Manimay Ghosh SCM PPTs Combined
Manimay Ghosh SCM PPTs Combined
Transportation Transportation
Costs Costs
Material Costs Transportation
Manufacturing Costs Inventory Costs Costs
Historical Perspective
• Supply Chain Management, as we
understand today, is a fusion of at least three
main streams of knowledge
1. Sourcing and procurement
2. Materials Management
a. Material cost – 60% of product cost
3. Logistics and Distribution
a. Transport cost – 50% of logistics cost
Flows in a Supply Chain
Information
Product
Supplier Customer
Funds
Supply Chain Management
• Supply Chain Management is primarily
concerned with the efficient integration of
suppliers, factories, warehouses and stores
so that merchandise is produced and
distributed in the right quantities to the right
locations and at the right time, to minimize
total system cost subject to satisfying service
requirements
Simchi-Levi
The Objective of a Supply Chain
Manufacturing Cycle
Manufacturer
Procurement Cycle
Supplier
Push vs. Pull View of Supply Chain
– Green distribution
Monitoring all activities to reduce environmental
damages
• Fuel consumed
• Frequency of transport
• Distance to customers
Achieving Strategic Fit in a
Supply Chain
Chapter 2
Competitive Strategy
• A competitive strategy defines, relate to its competitors,
the set of customer needs it seeks to satisfy through its
products and services
• Competitive strategy is defined based on how the
customer prioritizes product cost, delivery time, variety,
and quality.
• For example, Walmart customer places greater
emphasis on cost
• McMaster-Carr customers puts greater emphasis on
product variety and response time
• IKEA customer focuses on reasonable variety at low cost
Value Chain for an Organization
Marketing and sales – How the market will be segmented, and how the product will
be positioned, priced, and promoted.
Supply chain strategy determines the nature of procurement of raw materials, its
transportation to and from company, manufacture of product, distribution of the
product to customer along with follow-up service, and whether these processes will be
in-house or outsourced.
Achieving Strategic Fit
• Strategic fit requires the goals of supply chain strategies to
be aligned with the goals of competitive strategies
Range of quantity required Increase because a wider range of the quantity required implies
increases greater variance in demand
Lead time decreases Increase because there is less time in which to react to orders
Variety of products required Increase because demand per product becomes less
increases predictable
Required service level increases Increase because the firm now has to handle unusual surges in
demand
Rate of innovation increases Increase because new products tend to have more uncertain
demand
Number of channels through which Increase because the total customer demand per channel
product may be acquired increases becomes less predictable
Impact of Supply Source Capability on
Supply Uncertainty
Supply Source Capability Causes Supply Uncertainty
to
Frequent breakdowns Increase
1. Responsiveness
2. Efficiency
Responsiveness
• Responsiveness is the ability of the supply
chain to
– Respond to wide range of quantities
demanded
– Meet short lead times
– Handle large variety of products
– Meet a high service level
– Meet supply uncertainty
Efficiency
• Responsiveness comes at a cost
– For example, to respond to wide range of
quantities demanded, capacity is increased,
which increases cost
• Increase in cost leads to second
characteristics of Supply Chain – Efficiency
• Efficiency is the inverse of the cost of making
a product and delivering to customer.
Increase in cost lowers efficiency.
Responsiveness vs. Efficiency
• Responsiveness
– Ability of the supply chain to respond
purposefully and within a time scale to
customer’s requirements of change in
marketplace
• Efficiency
– Focus on cost reduction and no resource is
wasted on non-value added activities
Understanding the Supply Chain: Cost-
Responsiveness Efficient Frontier
Responsiveness
Low
Cost
High Low
Responsiveness Spectrum
Most
Integrated Dell
automotive
steel mill
production
– Option 2
• Products with high level of responsiveness – faster
modes of transportation, example FEDEX
• Products with low level of responsiveness – slower
modes of transportation (water, rail)
Tailoring the Supply Chain for
Strategic Fit
• Option 3
– Require high responsiveness (items that are fast
moving and low demand uncertainty) – inventory kept
in regional warehouses close to customer
– Require high efficiency (slow moving items with high
implied demand uncertainty)-- Centralized warehouse
far from the customer
• Option 4
– High demand uncertainty: source to vendors close for
high responsiveness
– Less demand uncertainty: Source production to low-
cost countries
Learning
• When supplying multiple customer
segment with a wide variety of products
through several channels, a firm must
tailor its supply chain to achieve strategic
fit
Tailoring to Achieve Strategic Fit
• The concept of tailoring to achieve strategic fit is important
in industries such as high tech or pharmaceuticals.
