Ambulatory Surgery Center Solutions - Equipped For Change by Medline Industries

ICD10

PATIENT EXPERIENCE

SURVEYS

VALUE BASED PURCHASING

REDUCTION OF REIMBURSEMENT INCREASED PATIENT LOAD

EQUIPPED FOR CHANGE. A Dollars and Sense Approach to Operating Your Facility.

Ambulatory Surgery Centers Solutions

EQUIPPED FOR IMPROVED PROFITABILITY

Your financial health requires more than quality products at a fair price. That’s why Medline never stops working to develop new ways to help you work more efficiently and cost effectively. Guaranteed Savings Because we manufacture and distribute many of the products we offer, with no distribution fee, we can provide significant savings for your bottom line.

Time-Saving Software In partnership with Mednet®, Medline ASC customers are equipped with OASIS™ and MIRA™ software for improved cost control and collections.

Single Source Supply We manufacture and distribute over 350,000 med/surg items that you use everyday to keep your facility running - everything from surgical gowns to surgical instruments which means an efficient, streamlined supply chain.

EQUIPPED FOR POSITIVE OUTCOMES

A successful facility is a facility that is equipped for today and whatever changes may come tomorrow. Medline can help you stay prepared with the right tools, systems, knowledge and support. Clinical Solutions Medline Unite™, a complete Cannulated Screw System with color-coded implants and instruments in a compact tray assembly, is just one example of the innovative clinical solutions Medline provides.

Programs Comprehensive programs bundle products with educational assistance, for example Hand Hygiene Compliance or Surface Disinfection Program, to help improve your staff’s performance.

Consultations Experienced Medline consultants have unique tools to assess, design, present and implement system-wide process improvements for ASCs.

EQUIPPED FOR PERFORMANCE

Medline brings you the right products in the right place at the right time. That helps clinicians do their jobs more effectively, leading to improved performance, patient satisfaction and clinical distinction. Trusted Quality

Medline maintains state-of-the-art production facilities with over 300 quality assurance personnel, including chemists, microbiologists, statisticians, RNs and engineers.

Safety Reduce risk with products and systems to prevent wrongsite surgery, SSIs, retained foreign objects, needle sticks and other risks to you, your patients and your bottom line.

Flexibility Our dedicated MedTrans trucks are equipped with lift gates for delivery without a loading dock. Plus all our drivers have GPS-enabled cell phones for easy tracking and communication.

MEDLINE.

PAIN

Expansive Product Line. Unmatched Expertise. Dynamic Resources.

BECAUSE ALL AMBULATORY SURGERY CENTERS ARE NOT ALIKE.

ORTHOPEDIC

GASTROENTEROLOGY

OPHTHALMOLOGY

MULTI-DISCIPLINE

YOU SUPPLY THE STAFF AND FACILITY, WE CAN SUPPLY JUST ABOUT EVERYTHING ELSE. Regardless of your Surgery Center’s area of expertise, you’ll find Medline has the knowledge, products and dedication to help you produce world class results. Here are some of the innovative products and solutions we bring to our customers: »»

Unmatched breadth, quality and availability of products

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Streamlined ordering and delivery systems

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Capital Equipment Analysis

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Space analysis, utilization and design

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Advanced handheld, web-based inventory control and ordering system

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Custom and standardized procedural trays

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Solution-based customized products and assortments

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Proven expertise in helping new facilities of every kind open with lower costs and fewer headaches.

WORLD CLASS SERVICE FOR WORLD CLASS FACILITIES. We know Ambulatory Surgery Centers are a unique business, so we’ve created a unique team of dedicated Sales, Customer Service and Delivery Representatives who are responsible only for their ASC customers. They’re always ready to go above and beyond to provide not just the ultimate product selection, but ideas and solutions to help your operations run smoothly, efficiently and cost-effectively.

Don’t have a Medline Rep? Call today and we’ll introduce you to your dedicated team of ASC specialists.

Medline Industries, Inc. One Medline Place, Mundelein, IL 60060 Medline United States 1-800-MEDLINE (633-5463)

medline.com | info@medline.com

Medline Canada 1-800-396-6996

medline.ca | canada@medline.com

Medline México 01-800-831-0898

medlinemexico.com | mexico@medline.com

Some products may not be available for sale in Mexico or Canada. We reserve the right to correct any errors that may occur within this brochure. ©2011, 2013, 2014 Medline Industries, Inc. All rights reserved. Medline is a registered trademark of Medline Industries, Inc. MedTrans and Medline Unite are trademarks of Medline Industries, Inc. Mednet is a registered trademark of Mednet, LLC Corporation. OASIS and MIRA are trademarks of Mednet, LLC Corporation. MKT1432117 / LIT836 / 2.5M / SG / 26

Perioperative Supply Management Consulting Services for Ambulatory Surgery Centers

MEDLINE.

