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Originally Published IVD Technology October 2004

Contract manufacturing

Trained associates at NERL Diagnostics (East Providence, RI) carefully inspect each bottle to maintain high quality control standards.

In today’s competitive environment, outsourcing is becoming an attractive option for IVD manufacturers. As the pace and complexity of new product development, manufacturing, and supply continue to accelerate, manufacturers are finding it difficult to stay ahead and conduct global launches without support from other organizations.

IVD companies may need to leverage more specialized or patented technical capabilities than they can master internally. They may also need to reduce costs, increase margins, and improve the return on assets. In addition, they probably need to bring more-sophisticated IVD product systems and service offerings to market faster, and maximize the value of their differentiated products throughout the life cycle to support post-withdrawal. As organizations focus on their core businesses, they are improving their ability to manage remote partners, due largely to the Internet and a growing number of experienced contract manufacturing partners.

As a result, for most IVD executives, the decision-making process has shifted from whether or not to outsource, to what to outsource, whom to partner with, and how to implement an outsourcing strategy. Even though much of the implementation detail is dealt with after an IVD manufacturer has determined a strategy, partner core skills, technology, cost structure, and specific partnering capabilities should influence the formation of a strategy.

Outsourcing Decision Framework

To make such decisions, IVD executives should take a comprehensive approach to evaluating outsourcing opportunities and how they fit within the company’s business and operations strategies. This article reviews the main considerations for making such choices in ways that add the most value to the business.

When developing an outsourcing strategy, IVD manufacturers should evaluate the following eight factors: strategic fit, outsourcing scope, process and intellectual property (IP) control, resource and infrastructure requirements, provider capabilities, regulatory and quality control, risk tolerance, and cost and payback.

Strategic Fit

IVD executives evaluating the decision to outsource should understand the company’s current and future core capabilities. To do so, executives should address the following questions: Are all the manufacturing operations core capabilities? Are only certain aspects? Or none of them? What about development activities and product support functions?

Perhaps an IVD manufacturer’s core capabilities are focused on channel strengths: clinical contacts, training skills, field service, and support. In general, the core capabilities in the value chain will be some or all of those that add the most value to an IVD product. Conversely, noncore activities will be those that add the least or no value. Configuring such capabilities more effectively than the competition can provide unique advantages and opportunities. While such advantages do not last forever, they can sustain many years of double-digit growth.

IVD companies will not want to outsource core capabilities. However, many other development, supply-chain, and support operations performed in-house can be outsourced. IVD executives developing their companies’ outsourcing strategies should have good reasons for not outsourcing noncore activities. Such an approach will be a prerequisite for maintaining leadership in core activities.

A good outsourcing strategy achieves a solid fit for both the original equipment manufacturer (OEM) and its partners. OEM decisions entail long-term commitments of at least 3–5 years. OEMs and contract manufacturers (CM) should perform thorough assessments of potential partners. Such assessments include looking at a company’s near- and long-term financial stability and its commitment to the partnership. Senior IVD executives need to build shared understandings, so their companies can develop true partnerships of synergy that will lead to increasing value over time.

Outsourcing Scope

IVD companies can outsource many different steps along the value chain, including technology and product development, design, clinical trials, and manufacturing processes. The outsourced activity may be a pure play of one of these steps, such as all manufacturing operations for an IVD product. Alternatively, it may be a combination of two or more steps, such as final assembly and distribution of certain products sold outside of the United States. For design and development, a company can keep certain parts of a product system in-house (e.g., consumables, user interfaces), while outsourcing instruments and operating software. Or it can outsource entire older systems and keep the latest developments in-house.

Such an approach is referred to as the boundary for outsourcing, since it defines what an IVD company will continue to do in-house, and what it will outsource. The ideal location of that boundary can change, depending on changes in sales volumes, geographical sales distribution, supply-chain costs, technologies, and products.

Process and IP Control

Understanding how the technologies involved in manufacturing IVD products are evolving is important to making an informed outsourcing decision. If such technologies are changing quickly or are cutting edge, a product may not lend itself to outsourcing, since the technology transfer process can be difficult. However, patented IP is relatively easy to protect in a partnership. It should not deter outsourcing activities with the right partners as long as the agreements are written properly.

