Posted by Colleen Terry on Wed, Mar 24, 2010 @ 07:51 AM
The bill has been signed, yet the country is divided on the methods, outcome, and success of bringing affordable healthcare to all. So, what do providers and suppliers think? How will the reform affect their bottom line?
While the landmark legislation promises to bring healthcare to some 32 million currently uninsured, the heated question remains how much this benefit will cost the individual consumer and industry --notably pharmaceutical and medical suppliers. For providers, the reform potentially means more customers with the resources to pay for services rendered and supplies used. With reimbursements a troubling concern for many hospitals, the reform may alleviate some of the financial pressures for hospitals administering care to the uninsured. Yet, how much will caring for this influx of newly insured cost the provider? A potentially dramatic increase in customers requires more clinicians, more space, and more supplies. What are hospital administrators saying? How will clinicians be affected by the reform?
Meanwhile, healthcare suppliers have been quite vocal in their concerns, as it appears they may bear the brunt of the cost through increased taxes on drugs and devices. The supplier fear and concern is that this legislation may very well stifle innovation --as the imposed tax is likely to have devastating affects on smaller drug manufacturers and medical device suppliers--and potentially threaten patient safety and care. Do the suppliers see any good in this reform?
There is still so much to learn and understand about the impending legislation that most lay people are taking a wait and see attitude. Want to weigh in on the discussion? Share your views here.
Posted by Colleen Terry on Wed, Mar 17, 2010 @ 10:02 AM
While some may prefer a pot of gold, most of us would rather a bank of knowledge to help in choosing a healthcare IT vendor. A thorough review, evaluation and understanding of the healthcare technology offering can save thousands of dollars, improve clinical workflow and prevent lots of headaches down the road.
KLAS, an organization dedicated to helping healthcare providers make informed technology decisions by reporting accurate, honest, and impartial vendor performance, provides this information to providers, at no cost. While KLAS offers a convenient service to providers at the right price, their scope is limited by the breadth of their researchers and depth of provider participants.
Combine what you learn from KLAS, peers, and your own evaluation to make a smart decision by considering these important vendor qualities:
- Vendor reliability, trustworthiness and follow through-talk to peers, search the web and read reviews on vendor performance to ensure you are partnering with a responsive, professional and progressive organization.
- Product/Service/Solution features and functionality-read product reviews, visit showcase sites, view product demonstration webinars, or get a trial version to fully understand the feature set and how it will be implemented and used in your specific setting.
- Training- a top notch vendor will offer initial training, whether on-site, via phone or as a digital training session. Find out what will be covered and if it can be customized to your situation.
- Systems integration-be sure to understand how the new solution integrates with your existing systems to maximum your financial benefit and improve workflow.
- Post sales support-- in the form of on-going training, technical assistance and product maintenance. In some cases, your purchase may include both hardware and software, and understanding the upgrade path, maintenance plan, and technical assistance for each is critical.
To read vendor reviews currently available in KLAS, click here.
To add a vendor to KLAS and provide feedback, click here.
To learn more about how peers can assist in choosing a vendor, read this article.
Posted by Colleen Terry on Thu, Mar 11, 2010 @ 03:02 AM
IDN Summit just released the leading submissions of this year's Search for Supply Chain Excellence in Healthcare Awards. This elite award recognizes the leading healthcare systems in the US who are advancing patient care with cutting edge initiatives as judged by their healthcare peers. This award provides a substantive example of the powerful affect an optimized healthcare supply chain can have on cost containment and patient care.
While each of this year's 5 finalists focused on Strategic Sourcing, the range within was quite varied, including internalizing the supply chain, developing an e-sourcing auction, strategic partnership with a supplier, and more. The commonalities in the success of each of the winners is summarized:
- Clearly defined goals and objectives; a very specific problem area was identified, analyzed and then optimized.
- Firm buy-in from executive management and all parties across departments to be affected.
- Actively engage the Clinical stakeholders in the process; clinical support and feedback are paramount to ensuring success of the project which ultimately impacts the patients.
- Cooperatively work with suppliers, manufacturers and vendors to ensure best product, pricing and placement.
- Clinical process improvements and workflow optimization are direct outcomes of the above.
