Delivery, Outcome, and Costs of Orthodontic Care in Finnish Health Centres

The goal of the study was to analyse orthodontic care in Finnish health centres with special reference to the delivery, outcome and costs of treatment. Public orthodontic care was studied by two questionnaires sent to the chief dental officers of all health centres (n = 276) and to all specialist orthodontists in Finland (n = 146). The large regional variation was mentioned by the orthodontists as the most important factor requiring improvement. Orthodontic practices and outcome were studied in eight Finnish municipal health centres representing early and late timing of treatment. A random sample of 16- and 18-year-olds (n = 1109) living in these municipalities was examined for acceptability of occlusion with the Occlusal Morphology and Function Index (OMFI). In acceptability of occlusion, only minor differences were found between the two timing groups. The percentage of subjects with acceptable morphology was higher among untreated than among treated adolescents. The costs of orthodontic care were estimated among the adolescents with a treatment history. The mean appliance costs were higher in the late, and the mean visit costs higher in the early timing group. The cost-effectiveness of orthodontic services differed among the health centres, but was almost equal in the two timing groups. National guidelines and delegation of orthodontic tasks were suggested as the tools for reducing the variation among the health centres. In the eight health centres, considerable variation was found in acceptability of occlusion and in cost-effectiveness of services. The cost-effectiveness was not directly connected with the timing of treatment.

Distribution development in global business environment

The purpose of this master’s thesis was to analyze a case company’s distribution and its elements. With different distribution structure options a customer can be served with different ways. However, cost elements and service elements create different trade-offs. In this work the case company’s distribution’s present state was analyzed and conclusions were made. Based on these conclusions different alternatives for distribution were created. These different alternatives were analyzed through simulations and with more traditional calculations to compose the total operative costs of each alternative. Also other aspects were considered, such as required organizational changes and the possible better customer service. With the suggested 3-stock distribution structure shorter delivery times and possibly more punctual deliveries for products kept in stock could be achieved with the same operative costs as in current direct delivery model. Also, similar benefits could be achieved with other products with the 3-stock model.

Strategic supply chain alignment to customer buying behavior

In search for competitive advantage, designing and managing supply chain networks have become a necessary competence for organizations. The target of this thesis is to answer a question, how to design a multiple supply chain network. The purpose is to study, what kind of different supply chain designs exist and, how to choose appropriate supply chain designs for a company. In the thesis, the focus is on the supply chain alignment to customers, more specifically to customer buying behavior. The research method was a case study. A framework for measuring customer buying behavior was developed based on the literature and it was used in the study of customer buying behavior in the case environment. In the case company structured interviews and data records were used as sources of evidence. Persons working in the customer-interface were interviewed face-to-face and through an e-mail questionnaire. When analyzing the data, a Quality function deployment matrix was used as one analysis method. As a result of the thesis, supply chain network of the case company is proposed to be divided into three separate supply chains, which focus on different areas and they could be called lean, agile and continuous replenishment supply chains. In conclusion, in the supply chain alignment to customer buying behavior several aspects have to be studied from different perspectives. According to the results, a multiple supply chain strategy is recommended to be implemented in the case company, since the diversity of the customer needs cannot be managed efficiently through a single supply chain.

Tilaus-toimitus-laskutusprosessin levittäminen kansainväliseen ympäristöön (Case: Itella Oyj)

Tilaus-toimitus-laskutusprosessi on liiketoimintaprosessi, joka ylittää organisaatiorajat ulottuen aina loppuasiakkaalta toimittajaan asti. Tilaus-toimitus-laskutusprosessia, kuten muitakin liiketoimintaprosesseja, voidaan tehostaa sähköisten työkalujen avulla. Automatisoinnin avulla prosessi nopeutuu ja aiemmin prosessiin käytettyjä resursseja voidaan vapauttaa muuhun yritystoimintaan. Kun tilaus-toimitus-laskutusprosessi viedään kotimaan rajojen ulkopuolelle uuteen liiketoimintaympäristöön, sen käyttöönotossa pitää huomioida kansainvälisen ympäristön prosessille asettamat vaatimukset. Ympäristötekijöiden lisäksi prosessin käyttöönotossa on otettava huomioon yrityksen sisäiset tekijät, ja viedä prosessi hallitusti yrityksen työntekijöiden käyttöön. Tässä tutkielmassa tutkittiin tilaus-toimitus-laskutusprosessin levittämistä kansainväliseen ympäristöön. Aihetta käsiteltiin liiketoimintaprosessien, kansainvälisen liiketoimintaympäristön ja muutosjohtamisen teorian sekä case -yritystä käsitelleen empiriaosan pohjalta. Tutkielma tehtiin kvalitatiivisena tutkimuksena. Tutkielmassa havaittiin, että tilaus-toimitus-laskutusprosessin vieminen kansainväliseen ympäristöön sisältää mahdollisuuksien lisäksi useita haasteita. Haasteista suurimpana on saada prosessista riittävän houkutteleva sekä saada niin yritysjohto kuin työntekijät sitoutumaan yrityksen yhteisiin toimintamalleihin.

