Lean and Green Management

CASE 4.2: JIT

AT ARNOLD
PALMER
HOSPITAL
Presented to
Dr. Anand Sasikumar

Presented by
Group 4
Sree Sowmya 20115
Priyanka 20161
 Arnold Palmer Hospital specializes in treatment for
women and children.

Items needed for procedures are dispensed from

machines as requested.

Case Custom surgical packs are requested upon surgery.

Summary McKesson General Medical is APH’s distribution

partner.

Inventory cost lowered from $400,000 to

$114,000.
Just-In-Time(JIT)
Right parts, in right amount,
and at right time!!

1 2 3 4
Improve plant Reduce setup time Strive for zero Develop a Flexible
layout defects workforce.
 Q1. What do Retrieve another pack from inventory

you
Order as soon as possible
recommend be
done when an Communication with distributor about the error
error is found
in a pack as it Quality control team and Poka-Yoke can be one of
the approach
is opened for
an operation? Safety Stock
Q2. HOW MIGHT THE
PROCEDURE FOR
CUSTOM SURGICAL
PACKS DESCRIBED
HERE BE IMPROVED?

 Evaluate carefully how

many packs are needed
for a day’s operations.

 Reduce time frame to

less than a day.

 Inclusion of Kanban
and TPM
Q3. WHEN DISCUSSING JIT IN
SERVICES, THE TEXT NOTES THAT
SUPPLIERS, LAYOUT, INVENTORY, AND
SCHEDULING ARE ALL USED. PROVIDE
AN EXAMPLE OF EACH OF THESE AT
ARNOLD PALMER HOSPITAL.

For
For Suppliers For layout For inventory
Scheduling
• Providing • Storage is • Minimum • Scheduling
high class located near inventory meets
services and the work area. increases demand.
on time quality and • Only when
deliveries accuracy. needed.
 Q4. When a doctor
proposes a new
surgical procedure,
how do you
recommend the SKU
for a new custom
pack be entered into INITIATE NEW PRODUCT
ENTRY.
IDENTIFY IF THE NEW
PACKAGES WOULD
the hospital’s supply- INCREASE COSTS.

chain system?