Posted By Administration,
Tuesday, July 22, 2014
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Innovation in Value Analysis: A Case Study
By Sue Toomey, Lehigh Valley Health Network, Value Analysis Coordinator
Let’s face it, as Value Analysis professionals we thrive to enhance services, improve utilization, keep staff and clinicians satisfied, and reduce total overall costs while providing quality patient care. We use a variety of strategies to achieve this goal – and a particularly useful communication approach is selling ease of use of the product to be evaluated to the end user, the clinicians and the ease of delivery (from package to patient). This article describes how the use of a team approach led to cost savings and the controlled use of product.
The Cost of innovation:
Advanced Hemostats & Sealants, a relative newcomer to the surgery market, a product perceived to increase efficiency of care for our patients have significantly increased annual supply expenses. Keep in mind, a few years back, hospitals did not really incur any major expense in this category (wound closure and hemostasis) until these types of products were developed by manufacturers. Now we have a new, and growing (with many new competing products being added every day) major product line to manage and track as value analysis professionals to ensure that we are keeping our costs low and quality high.
Optimizing Care Team:
In performing a value analysis review of the Advanced Hemostats and Sealants products at Lehigh Valley Health Network, we were surprised to find that the various sizes of applicators (ml’s) were being over utilized and causing a major cost overrun. This can easily occur because clinicians do not know the total cost to these types of products. Clinicians use the products but they don’t actually buy them which limits their ability to evaluate the cost and benefit in the selection of product to offer for use, e.g., utilizing a larger size when a smaller size product would offer the same benefit, without impact on quality and with reduced cost. Strategic implementation of the Lehigh Valley Health Network measurement processes allows for a multidisciplinary team skilled in clinical and business knowledge, reviews these types of product lines using clinician consumption and weight calculations. The results provide an eye opening perspective to the use and total cost of this and other major product lines.
Interprofessional combined knowledge and influence provides leveraging for managing both cost and quality.
Our Optimizing Care Team (OCT) process provides for Interprofessional
sharing of this type of information with our clinicians providing a platform to review intended use of products allowing guidelines and restrictions,
based on evidence based review , to control and reduce the usage of innovated products. Often, when increased utilization and costs are recognized it is determined that we should be evaluating competitive products.
Such products are then escalated to OCT and vendor competition is initiated, processes are reviewed, and suppliers are engaged to problem solve product utilization issues (availability of selected sizes and packaging modalities). The goal of the OCT is to transition products to an alternative (quality and cost focused) vendor who has the value analysis philosophy and clinician collaboration model that aligns with our network.
In this instance, LVHN was able to contribute to a total overall cost savings reduction of 45%
to get Advanced Hemostats and Sealant products back under control.
Managing quality and cost will continue to remain a focus of health care organizations that achieve and exceed their financial bottom line. Interprofessional collaboration is an essential competency to evaluate clinical application of product, but also to analyze value of use – and after all, isn’t that the true meaning of value analysis?
quality patient care
value analysis professionals
Posted By Susan A. Toomey, Lehigh Valley Health Network,
Tuesday, June 24, 2014
Updated: Tuesday, June 24, 2014
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By: Wanda Lane
Clinical Value Analysis Coordinator
How many times have you heard “why should we bother evaluating a different product? Our opinions don’t matter anyway; it’s all about the dollar.” Or “why are we considering more products to solve a practice problem, can’t nurses just scrub the hub?” Maybe “clinically unacceptable or just not pretty enough…clinicians need to learn about costs.” If you have heard comments like these and others, your Value Analysis program probably feels less like a bridge and more like a rope in the healthcare tug of war.
Bridging the gap between clinical and materials management worlds, Value Analysis professionals provide information to both sides that would otherwise be left open for interpretation. This unique understanding of the logistical and contract obligation language, coupled with clinical knowledge, enables the VA professional to communicate clearly with both sides of the equation. Patient care delivery and product features motivate clinicians, sometimes frustrating Materials Managers who are cost focused. Value Analysts walk freely in both worlds.
Value Analysts also step into the crossfire when the two worlds collide. Dwindling revenue streams, increasing costs and sicker patients put hospitals in a position of financial strain, forcing changes in practice and heightened cost awareness. These changes frustrate clinicians and materials staff alike, but Value Analysis professionals can thrive in this environment if they follow a few simple rules.
1. Acknowledge your personal internal conflict. Many VA professionals are clinicians, gifted with a unique perspective. We empathize with our clinical peers and understand the priority on patient care in a personal way versus an abstract concept. Yet, because we understand the financial side of the equation, we are obligated to hold clinicians more accountable for their fiscal awareness.