Expansive Product Line. Unmatched Expertise. Dynamic Resources.

BECAUSE ALL ASC PRODUCT AMBULATORY & SERVICE SURGERY BULLETINS CENTERS ARE NOT ALIKE.

PART 1: Lean Assessment With direct observation, open-ended questions, and focused listening, we uncover insights from your clinical and operational staff and look for efficiency opportunities in every step of your perioperative supply processes.

PART 2: Clinical Analysis Your data is organized into a procedural matrix based on your surgical data. This provides a roadmap for analyzing your procedures based on data by procedure and by surgeon. Our experienced staff members visit your facility to interview key staff members, observe procedure set up, anesthesia, room turnover and case pick processes. With an understanding of how surgical practice and procedures change over time recommendations are made to: »»

Increase clinical efficiency to allow more time for patient care

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Eliminate waste

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Streamline the case pick process

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Bundle supplies based on your facility’s data

PART 3: Logistical Analysis This analysis looks at both your supply flow process and storage needs. We introduce the concept of inventory rationalization: not only how many of an item is there, but whether it’s there in just the right amount and how its par levels should be set. Case cart and supply flow analysis leads to the subsequent report on the interactions between O.R. and case cart setup. We map your perioperative supply areas and develop 3D renderings of your space to help you visualize where improvements could be made. We also look at how we can help you improve staff productivity through space planning and redesign.

PART 4: Financial Analysis This analysis specifically targets opportunities for cost savings and cost avoidance at your facility. It also describes the financial impact and costs associated with a comprehensive supply management program from Medline. Starting with baseline financials, our team looks for inventory reduction options and rationale, opportunities for reducing waste, and ways to better capture costs. Hard dollar savings opportunities are quantified; those less quantifiable costs are noted for your own financial analysis.

Outcomes »»

Increase throughput by reducing set up and turnover times.

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Manage supply constraints by redesigning your supply room and inventory flow

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Reduce supply costs by reevaluating your preference cards and vendor utilization

Implementation When it’s time to implement your new supply management solution, we work with your team every step of the way. It’s said all the time, but we really mean it: We approach our engagement with you as a partnership.

De Novo Solutions New construction and renovation products and services

New construction and renovation put an incredible strain on any staff’s ability to provide patient care and manage day-to-day business. Medline can help minimize that strain, while helping you save time and money and reducing the complexity of dealing with multiple suppliers.

Services »»

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Design, space planning and Project Management

Products - over 350,000 items to meet your daily needs

Cost Management »»

Furniture: Lobby, office and exam room

Guaranteed savings

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Primary distribution analysis

Decorative textiles:cubicle curtains, window shades and curtains

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No-interest financing available

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ACCESS® consignment program

Capital equipment needs analysis

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Start up templates for capital and med/surg needs

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Delivery, logistics and installation management

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Durable equipment: wire shelving, carts and stainless steel

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Med/surg supplies: Standard and custom surgical packs, surgical instruments, surgical drapes and apparel

Pain Management Centers Huge Selection. Manufacturer-Direct Savings. Low Minimums.

Your Complete Pain Management Source All Medline pain management* products are available in low minimums. Since we manufacture all our trays, you can cut out the middleman and save.

Innovative Trays

Echogenic Needle Options

Instead of purchasing each item separately, you can order a complete Medline Pain Management Tray with a single SKU, saving you significant staff time. Choose from a range of single shot epidural, continuous epidural, nerve block and spinal block trays. In addition to 26 standard pain management trays, Medline offers hundreds of custom tray possibilities from our wide variety of component options. All our trays feature innovative thermoformed packaging with separate cavities for each component, for improved set-up efficiency.

Medline also offers echogenic needles for use with ultrasound. Echogenic etchings at the end of the needle help you visualize and differentiate the needle under ultrasound.

Advanced Stimulation Products Medline’s stimulation needles range from 21 to 24 gauge, with pencil point and beveled needle points of 20°, 30° and 45°. All stimulation needles have depth markings along the length of the needle to allow for visual control of penetration.

