1. Supply Chain Integration
2. Benefits of Supply Chain Integration
3. Push System
4. Pull System
5. Push vs Pull
6. Integration of Push and Pull Strategy
7. Lead Time and its Impact
8.Demand-Driven Strategies
An introduction to supply chain management and role of transportataionBehzad Behdani
This presentation provides a brief introduction about “supply chain management” and especially, the role of transportation in the smooth operation of “modern” supply chains is discussed.
(i) Cycle View (ii) Push & Pull View of the Supply Chain, Supply Chain Responsiveness. Strategic Fit between Business Strategy and Supply Chain Strategy, Achievement of Strategic Fit through different steps, Obstacles to achieving Strategic Fit.
the presentation is about managing coordination between the supply chains for fast movement of resources.factors affecting the coordiantion in supply chain.
study about the supply chain, flexibility and bullwhip effect on scm in small...sushil Choudhary
The purpose of this work is to study, bullwhip effect on supply chain management and discuss the
develop a conceptual model on the potential barriers in the implementation of supply chain flexibility in small-scale
industries. The model suggests that supply chain flexibility can be researched using a three-tier approach:
identification of risks, identification of potential barriers emerging from these risks, identification of bridges to these
barriers. The proposed is based on the view of problems of small-scale industries as well as the limited research on
supply chain flexibility. The studies indicated that the three main barriers to flexibility in supply chains are
improper integration between systems, Supply Chain Function cost and quickening pace of product innovation.
Some ways to overcome these barriers and act as bridges are also summarized. The field of study of supply chain
flexibility presents numerous options for fresh research work.
An introduction to supply chain management and role of transportataionBehzad Behdani
This presentation provides a brief introduction about “supply chain management” and especially, the role of transportation in the smooth operation of “modern” supply chains is discussed.
(i) Cycle View (ii) Push & Pull View of the Supply Chain, Supply Chain Responsiveness. Strategic Fit between Business Strategy and Supply Chain Strategy, Achievement of Strategic Fit through different steps, Obstacles to achieving Strategic Fit.
the presentation is about managing coordination between the supply chains for fast movement of resources.factors affecting the coordiantion in supply chain.
study about the supply chain, flexibility and bullwhip effect on scm in small...sushil Choudhary
The purpose of this work is to study, bullwhip effect on supply chain management and discuss the
develop a conceptual model on the potential barriers in the implementation of supply chain flexibility in small-scale
industries. The model suggests that supply chain flexibility can be researched using a three-tier approach:
identification of risks, identification of potential barriers emerging from these risks, identification of bridges to these
barriers. The proposed is based on the view of problems of small-scale industries as well as the limited research on
supply chain flexibility. The studies indicated that the three main barriers to flexibility in supply chains are
improper integration between systems, Supply Chain Function cost and quickening pace of product innovation.
Some ways to overcome these barriers and act as bridges are also summarized. The field of study of supply chain
flexibility presents numerous options for fresh research work.
Supply chain definition
The systemic, strategic coordination of the traditional business functions and the tactics across these business functions within a particular company and across businesses within the supply chain, for the purposes of improving the long-term performance of the individual companies and the supply chain as a whole.”
“A supply chain is the alignment of firms that bring products or services to market.”
“A supply chain consists of all stages involved, directly or indirectly, in fulfilling a customer request. The supply chain not only includes the manufacturer and suppliers, but also transporters, warehouses, retailers, and customers themselves.”
“A supply chain is a network of facilities and distribution options that performs the functions of procurement of materials, transformation of these materials into intermediate and finished products, and the distribution of these finished products to customers.”
“Supply chain management is the coordination of production, inventory, location, and transportation among the participants in a supply chain to achieve the best mix of responsiveness and efficiency for the market being served.”
There is a difference between the concept of supply chain management and the traditional concept of logistics. Logistics typically refers to activities that occur within the boundaries of a single organization and supply chains refer to networks of companies that work together and coordinate their actions to deliver a product to market. Also traditional logistics focuses its attention on activities such as procurement, distribution, maintenance, and inventory management. Supply chain management acknowledges all of traditional logistics and also includes activities such as marketing, new product development, finance, and customer service. Supply chain management views the supply chain and the organizations in it as a single entity. It brings a systems approach to understanding and managing the different activities needed to coordinate the flow of products and services to best serve the ultimate customer.
