1. Questions from Day 1
1. Provide an example of a combined good/service.
2. What is servitization?
3. What is effectiveness and efficiency? How are they related?
4. Harley questions
5. Which are the legislative risks associated with international supply chains?
6. Which are the strategies that help mature supply chain organisations to embed the
concept of risk into their strategy?
7. How must supply chain organisations change with the times to ensure ongoing
success?
8. What is the holistic view in sustainability?
9. Which trends are identified in the article?
Dr. Elias A. Hadzilias – OCI February 2012 1
2. SUPPLY CHAIN COMPLEXITY:
Dealing with a Dynamic System
Dr. Elias A. Hadzilias – OCI February 2012 2
3. Complexity definition
An intricately structured and variable system
Highly sensitive in its adjustment to the initial
conditions or to even minor changes, creating a vast
number of development possibilities
A large collection of interacting components
Difficult to understand or examine due to its design
and/or operations
A system in process, changing and developing over
time
Dr. Elias A. Hadzilias – OCI February 2012 3
4. Supply Chain Complexity Study
Conducted by PRTM
Management consultants
and MIT in 2006.
80 percent of the
participating companies
believed their supply chains
to be highly complex.
Almost 60 percent of the
participants also thought
that their supply chain had a
high infrastructure cost
basis.
Dr. Elias A. Hadzilias – OCI February 2012 4
5. Three main aspects of complexity
Operational complexity
Logical complexity
Administrative complexity
The article analyses the first 2 aspects.
Dr. Elias A. Hadzilias – OCI February 2012 5
6. Operational complexity factors
Diverse logistics with numerous transportation options (sea,
land and air), requiring that organisations make daily
decisions to remain competitive.
Unpredictable influences on supply times, such as port
strikes, natural disasters, etc., forcing businesses to increase
their level of safety stock to maintain the level of service.
Navigation of foreign regulations and legal restrictions.
The need for professional cultural and linguistic specialisation
in order to benefit from the opportunities offered by the
global economy.
Dr. Elias A. Hadzilias – OCI February 2012 6
7. Globalisation forces
Management of several production sites simultaneously
Specialisation of production centers
A need for customer/supplier proximity in order to minimise
transport and distribution costs
Risk management and disaster recovery plans
Reduced flexibility in the event of production line failures
Planning process complexities and capacity balancing
headaches
Making decisions on what to manufacture, where to
manufacture it and where to source raw materials
Overall management and control of inventories and processes
Dr. Elias A. Hadzilias – OCI February 2012 7
9. Informational (logical) complexity
Bullwhip effect
Demand?
Price fluctuations?
Sales promotion campaigns?
Dr. Elias A. Hadzilias – OCI February 2012 9
10. Solution: prevention, reduction and management
Prevention of complexity is achieved by analysing the root causes of
complexity and quantifying it as a monetary value, permitting a
comparison of complexity costs with the commercial benefit of each root
cause.
Reduction in complexity is obtained through a proper balance between
centralised and decentralised planning. Another approach is by building a
streamlined and optimal operational and business model, which pushes
the differentiation point closer to the customer…
Dr. Elias A. Hadzilias – OCI February 2012 10
12. Complexity management examples
Southwest Airlines: same
vessel type
Toyota: internal
standardisation
Dell: innovative business http://www.transbus.org/reseaux/59000.html
model
In-class complexity discussion
IKEA: ?
Easyjet: ?
Transpole: ?
Greek railway: ?
Dr. Elias A. Hadzilias – OCI February 2012 12
13. Conclusions
SOLUTIONS TO COMPLEXITY ISSUES
Reduction of “long tail” customers, catalog numbers, suppliers with low
sales turnover which increase complexity without adding value.
Continuous examination of item costs along the supply chain (landed cost
analysis) and emphasis on local procurement/production decisions,
reducing total supply chain complexity.
Pushing the differentiation point, understanding end customer demand,
standardisation of elements of which the customer is not aware and
involving the supply chain in product development processes, thus
avoiding unnecessary complexity along the chain.
Local and lean management versus centralised, multi-system
management to reduce supply chain complexity.
Dr. Elias A. Hadzilias – OCI February 2012 13
14. THE COMPLEXITY IMPERATIVE:
HOW FINANCIAL SERVICES FIRMS
MUST GRAPPLE WITH THE
FUNDAMENTAL REALITY THAT
THEIR BUSINESS OPERATIONS AND
SYSTEMS ARE TOO COMPLEX
Dr. Elias A. Hadzilias – OCI February 2012 14
15. Complexity characteristics
Too many process or product variants
Too many interdependencies and interfaces
Process bottlenecks and fragmentation
Technology legacy proliferation
Lack of structure and clear rules
High cost and management effort attributed to running and
improving the organization
Executives rarely use the words “managing complexity” when describing the
challenge of upgrading the operational performance of their organizations.
Instead, they struggle to cope with the symptoms of complexity – issues that
have arisen out of underlying business decisions, policies and practices over
time.
Dr. Elias A. Hadzilias – OCI February 2012 15
16. Barriers to overcome complexity
Complexity is structural; deeply-embedded in the business
and operating models of their institutions.
