Case Study: Surgical Instrument Service Consolidation/Internalization

I/T Technology Management DivisionClinical Engineering – Diagnostic Imaging Service - Technology Assessment & Planning

Banner Health

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Non-profit multi-state health system

28 Acute care hospitals; MDACC, BIMC, BGFMC, BCGMC, BFCMC, UMAC

Banner Health Vital Stats

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275,000 pieces of medical equipment Medical equipment net asset value = $35 billion

5,500 beds

43,000 employees

205 operating rooms

20/20 Vision

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Background

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Banner Technology Management

Clinical Technology Assessment and Planning

Diagnostic Imaging Service

Clinical Engineering

ENTECH (ISO)

Background

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Charged by leadership to: “Think outside the Box”

Budgetary challengesHealthCare Reform; Obama Care, Affordable Care Act, etc… Decentralized service expenseCentralized service expense

2

Target Services

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Flexible Endoscopes

Rigid Endoscopes

Surgical Power Tools Stryker System 6 & 7

Surgical Hand Instruments Sharpening & Repair

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“Herding Cats”

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Key stakeholder multi-disciplinary team C-Suite Endoscopy Perioperative Sterile Processing Clinical Engineering Supply Chain

Communication

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Meet on a regular frequency Develop charter Subcommittees Financials Selection criteria RFP

RFP

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Scope of work

Specific timelines for deliverables

Vendor site visits

RFP

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Repair service evaluation Per modality Per discipline

Risk share model Create win-win opportunities for both

organizations

RFP

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Escalation Protocol

Original Equipment Manufacturer Specialty Scopes Olympus flexible ultrasound scopes Divinci

“Go Live”

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Expense realignment

Escalation protocol

Customer web portal

Onsite instrument service lab

“Entrance Area”

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“Surgical Service Lab”

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“LEAN Work Bench”

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“Flexible Scope QC Station”

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“Flexible Scope Sink”

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“Metal Filter System”

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Monitoring

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Scheduled partnership reviews

Operational metrics

Turn times Educational opportunities Operational efficiencies Loaner pool utilization

Monitoring Cont.

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Warranty repairs

Financials

Share best practices

Work flow analytics

Questions

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?Frank CabreraSr Director Clinical EngineeringBanner Health602-747-9088Frank.cabrera@bannerhealth.com