{"version":"1.0","provider_name":"Gestions hospitali\u00e8res","provider_url":"https:\/\/www.ricom-web8.com\/gestions","author_name":"yann Le Sager","author_url":"https:\/\/www.ricom-web8.com\/gestions\/author\/lesager-yannstudioricom-com\/","title":"Une transformation achats r\u00e9ussie - Gestions hospitali\u00e8res","type":"rich","width":600,"height":338,"html":"<blockquote class=\"wp-embedded-content\" data-secret=\"4zc4jvTlU9\"><a href=\"https:\/\/www.ricom-web8.com\/gestions\/une-transformation-achats-reussie\/\">Une transformation achats r\u00e9ussie<\/a><\/blockquote><iframe sandbox=\"allow-scripts\" security=\"restricted\" src=\"https:\/\/www.ricom-web8.com\/gestions\/une-transformation-achats-reussie\/embed\/#?secret=4zc4jvTlU9\" width=\"600\" height=\"338\" title=\"\u00ab\u00a0Une transformation achats r\u00e9ussie\u00a0\u00bb &#8212; Gestions hospitali\u00e8res\" data-secret=\"4zc4jvTlU9\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\" class=\"wp-embedded-content\"><\/iframe><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\n\/*! This file is auto-generated *\/\n!function(d,l){\"use strict\";l.querySelector&&d.addEventListener&&\"undefined\"!=typeof URL&&(d.wp=d.wp||{},d.wp.receiveEmbedMessage||(d.wp.receiveEmbedMessage=function(e){var t=e.data;if((t||t.secret||t.message||t.value)&&!\/[^a-zA-Z0-9]\/.test(t.secret)){for(var s,r,n,a=l.querySelectorAll('iframe[data-secret=\"'+t.secret+'\"]'),o=l.querySelectorAll('blockquote[data-secret=\"'+t.secret+'\"]'),c=new RegExp(\"^https?:$\",\"i\"),i=0;i<o.length;i++)o[i].style.display=\"none\";for(i=0;i<a.length;i++)s=a[i],e.source===s.contentWindow&&(s.removeAttribute(\"style\"),\"height\"===t.message?(1e3<(r=parseInt(t.value,10))?r=1e3:~~r<200&&(r=200),s.height=r):\"link\"===t.message&&(r=new URL(s.getAttribute(\"src\")),n=new URL(t.value),c.test(n.protocol))&&n.host===r.host&&l.activeElement===s&&(d.top.location.href=t.value))}},d.addEventListener(\"message\",d.wp.receiveEmbedMessage,!1),l.addEventListener(\"DOMContentLoaded\",function(){for(var e,t,s=l.querySelectorAll(\"iframe.wp-embedded-content\"),r=0;r<s.length;r++)(t=(e=s[r]).getAttribute(\"data-secret\"))||(t=Math.random().toString(36).substring(2,12),e.src+=\"#?secret=\"+t,e.setAttribute(\"data-secret\",t)),e.contentWindow.postMessage({message:\"ready\",secret:t},\"*\")},!1)))}(window,document);\n\/* ]]> *\/\n<\/script>\n","description":"\ufeffApr\u00e8s un premier bilan initi\u00e9 fin 2008 mettant en \u00e9vidence une fonction achat tr\u00e8s \u00e9clat\u00e9e et un manque de professionnalisation du m\u00e9tier, le CHU de Nantes a pris l\u2019initiative d\u2019auditer et de professionnaliser sa direction des achats en 2011. Les achats \u00e9tant le deuxi\u00e8me poste de d\u00e9penses et l\u2019\u00e9tablissement \u00e9tant dans un contexte de d\u00e9ficit budg\u00e9taire (important en 2008), la direction g\u00e9n\u00e9rale a mesur\u00e9 tous les enjeux que repr\u00e9sente une direction achats efficace et performante. Pour les auteurs, la particularit\u00e9 du projet n\u2019est pas tant li\u00e9e aux r\u00e9sultats absolus g\u00e9n\u00e9r\u00e9s, notamment en termes de gains sur achats, qu\u2019au chemin parcouru : d\u2019une maturit\u00e9 achats passive dans une organisation \u00ab lourdement \u00bb impr\u00e9gn\u00e9e de culture hospitali\u00e8re \u00e0 l\u2019appropriation significative d\u2019un nouveau m\u00e9tier n\u00e9cessitant ajustement des comp\u00e9tences et \u00e9volution significative des comportements."}