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The Role of Advanced Planning Systems (APS)
in our Medical Device Supply Chain Strategy
Tony Balliro
Director, Supply Chain Management – CR Bard
Bryant University
Supply Chain Management Summit
August 22, 2013
Tony Balliro Tony Balliro is the Director of Supply Chain
Management for two operating divisions at
CR Bard, a global developer, manufacturer
and distributor of less-invasive medical
devices. He has spent the majority of his
career in medical device supply chain
management. He is currently responsible for
directing all aspects of Supply Chain
Management, including Sales & Operations
Planning, Demand Forecasting, Supply
Planning, New Product Launch, Inventory
Management, and overall Supply Chain
oversight to meet or exceed customer service
or financial targets.
Title: Director of Supply Chain
Management
Company
: C.R. Bard
Email: [email protected]
The Role of Advanced Planning Systems (APS)
in our Medical Device Supply Chain Strategy
Tony Balliro
Director, Supply Chain Management – CR Bard
Bryant University
Supply Chain Management Summit
August 22, 2013
Leading Multinational Developer, Manufacturer, and Marketer
of
Innovative, Life-Enhancing Medical Technologies
Company Overview
2012 Results
Growing Complexity and the Case for Change
Solution Options and the Path Forward
Functional Realignment
What is APS?
Current & Future State Information Flow
Constraint-based Planning using APS
Q & A
Agenda
Founded in 1907 by Charles R. Bard
A publicly traded company since 1963
$2.9 Billion Corporation today and growing
Approximately 12,000 employees worldwide
Headquartered in Murray Hill, NJ
5 U.S. Divisions headquartered in Covington, GA; Warwick, RI; Salt Lake City, UT; Tempe, AZ; Lowell, MA
Major International Locations throughout Europe and Mexico, in Canada, Japan, Malaysia, and Australia
Approximately 109 locations worldwide
Among the top 10 manufacturers of medical devices in U.S.
C. R. Bard Overview
Urology
• Bard Medical Division
Key Disease Management Areas by Division
Key Disease Management Areas by Division Urology
• Bard Medical Division
Vascular
• Bard Peripheral Vascular, Inc.
• Bard Electrophysiology Division
Urology
• Bard Medical Division
Vascular
• Bard Peripheral Vascular, Inc.
• Bard Electrophysiology Division
Oncology
• Bard Access Systems, Inc.
• Bard Medical Division
• Bard Biopsy Systems (A business unit of Bard Peripheral Vascular, Inc.)
Key Disease Management Areas by Division
Urology
• Bard Medical Division
Vascular
• Bard Peripheral Vascular, Inc.
• Bard Electrophysiology Division
Oncology
• Bard Access Systems, Inc.
• Bard Medical Division
• Bard Biopsy Systems (A business unit of Bard Peripheral Vascular, Inc.)
Surgical Specialties
• Davol Inc.
Key Disease Management Areas by Division
Davol Inc., Warwick, RI
• Soft Tissue Repair
• Performance Irrigation
• Hemostasis
• Endoscopic Suturing
• Surgical Fixation
• Laparoscopic Irrigation
• Orthopaedic Pulsed Lavage and Autotransfusion
• Surgical Sealants
Surgical Specialties
Net Sales $2,958.1 $2,896.4 2 3
Net Income $530.1 $328.0 62 -1
EPS – diluted $6.16 $3.69 67 3
Reported % 2012 2011
Adjusted*
%
* Net Sales growth adjusted for FX impact
* Net Income and EPS growth adjusted for items that affect comparability and reconciled on Bard’s website
Full Year 2012 Results ($ Millions, Except EPS)
Full Year 2012 Product Group Sales ($ Millions)
2012
2011
Reported
%
Adjusted*
%
Vascular $845.0 $ 842.4 -- 3
Urology 757.8 734.8 3 4
Oncology 812.4 779.5 4 5
Surgery 455.1 450.0 1 2
Other 87.8 89.7 -2 -2
Total Net Sales $2,958.1 $ 2,896.4 2 3
* Product Group sales adjusted for FX impact
Growing Complexity and The Case for Change
Growing Complexity
The frail systems infrastructure will be pushed to a breaking point by the pressure of Bard’s increasing business demands
• Deals Adds manufacturing locations, relationships and ERP platforms
• Emerging Markets High “tenders” with volatile demand
• New DC for Direct Sales Longer lead times, more inventory & relationships (5x)
• Kitting and Custom Packs High customer demands with little advance notice
• Increase regulatory pressure Massive SKU proliferation (~15,000 today)
• Drug/Device and Biologics Short shelf life, often temperature controlled
What bad things happen?
