Surgery Center of Fairbanks Receives Best Practice Award
Interior Alaska outpatient surgery center wins supply chain award for best practices in inventory management
The Surgery Center of Fairbanks (SCF) was recently recognized with the 2019 Best Practice Award Q2. The honor, given by Inventory Optimization Solutions (IOS), recognized the Center’s exceptional capabilities in streamlining processes to optimize inventory and reduce cost, tackling such issues as management of physical counting, labelling and organization of storage areas, and unit of measure. Organizations demonstrating supply chain excellence are selected and recognized quarterly.
When Jamie Conant, BSN, RN, CPAN, CAPA, the Center’s administrator took the role, she and her colleagues identified areas where supply chain systems and processes could be improved. The goals were to address:
- Overstocked inventory
- Inaccurate counts of on-hand supplies
- Par levels in need of adjustment
- Items without locations assigned
- Inaccurate prices in our system
- Large scale inaccuracies in unit of measure
- Locations in system to identify items on the shelves
“We wanted to improve physical inventory by reducing the number of items we were stocking,” said Conant. “We needed to establish a more accurate baseline of our on-hand items and reset par levels. To do this, we planned a number of improvements. We addressed a number of challenges related to unit of measure, set up our systems to ensure accurate pricing, worked to improve the layout and labelling of our physical locations and identification of items on shelves. Today, our team works collaboratively to quickly identify and manage any supply chain issues in a proactive manner.” To ensure ongoing accuracy, Conant leads a daily 5-minute huddle to ensure everyone works together to minimize stock on hand, while running a highly-efficient center. “These things all help The Surgery Center of Fairbanks stay streamlined, accurate and driving toward cost reductions,” Conant comments. “Our team is proud to deliver care with the highest levels of efficiency and quality with full dedication to our patients.”
As a result, The Surgery Center of Fairbanks reduced inventory, improved price accuracy and ability to negotiate pricing, manage on-hand inventory more efficiently and cost-effectively, maintain data as related to unit of measure, and conduct quarterly inventories to ensure accurate physical counts and par levels.
The SCF team has also successfully leveraged a materials management information system for improvements throughout the procurement process. “Now, it’s easy to find an item anywhere in our system, count and inventory it. In fact, our team reduced on-hand inventory by almost a quarter of a million dollars in the first quarter of 2019.”
“The Surgery Center of Fairbanks is actively measuring impressive results, demonstrating what an ambulatory surgical center (ASC) can achieve through process improvement and proactive supply chain management,” said Steve Britt, President, IOS. “We’ve seen such a commitment to excellence from their team and we’re thrilled with the results they’ve attained. ASCs everywhere are looking for ways to deliver the highest quality patient care at the best possible prices, and The Surgery Center of Fairbanks is an exceptional example of how to leverage supply chain to make that possible.”
Earlier this year, the Center was also awarded the superior CNOR Strong designation from the Competency & Credentialing Institute. It was Alaska’s only surgery center or hospital that achieved the national certification in 2019.
Like seafood processing, hospitality, and the oil industry, trucking has traditionally been an Alaska industry that depends heavily on out-of-state workers. According to the Alaska Department of Labor and Workforce Development’s most recent report on nonresident workers, out-of-state drivers represented 18.5 percent of the workforce of 3,602 heavy and tractor-trailer drivers in 2016. That category of driver made an average quarterly wage of almost $14,000 that year. The nonresident count includes both seasonal workers and those who live elsewhere and regularly fly in for rotations.
Crum says that since 2016, oil and gas companies have flown in fewer commercial truck drivers from out of state. But he says the practice remains common in the seafood processing industry where companies frequently struggle to find qualified drivers at their remote plants.
A Graying Workforce
Students conduct a pre-trip inspection on a truck to make sure it is safe to drive at Northern Industrial Training.
In both Alaska and the Lower 48, the trucking industry is seeing an aging workforce. According to the Commercial Carrier Journal, a trade publication, almost 60 percent of the national driver workforce is older than 45.
Nationally, a dearth of young drivers is sometimes blamed for what some see as a pending existential crisis in the driving industry. Under this theory, young people are avoiding the trucking industry out of concern that self-driving cars and trucks will make the jobs obsolete in their lifetimes.
Crum says autonomous trucks will eventually make their way to way to Alaska highways. But he argues that’s not a reason for young people to avoid the industry. Automation, he says, will assist drivers, not replace them.
“Some of those vehicles are the wave of the future. It’s going to happen,” he says. “The response to this from both the American and Alaskan trucking associations is the same and that is: planes are almost fully automated. But when is the last time you got on a plane that didn’t have a pilot?”
In the Lower 48, the work schedule of long-haul truckers may also be discouraging some younger people from pursuing truck driving jobs. But that’s less of a factor in Alaska, says Aves Thompson, executive director of the Alaska Trucking Association. Alaska is a big state, but there are few long routes that take employees away from home for weeks, he says. A trucker can go from Anchorage to Prudhoe Bay and back in few days.
