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Introductions
Is the natural
budgetary
boundary wall
an impediment
to patient care?
Demand from
customers
CAPACITY
The physical flow that delivers
the product or service
Money to
Suppliers or
Partners
Defining the
System in
terms of
Boundary Walls
& Structure is
an important
first step
Money from
delivering the
services
How much value do we generate for the money consumed by the system?
How long does it take for the system to respond to the demands placed upon it?
MAY
DO
DO NOT
DO
35
30
25
000s
20
15
10
Annual savings
Investment needed
5% to 2%
2% to 1%
1% to 0.5%
% Scrap Reduction
MAY
DO
DO NOT
DO
2.5
s M 2.0
1.5
1.0
Annual savings
0.5
Investment needed
10 to 20
5 to 10
Inventory Turns
20 to 40
Raw
material
Slitting
17 seconds
37 hour week
Costs
38,000
Cutting
Pressing
18 seconds
23 seconds
Process Flow
Costs
Costs
45,000
32,000
These costs
includes allocation
of overhead so
there are NO
changes to real
costs if we do
process
improvements
Welding
20 seconds
Constraints govern
Throughput; time
saved on a
constraint is time
saved for the
overall system.
Costs
46,000
Cost per
Second
0.2853
Cost per
Second
0.3378
Cost per
Second
0.2402
Cost per
Second
0.3453
Cost per
process
4.850
Cost per
process
6.081
Cost per
process
5.526
Cost per
process
6.907
Cost per
Process
23.364
To forget the purpose of the organisation and try to Control the cost
There is a difference between the bottom line impact and cost accounting
practice
Bigger batches use more precious cash!! Housing Maintenance
Allocation of peoples time to different jobs appears to alter the cost per
job but the salary is unmoved and it is the salary which hits the bottom line
Flow Accounting
Statutory
Regulatory
based
Management
Preference
based
Lead/Response
Time
Government
Reporting
Unit cost
Flow
Accounting
Current Accounting Systems
Time based
measures
With any systematic approach there is usually some principles and terminology to
learn; a standard way of describing the different aspects of the system. Flow accounting
is no different.
It is useful to explain these now before we start handling the data and drawing
conclusions about what it is telling us about the financial consequences of our current
state or way of working
Financial Measures
NP
Net Profit
UP
ROI
Return on
Investment
UP
CF
Cash Flow
UP
Inventory
The response time of the
organisation to the
demands placed upon it
Operating Expense
The money the
organisation spends in
order to respond in an
acceptable time to
customers
Boundary measures
O.E s
Throughput
Response Time
OE
Operating
Expense
DOWN
UP
DOWN
Delivering Improvements
Measures (Simultaneously)
Inventory and carrying charges. The traditional view
NP
ROI
UP
Net Profit
UP
Return on
Investment
CF
UP
Cash Flow
Throughput
UP
Response Time
OE
Operating
Expense
DOWN
DOWN
Response Time
Both Ford and Ohno followed four concepts
LEAD
TIME
(WIP)
UTILISATION
80
85
100
Policy Analysis
Demand Analysis
Capacity Analysis
Response Analysis
Data Acquisition
Structure & Modelling
Value Flow
Performance Measures
Terminology:
Throughput ?
The rate the
organisational goal is
achieved.......
to safe guard and
protect the welfare of
vulnerable children
and their families
through reducing
vulnerability,
increasing resilience
and managing risk.
Terminology
Inventory?
All the money tied up in the
things it intends to sell.
Operating Expense ?
All the money converting
Inventory into Throughput
Children with
Disability
Assess and
Plan
Shared Process
Review
Retain Short
Term
Shared
Process
Initial
Assessment
Transfer to
Adult services
Child in
Need
Plan
Shared Process
Review
Closure
Transfer to Long
Term Team
Core
Assessment
Shared Process
Review
Transition to
Adult services
Child
Protection
Retain Short
Term
Shared Process
Conference
S47
Plan
Shared Process
Review
Concern
Decrease Child in
Need
Children with
Disability
Transfer to Long
Term Team
Core
Assessment
Shared Process
Review
Concern Increase
Looked after
Child
Looked After
Child
Plan
Court Work
Retain Short
Term
Shared Process
Review
Return home
Child in Need
Children with
Disability
Adoption
Transfer to
Long Term
Team
Core
Assessm
ent
Shared
Process
Review
Permanent Care
Transition to
Leaving Care
Independent
Living
Analysing Demand
Contact Demand = 6387, but this was 2836 children.