Pain Management Accessories Choose from a full line of epidural and spinal needles. Our epidural needles range in size from 17 to 22 gauge; spinal needles range from 18 to 27 gauge. We also provide various needle lengths, pain drapes and lossof-resistance syringes to meet physician preferences. All Medline components can be provided singlesterile or put in a tray for maximum convenience. *Some pain management items are Rx only

Endoscopy Suite Strategies A leaner, cleaner, greener approach

Storage and Supply Room

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Decontamination and High-level Disinfection Room Procedure Room

The Medline approach to a better endoscopy practice

Benefits

Medline has solutions for your endoscopy suite, from pre-procedure storage and case set-up through post-procedural decontamination. Increased efficiency at each step means more time can be spent on patient care and focus applied to better clinical outcomes.

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Lean thinking for the endoscopy suite addresses cost, quality and outcomes.

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Custom endoscopy supply packs mean the right decisions every time.

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Begin effective postprocedure scope cleaning at the procedure site.

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Transport valuable scopes with protection that extends to those around you.

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Create pre-op prep and patient comfort kits as part of your lean strategies.

Create a lean environment for endoscopy procedure supplies Lean means faster, better, easier and more economical: in a word, smarter. Inefficiency is the enemy, and lean thinking drives it out.

Implement an effective scope reprocessing procedure Utilize our complete line of cleaning products to create an efficient, compliant reprocessing cycle that will help to decrease the risk of cross-contamination for both patients and staff.

Establish procedures for safe scope transportation Repairs for scope damage can be quite costly! Our solutions for scope transportation help to minimize these costs.

EMPOWER™ Packaging/CDS Programs Solutions to Help You With Your Supply Management Challenges

Medline’s Complete Delivery System (CDS) will …

Solutions to Help You With Your Supply Management Challenges What Is CDS? Complete Delivery System (CDS) is Medline's exclusive supply management solution that will help you simplify your supply chain by linking people, processes and supplies. Medline will combine our Complete Delivery System module with preference list items into a procedure based picking system. CDS will save you time and money, while improving overall supply management efficiencies.

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Increase staff productivity and satisfaction

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Improve O.R. suite utilization

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Improve inventory control

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Increase space utilization

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Improve charge/cost capture

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Improve case cart utilization

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Enhance supply standardization

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Streamline preference card management

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Deliver the right supplies, at the right time, for the right delivered cost

Designed Just for You

Benefits

Medline custom designs each CDS program based on your facility’s supply management requirements

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With a comprehensive CDS program, all of your disposable perioperative supplies are in one container

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Capture costs per procedure and increase efficiency in every step of the supply chain

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The Medline CDS module will contain 70% - 80% of the items for the surgical case.

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The balance of the items will be picked and married to the CDS module.

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Delivered in totes by specific surgical case.

Sophisticated Process, Simple Result Medline’s EMPOWER Packaging System Medline designers, together with our clinical team, spent hundreds of hours in hospitals across the United States, observing and interviewing central supply managers, OR directors, nurses, scrub techs and others. Then we applied the principles of intuitive visual design to create an entirely new approach to packs: Medline’s EMPOWER Packaging System. From color-coding to high-legibility inserts, everything about Medline’s EMPOWER Packaging System is designed to be so intuitive that its use feels almost effortless. This user-centered system can be used to improve the ease and efficiency of your surgical procedure packs.

Potential Key Benefits: »»

Increase the speed and efficiency of stocking and picking

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Prevent the inconvenience and expense of pulling the wrong pack

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Reduce the risks of accidental latex exposure

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Support your facility’s

Medline Surgical Apparel and Drapes Better by design

Surgical Gowns We offer a variety of gown styles with different fabrics and distinctive features to meet the needs of your staff. Regardless of which gown you choose there are some benefits you can always count on: »»

A wide cut in the chest and sleeves – More room means more comfort.

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Adjustable hook-and-loop neck closures – Easily adjustable, reduces gapping in gown front.

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Regulatory compliance – Meeting or exceeding AAMI recommendations and the Standard for Flammability of Clothing Textiles of the Consumer Product Safety Commission (CPSC), 16 CFR, part 1610.

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Latex-free – Additional peace of mind for patients and clinicians.

Surgical Masks and Protective Eyewear Our complete line of surgical face masks and eyewear provide breathable, comfortable and protective solutions with options such as: »»

Anti-Glare shield

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5 Anti-Fog Technologies

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3 Levels of Fluid Resistant masks

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Assembled Frames and Lenses

Standard Drapes and Packs Medline offers an extensive line of standard and specialty surgical drapes. Our standard drape collection features latest generation SMS technology which provides a soft, extremely drapable product. Our OrthoMax/CVMax and UltraGard line of fabrics offer the highest level of protection, puncture/tear resistance and excellent drapeability required for extremely invasive or extended surgical cases.