Complexity is cultural; organizations have been
unintentionally designed to produce complexity based on
behavior that has driven profits over the last several years.
The linkages between delivery systems and product
organizations have grown in an unstructured manner instead
of being engineered to avoid unnecessary complexity.
Without clear top-down definition of value to the customer,
organizations will freelance and create overly complex
operations, processes and systems.
Dr. Elias A. Hadzilias – OCI February 2012 16
17. Trade-Off between Cost and Value of Complexity
Dr. Elias A. Hadzilias – OCI February 2012 17
19. Business model complexity drivers
One of the major sources of complexity in financial
institutions is the proliferation of products, distribution
channels, pricing, customer segments and locations.
In seeking to enhance a product feature, such as interest
terms or account bundling, banks all too often simply added a
new product where they lacked a product framework (i.e.,
structured, modular, hierarchical) that could differentiate
between a new product, an existing product variant, a new
product feature, a product parameter, or the associated
service dimensions – and facilitate rationalization.
Dr. Elias A. Hadzilias – OCI February 2012 19
21. Information technology complexity drivers
Inflexible, outdated code
Overlapping and redundant systems
Excessive patching and interfacing
Technology proliferation
Competing IT standards, vendors, architectures and
philosophies
Immature or under-developed IT management
practices
Dr. Elias A. Hadzilias – OCI February 2012 21
22. Governance and organizational complexity drivers
Structures, governance models, planning and
budgeting processes create non-value adding
complexity.
Autonomous organizations, along with decentralized
incentives, motivate business heads to optimize their
own units’ performance at the expense of
externalizing complexity costs to the wider group.
Most often, there is no business-aligned “operating
architecture” that would define the overall target
operational blueprint across business model,
operations and IT in a clear and binding way.
Dr. Elias A. Hadzilias – OCI February 2012 22
23. Case study from the financial sector
Major consumer finance company had a complex
product, process and IT architecture that was
restricting its growth and had driven unit costs to
levels far above peer averages.
The company decided to launch a “back to basics”
program aimed at reducing complexity front-to-back,
targeting a 10% revenue lift and a 30% cost
improvement within two years.
As a starting point, the company focused on
simplifying its product portfolio.
Dr. Elias A. Hadzilias – OCI February 2012 23
24. Key characteristics of the reengineering project
Dr. Elias A. Hadzilias – OCI February 2012 24
25. Reengineering roadmap to complexity reduction
Benchmark the organization against best-in-class
peers
Uncover the complexity drivers that need to be
remedied
Develop a simplified target operating model
Execute and manage change
Dr. Elias A. Hadzilias – OCI February 2012 25
26. MASTERING COMPLEXITY
CAPTURE THE HIDDEN OPPORTUNITY
Dr. Elias A. Hadzilias – OCI February 2012 26
27. Portfolio complexity drives operational
complexity across the value chain
Dr. Elias A. Hadzilias – OCI February 2012 27
28. 1st step: collect information
Revenues and costs by product
line and profit or cost center
Production volumes by
production location and
product line Cost picture
Cost, capacity, and utilisation of by
equipment product line
Overhead related to support
functions
Inbound, outbound and
intraplant logistics.
Dr. Elias A. Hadzilias – OCI February 2012 28
29. 2nd step: quantify and model three key factors
Scale: the effect of volume on costs per unit
Efficiency: relative productivity, utilisation (average
and peak), and process complexity (automation,
handovers, and standardisation)
Factor costs: input costs (such as labour), operating
costs (such as fuel or IT) and logistics costs (such as
shipping)
Dr. Elias A. Hadzilias – OCI February 2012 29
30. 3rd step: create cost/value matrix
Dr. Elias A. Hadzilias – OCI February 2012 30
31. Eight strategies for mastering complexity
Make complexity transparent
Apply the “80/20” rule
Optimise the whole, not the separate silos
Segregate complexity into separate systems
Bundle features together to “standardise” complexity
Define plant and asset roles
Identify roadblocks—and delayer
Challenge assumptions and model new scenarios
Dr. Elias A. Hadzilias – OCI February 2012 31
32. Conclusions
Most complexity-reduction efforts target existing structures
and processes.
Thinking out of the box can propel a company forward by
orders of magnitude, leaving “business as usual”—and the
competition—in the dust.
What would our business model look like if we offered only one
product?
If we outsourced all manufacturing?
If we sold only online?
If we sold only to China?
What impact would these changes have on production, logistics, sales,
and financial performance?
Henry Ford’s zero-complexity approach to automobile
production proved to be a breakthrough. “People can have the
Model T in any color—so long as it’s black”.
Dr. Elias A. Hadzilias – OCI February 2012 32
33. A FRAMEWORK TO GRASP THE
COMPLEXITY OF HEALTHCARE OPERATIONS
IN ORDER TO IMPROVE PERFORMANCE
Dr. Elias A. Hadzilias – OCI February 2012 33
34. The research questions
Which aspects or factors cause complexity of
healthcare operations?
How can these different aspects be elaborated into a
framework to analyse and assess the complexity of a
particular healthcare operation in order to improve
performance?
