Sterilization Resource Forecasting in the Medical Devices Industry by Ron Arad B.S Computer Engineering (2003) Israeli Institute of Technology, Haifa (Israel) Submitted to the Engineering Systems Division in Partial Fulfillment of the Requirements for the Degree of Master of Engineering in Logistics at the I Massachusetts Institute of Technology June 2005 OF TECHNOLOGY JUL 15 2005 MASSACHUSE TTS INSTITUTIME c 2005 Ron Arad LIBRAR IES All rights reserved The author hereby grants to MIT permission to reproduce and to distribute publicly paper and electronic copies of this thesis document in whole or in part. A S ignature o f A u th or ........................................................................ ......... . . ............. Engine ng Systems Division 77 Certified by .................................................................... . ....... Pay),20W ...... Executive Director, Master of Enginee /ng in Logistics The/fiSupervisor Accep ted b y .................................................. ..................... Yossi Sheffi Professor of Civil fd Environmental Engineering Professor of Engineering Systems Director, MIT Center for Transportation and Logistics ..... BARKER I Sterilization Resource Forecasting in the Medical Devices Industry By Ron Arad Submitted to the Engineering Systems Division on May 12, 2005 in partial fulfillment of the requirements for the degree of Master of Engineering in Logistics Abstract Sterilization is an example of a procedure that has been outsourced by medical device companies. Sterilization is required for all medical devices and the process used is based on product type. As demand for medical devices increases, production is ramping up, and the need for additional sterilization capacity increases. The time required to build more sterilization capacity can be between six to nine months, and therefore companies are looking into their future production to estimate when will be the right time to start building more capacity. This thesis analyzes the change in sterilization capacity utilization using a simulation model. The model replicates the current production distribution based on data provided from the sterilization facility. Thesis Supervisor: Chris Caplice Title: Executive Director, Master of Engineering in Logistics 2 Table of Contents Abstract .............................................................................................................................. 2 Table of Contents .............................................................................................................. 3 List of Tables ..................................................................................................................... 5 List of Figures ................................................................................................................... 5 1 Introduction ................................................................................................................ 8 1 .1 M otiv atio n ............................................................................................................. 8 1 .2 O u tlin e .................................................................................................................. 9 2 Current Operations .................................................................................................. 11 2.1 The physical network ......................................................................................... 11 2.1.1 Manufacturing Plants .................................................................................. 12 Sterilization facility (MedCo) ....................................................................... 14 2.1.2 Distribution Center ...................................................................................... 14 2.1.3 The process flow ................................................................................................ 14 2.2 2.2.1 Manufacturer ............................................................................................... 15 2.2.2 Sterilization .................................................................................................. 17 2.3 System Dynamics ............................................................................................... 18 Background ................................................................................................. 18 2.3.1 Causal loops ............................................................................................... 19 2.3.2 2.3.3 Overview of the entire replenishment system ............................................ 21 3 Forecast m odel ........................................................................................................ 26 3.1 Forecast methods ............................................................................................... 26 3 .2 T h e D ata ............................................................................................................. 2 7 The Model ........................................................................................................... 28 3.3 3.3.1 Engineered Phase ...................................................................................... 28 3.3.2 Regression Phase ....................................................................................... 29 Ple facility analysis ............................................................................................. 29 3.4 3.4.1 Data summary ............................................................................................. 29 3.4.2 Engineered pallets ...................................................................................... 30 Forecasting number of pallets .................................................................... 31 3.4.3 3.4.4 Summary ..................................................................................................... 32 3 .5 S u m m a ry ............................................................................................................ 3 3 4 Sim ulation ................................................................................................................. 34 4.1 Model overview .................................................................................................. 34 In p u t D a ta .................................................................................................... 3 5 4 .1 .1 4.1.2 Croston's Method ........................................................................................ 35 Arrival distribution ....................................................................................... 35 4.1.3 4.1.2 Chambers management ............................................................................. 38 Backlog management ................................................................................. 40 4.1.3 4 .1 .4 C o n tro l ......................................................................................................... 4 0 Measurements ............................................................................................ 40 4.1.5 5 Analysis .................................................................................................................... 42 3 Sensitivity............................................................................................................ 5.1 Base case................................................................................................ 5.1.1 Cham ber Size ........................................................................................ 5.1.2 5.1.3 Threshold level......................................................................................... 5.2 Arrival policy ................................................................................................... Load balance........................................................................................... 5.2.1 Six hour w indow ...................................................................................... 5.2.2 Twelve hour window ............................................................................... 5.2.3 5.3 Building capacity ............................................................................................. Adding a twelve pallet cham ber ............................................................. 5.3.1 Adding a twelve and six pallet cham ber.................................................. 5.3.2 Reducing load.................................................................................................. 5.4 Reducing M ia dem and........................................................................... 5.4.1 Reducing M ia, San and Cel dem and. ..................................................... 5.4.2 Reducing Mia, San and Cel demand and using 12 hour window .......... 5.4.3 Analysis sum m ary ........................................................................................... 5.5 42 42 45 47 50 50 52 54 56 56 58 61 61 63 65 67 Conclusions ............................................................................................................. 70 Bibliography .................................................................................................................... 73 6 4 List of Tables 13 Table 1-Facility data...................................................................................................... 30 Table 2-Ple categories ................................................................................................. 31 Table 3- Spreadsheet example view ............................................................................. 31 Table 4- September forecast number........................................................................... 32 Table 5- December forecast number........................................................................... 32 .......................................................................................... accuracy 6Forecast Table Table 7-Len 6 hour arrival distribution........................................................................... 37 38 Table 8- Simulation demand results ............................................................................. 43 Table 9-Base case setting ............................................................................................ Table 10- Base case annual utilization results............................................................. 43 43 Table 11- Base case annual wait-time results ............................................................ Table 12- Chamber size setting.................................................................................... 45 46 Table 13-Chamber size utilization ............................................................................... 46 Table 14- Chamber size wait time ............................................................................... 48 Table 15- Threshold level setting ................................................................................. 48 Table 16-Threshold level utilization............................................................................. 48 Table 17- Threshold level wait time............................................................................. 50 ..................................................................................... setting policy Arrival Table 1850 Table 19- Load balance utilization............................................................................... Table 20- Load balance wait time.................................................................................. 51 52 Table 21-Six hour window utilization ............................................................................. 