90 th Annual Meeting & Exposition April 3 – 6, 2011 Memphis, Tennessee Contract Management Implementing Strategic Sourcing Best Practices in a Research Intensive Teaching Organization John P. Willi, MBA, CPCM, C.P.M., A.P.P., CMRP Dana-Farber Cancer institute, Boston, MA
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90 th Annual Meeting & Exposition April 3 – 6, 2011 Memphis, Tennessee Contract Management Implementing Strategic Sourcing Best Practices in a Research.
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90th Annual Meeting & ExpositionApril 3 – 6, 2011
Memphis, Tennessee
Contract Management
Implementing Strategic Sourcing Best Practices in a Research Intensive Teaching Organization
John P. Willi, MBA, CPCM, C.P.M., A.P.P., CMRP
Dana-Farber Cancer institute, Boston, MA
90th Annual Meeting & ExpositionApril 3 – 6, 2011
Memphis, Tennessee
Contract Management
Organizational Structure
I. DFCI Background
II. Strategic Sourcing at DFCI
III. Application of Out-of Academic/Healthcare Best Practices
90th Annual Meeting & ExpositionApril 3 – 6, 2011
Memphis, Tennessee
Contract Management
BackgroundMetric Value
Date Founded 1947
Employees 3,989
Annual Visits & Infusions 299,202
Research Clinical Trials 736
Beds (at neighboring Brigham & Women’s Hospital)
27
RNs 401
Outpatient Departments 256
Inpatient Units 213
MDs 172
PhDs 174
Principal Investigators 230
Research Fellows 573
Nobel Prize Winners 1
90th Annual Meeting & ExpositionApril 3 – 6, 2011
Memphis, Tennessee
Contract Management
Background (cont’d)Metric Value
2009 Operating Revenues $810 million
2009 Operating Expenses $790 million
Research Departments Cancer Immunology & AIDSCancer BiologyMedical OncologyBiostatisticsPopulation SciencesPediatric Oncology
Affiliations with Brigham & Women’s HospitalChildren’s Hospital Boston
Teaching Affiliate of Harvard Medical School
Designations National Cancer Institute (NCI) - Comprehensive Cancer Center recognized for scientific excellence
American Nurses Credentialing Center (ANCC), a subsidiary of the American Nurses Association (ANA) - Magnet Recognition Program recognized for excellence in nursing service and practice
90th Annual Meeting & ExpositionApril 3 – 6, 2011
Memphis, Tennessee
Contract Management
Organizational Structure
I. DFCI Background
II. Strategic Sourcing at DFCI
III. Application of Out-of Academic/Healthcare Best Practices
90th Annual Meeting & ExpositionApril 3 – 6, 2011
Memphis, Tennessee
Contract Management
Purchasing Adds Value in Two Primary Areas
Purchasing OperationsEnsuring that product/service is ordered efficiently and delivered on time and of high quality
Procure-to-Pay Process Optimization
Compliance
Supplier Management and Issue Resolution
Internal Customer Service & Training
System Optimization
Strategic SourcingSelecting suppliers to satisfy business requirements and optimize total cost of ownership
Leading or Supporting a Sourcing Process with Cross-Functional Team Members
Developing Supply Strategy
Conducting Cost Analysis
Challenging Requirements / Specifications
Commercial Negotiations
Supporting Implementation of New Suppliers
Ensuring Supply Capacity
90th Annual Meeting & ExpositionApril 3 – 6, 2011
Memphis, Tennessee
Contract Management
Strategic Sourcing
As defined by Dana-Farber:• To identify opportunities that bring operational efficiencies as well as cost savings and
cost avoidances throughout the organization and value chain.
Why the Process Works:
• Provides a fresh perspective. Through identifying the friction points of a typically good procurement process by utilizing a structured, analytical – evidence based, and collaborative methodology.
• Adds a sense of urgency. By facilitating stakeholder discussion of issues that are often tabled due to other day-to-day priorities.
• Identifies superstitions within organization. Bringing great people from different sections together to address what the process really is.