Demand amplification arises from: Multiple referral in regard to the same incident.
Repeat referrals for the same client
Analysing Demand
All Demand
=7112
Contact =
6387
Close
Referral 725
Children with
Disability
Assess and
Plan
Shared Process
Review
Transfer to
Adult services
Shared Process
Contact/Referral
Retain Short
Term
725
Shared
Process Initial
Assessment
475
Child in
Need
Plan
Shared Process
Review
Closure
Transfer to Long
Term Team
Core
Assessment
Shared Process
Review
Transition to
Adult services
Child
Protection
Retain Short
Term
Shared Process
Conference
S47
Plan
Shared Process
Review
IA = 7
days
Concern
Decrease Child in
Need
Children with
Disability
Transfer to Long
Term Team
Core
Assessment
Shared Process
Review
Concern Increase
Looked after
Child
40.2%
(179/475
Avg 32
days
Decision in
1 working
day
Looked After
Child
Plan
Court Work
Retain Short
Term
Shared Process
Review
Return home
Child in Need
Children with
Disability
Adoption
Transfer to
Long Term
Team
Core
Assessm
ent
Shared
Process
Review
Permanent Care
Transition to
Leaving Care
59%
428/725
Independent
Living
Inventory Analysis
How to identify?
Follow the procedural workflow of CS
Work waiting at decision points or tasks would
become apparent.
Inventory Analysis
All Demand
= 7112
Contact =
6387
CWD
Referral 725
Close
Children with
Disability
Assess and
Plan
Shared Process
Review
170
Shared Process
Contact/Referral
725
Shared
Process Initial
Assessment
475
Child in
Need
Shared Process
Review
Plan
Decision in
1 working
day
Closure
Core
Assessment
Transfer to Long
Term Team
Shared Process
Review
146
Short
Term
Child
Protection
Shared Process
Conference
85
Retain Short
Term
Shared Process
Review
Plan
73
169
Children with
Disability
Core
Assessment
Looked After
Child
Plan
Court Work
Retain Short
Term
Shared Process
Review
Concern Increase
Looked after
Child
Return home
Child in Need
Children with
Disability
Transfer to
Long Term
Team
Concern
Decrease Child in
Need
Shared Process
Review
43
7
Transition to
Adult services
Long
Term
Transfer to Long
Term Team
345
40.2%
(179/475
Avg 32
days
Retain Short
Term
184
S47
IA = 7
days
Transfer to
Adult services
Adoption
158
Core
Assessm
ent
Shared
Process
Review
Permanent Care
Transition to
Leaving Care
59%
428/725
Independent
Living
Operating Expense
All Demand
= 7112
Contact =
6387
Referral 725
Children with
Disability
Close
Assess and
Plan
Shared Process
Review
170
Shared Process
Contact/Referral
Retain Short
Term
725
184
Shared
Process Initial
Assessment
475
Child in
Need
Shared Process
Review
Plan
Short term
449,397
Decision in
1 working
day
Core
Assessment
Transfer to Long
Term Team
Shared Process
Conference
85
345
Retain Short
Term
Shared Process
Review
Plan
73
169
Children with
Disability
Shared Process
Review
7
Looked After
Child
Plan
Court Work
Retain Short
Term
Shared Process
Review
Long Term
1,052,991
Transfer to Long
Term Team
Dedicated CP 80,470
40.2%
(179/475
Avg 32
days
Closure
146
Child
Protection
S47
IA = 7
days
Transfer to
Adult services
Core
Assessment
43
Concern Increase
Looked after
Child
Concern
Decrease Child in
Need
Shared Process
Review
Return home
Child in Need
Children with
Disability
Transfer to
Long Term
Team
Transition to
Adult services
Adoption
158
Core
Assessm
ent
Shared
Process
Review
Permanent Care
Transition to
Leaving Care
59%
428/725
Independent
Living
All Demand
= 7112
Contact =
6387
Referral 725
Children with