• Facilities
– places where inventory is stored, assembled, or
fabricated
– production sites and storage sites
• Inventory
– raw materials, WIP, finished goods within a supply chain
– inventory policies
• Transportation
– moving inventory from point to point in a supply chain
– combinations of transportation modes and routes
Drivers (or Factors) of Supply
Chain Performance
• Information
– data and analysis regarding inventory, transportation,
facilities throughout the supply chain
– potentially the biggest driver of supply chain
performance
• Sourcing
– functions a firm performs and functions that are
outsourced
• Pricing
– Price associated with goods and services provided by
a firm to the supply chain
Components of Facilities Decisions
• Role
– A
• Flexible
• Dedicated
• Combination of both
– B
• Product focused (single product)
• Functional focused (many products)
• Location
– Centralize: To gain economies of scale
– Decentralize: More responsive by being closer to customer
• Capacity
– Excess capacity: allows flexibility to respond to wide swings in
demand but it costs money, decreases efficiency
– Less capacity: High utilization, efficient, but less responsive to
demands
• Procurement
Sourcing Related Metrics
• Days Payable Outstanding (# days between when a supplier
formed a supply chain task and when it was paid)
• Average Purchase Price (avg. price at which goods were
purchased during that year)
• Range of Purchase Price (fluctuation in purchase price)
• Average Purchase Quantity (avg. amount purchased per
order)
• Supply Lead Time: Time between when an order is placed and
when the product arrives
• Fraction on-time deliveries: Fraction of deliveries from supplier
that were on time
• Supply Quality: Quality of product supplied
In Sum - Sourcing
• Third party sourcing is meaningful when
the third party raises supply chain profits
more than the firm can by its own
Accounts payables AP
Supply Chain Performance Measures
(Length of Chain)
• Days of Raw Material (DRM) = RM (Rs) × 365 / Cost of
RM per year (Rs)
Sales Revenue
• ART = ------------------------------
Accounts Receivables
Other Financial Ratios
• Inventory Turnover (INVT)
Sales Revenue
• PPET = -----------------------
PP & E
Cash-to-Cash Cycle
From 2001 till 2005, HUL was collecting its money from the sale of products more than
6 days, 9 days and 5 days respectively before it had to pay its suppliers
SUPPLY CHAIN COST
THE STRATEGIC PROFIT MODEL
Financial Statement Analysis
Chapter 5
THE SUPPLY CHAIN
Network
• A supply chain is a network consisting of
nodes and linkages
– Nodes: Conversion, or storage, or demand
points
– High responsiveness
• Locate facilities closer to the market and may select
a high-cost location
Technological Factors
• If production technology displays significant
economies of scale
– Few high-capacity facilities
• Example: Manufacturer of computer chips
• Intel has 10 wafer fabrication plants worldwide
• Low fixed costs
– Many local facilities to reduce transport costs
• Example: 50+ Bottling plants for Coca-Cola in India
Macroeconomic Factors
• Tariffs or customs duty
– High tariffs
• More production locations with each facility having a lower
allocated capacity
– Low tariffs
• Decrease in # facilities and increase in capacity of each firm
• Tax incentives
– Encourages firms to locate facilities in specific areas
• If # of facilities increase
– Inventory costs increase
– Facility costs increase
– Transport cost decrease
Operational Factor
• Transformation
– When there is a significant reduction in
material weight or volume as a result of
processing, it is better to locate facilities
closer to the supply source rather than the
customer
• Example: Locating steel plants closer to iron ore
mines
Service and Number of Facilities
Number of
Facilities
Response Time
Inventory Costs and Number
of Facilities
Inventory
Costs
Number of facilities