• 2X increase in customer backorder (as demonstrated in 2007-2008)
• FG and WIP expiry will increase $5 – 10 million
• Overtime increase $2 – 3 million
• Inventory volatility increase 5-10%
• SCM headcount increase 8-12% each year (currently 80+)
ERP Platform by Location
Nogales Juarez
BMD Moncks
Puerto Rico
Reynosa
JDE EU
JDE US
MFG Pro 1
MFG Pro 2
MFG Pro 3
MFG Pro 4
MFG Pro 5
BAS
BPV
Davol
BEP
Angiomed
Malaysia
Crawley
JDE China China
Glens Falls
ERP – Current State Relationships
Division Plant Process Visibility
MFG Pro (A) MFG Pro (A) PO Based Semi-Automated
JDE (A) JDE (A) MRP Based Semi-Automated
MFG Pro (A) MFG Pro (B) PO Based Mostly Manual
JDE (A) MFG Pro (multiple) PO Based Manual
MFG (Pro) JDE (multiple) PO Based/XLS Manual
JDE/MFG EM Supplier Paper/XLS Manual
JDE/MFG Pilot XLS Manual
JDE/MFG Legacy (SenoRX) XLS Manual
Supply Chain Process – Current State
Customers Bard OUS Region Bard US Division Manufacturing
JDE 3
JDE 2 JDE 1
MFG 1
Today, each Region or Division is responsible for its own demand and supply planning. Complexity increases when some OUS Regions place supply requirements on the US-based Divisions, while others order directly from Manufacturing sites. In other words, everyone owns everything amongst several ERP/Planning instances.
Supply chain is slow to react due to number of hand-offs and manual workflows. Inefficiency and confusion contribute to higher inventories more resources to maintain strong service
MX Plant Transactions – 600,000+ annually
APS
Solution Options
Three pathways forward 1.Continue using current ERP and manual planning processes
• Extreme risk of failure • Tremendous risk to Bard’s growth plans • Not cost effective long term due to added headcount and one-off ERP
modifications
2.Globalize a single ERP platform • Long and expensive implementation (2+ years / $40+ million) • Requires massive change management • Large scale business disruption without added intelligence of APS
3.Continue using current ERP and Implement APS • Minimal risk due to experience and outside expertise • Less invasive and more cost effective • Automates non value added manual processes
Path Forward
Continue using current ERP and Implement APS • Minimal risk due to experience and outside expertise • Less invasive and more cost effective • Automates non value added manual processes • Enables global transparency and increases responsiveness
Realign Functional Responsibilities and Revamp Business Processes
• Demand Planning • Supply Planning
Implementing APS will substantially reduce the number of manual processes while adding a layer of intelligence which further enables Bard’s growth
Realigning responsibilities will drive functional excellence and ensure best practice
Functional Responsibility Realignment
SIOP
Internal Management
Budget Consolidation
Inventory Management
Metrics and Scorecards
Supply Demand
Demand Forecasting
New Product Planning
FG Inventory Target
Customer Service
Recovery Planning/Exe
Consignment Inventory
Process Improvement
SKU Rationalization
Capacity (RCCP)
Master Planning (MRP)
DRP (Future)
Order Management
Inventory Reporting
Parameter/System Maint
What is APS?
Function
• Transparency across all regions
• Global demand is aggregated
• Everyone on the same plan
• Manufacturing receives a single plan
• All data represented in the same way
• All planning processes are the same
• Decisions and tradeoffs are global
Advanced planning and scheduling (APS) is a software which allows more than a dozen different ERP systems to function, and think as a single system, with the additional capability to model manufacturing capacity constraints.
Think
• Plans and recommendations are global
• Demand, inventory and production planned simultaneously not sequentially
• Capacity is modeled so plans are either feasible or alerts are known instantly
• Inventory health is modeled months in advance
• Simulation and what-if analysis capability
APS is capable of rapid and frequent re-planning. Global supply and demand are modeled every week, reacting to changes within weeks, rather than months as seen today
APS vs ERP
APS and ERP are two very different tools. ERP executes the local operational and financial transactions and provides reporting. APS makes globally optimized, constrained decisions across multiple systems.
The brain: APS • Flexible decision support • Constrained logic • Global, simultaneous planning • Flexible, what-if modeling capability • Automates PO execution • Exception management via alerts
The body: ERP • Executes the decisions • Performs the transactions • Unconstrained - does what it is told • Rigid and can be difficult to change • Local, restricted visibility • Maintains the data for reporting
• Operations • Quality • Finance
Scenario Example
Today
• 2-4 weeks will pass before the sales pattern is acknowledged
• Purchase orders are sent from China to LAPAC SCM
• 2-3 weeks will pass before the LAPAC orders are due to Davol SCM
• 2-3 weeks will pass before Davol Orders are sent to BPR in consolidation
• 3-6 weeks until the shop floor orders are changed
• Only at this time do we see the capacity or component shortage resulting in 3-5 phone calls or meetings
• Off line (spreadsheet) analysis which takes 2-7 days will be used to allocate production and inventory resulting in BO and expedite
• More wasteful time spent on the phone diagnosing spreadsheets to document the root cause of variance and BO for executive review (RGL).
