Challenge: System leadership came to MDR™ looking for innovative ways to save money primarily in the areas of Supply Chain/Spend Management.
Solutions: Completed Resource RoadMAP™ and identified multiple opportunities for savings. Presentations were coordinated with various Best Practices Partners. Areas pursued were Equipment Maintenance Assessment, RFP Preparation & Management and Inventory Count Solution.
Result: Equipment Maintenance Assessment identified over 24% savings ($1.5M) in year one and projected savings of more than 34% ($2.4M) in years 2 through 5. The Inventory Count Solution has provided the system with additional cost savings by allowing the system to complete physical inventory counts quickly and easily.
Challenge: Organization was seeking complete financial turnaround.
Solution: Completed Financial & Operational Assessment, Labor Management Assessment, and Productivity Reports.
Outcome: Realized Cost Savings - $16M (total annual savings) for the financial turnaround, $9.4M per year attributed to efficiency improvements.
FTE/Adjusted Occupied Bed - reduced from 6.15 to 4.5 over a two year period (these figures include all system employees)
Challenge: System had two separate out-sourced programs for their biomedical and imaging related equipment service needs. Service issues were constantly reported and Administration was investigating cost savings initiatives.
Solution: Provided Equipment Maintenance Assessment analyzing all aspects of service delivery. Expiring contracts were immediately extended 90-days with favorable terms and our team developed a timely RFP process.
Outcome: Delivered a comprehensive asset management program with an industry leader providing over $500K in annual cost-reduction, and included a comprehensive centralized maintenance management software tool, and on-site personnel.
Challenge: Financially troubled, Health Network leadership was seeking opportunities to reduce operating cost and drive margin to net income.
Solutions: MDR™ worked with executives to identify cost savings opportunities, focusing on the area of Spend Management/Supply Chain. Implemented Best Practices™ e-Payables and Electronic Data Interchange (EDI) solutions.
Results: E-payables solution generates $1M in total net income improvement from the cash rebate and reduced check printing cost. EDI delivered immediate ROI and significant cost savings.
Challenge: Hospital leadership was seeking better visibility and management in the area of supply chain project management.
Solution: Value Analysis Management platform.
Result: Hospital was documenting $1.5M in savings each year. After implementing the Best Practices Solution, the Hospital implemented $4.5M in documented savings in 9 months!
Challenge: Concerned with bringing savings and efficiency to the accounts payable function while also exploring new revenue streams.
Solution: e-Payables Solution
Outcome: Increased back office efficiencies and vendor participation, generating $13K-$14K monthly in rebate. Expected to reach $300K annually.
Challenge: Seeking Supply cost reduction, contract price compliance, corporate visibility into network of facilities, improve inventory control.
Solution: Materials Management Information System
Outcome: Achieved over $1M in savings within the first year of the system deployment. The savings was achieved by having greater visibility into the prices paid for each product across all ASCs through 3-way match process. Also, the enterprise system made it possible to track and enforce local and GPO contracts across all of ASCs.
Challenge: Seeking transparency and ease of identifying and vetting supply management opportunities, decisions, and results.
Solution: Clinical Spend Management Platform--real-time scenario modeling and trend-spotting, fast analysis, and benchmarking.
Outcome: $2.8M savings (combined with other initiatives) within the first year
Challenge: Wanted to ensure money on supplies was being spent in the most responsible and efficient way possible. Their biggest problem was the process that is required to deliver accurate and consistent reporting.
Solution: Electronic Materials Management System
Outcome: Updated and automated the entire process of supply chain management. Delivered savings in both time and money, while eliminating the need to bring on additional resources to support supply chain efforts.
Challenge: Shifting reimbursement practices and the rise in competition from nearby industry powerhouses created new financial challenges.
Solution: Productivity Benchmarking Assessment
Outcome: Services are now functioning at elevated performance levels, with 68 percent of all monitored departments operating at or above the 75th percentile. Paid hours per adjusted discharge saw a reduction of 40.3 hours in about 24 months and a decrease of 40 total paid FTEs through better management, attrition, more effective scheduling and enhanced position control.