90th Annual Meeting & ExpositionApril 3 – 6, 2011
Memphis, Tennessee
Contract Management
Opportunity Identification
Business Intelligence Tool
Categorization in accordance with United Nations Standard Products Services Code
Marketshare analysis by Supplier, Category and Historical Trend
Benchmark analysis by Supplier, Category, Top and Medium Quartile
Department analysis by Spend, Category and Supplier
Top price increases per item and category
Enterprise Resource Planning System (ERP)
Spend reports by supplier in accordance with fiscal calendar
80/20 rule
90th Annual Meeting & ExpositionApril 3 – 6, 2011
Memphis, Tennessee
Contract Management
Seven Step Strategic Sourcing ProcessTimeframe
1 month
½ month
1 month
• Confirm user requirements• Develop category definition• Understand industry and supply markets
Early Supplier Involvement Innovation/Cost Reduction Ideas
Bottleneck Unique High Level of Market Complexity
Simplify the ProcurementReduce Risk
Buying Consortiums Help
Source: P. Kraljic, Harvard Business Review, 1983
90th Annual Meeting & ExpositionApril 3 – 6, 2011
Memphis, Tennessee
Contract Management
Organizational Structure
I. DFCI Background
II. Strategic Sourcing at DFCI
III. Application of Out-of Academic/Healthcare Best Practices
90th Annual Meeting & ExpositionApril 3 – 6, 2011
Memphis, Tennessee
Contract Management
Application of Out-of Academic/Healthcare Best Practices
1. Leverage eCommerce
2. Promote Acceptance of a Payment Settlement Tool
3. Partner in Stockless Programs / Store Fronts with Key Suppliers
4. Ensure Contract Coverage - Get Everything in Writing
5. Establish Supplier Negotiation Tactics
6. Continuously perform detailed Category Analyses utilizing Spend relative to category, marketshare and benchmarks instilling a more evidence-based/data driven approach to sourcing
90th Annual Meeting & ExpositionApril 3 – 6, 2011
Memphis, Tennessee
Contract Management
Application of Out-of Academic/Healthcare Best Practices
Leverage eCommerce (subset: EDI)
1. If suppliers aren’t already involved, encourage touch-less buys
2. Increased ordering efficiency for end users
3. eProcurement provides a better ordering experience for customers and reduces overhead and operational costs for both parties
90th Annual Meeting & ExpositionApril 3 – 6, 2011
Memphis, Tennessee
Contract Management
Application of Out-of Academic/Healthcare Best Practices
Promote acceptance of a Payment Settlement Tool
1. It’s not a P-Card. It’s a settlement tool. Dynamic Discounting
2. Extended payment for the operations. Positive cash flow considerations
3. Gaining operational efficiency as cutting down cycle time. Cutting fewer checks
4. Receive a rebate from the card issuing company
5. The suppliers’ bank charges them a merchant fee of 1-3% (negotiable)
90th Annual Meeting & ExpositionApril 3 – 6, 2011
Memphis, Tennessee
Contract Management
Application of Out-of Academic/Healthcare Best Practices
Partner in Stockless Programs / Store Fronts with Key Suppliers
1. Entrenched marketshare / increased ‘mindshare’
2. Huge negotiation tactic
3. Low UOM discounts – means customers do not have to buy large amounts to achieve discounts
4. Decreases or eliminates freight costs
5. Better product availability for customers
6. It is still a lean, stockless program for the customer
90th Annual Meeting & ExpositionApril 3 – 6, 2011
Memphis, Tennessee
Contract Management
Application of Out-of Academic/Healthcare Best Practices
Ensure contract coverage. Get everything in writing.
1. More favorable terms and conditions.
2. Vessel to make everything else concrete.
3. Cross-marketing tool for Materials Management & Supplier conveying they are partnering in driving down cost and creating value.
90th Annual Meeting & ExpositionApril 3 – 6, 2011
Memphis, Tennessee
Contract Management
Application of Out-of Academic/Healthcare Best Practices
Negotiation Tactics
No minimum order requirements
Free shipping on Punch Out orders• Free shipping on stockroom delivery• Flat rate for shipping• Third party shipping (is it more cost effective to ship on our account)• Challenge restocking fee’s
Stockroom program (VMI/Consignment)• Free freight on VMI,JIT or Consignment orders
Prompt payment discounts (P-Card, 2%/10 Net 30)
New Lab or Internal Investigator startup discounts
Seasonal and or promotional discounts• Special EOQ or year end price incentives• Special pricing on inventory with lot expiration coming due
Cash Rebate Incentives• When going to RFP or Sourcing Event these are generally placed as a requirement
GPO and Consortium contract involvement
Volume concentration or bulk order discounts
90th Annual Meeting & ExpositionApril 3 – 6, 2011
Memphis, Tennessee
Contract Management
Application of Out-of Academic/Healthcare Best Practices
Negotiation Tactics (cont’d)
Discounts on new product offerings demonstrated at DFCI Supplier Days
Free or discounted training on or off site
Free software upgrades
Discounted software maintenance
Free or discounted product accessories
Free or discounted Professional Services
Discounted extended warranty’s
Offer the approved use of the Dana-Farber name in exchange for discount
Ask for a quote with GSA pricing (you will need the DFCI grant or contract #) if that supplier sells to the Government. It may not always be the best price but it is worth checking
Energy analysis to compare TCO from one product to the next. What are the year over year costs to operate?
90th Annual Meeting & ExpositionApril 3 – 6, 2011
Memphis, Tennessee
Contract Management
Application of Out-of Academic/Healthcare Best Practices
Detailed Supplier Profile
Supplier, Annual Spend, Vendor Spend, Top categories, Period change, marketshare, historical trend, and benchmark
1. Vendor Spend, marketshare, historical trend, and benchmark
2. Department scorecards with associated department and lab spend, average unit cost and savings
90th Annual Meeting & ExpositionApril 3 – 6, 2011
Memphis, Tennessee
Contract Management
Application of Out-of Academic/Healthcare Best Practices
Detailed Marketshare Analysis
Spend Category, Supplier Spend and Marketshare
Category Supplier Name Spend Marketshare Laboratory Electrophoresis and Blotting Systems and Supplies ABC Corporation $493,576 37% Lab Supplies, Inc. $199,433 14.91%
Molecular Structure, Corp. $152,173 11.37% Atom & Atom $101,156 7.56%
Electron, Inc. $72,615 5.43% Biostructure $46,224 3.45%
Laboratory Electrophoresis and Blotting Systems and Supplies Total $1,337,971 100%