52 Table 22-Six hour window wait time............................................................................. 54 Table 23- Twelve hour window utilization ................................................................... 54 Table 24-Twelve hour window wait time ...................................................................... 56 ...................................................... setting chamber pallet Table 25- Adding a twelve Table 26-Adding a twelve pallet chamber utilization.................................................... 56 57 Table 27-Adding a twelve pallet chamber wait time ................................................... 59 Table 28-Adding a twelve and six pallet chamber setting .......................................... Table 29-Adding a twelve and six pallet chamber utilization........................................ 59 Table 30-Adding a twelve and six pallet chamber wait time......................................... 59 61 Table 31-Reducing load setting.................................................................................... 62 Table 32- Reducing Mia demand utilization ................................................................. 62 Table 33- Reducing Mia demand wait time.................................................................. 63 utilization............................................. Cel demand San and Mia, Table 34-Reducing 64 Table 35-Reducing Mia, San and Cel demand wait time .......................................... Table 36-Reducing Mia, San and Cel demand and using 12 hour window utilization.... 65 Table 37- Reducing Mia, San and Cel demand and using 12 hour window wait time ... 66 68 Table 38- Analysis results............................................................................................. 5 List of Figures Figure Figure Figure Figure Figure Figure Figure Figure Figure Figure Figure Figure Figure Figure Figure Figure Figure Figure Figure Figure Figure Figure Figure Figure Figure Figure Figure Figure Figure Figure Figure Figure Figure Figure Figure Figure Figure 1- Dandu's physical network............................................................................. 12 2-Daily arrival distribution................................................................................. 13 3- Process flow from dock to dock.................................................................... 15 4-Sterilization loop ............................................................................................. 20 5-Overview of the entire replenishment system for Dandu.............................. 21 6- DC availability............................................................................................... 22 23 7- Customer service .......................................................................................... 24 8- Capacity addition .......................................................................................... 9- Dunnage impact (connected to the sterilization loop).................................. 25 28 10- Model phases ............................................................................................... 34 11- The model five main blocks ........................................................................ 12- Len Daily arrival distribution........................................................................ 36 37 13- Len quarter probability ............................................................................... 38 14- Len daily demand arrival............................................................................. 39 15- Chamber management flowchart ............................................................... 44 16- Base case utilization ................................................................................... 44 17- Base case wait time ................................................................................... 46 18-Chamber size utilization ............................................................................... 47 19-Chamber size wait time............................................................................... 20-Threshold level utilization............................................................................. 49 49 21-Threshold level wait time ............................................................................ 51 22- Load balance utilization ............................................................................... 51 23-Load balance wait time ............................................................................... 53 24- Six hour window utilization- ........................................................................ 53 25-Six hour wait time ........................................................................................ 55 26-Twelve hour window utilization ................................................................... 55 27-Twelve hour window wait time .................................................................... 57 28-Adding a twelve pallet chamber utilization ................................................. 58 29- Adding a twelve pallet chamber wait time ................................................. 30-Adding a twelve and six pallet chamber utilization.......................................60 60 31-Adding a twelve and six pallet chamber wait time ...................................... 32- Reducing Mia demand utilization............................................................... 62 63 33-Reducing Mia demand wait time.................................................................. 64 34-Reducing Mia, San and Cel demand utilization .......................................... 65 35-Reducing Mia, San and Cel demand wait time .......................................... 66 window utilization .. 36-Reducing Mia, San and Cel demand and using 12 hour 37-Reducing Mia, San and Cel demand and using 12 hour window wait time ... 67 6 Acknowledgements It was a marathon and I was able to cross the finish line on time thanks to my wife, family, friends and professor. To my wife Danit- you are my best friend. It was you that supported me, and gave me the power to finish the journey. To my parents- thank you for giving us the future. MIT is another win for us all. To my professor Dr.Chris Caplice, I thank you for your valuable support, you are my captain. In this moment of happiness, I would like to remember my grandmother Ala and my father in law Mordechai. We love and miss you all 7 I Introduction Sterilization is an essential part of the manufacturing process of medical devices. Today most medical device manufacturers outsource the sterilization process to a third party company that specializes in sterilization. As the market for medical devices grows, the demand for sterilization capacity grows, and manufacturers are facing production constraints due to lack of sterilization capacity. Since sterilization capacity is measured as the number of pallets that can be sterilized in a chamber, and the time required to add sterilization capacity is long, manufacturers are attempting to forecast their sterilization capacity demand to prevent lead-time incensement. 1.1 Motivation Dandu (a fictitious name for the company on which this research is based) calculates lead-time as the time interval from the start of production until the time products arrive at the distribution center (DC). Lead-time is comprised of manufacturing time, transportation to the sterilization facility, the sterilization process, and the transportation from the sterilization facility to the DC. Recently the company has seen an increase in lead-time from six to eight days while production time has not changed. For every day of lead time the company has to increase inventory levels to fulfill orders and maintain a high customer service level. Calculations have shown that each incremental day in lead-time is equivalent to three million dollars in inventory stock. Since the time for adding sterilization capacity is long, six to nine months, Dandu is are trying to forecast 8 their capacity utilization to prevent incremental growth in lead-time, which would increas their investments in inventory. This thesis investigates methods for estimating future sterilization demand. Multiple methodologies are tested using both top down and bottom up approaches. The objective is to develop a model which enables the user to determine when new capacity should be added. 1.2 Outline This thesis is organized into seven chapters. After the introduction, the second chapter elucidates the structure and the process from the manufacturing facilities to the sterilization facility. To provide the reader with a richer context, a brief review of the dynamics that affect sterilization capacity utilization is presented. The third chapter outlines the forecast model that was developed to calculate the number of pallets that will be used in the sterilization process. The model translates SKU level sales forecasts to a pallet forecast. The number of pallets is the unit used to measure sterilization capacity. The fourth chapter presents the simulation model that was built to calculate capacity utilization. The model has five modules: input management, chamber management, backlog management, control, and measurement. The analysis results are presented in chapter five. Different scenarios were run to answer important questions surrounding the use of capacity in the sterilization facility. These questions include: 0 When is the right time to add capacity? 9 * What size chambers should be used? * How does threshold' level effect utilization? " How does sterilization utilization change as a function of delivery of pallets to the sterilization facility? * How does sterilization utilization change as capacity is added? * How does sterilization utilization change as demand is reduced? Chapter six summarizes the thesis and points out areas for future study. Threshold- The minimum number of pallets assigned to a chamber before it is activated 10 2 Current Operations Dandu is a leading medical device company with more than a dozen facilities in the US and around the world. Dandu has more than then 15,000 employees and its revenues in 2004 were almost $6 billion with a net profit of $1 billion. Many of the facilities owned by Dandu were acquired through acquisitions. Dandu is placing these acquired companies under a single brand, yet the operational activities are still not standardized. In particular, product packing and shipping methods differ from plant to plant. Standardizing the packing of products requires revalidation of the sterilization process. This chapter presents the business structure and policies. After exploring the physical network: the manufacturers, the sterilization facilities (MedCo), and the distribution center, we present the process flow and conclude with a system dynamics view. 2.1 The physicalnetwork The following diagram presents the physical network in our research. There are six manufacturing facilities owned by Dandu: Pen, Mia, Len, Ple, San, Cel. Each ships products on pallets to MedCo, the sterilization facility. After sterilization products are sent from MedCo to Dandu's distribution center. 11 Pen (Dandu) Mia (Dandul Len (Dandul terilization Facility (MedCo) Distribution Center (Dandu) Pie (Dandul San (Dandu) Cel (Dandu) Figure 1- Dandu's physical network We focused on manufacturing facilities that share the same sterilization resources at the same sterilization facility. Then, we explore the sterilization facility. Finally, we describe the distribution center. 