Step 1 Upper Management Support

The mission of the project needs to be defined. An example of a mission is We will reduce the number of suppliers to 100. Each one of the 

Upper management support is the critical starting point for a supply base reduction project. This project will take a significant amount of time and money to be done correctly. More than just lip service will be required to make it happen. The savings from a project like this are tremendous but the up-front costs can be significant and must be committed to so that the project can be completed. 

The upper management group must all be for the project and support it wholeheartedly if it will be successful. There must also be some teeth in their commitment, and serious consequences for those who would try to hinder the process at aity level. By teeth 1 mean disciplining people who do not help with the project or try to go counter to what the project is trying to accomplish. 

When a project of this size is embarked on, some suppliers are going to lose business. This has to be known and understood by everyone involved. A strong commitment and support will be necessary as the business that was lost is attempted to be recovered. 1 will share a couple of examples of attempts to get lost business back. 

In the second example, the supplier evaluation meeting was attended by just a couple of the supplier s sales representatives, who said they really did not want the business aiyway. As a result the customer immediately moved the business to a new supplier. The supplier s CEO was not happy about the decision. He knew they could have received the business for all of North America as well as Europe and Asia for this customer. The CEOs of the two companies met on the golf course and the supplier tried 

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The term weaning encompasses two different stages with specific requirements (i) discontinuation of invasive ventilation and (//) removal of the artificial airway (Fig. 1). The first step is to assess the potential to discontinue invasive ventilation either to autonomous breathing or to NTV support. If the patient fulfills the necessary criteria, a formal spontaneous breathing test (SET) is performed. If successful, the patient can then be disconnected from the ventilator, or in case of a failed SET transitioned to NIV. The next step includes removal of the artificial airway, provided secretion management or upper airway obstruction is not an issue. 

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