Become an Industry Sponsor
“I’m not an advocate of taking an eighteen year old and putting them behind the wheel of a tractor trailer and immediately putting them down the road, while I believe there are eighteen year olds who can handle it and do it well,” Crum says.
“There are a lot of vehicles like those delivery vans that FedEx and UPS drives that don’t require CDLs but are considered commercial motor vehicles, which mean the same rules apply that you can’t haul that [interstate] freight until you’re twenty-one.”
Keeping younger drivers from driving these smaller vehicles makes it harder to recruit them to later drive larger trucks, he says.
“We’re recruiting from a secondary workforce is basically what it is. We are telling our high school graduates for the next three to five years to not get in trouble, to find meaningful employment, to not do drugs, and then in three to five years to come back and join us.”
The legislation to change the driving age isn’t popular across the entire trucking industry. Nationally, the Owner-Operator Independent Drivers Association opposes the legislation and calls the labor shortage predicted by the American Trucking Associations a myth created to drive down labor costs. The independent owners argue that enough new and re-instated CDLs enter the labor market each year to cover the anticipated demand.
Getting a CDL
A Sourdough Express truck pulls a bulker trailer on the Dalton Highway.
Becoming a commercial truck driver requires a written test, a driving test, and a health exam. The training to pass those tests can come from school or on-the-job training.
In Palmer at NIT, which is the largest CDL training provider in Alaska, new drivers typically take a $9,000 class that covers 240 hours and is usually taught over six 40-hour weeks, says Crum. The class curricula include learning to shift and steer large trucks, using air brakes, inspecting vehicles and cargo, and backing trucks into docking stations. Students practice on the eighty-acre Alaska State Fair parking lot before moving on to public roads.
Last year NIT graduated 146 long term truck driving students (usually new drivers looking to break into the industry) and 271 students who came to the school for a refresher class or just to take the driving tests.
When companies look for drivers to hire, they look for experience and critical thinking, Crum says. Critical thinking is essential because, by the nature of the job, truck drivers must be independent.
“Every employer is going to take you on a road test,” Crum says. “With somebody watching you, you’re going to have to get in and drive the truck.”
These tests are usually done “cold” without the driver getting to practice on the company’s truck. The examiners look for employees who can quickly master unfamiliar equipment, Crum says.
Entry level trucking jobs often involve driving within a city, hauling freight such as produce, water, trash, or lumber, he says.
More experienced drivers can get typically higher-paying jobs hauling freight longer distances or working on construction jobs. With additional training, truckers can get qualifications to drive specialized cargos such as hazardous materials and double-trailer trucks.
Students conduct a pre-trip inspection on a truck to make sure it is safe to drive at Northern Industrial Training.
Although most CDL training in Alaska is done through schools like NIT, trucking companies are increasingly offering internal CDL training, Crum says.
At Sourdough Express, a Fairbanks-based freight and moving business, there’s a pipeline to commercial truck driver jobs that starts with hauling furniture and boxes in and out of houses. The company employs 120 people, of which 70 have their CDLs.
Most Sourdough Express drivers received CDL training outside the company, but, where possible, Sourdough Express tries to promote from within, training people as-necessary to get their CDLs, says Josh Norum, business director of operations. Generally people advance from being laborers for the moving business to moving drivers to freight drivers.
”We kind of have a structure. We like to get the most out of guys who work for us so they don’t get bored, get burnt out,” Norum says.
Employees who train to earn a CDL start by reading the Alaska Division of Motor Vehicles CDL manual and a company study guide to prepare for the written test. When they’ve passed the test and have their permit, drivers start practicing with company trucks.
“We have a couple guys at each terminal who we’ve trusted and who enjoy training new people,” Norum says. “The biggest thing with the CDL is just having the seat time to get out and practice.”
Employees usually spend about eighty hours driving by the time they’re ready to schedule a driving test with the Division of Motor Vehicles.
There’s no special government requirement to drive the Dalton Highway up to Prudhoe Bay, but Sourdough requires additional training for drivers who don’t have Dalton Highway experience.
“It takes a lot of trips,” Norum says. “People don’t know how fast the road can bite you. When you’re going loaded, stuff happens faster on that road than any other road in Alaska.”
Employees without experience on the highway spend at least two years driving trucks on paved roads before starting on the Prudhoe Bay service road. To drive the road in the winter, drivers must spend a summer learning the road and make five winter trips accompanied by another driver.
In This Issue
Out of the Mine and into the Smelter
Mining has long been a key fixture of Alaska’s economy. On a small scale, people flock to the 49th state to tour different operations. Kennecott Mine was once a booming copper mining site and is now a National Historic Landmark, attracting tourists eager to visit the ghost town and get a feel of the Gold Rush era it once dominated.