2.1.1 Manufacturing Plants There are six manufacturing facilities that share the same sterilization facility. The locations range from San-Jose in the west to Miami in the southeast. The following information for each facility is presented in the table below. " Lead time - Transportation time from manufacturing to the sterilization facility. This input is an estimate of the transportation time from the manufacturing facility to MedCo. " Number of pallets annually - Using MedCo's database we calculated the annul sterilization demand for each facility and its percentage of the overall demand. 12 " Number of days with shipments - We counted the number of days in 2004 on which one or more shipments were made. " Average and Standard deviation of number of pallets in a shipment. Location Facility Transit Quantity shipped time (pallets) Percentage from annual demand Number of days with shipments Average number of pallets in a shipment 27% 8% 11% 17% 9% 29% 199 173 84 208 223 258 1.0 4.2 5.0 4.6 4.0 6.0 Standard deviation of number of pallets in a shipment 36 hr 36hr 72 hr 48 hr 48 hr 36 hr IN NY TX FL CA MN Pen Len Cel Mia San Ple 3197 967 1271 1986 1027 3418 0.5 2.4 1.5 2 1.2 0.5 Table 1-Facility sterilization demand data From the table above we can see that three out of six facilities represent almost 75% on the demand. We address this issue in our analysis later. The following figure presents the daily arrival of pallets as recorded by MedCo on a twenty-four hour schedule. Dailiy Arrival Distribution 350 C E 0 E Z 300 250 ECel 200 M Pen 150 0 San -o100-- E Len Mia 50 0:00 3:00 6:00 9:00 12:00 15:00 18:00 21:00 24 Hour Figure 2-Daily arrival distribution From the graph we learn that 80% of the shipments arrive to MedCo between 2:00AM and 2:00PM. We use this outcome later in our analysis. 13 2.1.2 Sterilization facility (MedCo) The sterilization facility, located in Rhode -Island, is owned and operated by a third party. The facility has seven chambers for sterilization: two chambers of twenty-four pallet capacity, two chambers of twelve pallet capacity, two chambers of six pallet capacity, and one chamber of two pallet capacity. The facility is operated on a twenty four hour, seven days a week basis and has several different companies as customers although Dandu is the largest. The sterilization never uses the same chamber at the same time for multiple clients; each use of a chamber is for only one client at a time. Most companies ship smaller batches of pallets to be sterilized. Therefore, the demand for six pallet chambers is higher than the demand for the twenty four pallet chambers. 2.1.3 Distribution Center The distribution center (DC) is located in Quincy, MA. The DC operates nine hours a day, five days a week. The DC receives the product from all the facilities in North America. The DC work schedule differs from MedCo's work schedule. 2.2 The process flow This section describes the flow of products from manufacturing facilities to the sterilization facility and then to the distribution center. The following figure represents the stages in the process flow. At the manufacturing facility finished products are passed to the packaging department and then they are shipped by a carrier to MedCo. At MedCo, products are received and then queued up for sterilization. The average wait time prior to sterilization is twenty-four hours. Next products are sterilized. Upon completion products are placed in the outbound dock where they wait to be transported to the DC. The average waiting time at MedCo's outbound dock is thirty hours. Products are shipped to the distribution center were they are placed into the 14 . ....... .......... picking area. The total process time from manufacturer's dock to the DC's dock varies for each facility- but is estimated as five days. Stage Queue -Before Chamber Shipping -p To MedCo Sterilization Process Queue -Before Shipping 2 Time line in hours Time line in days Shipping To DC 1 1.5-3 1 1.25 0.125 Figure 3- Process flow from dock to dock 2.2.1 Manufacturer The work done by the manufacturers can be divided into three parts: production, packaging, and shipping. Production Production schedules are based on annual forecasts that are updated every month by Dandu's global supply chain mangers and the sales team. The Enterprise Resource Planning system (ERP), which is a multi-module application software that helps in planning and purchasing, generates the production plan for each product. The planner uses the Materials Requirements Planning system (MRP) to plan the monthly production plan. Monthly production plans are translated into weekly production plans. Production plans change often due to high or low level of inventory. The uncertainty in Dandu's production facilities does not enable MedCo's managers to forecast and plan a sterilization schedule. 15 Packaging Building pallets is done at the last stage of production as products are placed into boxes. Each product has a specific packing requirements and standards in terms of: " Number of products in a box, " Number of boxes in a shipping box, * Cube and weight * Stack ability " Number of shipping boxes on a pallet. * Whether they can be mixed with other products. Different product families have different properties. Some facilities build pallets according to a single order - if the products in the order can go through the sterilization process together, then they are part of the same pallet. Other facilities build pallets by product type and do not mix different families into the same pallet. Also, differences between workers' processes in different shifts cause differing results in the utilization of package space and the type of packaging. Some facilities have formal procedures for packaging and some do not. For these reasons, packaging processes have a significant degree of uncertainty and variability between plants. The forecasted number of products to packages to pallets is rarely accurate in practice. Shipping Before shipping the products to the sterilization facility, the manufacturer is required to enter shipping information into the MedCo database via the internet. The accuracy of this data varies between facilities. For example, the one facility has entered shipping information for only 83% of its shipments during 2004 while another facility has placed all its shipping information in the database. The information that is required is as follow: 16 * Number of total number of pallets * Total number of cartons on the pallets " Description of the shipment " Estimated time of arrival * Carrier name " Type of sterilization process * Sterilization load number The sterilization load number is a serial number assigned to identify the specific time and chamber in which given products will be sterilized; products that go through the same chamber at the same time will share the same sterilization load number. The load number allows the manufacturer to track the entire order for sterilization, which can be useful in case of a problem. 2.2.2 Sterilization In the sterilization facility, work is divided among scheduling, sterilizing, and testing. Chamber scheduling is done by the MedCo's operator.. The operator uses the database and backlog of pallets waiting for sterilization to estimate the demand for sterilization capacity for each twentyfour hour period. The operator then compares the demand for capacity with the tentative schedule of the chamber and assigns capacity accordingly. Before the sterilization process, an operator loads the chamber with the dedicated pallets and may also use dunnage pallets. Dunnage pallets are pallets filled with empty cartons that are used to fill the remaining space in a chamber in order to keep the density in the chamber constant. A constant density is required for the sterilization process. Once the pallets are placed in the chamber, the operator attaches biological indicator tubes to each pallet. These tubes are used after the sterilization process is complete to verify that no living organisms are in the vicinity of the pallets. After attaching the tubes, the operator closes the 17 chamber and initiates the sterilization process. When the process is complete, after twenty four hours, the products are taken from the chamber and put on the outbound dock for pickup and the biological tubes are passed to the control room where they are kept for forty-eight hours, during that time pallets can be located either at MedCo's outbound dock or at the DC. After the fortyeight hours, the tubes are tested to ensure that the no living organism survived the sterilization process. If no living organisms are found, the process is officially successful. The distribution center receives the product from the sterilization facility. As product arrives at the DC, it is first quarantined until they receive the results of the biological indicator test from the sterilization facility. If a shipment arrives after the sterilization results were validated, the product is sent directly to the picking area where the products are placed on the shelf. In the DC a quality assurance team tests the shipments for damages. On a rarely occasions products inside of damaged packaging may be sent back for a second round of sterilization since the products may have been contaminated. 2.3 System Dynamics In this section, we will provide a short overview of the issues surrounding sterilization utilization and how these issues are interconnected. By using a system dynamics casual loop diagram, the relationship and interaction will be made clear. 2.3.1 Background System Dynamics was founded by Professor Jay W. Forrester at MIT in 1956. System Dynamics is used to model real-life problems that include feedback and nonlinearity outcomes, which are a part of any social physical system (Forester 1992). One application of System Dynamics in the supply chain is the Beer Distribution Game developed by Jay Forrester in the late 1950's. The 18 game presents a simple supply chain: factory, distributor, wholesaler, and customer. The game elucidates the dynamics of placing an order for a case of beer from the customer to the manufacturer and shows the inherent oscillations and amplifications in the supply line (Sterman, 2000). 2.3.2 Causal loops Casual loop diagrams (CLD) are a convenient way to present variables and illustrate their connections. The connection between two variables is either a cause or effect relationship. The variables are connected by arrows that represent the type of relationship between the two variables. A positive connection means that as one variable increases, the effect on the variable linked to it is an increase too. A negative connection means that as one variable increases, the effect on the linked variable is a decrease. The process of defining the elements and their relationships is done through interviews. In our work we used the causal loops to capture relationships that other modeling tools like excel cannot capture. We interviewed four people from the supply chain, production, and logistics departments in the company and also people from the MedCo facility. To teach how to read a casual loop diagram, we will use the following example. 