Transcript Spinal Cord Stimulation

Surgery Clinical Quality
Value Analysis Council
Supply Chain Operations
June 10, 2015
7/16/2015
1
Agenda
1. Endomechanical, Trocar, & Suture Contracts
2. Trials
3. New Products
4. Biologic Mesh
5. Advanced Wound Care
7/16/2015
2
Endomechanical,
Trocar, Suture Contract
Compliance
Ethicon/Covidien Bids
7/16/2015
3
Compliance Review – Mar, Apr, May
Category
March
April
May
Covidien Trocar
23%
25%
26%
Ethicon Trocar
77%
75%
74%
Covidien Endo
35%
34%
30%
Ethicon Endo
65%
66%
70%
$1,117,898
$905,580
Trocar & Endo
Annualized Missed $1,185,160
Opportunity
7/16/2015
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Survey Monkey (18 Responses)
Convert to Covidien
if cost savings?
70
63
60
50
40
37
30
20
10
0
Yes
7/16/2015
No
Stay with Ethicon if
cost savings?
100
90
80
70
60
50
40
30
20
10
0
88
12
Yes
No
5
Ethicon Proposal – 3 Year Contract
(Suture/Trocar/Endo)
Ethicon
Line Item Savings
Tier 1
Tier 2
Annual Missed Opportunity
($54,000)
$79,000
$1,117,898
Tier 2 Total Savings
$1,196,898
Potential Rebates Over 2 Years
$463,000
• Tier 1: Suture 90%, Trocar 90%, Endo 80%
• Tier 2: Base on dollar spent vs percentage compliance
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Covidien Suture/Endo/Trocar
(3 Year Contract)
Scenario 1
Trocar
Endo
Suture
Totals
Proposed
Conversion Savings
$673,984
$627,570
$601,299
$1,902,854
Potential Rebates Over 3 Years
$2,315,153
• Compliance: Endo 85%, Trocar 85%, Suture 80%
Scenario 2
Proposed
Conversion Savings
Potential Rebates Over 3 Years
Trocar
Endo
Totals
$673,984
$627,570
$1,301,554
$1,842,927
• Compliance: Endo 85%, Trocar 85%
7/16/2015
7
Trials
Echelon Flex Powered Vascular Stapler
AHC Hemostasis
7/16/2015
8
Echelon Flex Powered Vascular
Stapler with Advanced Placement Tip
• Ethicon’s new release that could be clinical
equivalent to Covidien’s Endo GIA Curved Tip
• Trial Results
2014 Data
Case Cost
(1 gun/2 reloads)
Typical Case Cost
(1 gun/3 reloads)
Case Cost
(1 gun/4 reloads)
Annualized
Spend
Coviden
$609
$853
$1,097
$32,191
Ethicon
$581
$717
$852
$23,710
% of Savings
from Ethicon
5%
19%
29%
$8,481
7/16/2015
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Advanced Hemostasis Trial
BAXTER DESCRIPTION
TISSEEL FROZEN 2 ML
TISSEEL FROZEN 4 ML
TISSEEL FROZEN 10 ML
FLOSEAL 5 ML
FLOSEAL HEMOSTATIC MATRIX WITH
NEEDLE FREE ADAPTOR 10 ML
COSEAL SURGICAL SEALANT 4 ML
COSEAL SURGICAL SEALANT 8 ML
ARTISS FROZEN SOLUTION 2ML
ARTISS FROZEN SOLUTION 4ML
ENDOSCOPIC APPL 41 CM
GELFOAM PLUS
ETHICON CONVERSION
EVICEL 1ML KIT
EVICEL 2ML KIT (yields 4mL)
EVICEL 5ML KIT (yields 10mL)
SURGIFLO HEMOSTATIC MATRIX KIT
W/THROMBIN PLUS FLEX TIP
SURGIFLO HEMOSTATIC MATRIX KIT
W/THROMBIN PLUS FLEX TIP
EVICEL 2ML KIT (yields 4mL)
EVICEL 5ML KIT (yields 10mL)
EVICEL 1ML KIT
EVICEL 2ML KIT (yields 4mL)
Endoscopic Applicator 6 ea
SURGIFOAM AGS, SZ 100 (Requires
thrombin @ $43 per item)
Conversion Savings
Additional Savings on TAH if Conversion Occurs
GRAND TOTAL
7/16/2015
$283,478
$216,090
$499,568
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Ethicon Advanced Hemostasis:
AHC Trial Results (5/27 - 6/10)
PRODUCTS TRIALED
Product
Evicel
Surgiflo
Floseal
SNOW
Total
Evaluations
8
29
1
14
52
Percentage
15%
56%
2%
27%
100%
FEEDBACK
Unacceptable
Acceptable
Exceeds
Total
4
38
10
52
8%
73%
19%
100%
APPROVE OF CONVERSION?