Transportation Costs and
Number of Facilities
Transportation
Costs
Number of facilities
Facility Costs and Number
of Facilities
Facility
Costs
Number of facilities
Total Costs Related to
Number of Facilities
Total Costs
Total Costs
Facilities
Inventory
Transportation
Number of Facilities
Total logistics Cost = Inventory costs + Transport Cost + Facility Costs
Framework for Network Design
• Phase 1: Define a supply chain
strategy/design
Chapter 10
Characteristics / Rules of
Forecasts
• 1st Law: Forecasts are always wrong
Sales
Sales
Sales
Sales
Bullwhip Effect
BULLWHIP EFFECT or WHIPLASH EFFECT or WHIPSAW EFFECT
– Use of 3PL
• Consolidating load from multiple suppliers, a firm can realize full
truck load economies without the batches coming from the same
supplier
Counteracting Bullwhip Effect
• Price fluctuations
– Reduce frequency and magnitude of price
discounting
– Use everyday low price (EDLP)
• Shortage gaming
– Instead of allocating products based on
orders, it can allocate in proportion to past
sales record
– Stringent penalties on order cancellations by
customers
Bullwhip Effect Measure
Variance of orders
• Bullwhip = ----------------------------------
Variance of demand
Variance amplification is present if bullwhip measure is greater than 1.
This means that the size of the company’s orders fluctuates more than
the size of its incoming demand.
If measure = 1, no amplification is present
If measure < 1, smoothing or dampening as orders move up the SC
If measure > 1, variance amplification (i.e., bullwhip effect is present
means size of company’s orders fluctuate more than the size of
its incoming demand
Bullwhip Example
Chieh Lee Metals, Inc. orders sheet metal and transforms it into 50 formed table tops
that are sold to furniture manufacturers. The table shows the weekly variance of
demand and orders for each major company in this supply chain. Each firm has one
supplier and one customer, so the order variation for one firm will equal the demand
variance for its supplier
This chain exhibits a classic bullwhip effect. Despite what might be a very stable
Demand pattern at the retail level, order sizes to suppliers vary significantly.
Problem
• Over the past 8 weeks, demand for gears
at Michael’s Metals has been 140, 230,
100, 175, 165, 220, 200, and 178. Michael
placed weekly orders of 140, 250, 90, 190,
140, 240, 190, and 168 units. Calculate
the bullwhip measure for Michael’s Metals
over the 10-week period.
CPFR
• Collaborative Planning Forecasting and
Replenishment (CPFR)
– A web-based tool
– Applied in food, apparel, and general merchandise
– Sharing of forecasts led to
• Improved forecast accuracy
• Reduced inventory
• Reduced lead time
• Improved service levels (reduce out-of-stock)
• Increased sales
• Improved efficiency across the supply chain
Managing Inventories in
Supply Chain
Chapter 11
Inventory
What is Cycle Inventory
• Cycle Inventory is the average inventory in a
supply chain due to either production or
purchases in lot sizes that are larger than those
demanded by the customer
– For example, a retailer may sell 5 laptops per day
but when it orders the manufacturer it orders
laptops in lots of 50. In essence it holds the
inventory till the next replenishment lot arrives.
• Cycle Inventory = Q /2, where Q = Lot size
Q-Model
Inventory on hand
Q Demand Rate
Avg. Inventory
(Q/2)
R
Reorder Pt.
L
Time L = Lead Time Time
Order Placed
Order Receipt R = Reorder Point
Aggregating Multiple Products
in a Single Order
• To reduce lot size is the reduction of fixed cost incurred
per lot. One major source of fixed cost is the fixed
transportation cost. In several companies, the array of
product sold is divided into groups, with each group
managed independently by a separate product manager.
This results in separate orders and deliveries for each
product thus increasing overall cycle inventory.
