Differentiating the hospital supply chain for enhanced performance

Thesis (M. Eng. in Logistics)--Massachusetts Institute of Technology, Engineering Systems Division, 2005.Includes bibliographical references (leaves 51-52).This thesis determines how to design the supply chain policies in a hospital for the wide array of products that exist there. This research was done through interviewing staff and analyzing data of two hospitals implementing automated point of use systems. This thesis argues that a hospital needs to implement more than one supply chain policy in order to achieve its objective of maximizing patient care while avoiding prohibitive costs. The research further proposes that a hospital should develop its supply chain for a specific product based on that product's unit cost, demand, variability, physical size, and criticality. The research analyzes demand data from two hospitals and demonstrates that hospital demand can be modeled using a variation of Croston's method for intermittent demand. This fact was used to generate an appropriate s, Q inventory policy that can be adjusted to fit any product and supply chain policy implemented within the hospital. Under simulation, the proposed inventory policy outperformed existing policies by over 50%. This research further argues current aggregate and "one-size-fits-all" strategies are inappropriate in a hospital and discusses the importance for hospitals to add physical size and criticality attributes to their product master files as these will enable further supply chain enhancements.by Derek T. DeScioli.M.Eng.in Logistic