Table 1 Revolt from ESC to Field The...

Table 1

Revolt from ESC to Field	The ESC’s delay in providing materials translated to a rupture of preferred supplier from the field and the patients ’ demand increase created the tipping point				10/04/20
Release Field	- Supply shortage - Increased demand and higher competition Focus: immediate availability and product quality	- Local supplier identification still restricted to within the missions’ country - Emergency supplier validation standards - Quality standards maintain for patients’ safety	- Ability for missions to purchase to any in country supplier with inventory - Emergency procurement process (no more comparative bid analysis, validation limited to fraud avoidance) - Quality validation process updates		10/04/20 - 31/05/20
Reorganization field	- Local suppliers with inventory identified and approved for ad-hoc purchases - Reception on items Focus: availability, cost, and product quality	- Considerations on price when multiple sources available - As soon as ESCs have inventory, ESCs are back as preferred sourcing options	- Keep looking for new local suppliers with higher quality or lower prices - Local purchase maintained for all risk of rupture		01/06/20 - 19/07/20
Remember Field to ESC	ESC back to supplying capacity and local purchase and exceptional emergency processes are stopped				20/07/20
New Growth/ Optimization	- No shortage anymore - Stocks available again at the approved suppliers - Lessons learned Focus: low cost and high product quality	- Sourcing from preferred suppliers within pre-approved supplier base - Supplier base update with new suppliers	- Continuous assessment of new suppliers to increase supplier base for future waves	04/06/20 onwards	20/07/20 onwards

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Revolt from ESC to Field	The ESC’s delay in providing materials translated to a rupture of preferred supplier from the field and the patients ’ demand increase created the tipping point				10/04/20
Release Field	- Supply shortage - Increased demand and higher competition Focus: immediate availability and product quality	- Local supplier identification still restricted to within the missions’ country - Emergency supplier validation standards - Quality standards maintain for patients’ safety	- Ability for missions to purchase to any in country supplier with inventory - Emergency procurement process (no more comparative bid analysis, validation limited to fraud avoidance) - Quality validation process updates		10/04/20 - 31/05/20
Reorganization field	- Local suppliers with inventory identified and approved for ad-hoc purchases - Reception on items Focus: availability, cost, and product quality	- Considerations on price when multiple sources available - As soon as ESCs have inventory, ESCs are back as preferred sourcing options	- Keep looking for new local suppliers with higher quality or lower prices - Local purchase maintained for all risk of rupture		01/06/20 - 19/07/20
Remember Field to ESC	ESC back to supplying capacity and local purchase and exceptional emergency processes are stopped				20/07/20
New Growth/ Optimization	- No shortage anymore - Stocks available again at the approved suppliers - Lessons learned Focus: low cost and high product quality	- Sourcing from preferred suppliers within pre-approved supplier base - Supplier base update with new suppliers	- Continuous assessment of new suppliers to increase supplier base for future waves	04/06/20 onwards	20/07/20 onwards