Aggregating orders and deliveries across product is an
effective mechanism to lower cycle inventories. This
allows fixed cost to be spread across multiple suppliers
(single delivery coming from multiple suppliers) or fixed
cost spread across multiple retailers (single truck
delivering to multiple retailers)
Aggregating Multiple Products in a
Single Order
• To reduce lot size → reduce fixed costs
– Fixed cost:
o Fixed transport cost to transport order
o administrative costs to place order
o labor cost to receive order)
• Two options
– Single delivery coming from multiple sources
Fixed Order Cost = Fixed Administrative cost + Fixed Truck Cost + Fixed Labor Cost
Lots are Ordered and Delivered
Independently for Each Product (EOQ)
D: Annual demand
S: Setup or Order Cost H = hC
C: Cost per unit
h: Holding cost per year as a fraction 2 DS
of product cost Q* =
H: Holding cost per unit per year H
Q:Lot Size
2S
T: Reorder interval
n* =
Material cost is constant and DH
therefore is not considered in this
model
Some Inventory Metrics
• Cycle Inventory = Lot size / 2 = Q/2
Holding cost
h = 0.2
Unit cost
CL = $500, CM = $500, CH = $500
Calculate: Annual Hold Cost, Annual Order Cost, Total cost, Order Freq, and
Ag flow time
Multiple Products Ordered and Delivered
Independently
DL hC L DM hCM DH hC H
Annual holding cost = + +
2n 2n 2n
DL hC L DM hCM DH hC H
Total annual cost = + + +S*n
2n 2n 2n
å
k
DL hC L + DM hCM + DH hC H Di hCi
n* = n* = i=1
2S * 2S *
Products Ordered and Delivered Jointly
Annual ordering
and holding cost = $61,512 + $6,151 + $615 + $68,250
= $136,528
A decrease of 12%
Products Ordered and Delivered Jointly
i=1
i=1 i> j
s DC = var DC( )
If all k regions have demand that is independent (ρij =0), and identically
distributed, with mean D and standard deviation σD, then above equation becomes
DC = kD s DC = k s D
Impact of Aggregation on
Safety Inventory
k
= z L s DC
Require safety inventory on
aggregation i =1
FS–1(CSL) ´ L ´ H æk ö
= ´ ççås i – s D ÷÷
C
DC è i=1 ø
Impact of Aggregation on
Safety Inventory
• Inventory aggregation are always positive
if the correlation coefficients are less than
1
Impact of Aggregation on
Safety Inventory
• Specialization
– If reduction in safety inv. high→ Central location
– If reduction in safety inv. low→ Multiple
decentralized locations
Safety Inventory and Demand’s
Coefficient of Variation
• For a product with a low coefficient of variation,
disaggregate demand can be forecast with
accuracy
– Benefit of aggregation is minimal
X2 = X1√(n2/n1)
*Note: Few logistics firms in India with a fleet size larger than 100 trucks.
Overview of Indian Infrastructure
for Transportation
• Roads
– Total 3,319,644 kms
• 12% are four lanes
• 56% are double lanes
• 32% are single lane
• Road conditions
– Narrow, pot-holed poor surface quality
– Congested
– average truck speed is only 30-40 km/h
Note: Shipments by road that can be completed in three days in the U.S.,
for example, could take as long as nine days in India.
Truckload (TL)
• Shorter delivery time
• Low fixed and medium variable costs
• Suited for transport between manufacturing
facilities and warehouses or between suppliers
and manufacturers
• Transhipments
• Types of freight
– Lumber, steel coils, machines, fabricated items,
consumer durables, cars, two wheelers, stone chips,
sand, containers, cement etc.
