The presentation given by Kevin McPherson, Vice President of Owens & Minor Healthcare Logistics, at the Supply Chain Insights Global Summit in Scottsdale, AZ on September 10, 2014
Imagine a Healthcare Supply Chain That Works from the Patient Back
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Investment in The Coconut Industry by Nancy Cheruiyot
Owens & Minor Healthcare Supply Chain Insights Summit
1. Kevin McPherson
Owens & Minor Healthcare Logistics
Sup9p/ly1 C5ha/2in 0In1sig4hts Global Summit #ImagineSC September 2014, p.1
2. Agenda
Objectives
Owens & Minor Overview
The Market
The Problem
The Solution
Summary & Q & A
Sup9p/ly1 C5ha/2in 0In1sig4hts Global Summit #ImagineSC September 2014, p.2
3. Overview Owens & Minor Overview
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• Fortune 500 Company – $9B in sales
• Founded in 1882 in Richmond VA
• 2012 Acquired Movianto – 3PL in Europe
• 6,500 Employees
• Core – Med-Surgical Distribution (40% shr)
– >200,000 SKUs
– 1,400 suppliers
– 4,600 US healthcare provider customers
– 825 3PL Contracts
• 2013 – Rebranded as Supply Chain
Services Company
Connecting Manufacturers to the Point of Care
Sup9p/ly1 C5ha/2in 0In1sig4hts Global Summit #ImagineSC September 2014, p.3
4. Owens & Minor Network
• 37 Local Distribution Centers
• 5 Regional DC’s
• 450 Power Units in Private Fleet
• Connecting:
• 1,400 Suppliers
• 4,400 Manufacturers
• Buy-Sell, Activity Based Fees
• Agnostics to Title to Inventory
•Custom Models for Mnftgs
•Network Models for Large Health Systems
•ERP - Ross, Oracle, OMNI
•WMS – Cambar (Legacy), Red Prairie,
Sup9p/ly1 C5ha/2in 0In1sig4hts Global Summit #ImagineSC September 2014, p.4
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2 Hour Delivery to 90% of US Hospital Beds
Local Dist Center
Regional Dist Center
Home Office
5. U.S. Medical Device Market
U.S. Medical Device Industry by Category, 2011
U.S. Medical Device
Industry by Category, 2011
8%
29%
4%
39%
15%
5%
3%
CA
GR
Consumables
Diagnostic Imaging
Dental Products
Orthopedics & Prosthetic Devices
Patient Aids
Other
• The $106 billion U.S.
medical device market is
the largest in the world
• Implantable devices
represent the largest dollar
volume ($40B)
• Implantable device recalls
exceeded 100 million units
Q2:2012 for the first time in
nearly 2 years
Implantable Medical Device (IMD) Demand
U.S. Implantable Medical Devices, 2010 ($36B)
Other,
26.4%
Johnson &
Johnson,
10.0%
Others,
26.4%
Striker,
7.8%
Medtronic,
20.7%
Boston
Scientific, 8.7%
St. Jude
Medical,
6.6%
Zimmer,
6.2%
Synthes,
5.1%
Abbott, 4.4%
Biomet,
4.1%
2015, ($47B)
52%
17%
31%
2020, ($64B)
18%
28%
Orthopedic Implants
2010,
50
16
%
34 %
%
Source: The Freedonia Group, Inc.