While these submissions only represent a small fraction of the opportunities and innovations for improvement, they demonstrate that significant cost savings and quality improvement opportunities abound in the supply chain arena. Why not take a look at your supply chain and choose a specific area of focus?
To help in deciding, read how this hospital achieved cost containment, patient safety and regulatory compliance, with the automation of product usage tracking and hospital systems integration through optimized inventory management and control.
Read each of the finalist submissions here.
Posted by Colleen Terry on Wed, Feb 03, 2010 @ 07:11 AM
The RFID in Healthcare show in Dallas last week highlighted many uses of RFID. As in past years, the emphasis was again on asset tracking and using active and UHF tags. There was, however, one presentation that excited attendees with its proven success in using item-level HF RFID tracking to streamline workflow for clinicians.
The implementation of RFID for hospital inventory management has provided this particular hospital with the automation and information necessary to enable clinicians to be better clinicians.
Streamlined Clinical Processes = Better care for patients
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Nurses and techs are now confident when the physician asks for a particular product, they will have it readily available. Automated RFID tracks product usage and recommends par levels, ensuring the right products are always available. Prior to RFID, nurses and techs sometimes had to leave the procedure room - making multiple trips daily to other buildings or down the stairs - in search of a particular product needed for a case
- Clinicians are able to stay in the room longer with patients, post-op. Physical counts are completed every 20 minutes by the RFID cabinets and procedure rooms are easily restocked using an automated restocking report - even 2 - 3 times per day, freeing nurses from the duty of counting products before and after each procedure
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Nurses can confidently pull any product from the shelf and be relieved of the constant worry of an expired or recalled product reaching a patient. Automated expiration and recall management, with built in safety alerts, is available with RFID. 
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Documenting cases is accurate and fully automated with the integration of RFID inventory control with other hospital systems. Nurses are no longer burdened with manual data entry; just a wave the box sends product barcode and serial/lot # to the appropriate hospital information systems for billing, replenishment and clinical documentation
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Job satisfaction for nurses has improved dramatically. Nurses are happier being nurses and not worrying about supplies.
Read a case study article on how RFID is improving patient care through nurse satisfaction.
Posted by Colleen Terry on Wed, Jan 06, 2010 @ 10:12 AM
1. Diligently track expiration dates
Specialty departments are seeing an increased number of implantable products with limited shelf lives. With the trend towards medicated implantables, the need to track expiration dates is ever pressing. When items are received, make a note of their expiration dates and store items in such a way that you can easily track and monitor dates. Be diligent about how often expiration dates are checked and rotate products with shorter life expectancies so they get used first.
2. Logically store items so you know where to find them in case of recall
Although we like to think the likelihood of a recall is slim, it is a reality that needs to be prepared for. While arranging items in a logical order may sound obvious, it is no trivial task when you consider how your logic may differ from the physician scrubbing in for his next procedure, or the Rad tech prepping the room next door. With input and buy-in from others, organize and store the array of products in a manner that will allow you and others to easily locate a specific item by lot or serial number in case of recall.
3. Faithfully replenish items when used
Just as you would replace the milk in your refrigerator, be acutely aware of products being used in your department and generate timely replenishment orders. Making sure the right products are available at the right time is at the core of patient safety.
4. Continuously monitor product usage trends
While the billing department will tell you it's important to track products being used for reimbursement purposes, administrator and savvy inventory clerks will say that same information is needed to analyze product usage. Identifying trends and understanding usage patterns enables departments to satisfy physician preferences, establish par levels, smooth ordering patterns and monitor outcomes.
5. Seamlessly integrate existing hospital systems
The Holy Grail for administrators is to have a seamless integration between all hospital information systems from billing to ordering to recall management. Capturing information at the source and sharing downstream data yields patient safety improvements, cost containment and regulatory compliance.
At first glance, these tips may seem elementary; however, departments are continuously challenged with how to achieve inventory visibility. Some specialty departments are handling inventory management with manual tools, making it virtually impossible to be aware of every expiration date on every product. Many departments have done the financial analysis to justify automating these processes. Not only have these hospitals seen a reduction in costs, the patient safety and clinical workflow improvements are exemplary.
To learn how one nurse was able to turn her department around by automating inventory management tasks, read her article in the December issue of Cath Lab Digest.