2. Present both sides of the arguments fearlessly. Hospitals that survive in this economic environment are making adjustments. VA professionals who openly share the good, bad and ugly of every situation garner trust from both sides, thus improving cooperation.
3. Use humor. Learn to laugh with, and at the situation. Listening to clinicians argue vehemently that the facility must pay six figures for a product because it is easier to use, while at the same time complaining about the need for more nurses is amusing, frustrating, but amusing. Watching a supply distribution technician explain politely that the facility does not have an in-house stock supply of that “blue clippie thing” can be funny. The situation may not be funny, but the behaviors are. It is all a matter of perspective.
4. Accept what you cannot control. Clinicians will find work-arounds to the most robust processes. Materials managers will block excellent clinical initiatives because of hard costs. Value Analysis’ role is to provide information to both sides objectively and clearly. Neutrality enhances fairness and trust, elevating your credibility and value to the facility.
Healthcare is fraught with challenges, while also ripe with opportunity. Understanding both sides of the equation positions the Value Analysis professional as the go-to person. Use your unique perspective to advocate for the ultimate customer- the patient!
If you identify with this article, please leave a comment.
Posted By Administration,
Monday, June 16, 2014
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If you missed the latest regional meeting on June 12th, you missed an
excellent opportunity to learn about a well-structured recall process. Sonja Glass, RN, BSN, Value Analysis
Coordinator for Surgical Services, and AHVAP Eastern Director, and Carolyn Barnette,
JD, Insurance and Risk Manager from Wake Forest Baptist Medical Center,
provided a detailed overview of their Recall Process. Following introductions by Cheri Berri-Lesh,
Value Analysis Coordinator at Group Health Cooperative and Western Region
Director, Sonja opened the session by defining the types of recalls, the tools
used to track them, and the staff members to be included on the Recall team. Next, Carolyn presented information about the
process, legal requirements and rationale then offered examples of practical
applications. An effective process is
important not only to the patients we serve but also effectively minimizes
exposure to liability for your organization.
In light of the numerous recalls in recent years and heightened public
awareness, it is critically important to establish a well-defined process.
Following the presentation, participants had the opportunity
to ask questions and share tips. In
response to requests for copies of the slide presentation, Cheri advised it
will be posted on the AHVAP website along with a copy of the Recall
Checklist. There was also a request for
a copy of the job description for the Recall Coordinator. There is a
possibility the job description for the Recall Coordinator can be shared. Sonja offered to discuss the role with participants. Sonja’s contact information is available to
AHVAP members in the Member Directory on the AHVAP Website. Our thanks to Sonja and Carolyn for the time
they invested to share their expertise with us.
It was much appreciated!
Weren’t able to attend?
The slides and shared documents will be posted on the AHVAP website for
members to access.
Save the Date: The next quarterly call will be September
11, 2014 at 3 pm EST.
Value Analysis Coordinator
Posted By Administration,
Wednesday, May 14, 2014
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Reduction of CAUTI Lowers Cost
and Improves Quality of Patient Care
Date: May 29,
Time: 12:00 -
1:00 pm CST (1:00 - 2:00 pm EST, 10:00 - 11:00 am PST)
webinar describing one academic medical centers experience in an
interprofessional approach to reducing catheter associated urinary tract
infections (CAUTI) hospital acquired infections. The structure of the teams
involved, process improvement facilitation, roles of participants, steering
committee approvals and implementation plan roll out will be reviewed. Project
templates, sample supply standardization lists and costs and graphs will be
the importance of supply chain’s role in improving quality of patient care
and facilitating a value analysis process in order to reduce CAUTI based
on identified quality metrics (CMS and other payors)
effective team structures and identified roles of participants (SC,
physicians, nurses, infection prevention employees, and IT)
the executive steering committee involvement and approvals
the process improvement in order to reduce CAUTI – definition of success
for University of Virginia (UVA)
Strain, Director Value Management, University of Virginia Health System and Past President of AHVAP
Hospital Acquired Infections
Posted By Robert Yokl, SVAH Solutions,
Friday, May 9, 2014
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Association for Healthcare Value Analysis Professionals (AHVAP) is proud to
announce a new partnership with Owens & Minor University (OMU) to support
and advance the profession of value analysis through education and
certification. Certification programs further knowledge and education,
demonstrating mastery of skills, knowledge and abilities. Achieving
certification ensures others in the healthcare industry that value analysis
professionals have the discipline required to effectively evaluate and implement
changes that improve clinical quality and cost effectiveness.
together these organizations will design, implement and offer a certification
program, credentialing examination and associated training curriculum to
Healthcare professionals. AHVAP will be responsible for establishing the
standards for the certification program and credentialing exam. OMU will
create and deliver the training curricula, course content, and materials along
with AHVAP subject matter experts.
is a national educational organization focused on assisting Healthcare Value
Analysis Professionals in the evaluation of services for clinical quality and
cost effectiveness. This is accomplished through the provision and promotion of
processes, collaboration and education. To learn more about AHVAP visit www.AHVAP.org
Owens & Minor, Inc.