Challenge: When facing the need to reduce and control costs, one of the largest areas of spend was equipment maintenance. The University had almost 400 separate contracts (with multiple vendors and expiration dates) encompassing more than 700 pieces of equipment with varying exclusions and limitations.
Solution: Financial Assessment - Customized Equipment Maintenance Program. Vendor relationships and response levels were unaffected and in many cases improved due to competition for the time and material service revenue across the campus.
Results: Total Maintenance Contract Spend $7.5M; Hard Dollar Cost Savings $2.7M. The University benefited greatly from the new service delivery model through increased uptime of equipment, identification of high frequency repair items and guaranteed hard dollar savings.
Challenge: The school district was looking for ways to automate their payment process and increase revenue back to the district.
Solution: Electronic Payment Solution
Results: Solution was up and running 10 days after signing the contract. Monthly rebate is $13K. Increased back-office efficiencies and increased vendor participation while enhancing the monthly rebate.
Challenge: Needed to reduce utility costs by replacing old, inefficient equipment with new, more energy-efficient HVAC systems.
Solution: Collected all equipment data, performed energy calculations, completed grant application, and submitted the application to State Energy Conservation Office (SECO), all on behalf of the district. Also, served as the District’s prime contractor and provided project management and construction management, and handled all grant administration and grant reporting required by SECO.
Results: Upgrades save the district $60K annually on utility costs. The entire project was funded by the grant, with no out-of-pocket contribution from the district.
Challenge: The city was forced to deal with reduced budgets and was looking for ways to cut cost and increase revenues. The city looked for both process improvements as well as reduced labor costs.
Solution: e-Payment Portal
Results: The city generates over $300K annually through payments issued and processed.
Challenge: The County was feeling pressure to reduce spending and the maintenance budgets were considered a target for review. Although the Purchasing Manager was concerned about the recent rise in overall spending on maintenance, the real issue was the loss of control and the mix of coverages.
Solution: Equipment Maintenance financial assessment.
Results: Hard-Dollar cost savings $86K (28%); asset management control of equipment by tagging each item; numerous real-time online management reports; improved communication through a single point of contact; service based optimization by reducing administrative burden with one Purchase Order.
Challenge: City was seeking to save money through various energy efficiency initiatives.
Solution: Conducted technical energy audit, applied for local energy grant and focused on a major retro-commissioning effort in the most high energy use. Also, providing Active Energy Management services--delivers real-time utility data tracking, analysis and issue management.
Results: The installation of these energy conservation measures saves the City over $177K/year in utility and operational costs. Secured grants on the City’s behalf for $300K from New Energy Communities Initiative Grant and $82K from the Governor’s Energy Office’s Solar Rebate Program. Substantial rebates from the utility are also benefiting this project.
Challenge: Senior Bank Officers recognized the need to centralize the on-going management of equipment maintenance to reduce both the administrative burden and ever increasing cost. The client had over 100 separate contracts with more than 20 vendor relationships on nearly 500 pieces of equipment spread through 5 separate charters.
Solution: Financial analysis resulted in a comprehensive maintenance program that addressed the organization’s initiatives to centralize maintenance under one program resulting in reduced maintenance costs and administrative tasks
Results: Hard-Dollar Cost Savings is $220K (21%); Administrative Savings $161K. Proprietary Dispatch program allowed the organization a vehicle to achieve their goals for a one-stop solution for service repair requests.
Challenge: The organization had an e-Payment program through their lending bank for several years. Current rebate earned was below expectations.
Solution: Replaced e-Payment program. Robust enrollment process maximized results.
Results: Within 2 weeks of converting, there was an additional $58M of annual vendor spend enrolled (+120% increase). The total annual vendor payment throughput after full enrollment is estimated over $125M (3X the bank program). At full enrollment, the annual rebate will be over $1.5M versus the $600K through the prior program.
Challenge: Seeking additional ways to cut costs in the area of carrier sourcing. They believed they were doing a decent job with bids, but felt like money was being left on the table.
Solution: Conducted Small Parcel Bid
Results: Spend dropped from $6.5M to $2.5M.