19 TotalLeadTime There are four variables in this example: InventoryLevel Total Lead Time- the time it takes for a Sterilization Loop products to get from the manufacturer's Capacity Utilization. dock to the DC's dock Capacity Inventory Level- Number of products in stock required to support demand. Figure 4-Sterilization loop Required Capacity- Sterilization demand Capacity utilization- the ratio between the sterilization demand to sterilization capacity. Figure 4 captures the relationship between these variables. We note that as lead time increases, inventory levels will increase. Since inventory supports the company's sales over lead-time, inventory has a direct, positive relationship with lead time. Therefore, the connection between the two variables in marked with a positive sign. As inventory levels rise, the need for more sterilization capacity rises because the company needs to increase its buffer stock to support demand over lead time. Therefore, more products need to be sterilized. As required capacity grows, the utilization of capacity grows since the number of pallets increases. Therefore, more pallets arrive at MedCo. Closing the loop is the 20 A- --- - - - - - - - - I - relationship between capacity utilization and lead time. As the utilization gets higher, the waiting time in the queue for sterilization grows. While this CLD is at the core of the sterilization scheduling issue, it is part of a larger system 2.3.3 Overview of the entire replenishment system From the casual loop diagram below we can see how different variables affect lead times and how the variables interact. The system can be modeled with six different and interconnected causal loops: DC availability, Sterilization, Post sterilization, Customer service, Capacity addition, Dunnage impact. DC AvaitabilityTo Receive A4 ExpediteFrequency DG Avaibl~ Loop WorkLoad Variability Customer layToChamber + DesiredCustomer ServiceLevel ServiceLevel ThtalLeadTime DunnageAvailability tom erService +Cus LevelGap Inventorylevel DunnageConditon Stentcrabon Dunnate tpact DunnageUt iization Capacity n Customer Service Loop Loop + PresaureTo + Buildinvetory -Utilization+ Required Capacity Effective CapacityA AAA Validated Capacity TimeToBuildCapacity Figure 5-Overview of the entire replenishment system for Dandu 21 - LaLi12 - We will discuss each of this supporting process and focus on how it impacts the sterilization loop- our main concern. Dandu's DC availability The DC availability loop shows relationships between DC operations and lead times. A41 ;IitTo bAvaila DC DC Avail ty Toe ExpediteFrequency Loop AvaIabIIt, WorkLoad Variability Post iian Loon TotalLeadTime Figure 6- DC availability As lead times increase, more global supply chain managers request that their shipments be expedited. When more shipments are expedited, the availability of the DC to receive other shipments is reduced. As a result, products accumulate, and this causes an increase in the work load and an increase in the variability of work load at the DC. We can also see that as the DC has 22 less time to receive products, the total lead time increases, since products are queuing at the inbound dock. 2.3.3.1 Customer service In this loop we present the dynamics between inventory levels and customer service. Customer service is by Dandu's managers as ratio the number of orders that were available on time to the customer as defined in the contract to the number of the total orders. As customer service decreases, the gap between actual service level and the desired service level, set by Dandu's manager as a target, increases. As the gap increases, the pressure to build more inventories to support demand over lead time increases. Therefore, inventory levels rise. Customer + ServiceLevel DesiredCustorr ServiceLevel CustomerService InventoryLevel Customer Service Look PresaureTo Build Invetory Figure 7- Customer service 2.3.3.2 Capacity addition The relationship between required capacity and capacity utilization is also affected by the amount of validated capacity. As the need for sterilization capacity increases, the need to add capacity grows. However, the time to build additional capacity is fixed. When more capacity is validated, the utilization of that capacity decreases since we have the same demand divided with a larger validated capacity number. This is a negative relationship as we can see from the sign in the loop below. 23 ........ .. Capacity Utilization+ Required Capacity Capacil Addto Validated Capacity TimeToBuildCapacity Figure 8- Capacity addition 2.3.3.3 Dunnage impact As the capacity utilization decreases, the effective capacity, that is the ratio between pallets with products to dunnage pallets, decreases. Therefore, dunnage utilization increases. As the use of dunnage pallets increases, the condition of the dunnage pallets decreases more rapidly. As the condition of dunnage pallets decreases, the availability of dunnage pallets in a good condition decreases. Less available dunnage pallets translate into more waiting time for pallets to enter the chamber. As the waiting time increases, the lead time increases. 24 J)elayToCham ber DunnageAvailability + TotalLeadTime DunnageCondition Dunnaoe Imeact Capacit DunnageUtlization Utilization Effective Capacity'A<O Figure 9- Dunnage impact (connected to the sterilization loop) Looking at the system as a whole allows us to gauge the impact and consequences of specific policies. The analysis of a System Dynamics model for the entire Medco replenishment process is out of the scope of this thesis. In the following chapters, we focus on the sterilization loop. Chapter three presents a bottom up approach to forecast monthly demand for sterilization from each facility based on sales forecast. Chapter four presents a top down approach to simulate daily demand as it arrive to MedCo based on historical performance. 25 3 Forecast model The forecasting model tool is based on a bottom up approach. That is, we translate a unit (SKU level) based forecast that is provided by sales and marketing into a pallet based forecast. In this chapter we will provide an overview of the data that is required for the model, describe the model structure, and analyze one of the facilities. 3.1 Forecast methods Quantitative forecasts can be divided into time series analysis and causal methods. A time series is a chronological observation of a variable. Time series analysis uses patterns in historical data to forecast future results (Richard, 1995). Methods used in time series analysis include: " Moving average and weighted average - the forecast result is based on arithmetical averages of a given number of past data time periods units. " Exponential smoothing- similar to a weighted average approach with inclusion of trends using exponential factor. " Box-Jenkins - autocorrelation methods used to identify time-series and to "fit" the best model. (Sparling, 2005). Detailed discussion on these methods can be found in Silver, Pyke, and Peterson (1998) or Sparling (2005). Time series analysis is dependent on the existence of historical data and it 26 accuracy. Since the historical data provided was partially and not accurate, we decided to use a causal method for forecasting. Causal methods are based on relationships between forecasted variables to external variables. Relationship between variables can be either known or perceived. We used regression, a mathematical equation that relates a dependent variable to one or more independent variables that influence the dependent variable (Sparling, 2005) to forecast the number of sterilization demand. 3.2 The Data The model uses four types of data: Product information, Product forecasting data, Product actual demand, Actual sterilization capacity demand. The product information data provide the packaging, shipping and sterilization characteristics. Product information answers the following question that the model uses: " How many products are placed in a package? " How many packages are placed in a shipping box? " How many shipping boxes can be placed on a pallet? * What type of sterilization process is required? SKU level forecast numbers are used by the forecasting tool as the base numbers which are transferred to pallets numbers. Actual data provides information on the actual demand for sterilization in pallets and in the number of SKU that were manufactured. 27 . .. .. ............ ......... We used the sterilization facility database to collect information on the number of pallets that arrived at the sterilization facility. 3.3 The Model The model uses a two tier approach. The first tier uses product characteristics to "engineer" the number of pallets required if packaging instructions were followed exactly. The second tier uses an econometric model to capture the variability in packaging habits and procedures at each plant. Engineered Pallets Buildinq Pallets Actual Reqression Figure 10- Model phases We discuss each phase of the model in the following sections. 3.3.1 Engineered Phase The engineered phase uses forecast data and product information. The model starts by dividing the forecasted number of items for each SKU by the number of products that are packed into a package. In the example in Figure 10, there are two tubes (yellow) that are packed into one package (green). Then, we divide the number of packages by the number of packages that can be packed into a shipping box. In the example above, there are three packages (green) in a one shipping box (gray). The last stage is to divide the number of shipping boxes by the number of shipping boxes that are placed on a pallet. The number of pallet received presents the monthly demand for sterilization from a specific facility. If the product packaging rules were followed 28 exactly and product was available at the same time to ship, the number of pallets can be built from the forecasted quantities. 3.3.2 Regression Phase After the "engineering" phase, we adjust the number of pallets using ordinary least squares (OLS) regression to estimate the relationship between actual sterilization demand, based and forecasted sterilization demand. The OLS regression function estimates coefficients (#,#,1) for a linear function as shown in the figure below. OLS minimize the square of the error term to find the best fit equation. The linear function is then used to calculate future data points. Historical data points were provided from MedCo database. Actual _ Pallets = #, +, Eng _ Pallets 3.4 Pie facilityanalysis The following section presents an analysis that was done using the forecast tool based on data that was received from the Ple facility. This facility is the only one with the required data. The work follows analysis initially conducted by Antoine Guitton. 3.4.1 Data summary The following data was received from the Maple facility: Product information (Master-SKU table),Product forecast (Forecast tables), Actual product sales (Actual tables), Actual demand for sterilization (MedCo database). Analysis The Master-SKU file contained information for 2127 SKUs of these * 1235 (58%) of the SKUs were included in both the Forecast and Actual tables 29 I I _1_N_ - - ft- WE. AW __ aj,"&nr- - __ - I - e 440 (21%) of the SKUs were included in neither the Forecast or Actual tables, 0 304 (14%) of the SKUs were included in the Forecast but not the Actual tables - Sorting We created 10 categories for each SKU based on its packing characteristics. The categories list the (Number of Cartons per Pallet)-(Number of SKUs per Carton)-(Sterilization Type)(Mix or Pure by Product Family). Table 2, below, lists each category. Stacking Category 48-34-2Mix 48-31-2Pure 48-31-2Mix 45-34-2Pure 30-34-2Pure 30-34-2Mix 30-31-2Mix 15-36-2Pure 15-36-2Mix 9-38-2Pure Cartons Per Pallet 48 48 48 45 30 30 30 15 15 9 Maximum # of Units per Carton 34 31 31 34 34 34 31 36 36 38 Sterilization Cycle 2000-2 2000-2 2000-2 2000-2 2000-2 2000-2 2000-2 2000-2 2000-2 2000-2 Can Be Mixed Pallet? Yes No Yes No No Yes Yes No Yes No # of Cartons per PaHet Row 4 4 4 3 3 3 3 3 3 3 # of Rows per PaHet 2 2 2 3 2 2 2 5 5 3 # of Rows that Can be Stacked on a Pallet 6 6 6 5 5 5 5 1 1 1 Table 2-Pie categories 3.4.2 Engineered pallets For the "engineering" phase, we used a table as shown in Table 3 below. For each product we defined the source of data (A for Assumed data, G for Given data). Items per carton, Cartons per pallet, Cycle and mix family were all characteristics of the product. The cycle characteristics define the type of sterilization process that is required for the product and the mix property defines whether a product can be mixed with other products in the same sterilization process. We then aggregated the forecast for each product family sharing the same characteristics. Forecast factor was added as a correction factor, we used the data of actual demand and forecasted demand, to create a factor that will adjust the future forecast data that we received. For the correction factor we used a Mean Percent Error (MPE) which is the average of the error between 30 the actual demand to the forecasted demand, divided by the actual demand for each period. The MPE factors both accuracy and bias in the forecast. Product Data Items per Carton Cartons per Pallet Cycle Mix Family Sum Forecast Factor # Cartons # Pallets Table 3- Example of a table for the engineered phase. After multiplying the sum of forecasted products with the forecast factor we calculate the number of cartons and then the number of pallets. 