Transcript The Role of Education in Value Anaysis

Amy Yun, MSN, RN

“The study of function and the search for
lower cost alternatives" as opposed to what
you are doing now.
http://findarticles.com/p/articles/mi_m0BPC/is_10_32/ai_n30892055
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“. . .VA is defined as: an organized,
systematic application of recognized
techniques which identify FUNCTIONS of a
product or service, and seek ways to enhance
value by providing the required performance
at the lowest overall cost” White Paper, Tom Orr, P.E.
Georgia Institute of Technology (US Cost)

Goal is to look at
ways to decrease
supply costs while
improving or
maintaining quality
Safety/
Quality
Stewardship
Patient
Customer
Satisfaction
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Financial pressures on healthcare
organizations
Business intelligence
LEAN programs and standardization
Need for evidence based approaches to gain
support and approval

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Decrease costs
Eliminate waste
◦ Process
◦ Environmental

Cultivate a collaborative environment across
all stakeholders
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Cost
Efficiency
Standardization
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VALUE
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F
Value is obtained
when the
essential
functions can be
reliably provided
at the lowest
possible cost
u
Value
n
c
t
i
o
n
$0.00
$2.00
$4.00
$6.00
90K
15K
Which one do you want
versus
which one will meet your needs at the best value?
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Stewardship
◦ What supplies does the patient need that are added
value?
◦ What are you willing to pay for?
◦ What waste is there?
 Tape
 “Hoarding”
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Waste
◦ Sterility compromised/wrong size
◦ Feature rich or feature poor products
 Example: Arterial lines
◦ Items that are never used in kits/trays
◦ “Inadvertent” displacement of products
◦ Just in case. . .
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Standardized Care
◦ Is this the goal of your organization?
◦ Typically the answer will be yes!
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However, can ONE SIZE FIT ALL?
◦ Not always!
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Utilization
◦
◦
◦
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If a little is good, than more must be better!
Frequent cause is “fear” or “what if”
‘Misuse’ of products
Lack of understanding of how the product works
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Evidence based practice
◦ What to look for:
 Cross sectional studies, studies with external contraol
groups
 Observations studies
 Evidence derived from report/consensus statements of
an expert committee that has a scientific process
 Cost analyses
 Utilization analyses
 Potential risk to patient
 Organizational values
 Accreditation and regulatory requirements
 Legal considerations
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Evidence based practice
◦ Evidence evolves much faster than we think
◦ Examples
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Central line end caps
Thigh high TED hose
Swab caps
IV Tylenol
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How important is staff understanding?
◦ Staff are the ‘end users’
◦ Patient perception
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Technology
◦ Over 30 Million medical/surgical products in the US
◦ 20-30% change each year (6-9 million products a
year)
 Example
 Lifts
 IV pumps
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Healthcare students
◦ Safety
◦ Over-utilization
 Cost to the organization
 Example: Linens