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Harvard Case - Increasing COVID-19 Testing Capability Through Pooled Testing

"Increasing COVID-19 Testing Capability Through Pooled Testing" Harvard business case study is written by Hyun-Soo Ahn. It deals with the challenges in the field of Operations Management. The case study is 6 page(s) long and it was first published on : Aug 9, 2021

At Fern Fort University, we recommend a multifaceted approach to significantly increase COVID-19 testing capability through pooled testing. This strategy leverages operations strategy, supply chain management, innovation, and technology, while prioritizing quality management and risk management.

2. Background

The case study focuses on Fern Fort University's (FFU) need to significantly increase its COVID-19 testing capacity to ensure a safe return to in-person learning. The university faces challenges in acquiring sufficient testing kits, managing the logistics of individual testing, and maintaining efficient turnaround times. Pooled testing, a technique where samples from multiple individuals are combined and tested together, presents a potential solution to increase testing capacity and reduce costs.

The main protagonists are the university's leadership, including the President, the Chief Operating Officer, and the Director of Public Health, who are tasked with finding a solution to the testing challenge.

3. Analysis of the Case Study

Operations Strategy: FFU needs to adopt a lean manufacturing approach to testing, focusing on eliminating waste and maximizing efficiency. This includes optimizing the supply chain for testing kits, streamlining logistics, and implementing just-in-time (JIT) production for testing results.

Supply Chain Management: FFU should establish a robust supply chain for testing kits, ensuring reliable sourcing and timely delivery. This involves identifying multiple suppliers, negotiating favorable contracts, and implementing inventory management strategies to avoid shortages.

Innovation: FFU should explore innovative solutions to enhance testing capacity, such as investing in automation for sample processing and result analysis. R&D efforts could focus on developing more efficient pooling strategies and exploring alternative testing methods.

Technology and Analytics: FFU should leverage information systems and technology to streamline testing processes. This includes implementing a digital platform for scheduling appointments, managing results, and communicating with students and staff. Data analytics can be used to monitor testing trends, optimize resource allocation, and identify potential bottlenecks.

Quality Management: FFU must prioritize quality control to ensure accurate testing results. This involves implementing stringent procedures for sample collection, handling, and analysis. Total Quality Management (TQM) principles should be adopted to ensure continuous improvement in testing processes.

Risk Management: FFU needs to develop a comprehensive risk management plan to address potential challenges associated with pooled testing. This includes evaluating the accuracy of pooled testing, mitigating the risk of false negatives, and establishing contingency plans in case of supply chain disruptions.

4. Recommendations

  1. Implement a Pooled Testing Strategy: FFU should adopt a pooled testing strategy, starting with smaller groups (e.g., dorms, classes) and gradually expanding to larger populations. This will allow for efficient testing while ensuring accurate results.

  2. Optimize Supply Chain: FFU should establish a robust supply chain for testing kits, securing multiple suppliers and negotiating favorable contracts. Implementing inventory management strategies like MRP or ERP will ensure timely delivery and minimize stockouts.

  3. Invest in Technology and Automation: FFU should invest in technology to automate sample processing, result analysis, and data management. This includes implementing a digital platform for scheduling appointments, managing results, and communicating with students and staff.

  4. Develop a Quality Management System: FFU should implement a comprehensive quality management system to ensure accurate testing results. This includes training staff on proper sample collection and handling procedures, establishing quality control checkpoints, and implementing statistical process control techniques.

  5. Conduct Continuous Improvement: FFU should adopt a continuous improvement approach to constantly optimize testing processes. This includes implementing Kaizen principles, utilizing value stream mapping to identify bottlenecks, and conducting regular process analysis to identify areas for improvement.

5. Basis of Recommendations

These recommendations are based on the following considerations:

  1. Core Competencies and Consistency with Mission: FFU's core competency lies in education. Implementing a robust testing strategy aligns with its mission of providing a safe and healthy learning environment for students and staff.

  2. External Customers and Internal Clients: The recommendations consider the needs of both external customers (students and their families) and internal clients (faculty and staff). By ensuring accurate and timely testing, FFU can build trust and confidence in its COVID-19 response.

  3. Competitors: FFU should benchmark its testing strategy against other universities to ensure its approach is competitive. This includes evaluating the efficiency of their testing processes, the accuracy of their results, and the overall satisfaction of their stakeholders.

  4. Attractiveness: The proposed solution is attractive due to its potential to significantly increase testing capacity, reduce costs, and improve efficiency. The use of technology and automation will further enhance the attractiveness of the solution by streamlining processes and reducing manual effort.

6. Conclusion

By implementing a comprehensive approach that leverages operations strategy, supply chain management, innovation, and technology, FFU can significantly increase its COVID-19 testing capability through pooled testing. This will enable a safe and efficient return to in-person learning while ensuring the health and well-being of its community.

7. Discussion

Alternative approaches to increasing testing capacity include outsourcing testing to external labs or partnering with local healthcare providers. However, these options may not be as cost-effective or provide the same level of control over testing processes as the proposed solution.

The key assumption underlying this recommendation is that pooled testing can be implemented effectively while maintaining accuracy and ensuring timely results. This assumption is supported by the increasing adoption of pooled testing by various organizations and the availability of reliable testing kits and technologies.

8. Next Steps

  1. Develop a detailed implementation plan: This plan should outline the specific steps involved in implementing the recommended strategy, including timelines, resource allocation, and key performance indicators (KPIs).

  2. Pilot test the pooled testing strategy: Conduct a pilot program in a smaller group to assess the effectiveness and efficiency of the proposed approach before scaling it up to the entire university population.

  3. Secure necessary resources: Obtain funding for the purchase of testing kits, technology, and staff training.

  4. Communicate the plan to stakeholders: Inform students, faculty, staff, and the wider university community about the new testing strategy, its benefits, and any necessary changes in procedures.

  5. Monitor and evaluate the results: Regularly track KPIs such as testing capacity, turnaround times, and the accuracy of results to ensure the effectiveness of the implemented strategy. Make adjustments as needed to optimize the testing process and address any emerging challenges.

By following these steps, FFU can effectively implement a pooled testing strategy that significantly increases its testing capability, ensuring a safe and successful return to in-person learning.

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Case Description

One of the most significant challenges in tackling the COVID-19 pandemic in the United States was the shortage of test capability. At the beginning of April 2020, fewer than 200,000 tests per day were being performed, much less than public health experts had recommended. Also, in many cases, it often took several days or even weeks for a person to receive the test result. Many experts believed the testing turnaround time was one of the most significant failure points to contain COVID-19. Heading into fall 2020 and winter of 2021, U.S. healthcare experts continued to cite testing capability (and fast results) as the first necessary condition of getting back to everyday life. One solution to increase the testing capacity was called a pooled test. In this case, the government of Ann Arbor is considering whether the city should use pooled COVID-19 testing and, if so, how the test should be designed since there are several different versions. Students are asked to apply probability theory and develop Excel models that can help decision makers.

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