Yes
No
Need More Cases
Total
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19
3
22
44
43%
7%
50%
100%
11
New Products
7/16/2015
12
Novapass curved suture passer
7/16/2015
Vendor
Product
Requestor
Price
Cook Medical
Novapass curved
suture passer
Dr. Selzer
$205 each
13
New Products
7/16/2015
Vendor
Product
Requestor
Price
Oticon
A-ZoftUsed as a protective
dressing over an ear
reconstruction
Dr. Tahiri
$48 each
14
Justright Surgical
• 5 mm endoscopic linear stapler
• $700 each
• New Vendor
• FDA approved
7/16/2015
15
Biologic Mesh
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Biologic Mesh:
Current Market Share
7/16/2015
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Biologic Mesh - Savings
Facility
Sum of Extended Sum of LifeCell
Spend
Savings
Sum of ACell
Savings
Sum of RTI
Savings
Sum of TEI
BioSciences
Savings
Sum of Ethicon
Savings
Sum of Bard
Savings
ARNETT
$101,146.50
$4,812.50
$25,007.85
$26,424.90
$32,206.50
$14,791.42
$11,925.90
BALL
$146,712.53
$6,384.36
$32,867.43
$41,992.13
$34,653.53
-$5,498.99
$17,572.93
BLOOMINGTON
$238,148.20
$2,260.20
$48,878.45
$63,525.40
$45,869.20
-$32,885.04
$44,347.10
GOSHEN
$316,341.92
$26,613.92
$85,610.72
$125,732.72
$119,901.92
$126,629.00
$58,179.72
METHODIST
$675,412.63
$35,036.82
$142,243.33
$199,925.03
$178,240.63
$163,103.49
$83,711.53
NORTH
$36,055.50
-$41,266.63
-$13,356.15
-$15,900.30
-$15,433.50
-$30,444.22
-$19,404.30
RILEY
$2,927.60
-$492.40
-$149.40
-$30.40
-$318.40
UNIVERSITY
$924,501.92
$46,618.27
$222,800.12
$251,028.22
$240,018.92
-$33,695.29
$122,788.92
WEST
$11,922.00
$477.00
$2,472.00
$4,047.00
$1,422.00
$2,107.20
$1,192.20
Grand Total
$2,453,168.80
$80,444.04
$546,374.35
$696,744.70
$636,560.80
$204,107.57
$319,961.60
7/16/2015
-$352.40
18
Recommendation for OR Council
• Move forward with RTI as preferred vendor with
80% compliance on standardization.
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Outcome Dashboard
• Presentation by Roberta Brown from Decision
Support
7/16/2015
20
BioSynthetics
• TelaBio & Zenapro (Cook)
• Both our current synthetic mesh vendor, Bard,
and RTI agree that these fall under “synthetic”.
