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

• MULTIDIRECTIONAL 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’TA 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!