54%
6.9%
2010 –
2020
CAGR
Market
Source: Seeking Alpha
Source: MDDI
Orthopedic
Trauma
Cardiovascular
Cosmetic
Other
Sup9p/ly1 C5ha/2in 0In1sig4hts Global Summit #ImagineSC September 2014, p.5
6. The Problem – Implant Manufacturers
Implant Supply Chain Challenges
• All Mnftgs have direct supply models-Redundant
• Combination insourced & boutique distributors
• Lack/limited visibility to Provider & Patient data
• Highly Comp’d – 40% time spend on logistics
• Physician / Rep relationship drives process
• Need technology / visibility tools to exit logistics
• Procedure to cash lag
• Procedure to PO = 3 to 30 days
• PO to payment 60 days
DSO 55-85
days
• 2-4 Inventory turns – Heavy Working Capital
• Antiquated demand planning tools – Disparate & Manual
• 3-5% Inventory loss, outdate, & obsolescense
• High transportation costs – direct air ship 100% - No mins
6
Logistics
Sales
Financial
Sup9p/ly1 C5ha/2in 0In1sig4hts Global Summit #ImagineSC September 2014, p.6
7. The Problem – Healthcare Providers
Total Hospital Supply Spend (Non-Pharma)
Distributed
Disposables
25%
Direct Purchase
Devices,
Implants,
Disposables
75%
Challenges
• Surgeon Preference Driving SKU
Proliferation
• Sales Reps in Hospital & OR’s
• Supply Chain Issues
• SKU Redundancy – Seek Formulary
• Whse Labor Costs
• Contract Pricing Mngts
• Erratic Supply – Alt Sourcing Difficult
• Disaster Planning
• Seeking Innovative Solutions
Sup9p/ly1 C5ha/2in 0In1sig4hts Global Summit #ImagineSC September 2014, p.7
8. What the Implant Market needs
Logistics
The Solution
• Significant
inventory
reduction
• Reduced freight
• 100% visibility
• Standard
processes
• Improved recall
management
capability
Financial
• PO on Day of
Procedure
• 5-20 day reduction
in cycle time
• Able to cover more
cases with less
inventory & fewer
reps
Sales Force
• Increased sales
rep productivity
• Reps spend 100%
of time selling, not
on supply chain
• 24 x 7 visibility to
set inventory
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Sup9p/ly1 C5ha/2in 0In1sig4hts Global Summit #ImagineSC September 2014, p.8
9. The Solution
1
PPI
Manufacturers
PPI orders placed by
the Provider are
delivered to O&M
warehouse
3
OM aggregates the
various manufacturer
goods and delivers
them as needed in
convenient totes that
are prepped for PAR
locations.
4
OM delivers to
Hospitals and Clinics
2
Distribution
Center
Provider-owned
inventory is
segregated in the
distribution center by
customer
Sup9p/ly1 C5ha/2in 0In1sig4hts Global Summit #ImagineSC September 2014, p.9
10. The Solution
Acute Care Hosp
Detroit MI
O&M Captures POU Data
O&M manages metrics
O&M sets PARs
O&M cycles inventory
Text/Email Key Order Status
& Alerts – Eliminates Current
Logistics Tasks
Sales Rep/DOE to Mnftgs
Web Based Order System
Par Driven PO & Weekly
Replen / Return ASN
Inventory Synch
LENS Visibility Tool
Hosp & DC Level Data
Ops KPI & A/R Recon Support
EDI Payment
Leverage Existing
Daily Deliver
Reverse
Logistics &
Recall Support
Reportable communications, clinical
calls, etc
Par Replen
Demand Capture &
EDI Invoice
Inventory Synch
Capture Surgery Demand
at point of determination
Sup9p/ly1 C5ha/2in 0In1sig4hts Global Summit #ImagineSC September 2014, p.10
11. The Summary
11
Providers
• Product to Floor ½
Day Earlier
• Reduce receiving &
IC labor
• Eliminate Parcel
Receipts
• Pathway to
Procedural Kitting
• Scalable in move to
Product Formulary
Device Mnftg
• 20-day DSO Redux
• Total SC Visibility
• Divest of IC Risk
(IC control to O&M)
• Increased working
capital (IC & DSO)
• ▲ROI of Reps
• PR – Value add to
Providers
Value Creation
O&M
• Expands Total
Order Offering
• Leverages Private
Fleet
• Leverages current
IC Team
• Aggregates for the
Industry
• Pathway for
reduced cost of
care
Sup9p/ly1 C5ha/2in 0In1sig4hts Global Summit #ImagineSC September 2014, p.11
Hinweis der Redaktion
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So how does all this work?
Of course the Devil is in the details but the big picture is pretty simple…
You continue to order products from your manufacturers but you change the “ship to” to be Owens & Minor’s distribution center. For Preferred Access SKUs you will place larger, less frequent orders. (Click)
Preferred Access items that you own in our DC are segregated in storage but (Click)
We can combine the Preferred Access items with routine StockPoint orders for (Click)
More effective delivery – offering you all the benefits of wholesale distribution
One daily delivery, combined orders, few POs, few small packages, etc.