First of all I couldn't insert drawing in here section.

Outbound logistics is a way to get the finished product

to its destination. Outbound logistics networks
typically work with partners that are different from
inbound logistics networks. I would try the best to
describing the outbound product flow in three
scenario as follows :
1.-------------------Scenario 1 : Manufacturers
----------------------------------> delivered to
vendor----> delivered to health care
provider (individual health professional or a
health facility organization)- - > HOSPITAL
2.------------------Scenario 2 : Manufacturers
------------------------------------------------> delivered to
3rd Party 3PL Logistics (Shipping, Warehousing, and
Consulting)-----------> delivered to health care
provider (individual health professional or a health
facility organization)----------------> delivered by
sales representatives to HOSPITAL
3.-----------------------------------Scenario 3 :
Manufacturers---------------------> delivered by
Group Purchasing Organization (GPO) to simplify
the purchasing process by taking advantage of better
pricing, service levels and vendor account
representation. By partnering with a GPO, private
enterprises can gain more spend under management
and transform their supply chain. > dlivered to
health care
provider (individual health professional or a health
facility organization)----------------> HOSPITAL

I want to change several existing process such as :

1.Removing off-site sterilization process as it is adding

48 hours of transportation
unnecessarily. It should be installed in the
logistics network.
2.The company has seasonal demand, it better
utilizing 3PL as third party logistics provider to
generate cost savings & scalability.
3.Adding sales representatives to deliver product
directly to the hospital operational room.

The changes I would improve as follows :

1.Changing sterilization from off-site to internal

sourcing.
2.Will rely sales kiosk at hospitals heavily.
3.Reducing supply chain lead times by performing
sterilization process.

Improvements will result in positive finance outcomes

because of the following :

1. 3PL will reduce/generate cost savings & scalability.

2.Smart Kiosks can optimizing and improving supply
chain management powerfully.
3.By using Group Purchasing Organization (GPO) it
can simplify the purchasing process by taking