Forecasting Supply Use

More and more healthcare institutions seek to reduce costs while increasing the quality of care.
Accurate forecasts of the use of medical supplies represent an important element of this effort. Overordering supplies drives up costs, and under-ordering supplies also can drive up costs and compromise care.
The stakes can be high. Caldwell Memorial Hospital, a 110-bed hospital in North Carolina, saved $2.62 million in less than six months by consolidating and eliminating excess supplies (Belliveau 2016). The hospital used a Lean approach to inventory management, which involves streamlining and simplifying the inventory and ordering systems.
In addition, a number of hospitals have expanded their use of just-in-time inventory management (Green 2015). This method reduces, but does not eliminate, the need for forecasting accuracy. Some supplies are highly specialized and are used intermittently, so they must be ordered well in advance. The savings can be substantial. Mercy Hospital in Chicago was able to reduce its inventory by 50 percent using just-in-time inventory management (Green 2015).
Discussion Questions
• What share of hospital costs do supplies represent?
• Why would overordering supplies drive up costs?
• Why would underordering supplies drive up costs?
• Can you offer examples of Lean inventory management? Does it work well?
• Can you offer examples of just-in-time inventory management? Does it work well?
• Can you offer examples of supplies that have to be available at all times?
• What are the main challenges to making accurate forecasts of supply use in hospitals?
• How would you forecast supply use in the emergency department? Why?
• How would you forecast supply use in hospital clinics? Why?
• Would you use judgment in making these forecasts? Why?
• Would you use statistical models in making these forecasts? Why?
• How are supply chain forecasts different for hospitals than for retail? For manufacturing?
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Mistakes to Avoid When Making Forecasts

Business plans require a sales forecast. Scott Fishman, the CEO of Envisage, sees three common mistakes in business plans (Fishman 2015):
• They forecast “hockey stick” revenue growth.
• They forecast smoothly rising trend lines.
• They lack convincing evidence of market size.
A “hockey stick” forecast—a revenue graph shaped like a hockey stick—involves limited revenues initially followed by explosive growth.
It is a potentially effective sales technique to use in discussions with executives and investors because it suggests that the business opportunity might be extremely valuable.
In contrast, smoothly rising trend lines do not seem plausible from an economic standpoint. The number of customers and their consumption of any product is typically finite. Furthermore, any true blockbuster product will attract competition.
Every new product faces a complex environment: features and benefits, competitive environment, regulatory conditions, payment models, distribution, pricing, market positioning, and so forth. A genuinely new product will have multiple unknowns in its market. If there are no unknowns, it is not really a new product. A convincing forecast demands market research, an honest recognition of what is not known, and a strategy for resolving some of the unknowns.
Discussion Questions
• What is problematic about a “hockey stick” forecast?
• Can you find an example of a product that displayed “hockey stick” revenue growth?
• What is problematic about a forecast with a smoothly rising trend line?
• Can you find an example of a product that displayed smoothly rising revenue growth?
• From an economic point of view, what is implausible about smoothly rising trend lines?
• Can you find an example of a product that wildly underperformed early forecasts?
• Can you find an example of a product that wildly overperformed early forecasts?
• What external factors might cause below-forecast sales? Above-forecast sales?
• What internal factors might cause below-forecast revenues? Above-forecast revenues?
• What are examples of new products with uncertain prospects in healthcare?
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The Cell

Draw/sketch and eukaryotic animal cell and label and define each organelle. Sample Solution

Hagia Sophia

 
Give an overview of Hagia Sophia and also about the Greek history
 
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