Working capital management in the value chain of automotive industry

The objective of this Master’s thesis is to examine working capital management in the automotive industry in years 2006-2008. The study is conducted by the analysis of financial statements. The sample consists of 65 companies that represent different stages in the value chain of automotive industry beginning from raw material suppliers and ending to car dealers. Working capital management is studied by the cash conversion cycle (CCC). The results show that the average CCC of the value chain is 67 days. Car manufacturers had the longest CCC, 106 days, whereas the CCC of oil companies was the shortest, 22 days. The findings suggest that the cycle time of working capital usually follows the cycle time of inventories, since the changes in cycle times of accounts receivable and payable compensate each other. Improvements in working capital management could be achieved by sharing more accurate information in the chain for example about inventory levels and order points of customer. It could also be discussed within the automotive industry, if the long credit periods, which tie up working capital, are really needed. New technologies enable faster payments, which would reduce the cash conversion cycles, improve the profitability of companies, and increase the competitiveness of the value chain. Working capital should not be reduced at the expense of value chain partners, because nowadays the competition is rather between the value chains than between the companies. Similar research design is applied earlier to study working capital management in the value chain of pulp and paper industry. Even if the industries and the structures of the chains differ from each other, results were surprisingly similar. In future research, working capital management in other industries’ value chains could still be studied and compared to previous studies. ICT industry, for example, could be an interesting object.

Toimitusketjun hallinnan kehittäminen tekstiiliteollisuudessa

Due to the outsourcing of manufacturing, Finlayson Oy now has a need to develop its supply chain management as its new ability. This requires development of efficient and flexible procedures and models in order to efficiently manage the company’s floating assets without affecting the reliability of delivery promised for the customer. In this thesis we discuss Finlayson’s supply chain management with a focus on the operations between Finlayson and its suppliers. The aim is to develop these operations and increase the reaction speed of the supply chain in order to response to the changes in demand. In order to do this we discuss different product analysis, material and inventory management and demand forecasting. In the research part of the thesis we design strategies for different products based on product classification analysis. Market behavior of different products will be modeled with demand forecasting methods and inventory control systems will be designed for different product groups based on the nature of their supplier. We will also optimize the costs and resource needs for different suppliers’ order-deliver processes.

The analysis and mitigation of risks in FMCG supply chain: the case of British American Tobacco Eastern Europe

This work investigates the Bullwhip Effect, which is one of the most important phenomena in contemporary supply chain management. The author uses most recent theoretical apparatus to analyze operational activities of a leading FMCG company British American Tobacco Eastern Europe. This paper investigates and describes the process in BAT supply chain management and considers the impact of the Bullwhip Effect together with the potential risks threatening company's operations. Emergence of the Bullwhip Effect leads to supply chain inefficiency. This paper contains methodological supply chain risk mitigation recommendations, description of a real case study and an analytical study of internal and external supply chain processes

Applying organizational core values in everyday delivery work - case Accenture

The purpose of this thesis is to study organizational core values and their application in practice. With the help of literature, the thesis discusses the implementation of core values and the benefits that companies can gain by doing it successfully. Also, ways in which companies can improve their values’ application to their everyday work are presented. The case company’s value implementation is evaluated through a survey research conducted on their employees. The true power of values lies in their application, and therefore, core values should be the basis for all organizational behavior, integrated into everything a company does. Applying values in practice is an ongoing process and companies should continuously work towards creating a more value-based organizational culture. If a company does this effectively, they will most likely become more successful with stakeholders as well as financially. Companies looking to turn their values into actions should start with a self-assessment. Employee surveys are effective in assessing the current level of value implementation, since employees have valuable, first-hand information regarding the situations and behaviors they face in their everyday work. After the self-assessment, things like management commitment, communication, training, and support are key success factors in value implementation.