Dealer demand in China increases the sales for Davol Mesh by 15% each week. China is on a monthly planning cycle with Davol for product produced in Puerto Rico
With APS
• Increased sales rate is picked up daily triggering a demand alert
• Global weekly re-plan aggregates China demand will LAPAC, US, EU and ROW simultaneously
• Revised global plan is sent to BPR considering global inventory pool and current capacity
• If projected inventory health or capacity limits are violated, an automated alert is sent to SCM, BPR and China
• Decision to leverage existing inventory and then overtime to increase capacity in short term is made within 7-10 days of original signal and entire globe is re-planned for Mesh
• APS system isolates, and reports the alert as a spike in China demand = ‘X’ units/dollars resulting in ‘Y’ hours of overtime
APS eliminates most of the latent planning cycle time dramatically increasing responsiveness while driving down wasteful activities at all levels
Flow of Information – Current State Nogales Facility Example
25 Touch Points
Flow of Information – Future State Nogales Facility Example
APS
APS
APS
APS
14 Touch Points
Constraint-Based Planning Logic in APS
Time Today X
Frozen Period
Total Capacity
Standard Capacity
No order changes will be recommended within the frozen period
Planned orders will not be pushed out unless they violate total capacity
Constraint-Based Planning in APS
Time Today X
Frozen Period
Total Capacity
Standard Capacity
No order changes will be recommended within the frozen period
Planned orders will not be pushed out unless they violate total capacity
Planned orders above total capacity will be pulled in until all standard capacity is filled
Q & A
Appendix
Quality
Integrity
Service
Innovation
The BARD Focus on Patients
Springs from a History of
Values Core to Our Culture
Our Guiding
Principles
Passion for our work
Be indispensable to our customers
Foster creative thinking
Highest ethical behavior
Demonstrate ownership and pride
Leadership by example
Play to win
Advancing Key Areas of
Medicine
Urology
Vascular
Oncology
Surgical Specialties
Bard Medical Division, Covington, GA
• Foley Catheters & Catheter Accessories
• Urinary Collection Products
• Urological Monitoring Systems
• Catheter Stabilization Devices
• Ventilator Associated Pneumonia
Prevention Devices
• Stool Management Systems
• Endourological Specialties
• Urinary Incontinence Products
• Pelvic Floor Support Devices
Urology
Vascular Bard Peripheral Vascular, Inc., Tempe, AZ
• Vascular Grafts
• Angioplasty Catheters
• Stents
• Vena Cava Filters
• Stent Grafts
• Chronic Total Occlusion Crossing Devices
Bard Peripheral Vascular, Inc., Tempe, AZ
• Vascular Grafts
• Angioplasty Catheters
• Stents
• Vena Cava Filters
• Stent Grafts
• Chronic Total Occlusion Crossing Devices
Bard Electrophysiology Division, Lowell, MA
• Ablation Catheters
• Diagnostic Catheters
• Introducers & Transseptal Products
• Steerable Catheters
• Temporary Pacing Electrodes
• Lab Systems
Vascular
Oncology Bard Access Systems, Inc., Salt Lake City, UT
• Implanted Ports
• Dialysis Catheters
• PICC Lines
• Long-Term Catheters
• Portable Ultrasound Venous Access
• Enteral Feeding Devices
• Central Venous Catheters
• Midlines
Oncology Bard Access Systems, Inc., Salt Lake City, UT
• Implanted Ports
• Dialysis Catheters
• PICC Lines
• Long-Term Catheters
• Portable Ultrasound Venous Access
• Enteral Feeding Devices
• Central Venous Catheters
• Midlines
Bard Medical Division, Covington, GA
• Prostate Cancer – Brachytherapy Products
Bard Access Systems, Inc., Salt Lake City, UT
• Implanted Ports
• Dialysis Catheters
• PICC Lines
• Long-Term Catheters
• Portable Ultrasound Venous Access
• Enteral Feeding Devices
• Central Venous Catheters
• Midlines
Bard Medical Division, Covington, GA
• Prostate Cancer – Brachytherapy Products
Bard Biopsy Systems (A business unit of Bard Peripheral Vascular, Inc. Tempe, AZ)
• Core Needle Biopsy
• Vacuum Biopsy
Oncology
Supply Chain Process – Current State
Customers Bard OUS Region Bard US Division Manufacturing
JDE 3
JDE 2 JDE 1
MFG 1
Supply chain is slow to react due to number of hand-offs and manual workflows. Inefficiency and confusion contribute to higher inventories more resources to maintain strong service
Order Order 1wk 30-90 days 30-60 days
Order Shop Order
30 days