Less Than Truckload (LTL)
• Suited for shipments in small lots
(< ½ TL) as TL is cheaper for larger
shipments
• Low capacity utilization or will have to
aggregate a number of small shipments in
one trip
• Higher delivery time than TL shipments
because of other loads to picked and
dropped
Truck Costs
• Truck costs are typically grouped into three
categories
– Fixed costs
• Insurance, interest charges on money tied up in vehicles,
licensing fees, equipment amortization, expenses related to
housing vehicles, tax
– Operator costs (related to time rather than distance
travelled)
• Wages, health and pension plan, expenses while on road
(meal, hotel, telephone)
– Vehicle operating costs (incurred in keeping the
vehicle on road)
• Fuel, tyres, maintenance, spares, lubricants
Rail
• Ideally suited for large, heavy or high density products
over long distances. 95% of the freight carried is bulk
goods
– Example: coal, steel coils, metal ores, cement, containers
– Coal accounts for more than 50% of the traffic
• Ideal for heavy, low-value ship shipments
• Not ideal for small, time-sensitive, short distance
shipments
• Major issues
– Vehicle and staff scheduling
– Track and terminal delays
– Poor on-time performance
Rail
• Indian Railways account for 22% of the
freight movement in India
• High fixed costs in terms of rail, locomotives,
terminals, load/unload, billing
• High wages, fuel and oil, and maintenance
costs
• Traditionally, variable costs = ½ -1/3 rd of
total costs
• High idle time
• Government monopoly
Overview of Indian Infrastructure
for Transportation
• Indian Railways – Fourth largest rail network in the world
– Total length: 63,465 km
– Transports 667 million tons of cargo/year
– Freight segment accounts for 2/3rd of revenue
– IR runs about 16,021 trains everyday
– Railway budget (2006-07) approved Rs 220 billion construction of
dedicated multi-modal high axle load freight corridor
– Factories
• Rail Coach Factory: Kapurthala
• Diesel Loc: Varanasi
• Integral Coach Factory: Chennai
• Wheel and Axle Plant: Bangalore
Rail
• Rail has not been so popular in India
because of last mile delivery issues,
infrequent movement of trains, and lack of
flexibility
Air
• Key issues:
– Fast and most expensive mode
– Appropriate for small, time-sensitive, high
value products
– Accounts for very small % of freight
– High fixed costs in infrastructure
– Large labour and fuel costs
Major International Cargo Air
Carriers
• Airborne Express
• British Airways
• BAX Global
• DHL Worldwide Express
• Federal Express
• United Parcel Service (UPS)
Package Carriers
• Companies like FedEx, UPS, USPS, Gati,
Bluedart that carry small packages ranging from
letters to shipments of about 150 pounds
• Expensive
• Rapid and reliable delivery
• Small and time-sensitive shipments
• Provide other value added services
– Track status of product in transit
• Pick package from source and deliver to
destination site
Air Cargo vs. Package Carriers
• Air Cargo • Package Carriers
– Large Shipments – Small, time-sensitive
– Example: Dell uses air – Example: Dell uses
cargo to bring package carriers to
components from Asia ship PCs to customers
Water
• Limited to certain geographic areas
• Used extensively for international cargo
• Ocean, inland waterway system, coastal waters
• Very large loads at very low cost
• Slowest among all modes of transport
• Significant delays occur at ports and terminals
– Turnaround time for a ship is at least 4 days in India which is
higher than in most countries
• Cheapest mode of transport
• Dominant in global trade (autos, grain, apparel, etc.)
• Though India has a coast line of 7517 km, none of the ports figure
in the top 10 ports of the world
• Largest post – Jawaharlal Nehru Port Trust, carries 37 million tons
of cargo against 4000 million tons by Shanghai airport
Ships can wait up to five days to dock at an Indian port, compared to little
or no wait time in Europe.
Water
• Water transportation is used for low value
to weight ratio items like
– Timber, iron ore, coal, chemicals, grains,
petroleum, and cements
– For India, in 2010-2011, Iron ore constituted
(18%) of cargo traffic, coal constituted (15%)
of cargo traffic
• Commodities which are bulky but low
value where the items are not required in a
hurry are most suitable for water transport
Source: Business India, July 24, 2011
Overview of Indian Infrastructure
for Transportation
• Waterways
– 12 major ports
• Managed by GOI
• High investments and high trade volume
– 200 minor ports
• Managed by state governments
• Low investments and low volume
Cargo Traffic in Minor Ports of India
(2010-2011)
Traffic Handled at Major Indian
Ports (2010-2011)
Page 471-472
Sourcing in Supply Chain
Chapter 15
What is Sourcing?