Dr. Elias A. Hadzilias – OCI February 2012 34
35. The 4 complexity aspects
Input uncertainty
Routing complexity and routing variety
Amount of shared resources
Concurrent resource availability
Dr. Elias A. Hadzilias – OCI February 2012 35
36. Input uncertainty
Input uncertainty is defined as a function of the number of
input possibilities in a given healthcare process.
A large range of patients with different demands increases
the input uncertainty.
An increase in the number of input possibilities increases the
information requirements with respect to required capacity.
Input uncertainty can refer to uncertainty on both the unit
level and that of the individual health care process: in that
case it concerns the activities required, the routing, the
timing of activities, and the production or process time of
activities.
Dr. Elias A. Hadzilias – OCI February 2012 36
37. Reducing uncertainty: the focused factory
In 1969, Skinner described in his seminal paper* an
electronics manufacturer that served a heterogeneous
customer base in three industries.
The three customers had different expectations: one
emphasised low costs, the second product reliability, and the
third fast new product introduction.
Yet, the company had decided to serve all markets from a
single factory.
This, Skinner submitted, was an unfocused factory par
excellence, which from a normative point of view is bad
manufacturing strategy.
* Skinner, W., 1969. "Manufacturing - missing link in corporate strategy", Harvard Business
Review, vol. 50, no. 3, pp. 136-145.
Dr. Elias A. Hadzilias – OCI February 2012 37
38. Routing complexity and routing variety
Routing complexity refers to the number of separate
activities and resources in a healthcare operation,
the relationship between these activities and
resources and their restrictions.
The number of different routings of patients in one
patient group is called the routing variety.
Dr. Elias A. Hadzilias – OCI February 2012 38
39. Reducing routing variety and complexity: the
clinical pathway
Clinical Pathway: Critical Path Method (CPM) or
Program Evaluation Technique (PERT)
Dr. Elias A. Hadzilias – OCI February 2012 39
40. Amount of shared resources
A characteristic of a hospital unit, a specialty or a patient
group is that it often shares resources with other units,
specialties or groups in the same hospital in order to achieve
high utilisation rates.
These shared resources seriously complicate the effective
control of the flows of patients and hamper the achievement
of high service levels.
Examples are the beds of an intensive care unit, a physician’s
capacity, and the rooms in the operating theatre.
The benefits of shared resources in terms of high utilisation
rates should be weighed against the drawbacks in terms of
longer lead-times due to waiting times.
Dr. Elias A. Hadzilias – OCI February 2012 40
41. Addressing the shared resources: dedicated and
contracted resources
A solution is to dedicate resources to a specified group of
patients, or to a specialty.
Another solution is to contract resources for specified periods
in which these resources are shared between two or more
specialties, i.e. time-shared resources.
Dr. Elias A. Hadzilias – OCI February 2012 41
42. Concurrent resource availability
The simultaneous availability of resources complicates
planning activities, and can result in waiting times, under-
utilisation of resources and high coordination costs.
Especially, when expensive and scarce resources are involved,
the necessity for the simultaneous availability of different
resources complicates the control of these healthcare
operations.
Dr. Elias A. Hadzilias – OCI February 2012 42
43. Addressing concurrent resource availability:
healthcare teams and integrated jobs
The need for having resources available at the same time, has
motivated hospitals to develop both collaborating healthcare
teams and integrated jobs.
Collaborating healthcare teams deal with complexity by
integrating the required coordination mechanisms in their
way of working, e.g. the multidisciplinary meeting or the use
of boundary spanners, also known as cross-functional liaisons.
Integrated jobs, such as the physician assistant, the nurse
practitioner or the hospital physician, integrate several
required resources into one job. Often, these jobs are
oriented to patient domain rather than to a medical specialty.
Dr. Elias A. Hadzilias – OCI February 2012 43
44. The proposed framework to analyse and assess
the complexity of a healthcare operation
Determine which healthcare operation needs to be analysed
and assessed.
Organise the patients in 2-3 groups
Make a description of the healthcare operation.
Use enterprise modelling techniques
Elaborate the four complexity aspects in such a way that the
causes of complexity of a healthcare operation can be
diagnosed.
Analyse the corresponding elements included in Table 2
Make a diagnosis and analysis of the planning and control
activities used to reduce complexity.
Cost/benefit analysis for the feasibility of the project
Dr. Elias A. Hadzilias – OCI February 2012 44
45. Testing the framework in the cardiology unit of a
Dutch hospital
Description of the healthcare operation: interviews with
cardiologists, nurses, lab assistants and administrators, and
observations
Diagnosing and analysing complexity aspects: interviews
with different healthcare providers, administrators and their
executives, document analysis, and data from agenda and
admission information systems
Planning and control activities: semi-structured interviews
with different healthcare providers involved and their
executives.
Lead-time: data from information systems, and additional
measurements of waiting times.
Dr. Elias A. Hadzilias – OCI February 2012 45
46. Research results and conclusions
Table 3…
The article provides a method to analyse and assess
complexity in order to improve different logistical
performance indicators.
Dr. Elias A. Hadzilias – OCI February 2012 46