Owens & Minor, Inc. (NYSE: OMI) is a leading healthcare
logistics company dedicated to Connecting the World of Medical Products to
the Point of CareTM by providing vital supply chain services to
healthcare providers and manufacturers of healthcare products. Owens &
Minor provides logistics services across the spectrum of medical products from
disposable medical supplies to devices and implants. With logistics platforms
strategically located in the United States and Europe, Owens & Minor serves
markets where three quarters of global healthcare spending occurs. Owens &
Minor's customers span the healthcare market from independent hospitals to
large integrated healthcare networks, as well as group purchasing
organizations, healthcare products manufacturers, and the federal government. A
FORTUNE 500 company, Owens & Minor is headquartered in Richmond, Virginia,
and has annualized revenues exceeding $9 billion. For more information about
Owens & Minor, visit the company website at owens-minor.com.
owens and minor
value analysis certification
value analysis professionals
Posted By The AHVAP Website Design Team,
Wednesday, January 8, 2014
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Welcome to the new AHVAP Website and Blog, we look forward
to taking your AHVAP member experience to a whole new level of news, education,
best practices, forums, How-To Articles, networking and a whole lot more. Please bear with us while we make some
minor modifications over the next few days and weeks to this great feature rich
site which is packed with the latest technology that is now available to you
our members.Please check back soon as we will have all of the
modifications and upgrades completed and be able to give you a whole newly
upgraded member experience from our previous site technology. Plus the AHVAP really has some big plans for
programs, education and resources that you really are going to want to come
back and see. We appreciate your patience while we upgrade your new member site!
Posted By Administration,
Sunday, December 1, 2013
Updated: Thursday, May 18, 2017
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Preparing Supply Chain and Value Analysis Professionals to Meet the Challenges of Today’s Healthcare Environment
CHICAGO (December 2013) - The Association for Healthcare Resource & Materials Management (AHRMM) and the Association of Healthcare Value Analysis Professionals (AHVAP) are pleased to announce a collaboration to develop and cross-promote education, information, and resources that will support clinical and supply chain teams in healthcare organizations in their transition to new payment models.
There are clear synergies between the two organizations and the collaboration between AHRMM and AHVAP is intended to help members of both associations better prepare to manage new complex payment mechanism and to meet diverse patient safety and quality goals. Representation from each association will sit on Education Committees to establish mutual and advanced learning opportunities that will be provided to the members of both organizations.
As the healthcare delivery model is undergoing major transformation, AHRMM is building the Cost, Quality, and Outcomes (CQO) Movement, which calls for a more holistic approach to the correlation between cost (supplies, procedures, services), quality (patient care and services provided, patient satisfaction, quality of care), and outcomes (financial reimbursement driven by outstanding clinical care at the appropriate costs) as opposed to approaching each independently. Both, AHRMM and AHVAP recognize that value analysis processes are essential to driving the CQO goals.
"We are looking forward to working collaboratively to advance our professions,” stated Dee Donatelli, President of AHVAP. "With so much to accomplish, together we can achieve a much greater impact on CQO!”
"We are at a critical time to be able to expand supply chain and value analysis professionals’ influence and increase their impact on the overall success of healthcare organizations,” said Annette Pummel, AHRMM’s Chair. "We are eager to work together with AHVAP on the development of professional resources and events for members so they have tools to help drive organization-wide goals.”
The complete Memorandum of Understanding is available at www.ahrmm.org. For more information about CQO Movement, please visit www.ahrmm.org/CQO.
The Association of Healthcare Value Analysis Professionals (AHVAP) is an organization of professionals whose expertise bridges the gap between clinical and supply change process. Through the use of evidence, clinical and financial expertise value analysis facilitators play a pivotal role to ensure effective decision-making that positively impacts clinical, operational and financial outcomes.
About AHRMM The Association for Healthcare Resource & Materials Management (AHRMM) of the American Hospital Association is the leading national association for executives in the healthcare materials management profession. Founded in 1951, AHRMM prepares its more than 4,300 members to contribute to the field and advance the profession through the intersection of cost, quality, and outcomes via networking, education, recognition, and advocacy. AHRMM continues its commitment to keep members ahead of the learning curve by providing information and resources to not only assist them in their current positions, but also to prepare them for upcoming challenges and opportunities. For more information, visit www.ahrmm.org.
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