• Sourcing is a set of business processes
required to purchase goods and services
– Selection of suppliers
– Design of supply contracts
– Product design collaboration (80% of the cost
of the product is determined during design)
– Procurement of material
– Evaluation of supplier performance
What is procurement?
• Purchasing, also called procurement, is
the process by which companies acquire
raw materials, semi-finished goods,
finished goods, capital equipment,
services etc. from suppliers to execute
their operations
Outsourcing
• Outsourcing results in supply chain function
being performed by a third party.
– For example, since 2007 retailing function of Dell is
performed by Walmart (third party)
– Britannia outsources to other contract
manufacturers for its various low-end products
Importance of Outsourcing
• Businesses have realized that efforts required to increase
profits through increasing sales were far greater than those
involved in generating equivalent returns through reduction in
procurement prices
• Organizations procure
– components, products, product design, service
(housekeeping, canteen, security services)
In-house or Outsource
• The most significant decision is whether to
perform in-house or outsource
• Outsource results in the supply chain
function being performed by a third party
• Outsourcing makes sense only if it
increases supply chain surplus
– Supply chain surplus is the difference between the
value of the product for the customer and the total
cost of all supply chain activities involved in bringing
the product to the customer
Importance of Outsourcing
• Tata Motors going for almost 80% auto component
outsourcing for its cars
• Procures through E-sourcing
– Conducts 400 reverse auctions every year
– Sources direct materials (tyres, bearings, castings,
forgings), indirect materials (lubricants, MRO),
machine tools, material handling equipment, services
(food, housekeepng)
• Maruti and Ashok Leyland have similar outsourcing
practices
• Cisco has major suppliers across the world
• Apple has more than 70% of components outsourced
Make-or-Buy Decision Strategy
• Make or buy decision is based on
– Cost
• Outsource if the cost is less if procured from third party
– Core vs. non-core activities
• Focus on core activity and outsource non-core
Fine and Whitney Framework for
Outsourcing of Components
• Reasons for outsourcing
– Dependency on capacity
• Firm has knowledge and skills required to produce the
components but for various reasons (time, money, space,
or management’s attention) decides to outsource
– Dependency on knowledge
• The firm does not have the people, skills, and knowledge
required to produce the components and outsources in
order to have access to these capabilities
• Vendor rating
– Systematic method to evaluate suppliers’
performance using data from the delivery of items in
response to purchase orders placed
Supplier Certification Programme
Value Analysis
Effort
Quality
Financial
Assurance
Capability
Single Source
Certification
Program
Equipment Cost
Capability Structure
Contract
Performance
VENDOR RATING SYSTEM
(Yardstick for Measuring Performance)
Criterion Weights Excellent- 5 Very Good - 3 Average -2 Below
Good - 4 Average -1
Total 100
VENDOR RATING SYSTEM
Note: These guiding principles produce satisfactory, although not necessarily optimal
Solutions to realistic routing and scheduling problems
Poor and Good Stop Sequencing
Clustering for Assigning Stop
Volumes to Vehicles
Clustering Stops By Day of Week
Route Sequencing
Route Sequencing to Minimize
Number of Trucks
Reference Book
• Business Logistics/Supply Chain
Management, 5th Ed, Chap 7, pp. 229-295
• Authors: Ballou and Srivastava
Video
• DHL (13 mins)
• International Logistics (9 mins)
Article
• Insights into INDIA, Supply Chain
Management Review, July/August 2012
THANK YOU
IT in Supply Chain
Chapter 16
Alternative Solutions to Manage the
Supply Chain
• Electronic Data Interchange
• Intranet and Extranet
• Data warehouse / Data mining
• E-commerce
• Bar Coding Technology
• Other Technologies
– RFID
– Smart Card
Benefits of EDI
• Greater effectiveness/efficiency
• Give competitive advantage
• Helps to keep customers happy
• Reduced transaction costs and time
• Increased accuracy
• Improved decision making
Benefits of Intranet/Extranet
• Facilitates two way communication
between the manufacturing floor and other
areas of the plant
• Allows distribution of many categories of
information
• It enhances overall performance
Benefits of Data Mining
• Associations, or when one event can be
correlated to another event (beer purchase and
peanuts)
• Sequences, or one event leading to another
later event ( a rug purchase followed by a
purchase of curtains)
• Profiling of customers who make purchases
• Forecasting – discovering patterns in data that
can lead to predictions in future
Benefits of E-Commerce
• Improved productivity
• Improved quality
• Improved customer service
• Reduced costs
• Shortened supply chain
• Faster product development
• Reaching new markets
• Improvement in cash flows
Information Technology: A Supply
Chain Enabler
• Information is the essential link among all
supply chain members. Computers and
information technology allows real time,
online communication throughout supply
chain.