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TelaBIO Cost Comparison
Size (cm)
4x8
6 x 10
10 x 10
10 x 20
16 x 20
18 x 22
7/16/2015
SKU
Price
SKU
Price
SKU
Price
SKU
Price
SKU
Price
SKU
Price
Current LifeCell
Strattice
Proposed RTI
Fortiva
F10068-0408
0606002 6x6
PD0606 6x6
$304
$961
$567
F10068-0610
0610008 6x10
PD1010 10x10
$570
$1,485
$1,575
TELAMax TELAMax 1S TELAMax 2S
F10068-1010
F10069-1010
F10070-1010
1010002 10x10
PD1010 10x10
$950
$1,620
$2,040
$2,494
$1,575
F10068-1020
F10069-1020
F10070-1020
1025002 10x25
PD1025 10x25
$1,900
$3,240
$4,080
$6,233
$3,938
F10068-1620
F10069-1620
F10070-1620
1620002 16x20
PD1620 16x20
$3,040
$5,184
$6,528
$7,978
$5,040
F10069-1822
F10070-1822
2025002 20x25
PD2025 20x25
$6,415
$8,078
$12,465
$7,875
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Zenapro Cost Comparison
Item Description
Manufacturer Nam e
Zenapro Hybrid Hernia Repair Graft C-HYB-10D
Zenapro Hybrid Hernia Repair Graft C-HYB-15D
Zenapro Hybrid Hernia Repair Graft C-HYB-10X15
Zenapro Hybrid Hernia Repair Graft C-HYB-15X22
Zenapro Hybrid Hernia Repair Graft C-HYB-20X20
Zenapro Hybrid Hernia Repair Graft C-HYB-20X30
Zenapro Hybrid Hernia Repair Graft C-HYB-30X30
Cook Medical
7/16/2015
Cook Medical
Cook Medical
Cook Medical
Cook Medical
Cook Medical
Cook Medical
Manu
Catalog #
Buy UOM
Uom
Buy UOM
Cost
Current
LifeCell
Strattice
Price
Proposed
Fortiva
Price
G35476
G23772
G35477
G23771
G35479
G23770
G35114
EA
EA
EA
EA
EA
EA
EA
$458.00
$1,176.00
$882.00
$2,548.00
$3,430.00
$4,116.00
$5,096.00
NA
NA
$3,989.37
$7,977.97
$9,972.27
$14,956.48
$22,433.00
NA
NA
$2,520.00
$5,040.00
$6,300.00
$11,025.00
$14,175.00
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Advanced Wound Care
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Advanced Wound Care
Proposed Savings
Facility
BALL MEMORIAL HOSPITAL
BLACKFORD COMMUNITY HOSPITAL
BLOOMINGTON HOSPITAL
GOSHEN GENERAL HOSPITAL
IU HOME HEALTH
JAY COUNTY MEMORIAL HOSPITAL
LA PORTE HOSPITAL
METHODIST HOSPITAL
TIPTON COUNTY MEMORIAL HOSPITAL
(blank)
UNIVERSITY HOSPITAL
REHABILITATION HOSPITAL OF INDIANA
WEST HOSPITAL
ARNETT HOSPITAL
NORTH HOSPITAL
RILEY HOSPITAL
BEDFORD HOSPITAL
SAXONY HOSPITAL
MORGAN HOSPITAL
STARKE HOSPITAL
WHITE MEMORIAL HOSPITAL
PAOLI HOSPITAL
IUHP
Grand Total
7/16/2015
Sum of Current Spend Sum of S&N IMPACT
$61,902.20
$2,747.77
$9.32
$0.53
$42,441.06
$6,715.68
$51,781.96
$3,349.54
$19,180.56
$1,760.23
$152.20
-$94.65
$31,603.46
$7,162.30
$410,125.79
$63,759.06
$1,105.87
$47.97
$8,969.45
-$8,877.24
$329,369.38
$52,326.32
$30,529.44
$2,542.90
$65,834.22
$7,837.46
$62,020.71
$8,556.24
$8,353.47
$1,920.78
$7,477.02
$66.05
$3,266.81
$593.69
$2,761.94
$645.43
$1,382.94
$208.15
$666.70
$32.62
$2,881.81
-$3,343.87
$181.62
-$32.14
$1,105.20
$162.91
$1,143,103.14
$148,087.73
13%
25
Advanced Wound Care
Post-Op Surgical Dressings
• Current primary vendor is Convatec
• Negotiated with both remaining RFP vendors to
carve out these products.
• Convatec will hold current pricing.
• There will be no primary vendor for these
products. It will be clinicians choice.
7/16/2015
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Meeting Minutes
• Today’s meeting minutes can
be found on PULSE:
– Under Physician Education
Website (picture to left)
– Then, under Important Links,
select “Value Analysis
Communications Team
Meeting Minutes”
7/16/2015
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Questions?
Next Meeting August 12th
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