3.4.3 Forecasting number of pallets After calculating the number of engineered pallets we used the data that we had from the sterilization facility to adjust the number of pallets that are forecasted. We started with information for January 2004 to August 2004 to calculate the regression factor. The following table presents the result for September. In the table below the 2 nd column presents the number of pallets that were built using the product characteristics and the adjusted forecast, 3rd column presents the number of pallets that actually arrived to the sterilization facility, and the right column presents the number forecast pallets after using regression, that was based on eight months of data. Product Jan-04 Feb-04 Mar-04 Apr-04 May-04 Jun-04 Jul-04 Aug-04 Engineered Pallets 165 199 232 217 228 206 180 250 Actual Number of Pallets 199 205 290 315 297 283 254 307 Forecasted Pallets 181 251 318 287 310 265 212 355 Sep-04 151 199 285 Table 4- Forecasting September's demand 31 The following table shows the same process as describe above using nine, ten, eleven months in the regression function, using a one month ahead process. Product Jan-04 Feb-04 Engineered Pallets Actual Number of Pallets Forecasted Pallets 165 199 199 205 194 254 Mar-04 232 290 312 Apr-04 217 315 285 May-04 Jun-04 Jul-04 228 206 180 297 283 254 305 266 221 Aug-04 250 307 343 Sep-04 216 199 169(285) Oct-04 Nov-04 176 226 205 290 214(217) 301(303) Dec-04 219 289 .315 Table 5- Forecasting Decembers demand The numbers in brackets are the forecasted pallets for each month based on a one month ahead process. 3.4.4 Summary In the table below we can see how the number of pallets forecast adjusts as we use more data for the regression. The table shows the error as a percentage of the actual number. Month Results- Month Results- Month Results - Month Results- Sep Oct Nov Dec Sep Regression 43% Oct Regression 13% 6% 15% 4% Nov Regression 4% Dec Regression 4% 4% 15% Table 6- Forecast error as a function of data 8% The left column represent a one month ahead forecast and the top row represents the month that was forecast. For example September had a 43% accuracy error when we used a one month a 32 head forecast, but as we did made two months a head forecast we received a] 5% error accuracy for the month of September. 3.5 Summary The forecast tool is a bottom up approach. The effectiveness of the tool is a function of the quality and quantity of data provided. Since most of the packaging information, product forecast information and actual SKU level demand were missing or inaccurate, we developed a top down approach using simulation model based on the actual sterilization demand in pallet, the only complete and accurate information that we had. Chapter four introduces the simulation model that was based on data provided by MedCo. 33 4 Simulation This chapter describes the simulation model that was built to calculate capacity utilization. By using data that was collected at MedCo facility, the model generates demand for sterilization capacity and calculates its utilization. Variables in the model can be changed to test different policies. 4.1 Model overview The model is built from five main components as illustrated in Figureure 11: input data, chamber management, backlog management, control, and measurements. The input data module creates the supply of pallets using data from the sterilization facility. The chamber management module assigns pallets to a chamber. The backlog management module transfers pallets that were not sterilized to be sterilized the next day. The control module set the parameters in the model and is used to create different policies. Finally, the measurement model calculates utilization and waittime. Figure 11- The model five main blocks 34 4.1.1 Input Data The data that was used in the model was collected from the sterilization facility records. From each record, we extracted the following information: manufacturer, number of pallets, number of cartons, arrival time, sterilization process start and end time, shipping time, type of sterilization, and sterilization load number into a master table. 4.1.2 Croston's Method The model uses Croston approach. Croston (1972) separated the forecast of the size of demand and the time interval between demand (Shenstone & Hyndman ,2005) to create an intermittent demand forecast (IDF). Croston's method has a long history of usage, and has proven to be very efficient. Our model uses the Croston's approach to forecast demand for sterilization, by separating the shipment arrival rate, shipments size and timing variables. 4.1.3 Arrival distribution The shipment generated is built from three models. The first calculates the probability of having a shipment arrive from a specific facility. The second calculates at what part of the day a shipment will arrive. And, the last calculates the number of pallets that the shipment contains. Does a shipment arrive? The probability of a having a shipment arrive on any day was calculated using the master data table. For each facility we calculated the number of days over a year that had no shipment and divided it with the number of days in a year. The result was used as the probability of not sending a shipment on a certain day. 35 When to arrive? For each facility we examined the distribution of arrival times over a twenty-four hour day, and used the actual distribution to model when each shipment arrived. In Excel we created this discrete distribution by using a Monte Carlo method on the actual distribution. See Buslenko (1966) for details on this approach. For example, we can look at the Len facility arrival distribution over twenty-four hours as shown in the following graph. Len Daily Arrival Distribution I 80 70 6050 40 U. 302010 0 0:00 2:00 4:00 6:00 8:00 10:00 12:00 14:00 16:00 18:00 20:00 22:00 24 Hour Figure 12- Len Daily arrival distribution We then calculate the probability of having shipments arrive for each six hour period of a day by dividing the ratio of each quarter frequency with the total number of shipments; the results are presented in the table below. 36 Len 4 3 2 1 Quarter Number 20:00-2:00 14:00-20:00 08:00-14:00 02:00-08:00 Time of Day 7 48 178 17 Frequency 0.028 0.192 0.712 0.068 Probability period. hour six a over arrived Table 7-Len facility distribution of number of shipments From the table above we can create a graph that represents the cumulative distribution as shown below. Len Quarter Probability 0.8 -_- -___0.7 1.2 - - 0.60.8 0.5 -0.6 m 0.40. 0.3 .-- ' E 0.2 0.2 0.1 0 0 02:00-08:00 08:00-14:00 14:00-20:00 20:00-2:00 Time of Day Figure 13- Len quarter probability How many arrive? To calculate the number of pallets contained within a shipment, when a shipment arrives. We used the same mechanism as was described above. Using the data in the master table we calculated the discrete distribution for each facility and used a uniform random function to generate the same behavior in the model. The example below compares the result of the distribution that was collected for the master table with the result of the simulation. 37 -Ei=elkb Len Daily Demand Arrival 50 >, 40 N Len 2004 preformence 0 M Simulation 20 E S10 z 0 1 2 3 4 5 6 7 8 9 10 11 12 16 Number of Pallets Figure 14- Len daily demand arrival To check simulation accuracy, we compared the total number of pallets generated by the simulator to total number of pallets received at MedCo. This analysis was done over a one year period and presented in table 8. From the result we can learn that the input management module has an accuracy of up to 3%, which we found to be very good. Total Number of Pallets Facility Simulation result Original Data results Difference Cel Len Pie Pen Mia 1271 965 3443 3141 2004 1271 967 3418 3197 1986 -2.19% -2.47% 2.19% 0.27% -1.37% pallets of number of function as accuracy Model 8Table San 1028 1027 -0.82% 4.1.2 Chambers management The chamber management module assigns pallets to chambers as a function of two variables: chamber status and chamber policy. 38 = -Nm Yes Empt chae Start Nc Wa R quwwe 1 IsCh1:1!1ber Isstw maption Yes Yes YYes slevel? NO Yes 1 0 pas No Assign chamber to another company Figure 15- Chamber management flowchart Chambers can be either in an operation or non-operation mode. If a chamber is in operation mode then it can be either in a use or a ready status. Operating and non-operating status are set by the user. When a chamber is in an operating mode, its capacity is added to the utilization formula and the model assigns pallets to the chamber. Use and ready status are defined by the chamber management according to the flowchart above. Chamber policy defines the order in which pallets are loaded into chambers. The current policy in the model is a first-in first-out (FIFO) policy, where pallets enter the chamber in the order they arrived to the facility. 39 4.1.3 Backlog management The backlog management module keeps track of pallets that arrived at the facility and were not assigned to a chamber. By using a queue with time stamps, the model can calculate wait time from the time a pallet arrived at the facility to the time it was placed in the chamber for sterilization. The backlog module receives the pallets that were not assigned each quarter from the chamber management model and sends pallets in sequence to the chamber management module. 4.1.4 Control The control module defines growth rates and chambers properties: size, threshold, and status. By changing the variable in the control module different polices can be tested. Using the chamber property controls, the user can add or reduce capacity and change threshold policy. The growth rate affects the production of each facility. The model multiplies the growth rate factor with production from each facility. The growth rate factor is measured as a monthly compound rate. Changing the growth rate variable only changes the size of shipments and does not affect the probability of receiving a shipment or its timing. 4.1.5 Measurements The measurement module measures utilization, wait time, backlog statistics, and calibration of the model, as shown in the data section. The utilization formula in the model is a dynamic formula. As capacity changes, the formula is adjusted. The formula was built based on interviews with Dandu's managers. 40 The formula uses a ratio between the numbers of pallets that were processed divided by 90% of the capacity that is validated over a twenty four hour period. The 90% rate is based on empirical data that has shown that approximately 10% of the capacity is unavailable due to usage for other customers. The measurements that were used in the analysis chapter are based on an average of daily utilization results per month. Pallets wait time measures the time between pallets arriving to the sterilization facility and the time it is sterilized. The wait time is calculated using a weighted average formula. 