Kysynnän ennakointiprosessin kehittäminen leipomoyrityksessä

Tämän työn tarkoituksena on kehittää lyhyen tähtäimen kysynnän ennakointiprosessia VAASAN Oy:ssä, jossa osa tuotteista valmistetaan kysyntäennakoiden perusteella. Valmistettavien tuotteiden luonteesta johtuva varastointimahdollisuuden puuttuminen, korkea toimitusvarmuustavoite sekä tarvittavien ennakoiden suuri määrä asettavat suuret haasteet kysynnän ennakointiprosessille. Työn teoriaosuudessa käsitellään kysynnän ennustamisen tarvetta, ennusteiden käyttökohteita sekä kysynnän ennustamismenetelmiä. Pelkällä kysynnän ennustamisella ei kuitenkaan päästä toimitusketjun kannalta optimaaliseen lopputulokseen, vaan siihen tarvitaan kokonaisvaltaista kysynnän hallintaa. Se on prosessi, jonka tavoitteena on tasapainottaa toimitusketjun kyvykkyydet ja asiakkaiden vaatimukset keskenään mahdollisimman tehokkaasti. Työssä tutkittiin yrityksessä kolmen kuukauden aikana eksponentiaalisen tasoituksen menetelmällä laadittuja ennakoita sekä ennakoijien tekemiä muutoksia niihin. Tutkimuksen perusteella optimaalinen eksponentiaalisen tasoituksen alfa-kerroin on 0,6. Ennakoijien tilastollisiin ennakoihin tekemät muutokset paransivat ennakoiden tarkkuutta ja ne olivat erityisen tehokkaita toimituspuutteiden minimoimisessa. Lisäksi työn tuloksena ennakoijien käyttöön saatiin monia päivittäisiä rutiineja helpottavia ja automatisoivia työkaluja.

BIOMASS SUPPLY CHAIN ANALYSIS WITH DENSIFIED WASTE

ABSTRACT The possibility to vary the energy matrix, thus reducing the dependency on fossil fuels, has amplified the acceptance of biomass as an alternative fuel. Despite being a cheap and renewable option and the fact that Brazil is a major producer of waste from agriculture and forestry activities, the use of these materials has barriers due to its low density and low energetic efficiency, which can raise the costs of its utilization. Biomass densification has drawn attention due to its advantage in comparison to in natura biomass due to its better physical and combustion characteristics. The objective of this paper is to evaluate the impact of biomass densification in distribution and transport costs. To reach this objective, a mathematical model was used to represent decisions at a supply chain that coordinates the purchase and sale of forestry and wood waste. The model can evaluate the options to deliver biomass through the supply chain combining demand meeting and low cost. Results point to the possibility of an economy of 60% in transport cost and a reduction of 63% in the required quantity of trucks when densified waste is used. However, costs related to the densifying process lead to an increase of total supply costs of at least 37,8% in comparison to in natura waste. Summing up, the viability of biomass briquettes industry requires a cheaper densification process.

Approaches to Supply Chain Risk Management: Identification, Analysis and Control

Supply chain risk management has emerged as an increasingly important issue in logistics as disruptions in the supply chain have become critical issues for many companies. The scientific literature on the subject is developing and in many respects the understanding of it is still in its infancy. Thus, there is a need for more information in order for scholars and practitioners to understand the causalities and interrelations that characterise the phenomenon. The aim of this dissertation is to narrow this gap by exploring key aspects of supply chain risk management through two maritime supply chains in the immediate region of the Gulf of Finland. The study contributes to the field in three different ways. Firstly, it facilitates the identification of risks on different levels of the supply chain through a systematic analysis of the processes and actors, and of the cognitive barriers that limit the actors’ visibility and their understanding of the operations and the risks involved. There is a clear need to increase collaboration and information exchange in order to improve visibility in the chain. Risk management should be a collaborative effort among the individual actors, aimed at obtaining a holistic picture. Secondly, the study contributes to the literature on risk analysis through the use of systemic frameworks that illustrate the causalities and linkages in the system, thereby making it easier to perceive the vulnerabilities. Thirdly, the study enhances current knowledge of risk control in identifying actor roles, risk visibility and risk controllability as being among the key factors determining risk-management effectiveness against supply-chain vulnerability. This dissertation is divided into two parts. The first part gives a general overview of the relevant literature, the research design and the conclusions of the study, and the second part comprises six research publications. Case-study methodology with systematic combining approach is used, where in-depth interviews, questionnaires and expert panel sessions are the main data collection methods. The study illustrates the current state of risk management in multimodal maritime supply chains, and develops frameworks for further analysis. The results imply that there are major differences between organizations in their ability to execute supply chain risk management. Further collaboration should be considered in order to facilitate the development of systematic and effective management processes.

Financial losses in pork supply chain: a study of the pre-slaughter handling impacts

Brazil is amongst the world’s largest swine producers. However, its competitiveness has been vulnerable due to a lack of cooperation between the supply chain players. This condition makes the financial losses to be evaluated taking into account only an individual node, and most of the time, these damages are imputed by swine breeders. Living weight losses occur between the farm to slaughterhouses, and the main cause of these losses is the pre-slaughter handling, especially during animal transportation. In this research, we analyzed the pre-slaughter handling in a swine farm in Brasilândia, MS, Brazil. Analyzed data were provided by five slaughterhouses (farm clients) from the studied region, in which it was considered living weight losses, carcass bruising, animal injury, and death rate. The results indicated that total financial losses represent 160 thousand dollars per year, when taking into account the supply chain management.