IVD manufacturers should consider working jointly with CMs to improve their products. The best suppliers are constantly trying to do better. IVD companies should look into agreements that cover how product changes will be mutually explored and agreed upon, and who has the rights to the jointly developed new ideas and products. A CM’s incentive is the ability to spread an innovation’s value to other products and markets that do not overlap with those of the developing OEM partner.

IVD products employing cutting-edge technologies tend to command higher margins and are less attractive for outsourcing. If an IVD company does not have tight controls over manufacturing processes (i.e., poorly understood processes are involved), it will be difficult to transfer such processes to another company. Conversely, if a CM can master manufacturing processes that an IVD company cannot do well, it may present an opportunity to outsource certain manufacturing operations.

Resource and Infrastructure Requirements

Contract manufacturers, such as Strategic BioSolutions (Newark, DE), must invest in testing equipment that mirrors the client’s use of the antibodies in order to harmonize final quality control testing with the clients’ internal quality control methods.

OEMs considering a contract manufacturing partnership need to understand the processes, resources, and systems required to maintain the partnership on an ongoing basis. IVD companies tend to focus on the transition without looking in detail at the ongoing management and capabilities that will be required and determining how they will be put into place. OEMs must also consider their own capabilities and resource commitments as well as those of the CM.

As a part of such an analysis, IVD manufacturers should review their own and their potential contract manufacturing partner’s information technology (IT) needs and capabilities. Especially for high-volume or high-mix operations, having seamless IT interfaces can be important. The analysis would also include the regulatory requirements that apply to IT systems. An IVD company and a CM should jointly define the protocols for all data communications to ensure they occur as needed to build an effective relationship. Internal training is important too. Many relationships falter because an OEM intending to protect the company refuses to pass along vital information to the contract suppliers.

IVD manufacturers need to address the issue of resources at the governance level. For example, what resources will be required to manage the contract supplier partnership at the senior levels? Are both companies prepared to commit those necessary resources? An IVD company and a CM should jointly plan the key mechanisms to keep the relationship running smoothly from the beginning. Otherwise, misunderstandings can arise and create barriers to cooperation for a long time.

Having to deal with many suppliers, OEMs may also establish a three-tier framework. Such a framework could range from an arm’s-length relationship for purchasing specific sub-assemblies to a strategic partnership for jointly developing new products. IVD manufacturers can develop expectations at each tier regarding the various outsourcing factors discussed, such that managing a portfolio of suppliers is easier. This approach helps with managing expectations at all levels of each supplier organization and creates more predictability for IVD companies involved in multiple supplier relationships.

Provider Capabilities

Are there CMs performing certain supply-chain processes that an IVD manufacturer is looking to outsource? If it is not an exact match, are the CMs conducting or managing processes that are similar enough to make an IVD company think the CMs can take over the operations being considered for outsourcing?

IVD manufacturers also need to consider other factors when making outsourcing decisions, such as capacity and interest. For example, are there contract suppliers with sufficient excess capacity to take over producing an IVD company’s product or whatever else is needed from them? How much additional capacity do the CMs plan to build relative to the growth projections for the IVD product? How do the CM’s geographical capabilities align with the OEM’s needs?

IVD manufacturers should find out if the manufacturing processes and functions that they are considering outsourcing are areas of interest to the contract supplier, and ones in which it will continue to invest resources to develop further in the future. If a CM expresses an intention to change something to provide what is needed, an IVD company should investigate: Is the commitment solid at all levels? Does it really make sense for the contract supplier? Or is it wishful thinking for both the OEM and the CM while trying to solve a problem and make a deal?

Time-to-market leadership is another crucial part of the equation, particularly for start-up companies. How can the outsourcing partner help to manage the project quickly, while delivering on transfer milestones reliably?

Regulatory and Quality Control

Even when the CM entirely manages the supply chain, only the OEM’s name appears on the IVD product. Everyone downstream, including FDA, holds the OEM ultimately responsible for that product. If there are problems with the product, FDA approaches the OEM first and holds it responsible for any issues, regardless of the source of the problems.