Different supply chain requirements often have conflicting needs. For instance, the requirement of maintaining high levels of customer service calls for maintaining high levels of inventory, but then the requirement to operate efficiently calls for reducing inventory levels. It is only when these requirements are seen together as parts of a larger picture that ways can be found to effectively balance their different demands.
Effective supply chain management requires simultaneous improvements in both customer service levels and the internal operating efficiencies of the companies in the supply chain. There is a basic pattern to the practice of supply chain management. Each supply chain has its own unique set of market demands and operating challenges and yet the issues remain essentially the same in every case. Companies in any supply chain must make decisions indivi
The Supply Chain Management has the potential to improve Company’s competitiveness. Supply chain capability is as important to a company's overall strategy as overall product strategy. It encourages management of processes across departments. By linking supply chain objectives to company strategy, decisions can be made between competing demands on the supply chain. The impact of managing overall product demand and the supply of product will impact the profitability of the company.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
The Importance of Community Nursing Care.pdfAD Healthcare
NDIS and Community 24/7 Nursing Care is a specific type of support that may be provided under the NDIS for individuals with complex medical needs who require ongoing nursing care in a community setting, such as their home or a supported accommodation facility.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...
Supply chain Integration
1. Seminar on
“Supply Chain Integration, Push, Pull and Push-Pull Systems, Impact of
Lead Time, Demand-driven Strategies”
Presented by:-
Name: Soumya Priyadarshini
Course/Batch : MHA/2020-22 (2nd Semester)
Subject : Material and Supply Chain Management (HA6006)
School of Public Health
2. CONTENTS:
1. Supply Chain Integration
2. Benefits of Supply Chain Integration
3. Push System
4. Pull System
5. Push vs Pull
6. Integration of Push and Pull Strategy
7. Lead Time and its Impact
8.Demand-Driven Strategies
3. SUPPLY CHAIN INTEGRATION
• Supply chain integration is a large-scale business strategy that brings as many links
of the chain as possible into a closer working relationship with each other. The
goal is to improve response time, production time, and reduce costs and waste.
Every link in the chain benefits. An integration may be done tightly through a
merger with another firm in the supply chain, or loosely through sharing
information and working more exclusively with particular suppliers and
customers. In the latter case, the supply chain isn’t truly “owned” by one company,
but the various links operate almost as if one company to increase efficiency and
benefit everyone through steady, reliable business.
• Supply chain integration can be defined as a close calibration and collaboration
within a supply chain, mostly with the application of shared management
information systems. A supply chain is made from all parties that participate in the
completion of a purchase, like the resources, raw materials, manufacturing of the
product, shipping of completed products and facilitating services.
6. PUSH SYSTEM
• In a push-based supply chain, the goods are pushed with the help of a medium, from the source
point, e.g., the production site, to the retailer, e.g., the destination site. The production level is set in
accordance with the previous ordering patterns by the manufacturer. The push supply chain is
represented as the built-to-stock model.
• A push-based supply chain is time consuming when it has to respond to fluctuations in demand,
which can result in overstocking or bottlenecks and delays, unacceptable service levels and product
obsolescence.
• This system is based on the deliberation of customer’s demand. It tries to push as many products into
the market as possible. As a result, the production is time consuming because the producer and the
retailer struggle to react to the changes in the market. Forecast or prediction plays an important role
in the push system.
• Optimum level of products can be produced through long term prediction. This deliberative nature of
the push system leads to high production cost, high inventory cost as well as high shipment cost due
to the company’s desire to halt products at every stage.
• Thus, in the push view of supply chain integration, the manager of a firm may sometimes fail to
satisfy or cope with the fluctuating demand pattern. This system leads to high inventory and high
size of batches.
7. PULL SYSTEM
• The pull supply chain is predicated on known demand from specific
customer needs. This was considered to be a build-to-order model. In
other words, the pull-based supply chain is based on demand-driven
techniques; the procurement, production and distribution are demand-
driven rather than predicting. .
• In this system, the demand is real and the company responds to the
customer demands. It assists the company in producing the exact
amount of products demanded by the clients.
