From Pandemic to War and Routine in Between: 5 Key State-Level Recommendations to Supply Chain Management During National Crisis

Summary: Strategies and systems developed during COVID-19 were crucial in handling the healthcare supply chain during the “Swords of Iron” war, which began on October 7, 2023. During COVID-19, Logi Group played a central role as the Israeli MOH’s supply chain headquarters and developed protocols for handling disruptions in global and domestic supply, providing resilience against logistical challenges. When war erupted, Logi applied its pandemic era methods to address immediate logistical and operational demands. The crises’ similarities, such as healthcare systems operating under fire and supply chain challenges, required quick and coordinated responses. Systems developed, such as an integrated emergency operation center, facilitated coordination between suppliers, hospitals, the military, the government, and logistics companies. The dynamic supply chain models designed during COVID-19 allowed quick adaptation to market and operational disruptions, a capability crucial during the war. Additionally, the reflecting market challenges and barriers influenced healthcare regulations and policies, enabling swift adaptations during war. The lessons learned design the required operational approach, “emergency routine” rather than a transition from routine to emergency. The five key principles in the strategy for preparedness and operational continuity to address a variety of national crises are: 1. Manage security inventory within operational layers on-site. 2. Regulation for suppliers’ operational continuity. 3. No Pareto – every component is crucial. 4. Minimize market concentration. 5. Effective Local production strategy. Embedding emergency mechanisms within routine operations creates a state of “emergency routine.” By doing so, the transition from routine to emergency becomes seamless and efficient, reflecting the reality that such transitions are often immediate and leave no time for setup. The operations during the war underscored the importance of supply chain national strategy, demonstrating that preparedness and multi-sector collaboration in crisis are essential for maintaining continuity and efficiency.