For this reason, OEMs and their contract manufacturing partners should set up the appropriate regulatory and quality control systems to manage the supply chain. OEMs need to be assured that potential contract outsourcing partners have the appropriate quality control systems. Such systems should meet the OEM’s audit standards and obtain the regulatory approvals in the various countries where it manufactures and markets its products. As a rule of thumb, auditing and validating an outsourcer’s procedures are preferable to attempting to inspect the quality of products and processes on an ongoing basis.

Before launching a contract manufacturing partnership, OEMs also need to determine how regulatory feedback loops will be set up. For example, when a customer returns an IVD product, which entity is responsible for investigating the problem, determining the root cause, establishing and implementing corrective actions, and reporting back to FDA and end-users? Which responsibilities will each entity have in the event of a recall? From a data flow perspective, corrective and preventive action systems may need to be hardwired between entities from the beginning.

According to a recent survey conducted by MassMedic (Boston) and PRTM (Waltham, MA), at least 67% of contract manufacturers thought they were meeting OEM needs on quality. Meanwhile, only 25% of OEMs thought their quality needs were being met—a significant disparity. Clearly, IVD manufacturers need to build sufficiently robust levels of understanding and communication to ensure these two perceptions are better aligned.

Risk Tolerance

A technician at Web Converting Inc. (Westborough, MA) puts the finishing touches on a canister product, which is converted, assembled, and shipped directly to the customer’s distribution center.

Handing over key technologies or production of an IVD product to an outsourcing partner involves a certain amount of risk. OEMs need to feel they can trust a partner to protect their IP from potential competitors, some of whom may even use the same contract manufacturer for their products. OEMs need to draft their agreements carefully. Distinctive process know-how may not be best protected with patents that reveal it to the world. If such knowledge is to be shared, it needs to be carefully managed.

OEMs also need to have a plan for managing the risks associated with each stage of the supply contract. Such risks include the initial transition, ramp-up, ongoing supply, and the general business risk of relying on outside companies for key supply-chain activities.

This is not to say that IVD companies should not outsource. Outsourcing risks exist in varying forms in almost all relationships with other companies. In many cases, the risks of outsourcing are lower than the risks of not outsourcing. However, in the case of a contract supply partnership, because of an OEM’s strong dependency on a contract supplier, an OEM should understand its exposure early in the process.

In addition, OEMs should be comfortable with risk mitigation plans and manage those risks on an ongoing basis. Safeguard procedures help in managing many of the risks. For example, OEMs should make sure manufacturing standard operating procedures are in place, in the hands of an independent party, regularly updated, etc., in case a supplier needs to be replaced by a new CM. This is especially true where IP is involved, which would not be easily learned or developed independently by a new provider.

Cost and Payback

The final factor to be considered is the economic impact of the supply partnership. This includes understanding in detail the transition costs and the ongoing manufacturing or service costs. The transition costs include the costs to start up a new operation, and any reconfiguration or shutdown costs at the donor site. An impact analysis is important: how will the shared costs be redistributed and what else will be affected? IVD manufacturers need to understand the fixed and variable costs, as well as the impact of outsourcing over time on both the balance sheet and the profit and loss statement.

IVD manufacturers should also examine how costs might vary with different scenarios, such as production volumes, raw-material issues, exchange rate swings, or delays in the transition. IVD companies should consider the range in costs when different configurations of products, processes, and functions are outsourced to contract manufacturing partners.

Conclusion

Outsourcing can be a key component of an IVD company’s overall operations and business strategy. It can yield numerous benefits, including lower costs, faster time to market, and more-comprehensive customer offerings. These all add up to an increased management focus on the core business, which enables and drives a company’s competitive success. While IVD manufacturers should not change their operations strategies regularly, they should check them regularly against key assumptions. As manufacturers reevaluate their strategies every 1–2 years, they should strive to maintain the alignment of outsourcing with their strategies and goals for value delivery.

John Lamb, PRTM (Waltham, MA)

Copyright ©2004 IVD Technology