• The major drawback in this system is that in case the demand exceeds
than the amount of products manufactured, then the company fails to
meet the customer demand, which in turn leads to loss of opportunity
cost.
8.
9. INTEGRATION OF PUSH AND PULL STRATEGY
• Mostly we find a supply chain as merger of both push and pull systems, where the medium between the
stages of the push-based and the pull-based systems is referred as the push–pull boundary. The terms
push and pull were framed in logistics and supply chain management, but these terms are broadly used
in the field of marketing.
For example, WalMart implements the push vs. pull strategy. A push and pull system in business
represents the shipment of a product or information between two subjects. Generally, the
consumers use pull system in the markets for the goods or information they demand for their
requirements whereas the merchants or suppliers use the push system towards the consumers.
• In supply chains, all the levels or stages function actively for the push and the pull system. The
production in push system depends on the demand predicted and production in pull system depends on
absolute or consumed demand.The medium between these two levels is referred as the push–pull
boundary. Generally, this strategy is recommended for products where uncertainty in demand is high.
Further, economies of scale play a crucial role in minimizing production and/or delivery costs.
For example, the furniture industries use the push and pull strategy. Here the production unit
uses the pull-based strategy because it is impossible to make production decisions on the basis on
long term prediction. Meanwhile, the distribution unit needs to enjoy the benefits of economy of
scale so that the shipment cost can be reduced; thus it uses a push-based strategy.
10.
11. LEAD TIME AND ITS IMPACT
• Lead time is the time gap between placing an order and receiving the supplies. Before understanding
the impact of lead time first lets study its types. There are several different types of Lead Time, but
there are four primary types of Lead Time:
1.Customer Lead Time – the amount of time taken between order confirmation and order fulfillment
2.Material Lead Time – the amount of time it takes to place an order with a supplier and receive it,
from confirmed order to having it on hand.
3.Factory/Production Lead Time – the amount of time it takes to build and ship a product if all the
materials are available.
4.Cumulative Lead Time – the total amount of time it would take from confirmed order to delivery of
product if you had to order all the materials (if none were on hand). It is the summation of material
lead time and factory lead time.
• Impact
1.If lead time is higher then it will lead to consumption from the safety stock which would result in
stock outs and finally the patient care can be affected. In case of emergency, the patient may die.
2.If the lead time is lower then more amount of capital will get blocked and which may introduce
inefficiency i.e a situation may arise that the quantity of stock may go beyond the maximum stock
levels.
12. Basic lead time formula is:
Lead time (LT) = Order Delivery Date – Order Request Date
• But in the context of inventory management, this formula also accounts for a reordering delay.
Lead time (LT) = Supply Delay (SD) + Reordering Delay (RD)
Supply delay is the time a supplier takes to fulfill a customer order after it’s placed.
Reordering delay is the time gap between a fulfilled order and the placement of the next order.
For example, let’s say your average daily sales or average daily usage for milk is 20 liters. And
supplier A accepts orders for milk only after every 2 days. This means that the reordering delay for
your milk supplier is 2 days.
Now, let’s assume that A takes 1 day to deliver milk to your warehouse. This makes their supply
delay 1 day.
In this case,
Lead time = Supply delay (1 day) + Reordering delay (2 days) = 3 days
13.
14. DEMAND-DRIVEN STRATEGIES
• A Demand-driven Supply Chain (DDSC) is defined as a supply chain management
method focused on building supply chains in response to demand signals. The main
force of DDSC is that it is driven by customer demand. In comparison with the
traditional supply chain, DDSC uses the pull (Demand pull) technique. It gives the
market opportunities to share more information and to collaborate with others in the
supply chain.
• In a traditional supply chain, inventory or services are provided based on a forecasted
demand and historical sales patterns, however, in a demand driven supply chain
companies that form part of the supply chain work closely to shape market demand by
sharing and collaborating information so avoiding time lags in information flow, with a
view to avoiding the bullwhip effect occurring across the supply chain.
• A Demand-Driven Supply Chain is dependent on aligning all entities across the supply
chain through information flows. A true DDSC can always adapt to the changing
market conditions thereby maintaining or reducing inventory levels and reduce the
invasive problem of expedited orders.