IV Set Products & Accessories Quality you can see, feel and appreciate

Medline IV Sets: Clearly Exceptional With one look you’ll see the clarity of our drip chambers and needleless Y-sites. When you can visualize drip rates easier or monitor injection sites for air bubbles, it helps you focus on delivering better care.

IV Sets are just the beginning Medline also can supply your administration sets, secondary sets, extension sets, syringes and accessories.

Better IV Sets Deserve Better Packaging Many nurses list their top IV administration frustrations as tubing becoming tangled, or poor configuration resulting in the product touching the (nonsterile) floor. Our packaging helps prevent both. The spike is taped separately, so you can release it without the whole set uncoiling. The luer end and tubing is only released when you’re ready to attach it to the catheter or extension set.

We Customize Anything Let Medline add an extension set of your choice to your IV start kit and take advantage of the convenience of having all the components required for starting an IV in the same packaging. Let Medline help you to build consistency of care for all your patients. ©2014 Medline Industries, Inc. All rights reserved. Medline is a registered trademark of Medline Industries, Inc.

Medline Custom IV Set Program Puts You In Control »»

Replicate any set you have

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Design & build a set of your own

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Free prototypes, fast quotes

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Quick build, small order sizes

Your Medline rep is ready to help you at every step of the process. Call your rep today.

Surgical Gloves A Comprehensive Line Providing the Fit, Quality and Comfort Surgeons Demand

Single-Source Supplier for Gloves and More Cost Savings »»

By manufacturing our own products, Medline provides savings on gloves that compare favorably to anything on the market.

SKU or Vendor Consolidation »»

With an SKU to match every competitor, you may consolidate and simplify operations with a single, reliable source. Our latex and latex-free lines can easily replace comparable products from other sources.

Products Highlights »»

Surgeon-inspired designs for perfect fit and comfort, even during the longest procedures

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Quality meets FDA, ASTM, EN and ISO standards which are intended to reduce crosscontamination, help improve compliance with infection prevention protocols and avoid any potential latex allergy issues

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100% inspected for pinholes, tears, visual defects and testing in excess of an AQL of 0.65

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Medline is the only surgical company that manufactures its own Polyisoprene for better control of R&D, quality, supply and cost in our Sensicare Polyisoprene Gloves

Clinical Initiatives »»

Triumph Classic gloves help you go powderfree without paying a prohibitive price.

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The comprehensive SensiCare line of gloves helps to overcome clinical objections to going 100% latex-free.

Stress-Free Evaluation and Conversion Services

Options include: »»

Low-protein latex and synthetic Polyisoprene

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Medline Specialist on-site to manage the process

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Powder-free and coated with pure aloe vera

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Assist in sizing and selection

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Micro thin

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Demonstrate clinical advantages of each product, address questions or concerns

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Minimal disruption to your operation

For a step-by-step guide to our process, call 1-800-MEDLINE to get a DVD.

Surgical Instruments An Exercise In Patience and Craftsmanship

Quality, Flexibility, Expertise Medline brings you the König® quality in the most effective, cost efficient way for your facility. Whether your ASC is multi-discipline or specialized we can provide the surgical instruments you need.

Over 5,000 standard patterns 11 surgical specialties including: »»

Full arthroscopic

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Spine

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Ophthalmology

Custom Instrument Set Program »»

Built to your exact specifications

New online catalog »»

Over 50,000 cross references to competitive products.

Supported by dedicated ASC representatives, clinical specialists and customer service representatives.

Our Experts Make Ordering Stress Free Whether you need sets for a start-up facility or replacement items, we can help you determine the right instrument inventory to meet your case load requirements and your profit goals.

