yrr, Support Services A. Administration The effective administration of this division is critical Ito the success of the health care delivery system. supplies, Under this division thelpurchasing of the, providing of preventive and required maintenfnce, coordination services for health care is domiciled. to work closely with all and the This divifion will have the other divisions to meet thei needs in an economical and efficient manner. In the discussion which follows each area is defined pyoviding their respective concerns and responsibilities. The general arda of support services has been a major problem for the present health delivary system. It is felt that by having the support services as a free-standing division a more uniform and efficient system can be put into place. B. Supplies Supplies have been a perpetual problem for the Marshall care system. [Islands health Because of the lack of supplies some servides have been discontinued, compromised in quality, or delayed in delivery At or near the root of this problem is the fact that ills are not consistently paid and the outstanding debts have caused man suppliers to discontinue service to the Marshall Islands. in shortages This has resultei in various areas from time to time, both in the hospitals] and outlying clinics and also in premium prices being paid for those supp]ies which are purchased. Another difficult area is that surrounding distribution, and consumption of supplies. the inventorying, There is essentially no system of monitoring and control, particularly with the outlying cligics, but also in the hospitals. There have been times when departments woulfi suppties and they have been told that there was none, only to that a significant quantity was on hand, The Adventist Healt — recently begun working on this problem by taking complete need certain discover later Services has ventories of their hospital supplies. Delivery of supplies to outer clinics has been a problem from time to time since it is largely dependent on the copra field ships] These ships routinely make stops at the various atolls for the purpose pf picking up copra, but can be used to carry supplies to the atolls. Th@ir schedules, however, are somewhat tentative, and breakdowns periodically occur which can drastically alter their arrival. St