41 5 Analysis In this chapter we will use the simulation model and examine capacity utilization and wait time as we change variables according to different polices. We start with the basis configuration and test the utilization rates as the monthly production growth rate grows changes to 10 %. We then look at different scenarios to test potential policy changes. 5.1 Sensitivity In this section, we measure utilization and wait time as a function of production growth rate. We then use this measurement as the base case and check how utilization rates and wait times change as we adjust the size of the chamber maintaining same capacity. The last test measures how the utilization rates and wait times change as we change the threshold policy. 5.1.1 Base case The question that we are trying to answer in this simulation is: How does the utilization rate of the current capacity change as demand grows? To answer this question, we consider the current capacity and policy, changing only the growth variable from 0% to 10%. 42 .... -- _---_'_ Table 9 shows the setting for the model run. That is, three chambers: two twenty four pallet chambers and one twelve pallet chamber. The twenty four pallet chambers have a threshold policy of 75% and the twelve pallet chamber has a threshold policy of 50%. Control Setting Status Size Threshold Chamber I Chamber 2 Chamber 3 ON ON ON 24 24 12 75% 75% 50% Chamber 4 Chamber 5 OFF OFF Table 9-Base case test, simulation setting The results are presented in the following tables and graphs. The following table shows the average annual utilization rate for each growth rate. Utilization 1% 0% 3% 2% 4% 5% 6% 7% 8% 9% 10% 84% 88% 88% 90% 91% 100% 100% 100% 100% 100% 100% 100% First Year Average 67% 69% 71% 75% 78% 82% Second Year Average 67% 72% 79% 91% 97% 99% Third Year Average 67% 73% 93% 100% 100% 100% 100% 100% 100% Table 10- Base case test, average annual utilization The following table presents the annual average wait time for each growth rate. 0% 1% 2% 3% 4% 5% 6% 7% 8% 9% 10% First Year Average 11 11 11 12 15 16 26 48 57 72 81 Second Year Average 10 12 16 43 113 145 165 171 172 174 174 1741 741 774 174 174 Wait time ThirdYear Average 10 13 61 160 174 174 Table 11- Base case test, average annual wait-time The graphs show how for each growth rate the utilization and wait time change over a thirty-six month period. 43 . .. . ... ........... Base Case Utilization vs Growth Rate 105% 0% 0% 100%- 100% C 0 95% 2% 2% 85% 5% 80% 6% 7% 7% 90% N 75%- 8% r -'---I I 9% 10% 70% 65%- Months Figure 16- Base case test, utilization graph as a function of growth rate Wait Time Vs Monthly Growth Rate 200 180 0% 2% 140 a 120 100 8060 3% 4% 5% ___6% -7% 8% 9% 10% -- 40-- 20 '%n. i C' 4b s r> .r 6 0In Months Figure 17- Base case test, wait time as a function of growth rate 44 Based on these results, we see that as utilization increases beyond 80%, the wait time grows exponentially. For example looking at figure 17 with a 2% growth rate, we reach 80% utilization after twenty two months. For the same growth rate in figure 18 we can see that as we pass twenty two months period with a 2% growth rate, the graph has an exponential behavior. Since the change in wait time prior to the utilization level of 80% is less than twenty-four hours, which is the sterilization process time, we define the 80% utilization level as the point in time were we would like to add capacity. These criteria were validated by Dandu's managers. 5.1.2 Chamber Size The question that we are trying to answer in this simulation is: What size chamber should be used? Should we use a twenty-four pallet chamber or should we use two twelve pallet chambers instead? To answer this question, we kept the same capacity value, but replaced the twenty-four pallet chamber with two twelve pallet chambers. Table 12 shows the setting for the model run. That is, four chambers: one twenty four pallet chambers and three twelve pallet chamber. The twenty four pallet chamber has a threshold policy of 75% and the twelve pallet chambers have a threshold policy of 50%. Control Setting Chamber Chamber Chamber Chamber 1 2 3 4 Chamber 5 Status Threshold Size 75% ON 50% ON 50% ON 50% ON OFF Table 12- Chamber size test, simulation setting 24 12 12 12 45 The following table shows the annual average utilization rate for each growth rate. Utilization First Year Average 6% 7% 8% 9% 10% 0% 1% 2% 3% 4% 5% 64% 67% 69% 74% 76% 79% 83% 85% 87% 88% 90% 89% 97% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% Second Year Average 64% 68% 77% Third Year Average 65% 72% 92% Table 13-Chamber size test, average annual utilization The following table represents the annual average wait time for each growth rate Wait-Time 0% 1% 2% 3%. 4% 5% 6% 7% 8% 9% 10% First Year Average 10 10 10 11 12 17 25 40 54 70 81 Second Year Average 10 11 16 48 108 144 164 169 172 174 174 9 12 66 169 174 174 174 174 174 174 174 Third Year Average Table 14- Chamber size test, average annual wait time The graphs show how for each growth rate, the utilization rate and the wait time change over a thirty-six month period. Smaller Chambers Utilization vs Growth Rate 105"% 10 0 % % _0% 95%1% -2% 90% 3% 4% 0 85 85/ 1125% 6% 80% - _7% 5 -8% 75/0 9% 10%, 70/0- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 Months Figure 18-Chamber size test, utilization as a function of growth rate 46 WaitTime Vs Monthly Growth Rate 200 - - --- 160% 160 0% 2% 43% 4% 5% 1 20---100- --6% -_ 7% 8% 40 9% 2- 10% Months Figure 19-Chamber size test, wait time as a function of growth rate After measuring the changes between the two options, we found that, on average, the change from one twenty-four pallet chamber to two twelve pallet chambers resulted in a 2% reduction in the utilization rate and no impact on wait time. We also found that the rate at which the utilization changed due to production growth slowed - that is, the utilization rate reaches 80% using smaller chambers after twenty-three months, while in the base case test it took twenty-two months given the same growth rate of 2% per month. 5.1.3 Threshold level The question that we are trying to answer in this simulation is: how does threshold level policy effects utilization and wait time? To answer this question, we kept the same capacity configuration, changed the threshold policy for all chamber to a 0% level and changed the growth variable from 0% to 10%. The idea is to use every chamber as it is ready to use and pallets are located at the sterilization facility without waiting for additional pallets to arrive. 47 ........... ------------ Table 15 shows the setting for the model run. That is, three chambers: two twenty four pallet chambers and one twelve pallet chamber. The twenty four pallet chambers have a threshold policy of 0% and the twelve pallet chamber has a threshold policy of 0%. Chamber Chamber Chamber Chamber Chamber 1 2 3 4 5 Threshold Size Status Control Setting 0% ON 0% ON 0% ON OFF OFF Table 15- Threshold level test, simulation setting 24 24 12 The following table shows the annual average utilization rate for each growth rate. Utilization 0% 1% 2% 3% 4% 5% 6% 7% 8% 9% 10% 71% 75% 80% 82% 85% 87% 88% 90% First Year Average 62%/ 65% 68% Second Year Average 62% 67% 79% 90% 97% 99% 100% 100% 100% 100% 100% Third Year Average 63% 70% 94% 100% 100% 100% 100% 100% 100% 100% 100% 10% Table 16-Threshold level test, average annual utilization The following table presents the annual average wait time for each growth rate Wait -Time First Year Average 0% 9 1% 9 2% 3% 4% 5% 6% 7% 8% 9% 10 10 12 16 26 38 59 64 80 173 174 174 174 Second Year Average 8 9 14 42 114 141 165 170 173 Third Year Average 8 12 68 164 174 174 174 174 174 Table 17- Threshold level test, average annual wait time The graphs show how for each growth rate the utilization and the wait time change over a thirtysix month period. 48 Threshold policy Utilization vs Growth Rate 105% 0% - 1% 2% 100% 95% 3% 4% 5% 90% 85% 80% 75% 6% 7% 70% 8% 65% 9% 10% 60% Months Figure 20-Threshold level test, utilization as a function of growth rate WaitTime Vs Monthly Growth Rate - 200 - -- 0% -1% 2% 150 -3% - 100 4% -5% -6% 50 7% % -8% 0 0 CP Month 0 C rp ei rp (! 9% 10% Figure 21-Threshold level test, wait time as a function of growth rate We see from the results that utilization has reduced by 2% on average and wait time has reduced by less the two hours. The rate at which utilization changed increased slightly; the time to get to 80% utilization was reduced to twenty-one months. 49 .............. ......... 5.2 Arrivalpolicy The next series of tests were done to answer the following question: How does utilization and wait time change as a function of demand for sterilization capacity over a twenty-four hour period? All the tests were done using the following setting. Table 18 shows the setting for the model run. That is, three chambers: two twenty four pallet chambers and one twelve pallet chamber. The twenty four pallet chambers have a threshold policy of 75% and the twelve pallet chamber has a threshold policy of 50%. Control Setting Status Size Threshold Chamber I Chamber 2 Chamber 3 ON ON ON 24 24 12 75% 75% 50% Chamber 4 Chamber 5 OFF OFF Table 18- Arrival policy, simulation setting 5.2.1 Load balance In this test we divided the daily shipments over four quarters of the day evenly. This is a theoretical practice that can not be applied in reality. The following table shows the annual average utilization rate for each growth rate. Utilization 0% 1% 2% 3% 4% 5% 6% 7% 8% 9% 10% 70% 75% 78% 83% 84% 87% 88% 90% First Year Average 62% 63% 67% Second Year Average 61% 65% 75% 88% 96% 99% 100% 100% 100% 100% 100% Third Year Average 61% 69% 92% 99% 100% 100% 100% 100% 100% 100% 100% Table 19- Load balance test, average annual utilization 50 The following table presents the annual average wait time for each growth rate. wait 0% -Time 1% 5% 6% 7% 8% 9% 10% 24 37 51 70 75 11 16 14 39 114 146 164 170 172 173 174 57 163 173 174 174 174 174 174 174 8 8 9 Second Year Average 7 9 11 7 4% 9 First Year Averagp Third Year Average 3% 2% Table 20- Load balance test, average annual wait time The graphs show how for each growth rate the utilization and the wait time change over a thirtysix month period. Arrival policy load balance Utilization vs Growth Rate 0% 105% 100% 95% -1% - 22% 3 -- 90% 85% -4% 80% 5% 75% 8% 60% NI $No 4 No ? p / 9% Month 10% Figure 22- Load balance test, utilization as a function of growth rate Wait Time Vs Monthly Growth Rate 0% 200 1-1% 1602% 140-2 3% 120 4% t 100M 80 - 6 60 40-6 - 20 7% 8 0D, Nb No9% Month Figure 23-Load balance test, wait time as a function of growth rate 51 10% --- = . Z'K_ . . .... - ----................... . We see from the above results that utilization rate was reduced by 4% on average and wait time was reduced by three hours due to applying a load balancing policy. The rate at which utilization changed increased slightly; the time to get to 80% utilization was reduced to twenty-four months. 