ReNewal™ Full Circle Reprocessing Truly delivering on the promises of medical device reprocessing

Reduce Waste While Lowering SUD Costs With ReNewal, you can count on safe, proven reprocessing for single-use medical devices. As an industry-leading, FDA-registered medical device reprocessor, we refurbish devices to the highest standards of safety and performance. Every reprocessed single-use device is inspected before reuse – original manufacturers test new devices only in batches based on production lots.1 Whether it’s reprocessed or new, the FDA requires the same clearances for proving a medical device’s safety and effectiveness.2

Drastically Lower SUD Costs, Reduced Carbon Footprint

The Assurance of a Safe, Proven Solution »»

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Savings of 50 percent compared to purchasing new SUDs

Peace of mind – we’re the leading reprocessor for ambulatory surgery centers

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Greatly reduced waste

Full support of leading industry organizations

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Guaranteed safety and performance

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Outstanding Service

Safety and Functionality – As Good As New »»

100 percent tip-to-tip inspection

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Hands-on assistance and quarterly reviews

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Complete compliance with FDA standards

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Full device traceability with easy-touse technological resources

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The industry’s fastest turnaround time

References: 1. Landro L. The Informed Patient: Hospitals Reuse Medical Devices To Lower Costs. The Wall Street Journal. March 19, 2008. Available at http://online.wsj.com/news/articles/SB120588469924246975. Accessed June 24, 2014. 2. The Medical Device User Fee and Modernization Act of 2002. Food and Drug Administration Website. Available at: http://www.fda.gov/MedicalDevices/ DeviceRegulationandGuidance/Overview/MedicalDeviceUserFeeandModernizationActMDUFMA/ucm109149.htm. Accessed June 24, 2014. ©2014 Medline Industries, Inc. All rights reserved. ReNewal is a trademark and Medline is a registered trademark of Medline Industries, Inc.

Inventory Management Tools

ACCESS® Consignment Program 3 Steps to Savings 1. Improved cash flow: Keep inventory in the storeroom at no holding cost to your center. 2. Complete transparency: Monthly report details the products used from your consignment inventory. 3. Minimize product obsolescence: We provide a monthly report of slow-moving SKUs that have not been used from your consignment inventory. If you determine you will not use these items, you can return them before they become obsolete.

ParScan Inventory Control and Ordering System Advanced Handheld Web-Based Technology »»

Reduces the time and effort of counting inventory

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Electronic receipt confirming your order and delivery status within minutes of order

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Track and receive orders

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Works with all vendors

Guaranteed Savings »»

As the manufacturer and distributor Medline can provide direct from manufacturer pricing saving your surgery center, on average, 8%

Reporting Capabilities ParScan electronic reports can be manually or automatically e-mailed on a weekly, monthly or quarterly basis – whichever you prefer. Plus, there’s very little software to install. All you need is internet access and a USB port. Let Medline help you operate more efficiently with improved cash flow. Ask your Medline Representative about ParScan and ACCESS today. ©2014 Medline Industries, Inc. All rights reserved. ACCESS and Medline are registered trademarks of Medline Industries, Inc.

Online Reporting Tools

Custom Reports and Summaries for Quick Decision-Making Easy Access to Vital Data Medline Insight summarizes your purchasing information to assist you with quick decision-making. It’s a userfriendly tool that helps make your job easier.

Convenient Online Access Because it’s a Web-based system, you can track and analyze your Medline purchases anytime and anywhere. With a host of easy-to-access online reports, Insight provides information about your purchases, usage, pricing, orders and shipment status.

Customizable Reports The reports can be detailed or in summary form, according to your analysis needs. Brief summaries help with quick decisionmaking, while detailed reports facilitate in-depth analysis of your business. In addition, you can have a report delivered in a variety of formats including PDF, MS-Excel, MS-Word and many more.

Automatic Reporting Capabilities Reports can be set to run on a recurring basis. For example, you can set Medline Insight to automatically e-mail you a report every Monday morning at 7:30 that details the previous week’s purchases.

Key reports include: »»

Contract Compliance Data

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Purchases by Manufacturer

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Fill Rate Report

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Usage by Ship-To Location

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Medline vs. Non-Medline Purchases

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Purchases by Item Category

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Implementation Status

Manage Your Supply Chain More Effectively With

Physician Office Services Lower Costs. Simplified Operations. Improving Outcomes.

Helping You Improve the Health of Your Practice™ Lower Costs »»

Guaranteed savings programs

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A service model that reduces your staff time and expenses

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Dedicated sales and customer service representatives, handling nearly all of your supply and capital equipment needs

Simplified Operations »»

Easy and convenient ordering via your sales representative, our website, phone, fax or EDI

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A single-source solution, so you can deal with fewer distributors

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“Order today, have it tomorrow” logistics

Improving Outcomes All the supplies, equipment and innovative products you need to make your patient interaction timely ©2014 Medline Industries, Inc. All rights reserved. Helping you inmprove the health of your practice is a trademark and Medline is a registered trademark of Medline Industries, Inc.