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SUPPLY CHAIN OF
MTC
SIGNIFICANT COST REDUCTION OF SUPPLY CHAIN ENABLING
TO OVERCOME THE MEDICAL DEVICE EXCISE TAX
ABOUT MYSELF
• Myself Mohammad Anayet Ullah Khan. I’m from Dhaka, Bangladesh. I’m a
pharmacy graduate and completed post graduation at Pharmacology and
clinical Pharmacy from North South University. Although my education
background indicates I have came from a healthcare discipline, but in my
professional life, I’m serving as a Senior Commercial & TSD Executive to a
Pharmaceutical Company since 2013. I’m passionate to learn the technical
issues of Supply Chain Management, which may makes me an ideal supply
chain personal. In this presentation I will show you about what could be
the possible approach of MTC to overcome the Medical Device Excise Tax.
CASE STUDY IN BRIEF
• You all know that, Chris Evert, Chief Supply Chain Officer of MTC has
been asked to implement a possible way to overcome the Medical Device
Excise Tax (2.3%) from revenue. The only way to do this is to change
something in their supply chain. The supply chain of MTC consist of a
model of manufacturing of surgical devices followed by off-site sterilization
process. This off-site sterilization takes total of 72 hours to enable the
product to be shipped after manufacturing. Than the product distributed
either by a Medical Surgical Distributor (MSD) or by using their own 3PL.
Both process have some advantage or disadvantages, If it is by MSD, than
they don’t need to manage inventory and can earn quick revenue. On the
other hand in 3PL..
CASE STUDY CONTINUE…
• Inventory can be managed by MTC on their own and they have a control on
demand and forecast. The way of 3PL is that, they have to distribute the
product in Central distribution center to Regional distribution center and that
carry way to hospitals by a sales team. Sales team are promoting their product
to the physicians and often carry away trunk stock. The average sales
representatives salary is $300,000. Hospital Group Purchasing Organization
(GPO’S) responsible to control the purchase and use of the surgical devices.
They are there to minimize the purchase cost. To overcome the situation
lobbying at gov. offices is an way to have legislative change. But that is
uncertain issue. Evert understand she has to do something with Supply Chain
Management.
EXECUTIVE SUMMARY
• Here I will summarized about the strategy of Supply Chain that should
follow by MTC to overcome the Medical Device Excise Tax (MDET)
1. Blocking the loop of cost: First MTC have to find out the loopholes where
extra cost is associated. Net earning should be maintain in a fixed ratio
and for that cost of goods should be deducted. Again cost is also
associated in other factors like, Gape of supply planning based on
forecast and port demurrage.
2. Logistic network: One of the most vital factor. Logistic design should be
as follows for MTC;
Manufacturer
In-house sterilization
Distribution
Hospital Hospital
Groups Groups
Physicians
Minimize
ME MAPE MSE
MTC
-635 115% 102,587,493
Cumulative Mean
190 168% 176,487,950
My Forecast
house sterilization and also Actual MTC Forecast Cumulative-Mean Moving-Average Exponential Smoothing
2013
Month
January
Actual
Demand
26,203
MTC
Forecast
31,258
Error
-5,055
Abs % Error
19%
Square Error
25,553,025
Forecast Error Abs % Error Square Error Forecast Error Abs % Error Square Error Forecast
25,000
Error
1,203
Abs % Error
5%
Square Error
625,000,000
2013 March 18,977 31,258 -12,281 65% 150,822,961 29,971 -10,994 58% 120,868,036 25,010 -6,033 32% 625,500,100
2013
April
May
40,057
33,429
32,747
32,240
7,310
1,189
18%
4%
53,436,100
1,413,721
26,306
29,744
13,751
3,685
34%
11%
189,090,001
13,579,225
26,306
30,924
13,751
2,505
34%
7%
189,090,001
6,275,025
25,004
25,019
15,053
8,410
38%
25%
625,200,016
625,950,361
2013 June 18,070 29,770 -11,700 65% 136,890,000 30,481 -12,411 69% 154,032,921 30,821 -12,751 71% 162,588,001 25,027 -6,957 39% 626,350,729
47,283
2013 August 1,852 22,327 -20,475 1106% 419,225,625 31,108 -29,256 1580% 855,913,536 32,927 -31,075 1678% 965,655,625 25,042 -23,190 1252% 627,101,764
42,170
2013
September
October 30,419
29,770
32,747
12,400
-2,328
29%
8%
153,760,000
5,419,584
27,451
29,087
14,719
1,332
35%
4%
216,648,961
1,774,224
22,402
30,435
19,768
-16
47%
0%
390,773,824
256
25,019
25,036
17,151
5,383
41%
18%
625,950,361
626,801,296
solution;
32,223
2013 November 28,281 3,942 12% 15,539,364 29,220 3,003 9% 9,018,009 24,814 7,409 23% 54,893,281 25,041 7,182 22% 627,051,681
22,894
2013 December 20,839 2,055 9% 4,223,025 29,493 -6,599 29% 43,546,801 34,937 -12,043 53% 145,033,849 25,048 -2,154 9% 627,402,304
2014 January 27,135 32,763 -5,628 21% 31,674,384 28,943 -1,808 7% 3,268,864 28,512 -1,377 5% 1,896,129 25,046 2,089 8% 627,302,116
2014 April 41,514 34,323 7,191 17% 51,710,481 28,603 12,911 31% 166,693,921 27,245 14,269 34% 203,604,361 25,053 16,461 40% 627,652,809
2014 May 34,581 32,763 1,818 5% 3,305,124 29,410 5,171 15% 26,739,241 32,038 2,543 7% 6,466,849 25,069 9,512 28% 628,454,761
planning and maximize the 2014 June 18,685 32,763 -14,078 75% 198,190,084 29,714 -11,029 59% 121,638,841 31,911 -13,226 71% 174,927,076 25,079 -6,394 34% 628,956,241
48,953
2014 July 34,323 14,630 30% 214,036,900 29,102 19,851 41% 394,062,201 31,593 17,360 35% 301,369,600 25,073 23,880 49% 628,655,329
2014 August 1,838 21,842 -20,004 1088% 400,160,016 30,146 -28,308 1540% 801,342,864 34,073 -32,235 1754% 1,039,095,225 25,097 -23,259 1265% 629,859,409
2014 October 31,457 34,323 -2,866 9% 8,213,956 29,443 2,014 6% 4,056,196 31,489 -32 0% 1,024 25,093 6,364 20% 629,658,649
33,346
2014 November 28,082 5,264 16% 27,709,696 29,534 3,812 11% 14,531,344 25,657 7,689 23% 59,120,721 25,099 8,247 25% 629,959,801
23,677
2014 December 23,402 275 1% 75,625 29,700 -6,023 25% 36,276,529 36,159 -12,482 53% 155,800,324 25,107 -1,430 6% 630,361,449
EXECUTIVE SUMMARY CONTINUE…
• So this is all about my presentation where I have provided all the inputs
for designing, operating the MTC supply chain model. I’m confident enough
that, my proposal will surely enable MTC to overcome the 2.3% Medical
Devices Excise Tax.
• I have tried my level best to design the supply chain in a strategic manner
to overcome this situation and be a competitive vendor for Hospital groups.
Although if there any mistakes there in my presentation would like to hear
your positive reply to overcome that.