SUPPLY CHAIN’S ROLE IN FACILITY ACQUISITIONS – NEW & PRE-OWNED PEER ROUNDTABLE/FORUM

NOW

AHA (2012)• 2008 TO 2012, TOTAL INPATIENT ADMISSIONS FELL FROM 35.75 MILLION TO 34.40

MILLION, WHILE OUTPATIENT VISITS ROSE FROM 624 MILLION TO 675 MILLION.

AMERICAN SOCIETY FOR HEALTHCARE ENGINEERING (2014)• 50% OF HOSPITALS ARE TAKING THE AFFORDABLE CARE ACT INTO CONSIDERATION IN

CONSTRUCTION AND DESIGN PLANS, AND 22% SAY MEDICAL OFFICE BUILDING CONSTRUCTION IS A FUTURE FACILITY DEVELOPMENT PLAN IN RESPONSE TO THE ACA, ACCORDING TO THE 2014 HOSPITAL CONSTRUCTION SURVEY.

DELOITTE (2014)• FOR YEARS, THE TREND WAS HOSPITAL-TO-HOSPITAL MERGERS AND ACQUISITIONS.

TODAY, IT’S VERTICAL INTEGRATION. IT’S ‘THE WHOLE VALUE CHAIN’ – FROM HOME CARE TO HOSPICE TO SKILLED NURSING – AND MANAGE THE ENTIRE ECOSYSTEM.

• THIS TYPE OF INTEGRATION – EITHER THROUGH ACQUISITIONS OR PARTNERSHIPS – ALLOWS HOSPITALS TO PARTICIPATE IN RISK-BASED PAYMENT REFORM MODELS, INCLUDING ACOS.

STRATEGIC FOCUS

• Primary Care growth (non-acute) is our future.

• Medical Groups are the “go to” place for population care.

• Linking care across the continuum is becoming increasingly important for referrals, quality of care, patient satisfaction, and business growth (regardless of class of trade).

PHYSICIAN IMPERATIVE

• FINANCIAL STABILITY• REVENUE GUARANTEE• ELECTRONIC MEDICAL RECORD• TECHNOLOGY• LIFESTYLE

FACILITY & HEALTH SYSTEM IMPERATIVE

• FINANCIAL STABILITY• REVENUE GROWTH• POPULATION HEALTH COVERAGE• COMMUNITY HEALTH• HOSPITALISTS• CLINICS

SUPPLY MANDATE • DYNAMIC• MULTIDIRECTIO

NAL FLOWS OF INFORMATION

• STANDARDIZATION VS PHYSICIAN PREFERENCE

• CHANGING REGULATORY REQUIREMENTS

COMMUNICATIONS & RELATIONSHIPS

SUPPLIES

FURNITURE, EQUIPMENT & INSTRUMENTATION

LOGISTICS

Access toInformatio

n & Personnel

Product Evaluation

Standardization

& Data

Order Templates

Listening

COMMUNICATIONS & RELATIONSHIPS• “HOSPITALS HAVEN’T

A CLUE HOW TO RUNA CLINIC PROFITABLY”- CONUNDRUM• COMMON GROUND

OF PATIENT CARE• EARLY ORIENTATION

TO FACILITY• DYNAMIC &

RESPONSIVE

PATIENTS

SUPPLIES

• DELIVERIES: CENTRALIZED/DECENTRALIZED/HYBRID

• CLINIC INVENTORY METHODS: KANBAN, PAR

• FORMULARY/TEMPLATE• VALUE ANALYSES• STANDARDIZED VS LESS EXPENSIVE

DECISION• OUTDATES, RECALLS

FURNITURE, EQUIPMENT & INSTRUMENTATON

• STANDARDIZED/CUSTOMIZED

• TEMPLATE BASED• DELIVERY• BRANDING

LOGISTICS

ORDERING: TEMPLATES, PAPER

TRANSPORTING/CONSOLIDATING: LAUNDRY, MAIL, PHARMACY, REVENUE/PAYMENTS

WASTE MANAGEMENT : PHARMACEUTICAL WASTE, SHARPS, LINEN, RECYCLING

PEACEHEALTH PERSPECTIVE - CONTRACTING

WHAT CONTRACTS ARE CURRENTLY IN PLACE AT THE CLINIC(S)?

  

PEACEHEALTH PERSPECTIVE - CONTRACTING

WHAT CONTRACTS ARE CURRENTLY IN PLACE AT THE CLINIC(S)?

• MED/SURG, PHARMACY, FOOD, FACILITIES, CLINICAL ENGINEERING, PURCHASED SERVICES

  

PEACEHEALTH PERSPECTIVE - CONTRACTING

WHAT CONTRACTS ARE CURRENTLY IN PLACE AT THE CLINIC(S)?

• MED/SURG, PHARMACY, FOOD, FACILITIES, CLINICAL ENGINEERING, PURCHASED SERVICES

• ASSIGNABILITY? IF NO, WHAT GAPS WILL BE CREATED?• EXPIRATION DATES? TERMINATION WITH OR W/O CAUSE? PENALTIES?• MARKET BASKET ANALYSIS• IDENTIFY CONVERSION & CONTRACTING GAPS• GPO & VENDOR ASSISTANCE FOR SMOOTH TRANSITION

  

OLYMPIC MEDICAL CENTER

• FROM 1 TO MANY: MARKET DRIVEN, COMPETITION• STRATEGY: DUPLICATION OVER DISTANCE• COMMUNICATION• SUPPLIES: STANDARDIZED TEMPLATES• FURNTURE, EQUIPMENT & INSTRUMENTATION:

NEW CLINIC TEMPLATES FOR PREPLANNING• LOGISTICS: COURIER AMBASSADORS

SKAGIT MEDICAL CENTER

SKAGIT MEDICAL CENTER

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EVERETT CLINIC – SMOKEY POINT

LEAN DESIGN PRINCIPLES• RIGOROUS COMMUNICATIONS,

MULTIDISCIPLINARY – MEETINGS & RETREATS (CONSTRUCTION, DESIGN, ARCHITECTS, PROVIDERS, SUPPORT)

• DATA DRIVEN: WORKFLOWS AND ADJACENCIES

• REDUCTION OF WASTE – STEPS, SUPPLIES, FRUSTRATION

• RESULT:CLINIC BASED ON WORKFLOWS TOTALLY CENTERED ON THE PATIENT RATHER THAN THE BUILDING DESIGN

IT’S YOUR TURN – WHAT’S HAPPENING AT YOUR FACILITY/HEALTHCARE SYSTEM?

IT’S YOUR TURN – WHAT’S HAPPENING AT YOUR FACILITY/HEALTHCARE

SYSTEM?

• IDENTIFY TOP THREE CHALLENGES FOR SUPPORTING OFFSITE LOCATIONS?• HOW CAN VENDOR PARTNERS & GPOS ASSIST WITH THESE

TRANSITIONS?• WHAT TOOLS HAVE YOU DEVELOPED?• WHERE DO YOU SEE YOUR DEPARTMENT IN 5 YEARS?

THANK YOU……….. FOR BEING OPEN AND SHARING!