5.2.2 Six hour window The six hour window policy is to aggregate the arrival of daily demand into one quarter of a day. In this scenario, shipments arrive only during a six hour period on any given day. To apply this method Dandu can instructs MedCo to process only the demand that arrived during the required six hour window. The following table shows the annual average utilization rate for each growth rate 5% 6% 9% 8% 7% 10% 0% 1% 2% 3% 4% First Year Average 60% 59% 64% 67% 72% 76% 79% 83% 85% 87% 88% Second Year Average 60% 62% 72% 86% 95% 99% 100% 100% 100% 100% 100% Third Year Average 60% 65% 91% 100% 100% 100% 100% 100% 100% 100% 100% Utilization Table 21-Six hour window test, average annual utilization The following table presents the annual average wait time for each growth rate wait -Time First Year Average Second Year Average Third Year Average 0% 1% 2% 4% 5% 6% 7% 8% 9% 10% 16 16 19 25 45 59 72 81 3% 8 15 12 10 14 19 50 112 150 163 172 172 174 174 9 16 65 164 174 174 174 174 174 174 174 Table 22-Six hour window test, average annual wait time The graphs show how for each growth rate, the utilization and the wait time change over a thirtysix month period 52 - aw , __ - %t - 6 Hours window Utilization vs Growth Rate - __ 0% 1% 105% 2% 3% 95% -4% L* a 85% $ 75% 5% 6% -7% 65% 8% 55% rM- 0 CO C0 0) T_ ' T_' N N LO N 9% C') 10% Months Figure 24- Six hour window test, utilization as a function of growth rate 0% WaitTime Vs Monthly Growth Rate 1% 200 2% 150 3% 4% 100 5% __6% 50 - 7% 8% 0 b Mo t on Months Figure 25-Six hour window test, wait time as a function of growth rate We see from the results that utilization was reduced by 5% on average and wait time has increased by three hours due to the six hour window policy. The rate at which utilization changed increased slightly; the time to get to 80% utilization was reduced to twenty-three months. 53 9% 10% , 5.2.3 Twelve hour window The twelve hour window policy is to aggregate the arrival of all of the daily demand into a twelve hour period. In this scenario, shipments arrive only during a twelve hour period on any given day. To apply this method Dandu can instructs MedCo to process only the demand that arrived during the required twelve hour window. The following table shows the annual average utilization rate for each growth rate Utilization First Year Average 6% 8% 7% 9% 10% 0% 1% 2% 3% 4% 5% 59% 60% 65% 67% 73% 76% 80% 82% 86% 87% 88% 100% 100% 100% 100% 100% 100% 100% 100% Second Year Average 59% 62% 75% 86% 98% 99% 100% Third Year Average 59% 64% 93% 100% 100% 100% 100% Table 23- Twelve hour window test, average annual utilization The following table presents the annual average wait time for each growth rate wait -Time First Year Average 2% 3% 4% 5% 6% 7% 8% 9% 10% 0% 1% 7 7 8 9 10 14 29 46 54 66 80 35 113 143 166 171 173 174 174 161 173 174 174 174 174 174 174 Second Year Average 7 8 13 Third Year Average 6 10 63 Table 24-Twelve hour window test, average annual wait time The graphs show how for each growth rate, the utilization and the wait time change over a thirtysix month period. 54 12 Hours window Utilization vs Growth RatE 0% 1% 105% 2% 95% - __3% 4% 85% 5% N 75% 6% -7% 65% 55% 8% - ig 9% 10% Months Figure 26-Twelve hour window test, utilization as a function of growth rate Wait Time Vs Monthly Growth Rate -0.00% 1.00% 200 2.00% __3.00% 150 4.00% L) 0 5.00% 100 x 6.00% 50 7.00% 8.00% 0 Ir- IT P.- C - - n N N Months 9.00% 10.00% Figure 27-Twelve hour window test, wait time as a function of growth rate We see from the results that utilization was reduced by 6% on average and wait time has reduced by three hours due to the twelve hour window policy. The rate at which utilization changed increased slightly; the time to get to 80% utilization was reduced to twenty-four months. 55 E-_- '464 -- =!!= tt 5.3 Building capacity After observing how the utilization rate changes as a function of arrival policy changes, we answer the question: How does utilization rate change as capacity is added? To answer this question we used different options that exist in the current facility. 5.3.1 Adding a twelve pallet chamber In this simulation, we add one chamber of twelve pallets to the existing capacity. The utilization calculation uses seventy-two pallets as the new capacity, as opposed to sixty pallets of capacity in the original scenario. Table 25 shows the setting for the model run. That is four chambers: two twenty four pallet chambers and two twelve pallet chamber. The twenty four pallet chambers have a threshold policy of 75% and the twelve pallet chambers have a threshold policy of 50%. Control Setting Status Size Threshold Chamber Chamber Chamber Chamber ON ON ON ON 24 24 12 12 75% 75% 50% 50% 1 2 3 4 OFF Chamber 5 Table 25- Adding a twelve pallet chamber, simulation setting The following table shows the annual average utilization rate for each growth rate 0% 1% 2% 3% 4% 5% 6% 7% 8% 9% 10% First Year Average 49% 51% 54% 57% 60% 64% 68% 72% 75% 77% 80% Second Year Average 50% 53% 57% 69% 83% 92% 96% 99% 100% 100% 100% Third Year Average 50% 54% 67% 92% 100% 100% 100% 100% 100% 100% 100% Utilization Table 26-Adding a twelve pallet chamber test, average annual utilization 56 T The following table presents the annual average wait time for each growth rate 2% 3% 4% 6% S% 7% 8% 9% First Year Average 9 8 8 9 9 10 11 12 17 28 37 Second Year Average 8 9 10 13 27 80 119 147 164 169 172 Third Year Average 8 9 14 82 162 173 174 174 174 174 174 0% wait -Time 1% 10% Table 27-Adding a twelve pallet chamber test, average annual wait time The graphs show how, for each growth rate, the utilization and the wait time change over a thirty-six month period Adding 12 pallets chamber Utilization vs Growth Rate 0% -1% 2% 100% 3% 90% -- 4% -5% 0 80% -6% 70% -7% 60% 50% 8% qT I*-- C MO W00 M 'o N nths LO( ct W Months Figure 28-Adding a twelve pallet chamber test, utilization as a function of growth rate 57 9% 10% Wait Time Vs Monthly Growth Rate -- 0% 1% 200 2% 3% 150 0 X 4% 5% 100 50 0 ......... onh.s - -6% -- 7% 8% 9% Months Figure 29- Adding a twelve pallet chamber test, wait time as a function of growth rate We see from the results that utilization rate was reduced by 10% on average and wait time was reduced by fourteen hours at a higher growth rate. The rate at which utilization changed increased slightly; the time to get to 80% utilization was reduced to thirty-two months given a 2% monthly growth rate. 5.3.2 Adding a twelve and six pallet chamber In this simulation, we add one chamber of twelve pallets and one chamber of six pallets to the existing capacity. The utilization calculation uses seventy-eight pallets as the new capacity. Table 28 shows the setting for the model run. That is five chambers: two twenty four pallet chambers, two twelve pallet chamber and one six pallet chamber. The twenty four pallet chambers have a threshold policy of 75%, the twelve pallet chambers have a threshold policy of 50% and the six pallet chambers have a threshold policy of 50%. 58 10% Threshold Size Status Control Setting ON Chamber I ON Chamber 2 ON Chamber 3 ON Chamber 4 ON Chamber 5 Table 28-Adding a twelve and six 75% 24 75% 24 50% 12 50% 12 50% 6 pallet chamber, simulation setting The following table shows the annual average utilization rate for each growth rate Utilization 0% 1% 2% 4% 3% 5% 6% 7% 8% 9% 10% 72% 75% 77% 80% First Year Average 49% 51% 54% 57% 60% 64% 68% Second Year Average 50% 53% 57% 69% 83% 92% 96% 99% 100% 100% 100% 100% 100% 100% 100% 100% Third Year Average 50% 54% 67% 92% 100% 100% Table 29-Adding a twelve and six pallet chamber test, average annual utilization The following table presents the annual average wait time for each growth rate wat -Time 0%A 1% 2% 4% 39 5% 6% 7% 8% 9% 10% 10 11 12 17 28 37 First Year Average 9 8 8 9 9 Second Year Average 8 9 10 13 27 80 119 147 164 169 172 162 173 174 174 174 174 174 Third Year Average 8 9 14 82 Table 30-Adding a twelve and six pallet chamber test, average annual wait time The graphs show how, for each growth rate, the utilization and the wait time change over a thirty-six month period 59 Adding 12 and 6 pallets chamber and 12 hours window policy Utilization vs Growth Rate 105%- -0% -3% 75% 4-4% S 65% 5% 6% -7% - 55%--6 45% -8% 9% 10% Months Figure 30-Adding a twelve and six pallet chamber test, utilization as a function of growth rate Wait Time Vs Monthly Growth Rate 200 180160- -- 0% 120 - 2% 4% --- 0100 - 806040 0 3% -5% -8% ~7 r Ch Months rp9% 10% Figure 31-Adding a twelve and six pallet chamber test, wait time as a function of growth rate 60 We see from the results that utilization was reduced by 15% on average and wait time was reduced by twenty hours at a higher growth rate. The rate at which utilization changed increased slightly; the time to get to 80% utilization was reduced to twenty-eight months given a 3% monthly growth rate. 5.4 Reducing load After learning how the utilization changes as a function of adding capacity, we answer the question: How does utilization change as demand is reduced? To answer this question we used different options that the company has to redirect demand to other facilities. All the tests were done using the same setting. Table 31 shows the setting for the model run. That is, three chambers: two twenty four pallet chambers and one twelve pallet chamber. The twenty four pallet chambers have a threshold policy of 0% and the twelve pallet chamber has a threshold policy of 0%. Control Setting Status Size Threshold Chamber 1 Chamber 2 Chamber 3 ON ON ON 24 24 12 75% 75% 50% Chamber 4 OFF________________ Chamber 5 OFF Table 31-Reducing load, simulation setting 5.4.1 Reducing Mia demand. The following table shows the annual average utilization rate for each growth rate 61 0% Utilization 60% First Year Average 10% 1% 2% 3% 4% 5% 6% 7% 8% 9% 62% 65% 67% 70% 74% 78% 80% 82% 84% 86% 88% 95% 98% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 10% Second Year Average 61% 62% 67% 76% Third Year Average 60% 63% 78% 97% Table 32- Reducing Mia demand test, average annual utilization The following table presents the annual average wait time for each growth rate 2% 3% 4% 5% 6% 7% 8% 9% First Year Average 8 8 8 8 9 10 13 16 27 40 50 Second Year Average 8 9 10 15 48 100 137 161 168 172 173 Third Year Average 7 9 17 121 170 174 174 174 174 174 174 0% wait -Time 1% Table 33- Reducing Mia demand test, average annual wait time The graphs show how for each growth rate the utilization and the wait time change over a thirty six months period Reduce Load (Mia), 12 hours policy Utilization vs -- 0% Growth Rate 1% 2% 0 N 105% 3% 95% 4% 85% -5% 75% -6% 65% -7% 55% *- 0 8% 7 -! MCD M 0hsN L- W Months Figure 32- Reducing Mia demand test, utilization as a function of growth rate 62 9% 10% Wait Time Vs Monthly Growth Rate 0% -1% 20C 2% 3% 15C 0 -4% 1 0C 5% 6% 5C --- 7% C ) 8% - 9% 10% Months Figure 33-Reducing Mia demand test, wait time as a function of growth rate We see from the results that utilization was reduced by 8% on average and wait time was reduced by five hours at a higher growth rate. The rate at which utilization changed increased slightly; the time to get to 80% utilization was reduced to thirty-one months given a 2% monthly growth rate. 5.4.2 Reducing Mia, San and Cel demand. The following table shows the annual average utilization rate for each growth rate 0% Utilization 1% 2% 4% 3% 5% 6% 7% 8% 9% 10% 80% 82% 84% 85% First Year Average 63% 66% 69% 71% 74% 75% 79% Second Year Average 64% 66% 73% 78% 86% 91% 97% 98% 99% 100% 100% 100% 100% 100% 100% 100% Third Year Average 64% 67% 77% 88% 98% 100% Table 34-Reducing Mia, San and Cel demand test, average annual utilization The following table presents the annual average wait time for each growth rate 63 0% 1% 2% 3% 4% 5% 6% 7% 8% 9% 10% First Year Average 11 11 11 11 11 11 12 13 15 17 25 Second Year Average 10 11 11 12 19 43 88 124 140 155 164 174 174 174 174 174 wait -Time 10 Third Year Average 11 14 131 33 167 Table 35-Reducing Mia, San and Cel demand test, average annual wait time The graphs show how for each growth rate the utilization and the wait time change over a thirty six months period. Reduce load (Mia, San, Cel) Utilization vs Growth Rate 105% 0% 100% 95/0% 90/% 2%6 0 85% 3% N =80% 7---% _ 4%_ r 1 -6% 70% - -7% -8% 65% 9% 60/o N N N10% Months Figure 34-Reducing Mia, San and Cel demand test, utilization as a function of growth rate 64 Wait Time Vs Monthly Growth Rate 200 _0% 1801 160 2% 140 3% 120- 4% o 100 80 5% 60 - _8% 9% 40 10% 2WN 0 Months Figure 35-Reducing Mia, San and Cel demand test, wait time as a function of growth rate We see from the results that