SUPPLY CHAIN ENABLERS
RFID CAPABILITIES
RFID CAPABILITIES
Build to Order (BTO)
Games in Supply Chain
Computerized Beer Game
• See Simchi-Levi & Others (pp 485)
Risk Pool Game
• See Simchi-Levi & Others (pp 501)
Cases in Supply Chain
Cases in Supply Chain
• Ford Motor Company
• HP Supply Chain
Wholesaler
Wholesaler
Retailer
Distribution Center
Healthcare Supply Chain
Management
Manimay Ghosh, Ph.D.
Healthcare Supply Chain
Management
Healthcare Supply Chain
Management
Manimay Ghosh
GDP Spend on Healthcare (Global)
• USA: 15.3%
• France: 11%
• Japan: 8.1%
• Chine: 4.1%
• India: 1%
Hospital 2009 12 31 39 24 30
Bed
density
Doctor 2009 6 27 21 17 14
density
Healthcare in India
• Present size of industry: USD 40 billion
• By 2012: USD 79 bn
• By 2020: USD 280 bn
• Average CAGR: 21%
Indian Healthcare Market
Healthcare in India
• Number of beds available per 1000 in
India is 1.27 which is less than half the
global average of 2.6
• Beds available in urban areas : 369,351
• Beds available in rural areas: 143,069
• In urban area: 6 doctors per 10,000 people
• In rural area: 1 doctor per 10,000 people
Source: Dataquest, 2011
Number of Beds
Purpose of Healthcare Supply
Chain
• The main purpose of the healthcare supply
chain is to deliver products in a timely
manner, in order to fulfill the needs of the
providers
Healthcare Supply Chain
Configuration
Healthcare Product Flow
Healthcare Supply Chain
• Highly fragmented
• Relatively inefficient
• Healthcare supply chains have lagged
behind manufacturing supply chains
Hospital Supply Costs
• Supply costs are second largest expense for hospitals after
personnel costs
• Hospital supply expense represents 25-30% of expenses
• Hospitals overpay suppliers 2-7% of the available contract price for
contracted medical and surgical products
• Purchasing personnel spend about 40% of their time manually
processing transactions
• Average cost to process a purchase order is $10 to $30, compared
with as much as $75 for a manual purchase order
• Accounts payable personnel spend 60% of their time processing
transactions manually
• Note: Many processes are manual, prevalence of legacy information
system, not properly interlinked
– Johns Hopkins Hospital, USA
Labour Goods
Capital
Transformation Products
Process
Material
Services
Energy
Activities
• Value-added
• Non-value-added
• Required non-value-added
Reducing Inventory
Assume the
river is
inventory.
Reducing Inventory
Machine
breakdowns
Poor Untrained
Unreliable
quality employees
suppliers
Value-added Nonvalue-added
Act Plan
•How to improve •What to do?
next time? •How to do it?
Check Do
• Did things happen •Do what was
according to plan? planned
Innovate
Improvement
Innovate
“Old
Standardize Way”
Actual