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    Case: Meditech Surgical

    Designing & Managing the Supply Chain

    Chapter 1Byung-Hyun Ha

    [email protected]

    mailto:[email protected]:[email protected]
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    Case Overview

    Intentdiagnosis of supply chain

    Business overview

    Supply chain

    Production planning

    Whats wrong?

    How to fix it?

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    Meditech Surgical

    Background Endoscopic surgical instrument maker

    Minimally invasive surgery

    Parent company: Largo Healthcare Company

    Spun off 3 years ago

    Primary competitor: National Medical Corporation

    Market created in early 80s, rapidly growing

    National sells to physicians

    Meditech sells to material managers as well as physicians

    Customer preferences change slowly Old products continually updated

    Replaced with new product introductions

    Compete based on product innovations, customer service, cost

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    Meditech Surgical

    Problems New production introduction needs to be flawless

    Consistently fail to keep up with demand during initial order

    Customers wait over six weeks to have orders delivered

    Dan Franklin, manager of Customer Service & Dist. Recognizing growing customer dissatisfaction

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    Distribution

    Central warehouse

    Two primary channels to hospitals

    Domestic dealers

    Order and receive products from multiple manufacturers

    Independent and autonomous entities

    International affiliates

    Subsidiaries of Largo Healthcare

    Similar to domestic dealers from Meditechs point of view

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    Internal Operations

    Assembly Manually intensive

    Using component parts in inventory

    Assembly line with a tem of cross-trained production workers

    Cycle time for assembly of a batch of instruments 2 weeks

    Lead time for component parts

    2-16 weeks

    Packaging

    Using machine

    Sterilization

    Cobalt radiation sterilizer, about 1 hour

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    Operation Organization

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    Production Planning & Scheduling

    Broken down two parts Assembly & component parts order based on monthly forecast

    Packaging & sterilization based on finished goods inventory level

    Forecast

    Annual: during the fourth quarter of each fiscal year

    Monthly: using annual forecast broken down proportionately

    At the beginning of each month: adjustments of forecast

    Planning of assembly

    Using monthly demand forecasts

    transfer req. =

    month forecastfinished goods inventory + safety stock

    Approved throughout the organization after 1 to 2 weeks

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    Production Planning & Scheduling

    MRP systems Planning assembly schedules and parts order

    Calculation may be run several times each week

    Notification of change at least 1 weeks before

    Packaging & sterilization process Order point/order quantity (OP/OQ)

    Parts Inventory Assembly Bulk Inventory FG InventoryPackaging &

    Sterilization

    216 weeks 2 weeks 1 weekpush pull

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    High Inventory Level of Finished Goods

    In case of representative stable product

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    Var. in Production vs. Var. in Demand

    Variation inproduction

    schedules

    often

    exceededvariation in

    demand

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    New Product Introduction

    Poor service level Poor forecasting?

    Panic ordering?

    And high FG inventory

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    Poor Service Level

    What is going on? Demand is quite predictable

    Usage in hospitals is quite stable

    Market share moves slowly over time

    With each new product, dealer must build inventory to fill pipeline

    Why did Meditech think demand was unpredictable?

    Poor information systems

    No one looked at demand

    No one had responsibility for forecast errors Tendency to shift the blame

    Built-in delays and monthly buckets in planning system

    Amplifier in planning system

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    Poor Service Level

    What to do? Recognize that demand is stable and predictable

    Establish accountability for forecast

    Eliminate planning delays and/or reduce time bucket

    Alternatively, put assembly within pull system and eliminate bulkinventory