utilization was reduced by 6% on average and wait time was increased by three hours at a higher growth rate. The rate at which utilization changed increased slightly; the time to get to 80% utilization was reduced to thirty-five months given a 2% monthly growth rate 5.4.3 Reducing Mia, San and Cel demand and using 12 hour window Results The following table shows the annual average utilization rate for each growth rate Utilization 0% 1% 2% 3% 4% 5% 6% 7% 8% 9% 10% 73% 75% 79% 81% 81% 83% First Year Average 60% 61% 64% 67% 68% Second Year Average 60% 63% 65% 70% 81% 92% 97% 98% 99% 100% 100% 97% 100% 100% 100% 100% 100% 100% Third Year Average 6% -- 7% 60% 61% 69% 83% Table 36-Reducing Mia, San and Cel demand and using 12 hour window test, average annual utilization 65 The following table presents the annual average wait time for each growth rate 0% wait -Time 1% 2% 40 4%6 3% % % 7% 8% 9% 10% 8 8 8 9 8 9 9 11 12 14 22 Second Year Average 8 8 8 10 17 35 88 117 138 153 159 Third Year Average 7 8 11 27 121 157 166 168 169 170 170 First Year Average Table 37- Reducing Mia, San and Cel demand and using 12 hour window test, average annual wait time The graphs show how for each growth rate the utilization and the wait time change over a thirtysix month period Reduce load (Mia,San, Cel) with 12 hours policy Utilization vs Growth Rate 105% 100% 0% 1% 2% 90% - 85% 80% % 4% 3% 5% 75%-% 8% 70% -8% 9% 65%~ ~~1% 60%- Months Figure 36-Reducing Mia, San and Cel demand and using 12 hour window test, utilization as a function of growth rate 66 Wait Time Vs Monthly Growth Rate 200 10 160% 2% -- 140 0% 3% 120-4 5% 100 -6% 00 -- 7% 8% 60- 9% 10% 20 0 Months Figure 37-Reducing Mia, San and Cel demand and using 12 hour window test, wait time as a function of growth rate We see from the results that utilization was reduced by 10% on average and wait time was reduced by ten hours at a higher growth rate. The rate at which utilization changed increased slightly; the time to get to 80% utilization was reduced to thirty-one months given a 3% monthly growth rate. 5.5 Analysis summary The purpose of this research was to find out how changes in policy, capacity, and demand impact the utilization rate of sterilization capacity and the wait time of the sterilization process. The research involved mapping the network and the process flow, creating a forecasting tool to translate sales forecasts to pallet units, building a simulation model that copies the activity in the sterilization facility and the demand for capacity, and testing how different variables interact and 67 M- 09a- A IN ' - - - - - - - effect utilization and wait time. We summarize the results from the simulation in the following two tables that answer the original question: When is the right time to add capacity? The table was created using the simulation model. Assuming a certain growth rate, we can see when utilization reaches 80% or wait time passes twenty four hour. Number of Months to reach 80% 0%1% 2% ---- 22 24 BaseCase ---- 23 25 SmallerChamber 21 26 Zero ThresholdLevel --- 24 32 LoadBalance -- --18 26 6 HourWindow ---- 24 29 2HourWindow 32 33 Adding Pallet Capacity - - utfation and 24 waft time 6% 7% 8% 9% 5% 4% 3% 10118 8 12 6 11 5 9 5 8 517 4 6 15 18 9 13 8 11 7 8 6 8 4 8 4 7 1218 11 13 7 12 6 9_5 9 5 7 5 7 1622 9 16 7 14 6 11 6 105 9 4 8 1117 8 12 7 12 6 105 7 4 6 4 6 16119110 14 7 12 7 106 8 5 7 5 7 30 25 18 19 11 14 10 128 11 7 106 9 24 28 18 20 12 18 11 159 128 11 7 9 10% 45 4 6 4 5 4 8 46 57 68 7 9 Adding 2+6PalletCapacity Reduce Miami Load and 12 Hour Window ---- 31 - 20124 16128 9_15 7 13 712,610 618 5 8 Reduce Miami, San, Cel Loads - 35 - 27 28,11 23 9 18 8 1718 14 7 12 6 11 5 9 Reduce Miami, San, Cel Loads and 12 - - 131 31 21 23 9 20 9 1616 14,6 1316 12 6 9 Hour Window Table 38- Analysis results For example, base case scenario with a monthly growth rate of 2%, sterilization capacity utilization reaches 80% after twenty two months, and wait time crosses the twenty four hour point after twenty four months. The (-) sign means that it will take more then thirty six months to reach the desired number. Arrival distribution - we found that by changing the policy at the sterilization facility to create a twelve hour window for products to be sterilized, we reduce utilization growth rate and also reduce wait time. Other options that were tested, such as a six hour window, did not achieve the same result. We can conclude from this simulation that as we aggregate demand, we improve 68 utilization. As we move to a load balancing policy, we improve wait time, yet reduce utilization. The twelve hour window solution reduced utilization and also reduced wait time. Adding capacity - adding capacity reduces the utilization rate and also improves the wait time. Since we have more chambers, the probably of waiting for a chamber goes down. Reducing load - by reducing load, the utilization decreases and also the rate of change is slower compared to the base case. However, we were expecting to see a bigger reduction in utilization than what the model calculated. When we examine the results, we found that as we reduce the demand for sterilization capacity, other companies are filling the capacity and we are competing on the smaller-sized chambers which have higher demand than the bigger-sized chambers. The simulation model can also be used to explore different policies, not only with capacity constrains at MedCo but also in other sterilization facilities used by Dandu for sterilization. 69 6 Conclusions In this thesis we created a model that enables a medical device manufacturer to forecast sterilization capacity utilization. The model uses sterilization demand historical data and a growth rate variable. We started our research project with one basic question- based on utilization rate, when will be the right time to start validating capacity? To answer our initial question, we introduced the physical network and the process flow in chapter two. System Dynamics methods were also presented in the same chapter. A system view of our problem presented in a causal loop diagrams captured the dynamics between variable. We learned that we should focus not only on capacity utilization to answer the question, but also on the wait-time factor that increases total lead-time. Our next step was to use a bottom-up approach to forecast demand for sterilization. Chapter three focuses on translating sales forecasts from SKU level into pallet level. We used an aggregated monthly sales forecast for each facility and translated it into monthly forecast of sterilization capacity demand. The forecast tool combines an engineering phase that "builds" pallets with an econometric phase that uses a regression function to adjust the number of pallets "built" in the previous phase. In the process flow review we saw the differences in manufacturing and packaging process that exist in the system. We try to capture those factors in the second phase. Since most information required for this analysis was missing, and the only reliable data source was MedCo, we had to find a different method to answer our research question. 70 Chapter four presents a top-down simulation model. We analyzed the demand for sterilization from as it is captured at the sterilization facility. The model imitates decision rules used in MedCo and uses historical patterns in demand for sterilization from each facility to generate future demand. The utilization calculation formula is based on interviews with both companies' managers. As we built the model, we found new research questions. We were not only focusing on when will be the right time, but what can we do to change the timing? Chapter five focuses on the model's results. We analyzed the effect that chamber size have on utilization and wait time. We looked how threshold policy effects utilization and wait time. We applied time windows policies for receiving daily sterilization demand, and we concluded our analysis testing how adding capacity and reducing demand for sterilization effect utilization and wait time. All questions were born during the process of building the simulation model. The process of building the model enabled us to examine patterns in demand from each facility. As we learned those patterns, we added flexibility to the model that can enabled us later to test their effect. The biggest insight we found was the twelve hour window policy. Twelve hour window policy is an easy to implement policy that improves both utilization and wait time. As tested the policy, we found that there is a trade-off between utilization and wait time and that the twelve hour policy is the optimum between the six hour policy and the load balance policy were product arrive evenly over twenty four hour. The twelve hour window policy enables the company to stop uncertainties that exist in shipping process to ripple into the supply chain with the cost of a delay. We found that the delay required for this policy already exist in the system today. By stopping the rippling of the uncertainties, we can improve our throughput at the MedCo facility. By knowing the demand for sterilization 71 before, we can generate shipping plan for the next twenty four hour (sterilization process time) and reduce the average wait time after the sterilization. Finally, we think that the system overview, presented in the casual loop diagram in chapter two, captures many issues for future research. We recommend focusing on the DC availability and how its work schedule effects lead time. For example, researchers are designing a new biological indicator. This indicator will provide sterilization results after four hours instead of forty eight hours as with today's biological indicator. As the time to receive results decreases the effect of the DC availability on lead time will increase, since product ready for picking will be in transit mode. 72 Bibliography Bhatia,N.( 1998). Supply Chain Dynamics in the Automotive Industry. Master Thesis, Massachusetts Institute of Technology. Buslenko, N.P., D.I. Golenko, Yu. A. Shreider, I.M. Sobol, & V.G.Sragovich. (1966). The Monte Carlo Method: The Method of Statistical Trials edited by Yu. A. Shreider, translated by G.J.Tee (Pergamon, London), InternationalSeries of Monograph in Pure and Applied Mathematics, Vol. 87. Croston, J.D. (1972). Forecasting and stock control for intermittent demands. Operational Research, Quarterly 23(3),289-303 Holt, C.M.T. (1999). Supply Chain Simulator: An Approach for Development of Software and Methodology for Simulation of Supply Chain Management. Master Thesis, School of Engineering, Massachusetts Institute of Technology. Lertpattarapong,C.(2002). .Applying System Dynamics Approach to the Supply Chain Problem. Master Thesis. Massachusetts Institute of Technology. RichardR.R.(1995). Evaluation of Forecasting Techniques for short term demand of air transportation. Master Thesis, Massachusetts Institute of Technology. Shenstone, L. & Hyndman, J.R.(2005). Stochastic Models Underlying Croston's Method for Intermittent Demand Forecasting. Monash Econometrics and Business Statistics Working Papers. Silver, A.E., Pyke, F.D.& Peterson.P.(1998). Inventory management andproduction planning and scheduling. New Jersey: Hoboken. Sordellini, P. & Satter ,S.(1999).Sterilization: Microbiological Aspects of Process Validation. Medical Device & DiagnosticIndustiyApril Sordellini, P., Satter ,S. & Caputo, V. (1998). EtO Sterilization: Principles of Process Design. Medical Device & DiagnosticIndustry, December. Sparling, D.(2005). Forecasting: A hypertext forecasting guide. Retrieved from the Web May 26, 2005. htp://www.uoguelph.ca/~dsparlin/forecats Sterman, J.D.(2000). Business dynamics: system thinking and modelingJbr a complex world, McGraw-Hill. Massachusetts: Boston. 73