Disability
Close
Assess and
Plan
Shared Process
Review
725
184
Shared
Process Initial
Assessment
475
Child in
Need
Plan
Decision in
1 working
day
428/725
Shared Process
Review
Short term
449,397
Shared Process
Conference
Closure
Core
Assessment
Transfer to Long
Term Team
85
Retain Short
Term
Shared Process
Review
Plan
73
169
Children with
Disability
Shared Process
Review
Plan
Court Work
Retain Short
Term
Shared Process
Review
Dedicated LAC
5,420,105
Long Term
1,052,991
Core
Assessment
Concern
Decrease Child in
Need
Concern Increase
Looked after
Child
Return home
Child in Need
Children with
Disability
Transfer to
Long Term
Team
Transition to
Adult services
Shared Process
Review
43
Dedicated CP 80,470
Looked After
Child
Transfer to Long
Term Team
345
40.2%
(179/475
Avg 32
days
Retain Short
Term
146
Child
Protection
S47
IA = 7
days
Transfer to
Adult services
170
Shared Process
Contact/Referral
59%
Adoption
158
Core
Assessm
ent
Shared
Process
Review
Permanent Care
Transition to
Leaving Care
Independent
Living
7112
C=6387
R= 725
Referral
Decisions
Initial
Assessment
428/725 (59%)
made in one
working day
179/475
(40.2%)
complete within
7 working days
32 days average
INVENTORY
OPERATING EXPENSE
TOTAL
10,853,648
TOTAL
717
CIN TOTAL
500
OVERHEAD
1,558,471
CWDS
170
1,274,253
ST
184
SHARED
RESOURCES
LT
146
CWDs
1,017,961
48
SHORTTERM
449,397
CWDS
CP
80,470
ST
LONG-TERM
1,052,991
LT
43
LAC
5,420,105
CP TOTAL
LAC TOTAL
169
CWDS
ST
LT
158
904,470
36.2 days
Flow Cost
Step 1 Adjust for the length of time in the System
= 904,470 x 36.2 days = 1,091 393
30 days
Step 2 Apply the Throughput
= 1,091,393 = 1840
593
Throughput
593
The Improvement
THROUGHPUT
All Demand
7773
C= 7084
R= 689
Referral
Decisions
662/689 (96%)
made in one
working day
Initial
Assessment
344/525
(65.5%)
complete within
7 working days
16 days average
OPERATING
EXPENSE
INVENTORY
TOTAL
638
CIN TOTAL
429
TOTAL
11,430,697
OVERHEAD
1,551,610
1,343,442
CWDS
156
ST
137
SHARED
RESOURCES
LT
136
CWDs
1,088,768
42
502,231
CP TOTAL
CWDS
SHORTTERM
ST
CP
93,094
LT
34
LONG-TERM
947,268
167
LAC
5,904,284
LAC TOTAL
CWDS
ST
LT
159
952,558
29.2 days
Flow Cost
Step 1 Adjust for the length of time in the System
= 952,558 x 29.5 days = 936,682
30 days
Step 2 Apply the Throughput
= 936,682 = 1445
648
Throughput
648
By increasing Throughput
By reducing Response Time
By reducing Operating Expense
7773
C= 7084
R= 689
Referral
Decisions
662/689 (96%)
made in one
working day
Initial
Assessment
344/525
(65.5%)
complete within
7 working days
16 days average
OPERATING
EXPENSE
INVENTORY
TOTAL
638
CIN TOTAL
429
TOTAL
11,430,697
OVERHEAD
1,551,610
1,343,442
CWDS
156
ST
137
SHARED
RESOURCES
LT
136
CWDs
1,088,768
42
502,231
CP TOTAL
CWDS
SHORTTERM
ST
CP
93,094
LT
34
LONG-TERM
947,268
167
LAC
5,904,284
LAC TOTAL
CWDS
ST
LT
159
MANUFACTURING
On Time in Full
Days Inventory
Raw Materials
Work in Progress
Bought-out
Finished Goods
Achievement of Purpose or
Target
Front Desk
Backroom expert/dept
??????
Quality
Quality
Productivity
Productivity
Medium to strong negative correlation of -0.56. OEE does NOT tell you if you are
making the right parts at the right time and is only appropriate for individual
resources. The highest levels of customer service have been during the lowest
periods of OEE. Batch sizing is very closely related to OEE. (If Null were true a
correlation as great as this would occur by chance alone with a probability of
less than 4%)