Administration

Construction Work Purchase of Equipments Maintenance of Equipments Maintenance of CT & MRI Scan

EDP

24 Drug Warehouses

ENGINEERING SECTION

Superintending Engineer

Deputy Manager

AE (Electrical)

AE - 3 (Civil)

PURCHASE SECTION

Senior Regional Manager

Manager (Purchase)

Drug Warehouse

Assistant (Outsourced)

Pharmacists -2 DEO -1 Packers -2 (Outsourced)

QUALITY CONTROL SECTION

Manager (Quality Control)

QC Assistant

Assistant-2

ACCOUNTS SECTION
Chief Accounts Officer

Accounts Officer

Assistant Accounts Officer - 2

Cashier

Auditors 4 (Outsourced)

Assistant (Outsourced)

EDP Section (Outsourced) Systems Analyst 1 Programmer 3 DEO 7

ADMINSTRATION SECTION
Company Secretary

DEO -2 Receptionist- 1 Despatch - 1 (Outsourced)

Assistant

Drivers -7 Security Persons - 50 (Outsourced)

Comparison Before and After TNMSC

Purchase

by Deans/JDs of the hospitals through Open Tender by dealers

Purchase

by TNMSC through open

Tender.
Supply

Supply

by manufacturers / Direct importers are made in Strips/Blisters which is easy to handle. Quality control is done. Each and every batch is tested.

Supplies

were made in bulk quantities in loose form in bottles. Quality Control was not possible as the quantity on every purchase is low. deterioration

Supplies

Effective

Rigorous

Quality

No

Quality deterioration

Comparison Before and After TNMSC

Different Payment

rates for the hospitals

Uniform Payment

rates for all the hospitals. from Single source.

to the supplier was done from different sources.

Rates

are Higher.

Bulk

Purchase Rates are competitive and Cheaper.

Institutions Served by TNMSC

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.

TNMSCs Transactions

Value of Medicines Purchased during 2003-2004

Rs. in Lakhs

1289

No. of Items
271 DRUGS

Drugs Surgical & Suture Veterinary

1142

92
63 133

SUTURES
SURGICALS VETERINARY

Total Value Rs. 12142 Lakhs

9711

DRUG COMMITTEE
Drug Committee consists of the following members.
Managing
Director Director Director Director Director

Director, TNMSC Ltd.

of Medical Education of Medical and Rural Health Services of Public Health and Preventive Medicine of Family Welfare of Drug Control of Medicine of Surgery

Professors Professors

Drug committee discuss and decide about the drugs to be purchased

9
L1 Rate Matching L1 Rate Processing

Purchase Procedure
8

7
Cover B Opening

11
Signing of Agreement with Security Deposit

10

Issue of Purchase Order

6 1 2
Invite Tender through Press and Website Tender Processing Evaluation of Samples

6
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 Rantidine HCL Tab 160 Ciprofloxacin Tab 140 Omperazole Cap 120 100 80 60 40 20 0 Paracetamol Tab 98-99 99-00 00-01 01-02 02-03 03-04 13.14 11.95 11.5 11.42 11.24 12.4

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

CoCephataxime Ciprofloxacin Trimaxazole Sodium Inj Inj Tab 31 27.85 27.3 27.82 27.82 24.88 8.31 5.67 5.24 5.08 4.94 4.41 8 7.5 7.2 6.75 6.74 6.41 Drug Name

Rantidine HCL Tab 31.2 28 26 23.9 22.34 22.05

Ciprofloxacin Tab 168 129.6 99.9 93.03 88 82

Omperazole Cap 86 67 49.9 44 38.57 33.08

COMPARISON OF RATES 2002-03

Sl. No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 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

Sl. No. 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 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/ml 15 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

1 2 3 4 5 6 7 8

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
Eliminating Common Batches Sent to LAB

QUALITY with no Compromise

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

98-99

99-2000

2000-01

2001-02

2002-03

2003-04

No. of Samples Sent to QC Lab

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

% Passed

96.73

96.94

97.23

97.82

98.60

98.8

% of Failure

3.26

3.05

2.76

2.17

1.40

1.20

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 With Contrast

Inpatients Outpatients

Rs. 350/Rs. 500/-

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 Larger Parts Smaller Parts

Plain Rs. 3500/- Each Rs. 2500/- Each

With Contrast Rs. 5000/- 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

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.