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Case Study: Surgical Instrument Service Consolidation/Internalization

Case Study: Surgical Instrument Service Consolidation/Internalization. I/T Technology Management Division. Clinical Engineering – Diagnostic Imaging Service - Technology Assessment & Planning. Banner Health. Non-profit multi-state health system

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Case Study: Surgical Instrument Service Consolidation/Internalization

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  1. Case Study: Surgical Instrument Service Consolidation/Internalization I/T Technology Management Division Clinical Engineering – Diagnostic Imaging Service - Technology Assessment & Planning

  2. Banner Health Non-profit multi-state health system 28 Acute care hospitals; MDACC, BIMC, BGFMC, BCGMC, BFCMC, UMAC I/T Technology Management Division

  3. Banner Health Vital Stats • 275,000 pieces of medical equipment • Medical equipment net asset value = $35 billion • 5,500 beds • 43,000 employees • 205 operating rooms I/T Technology Management Division

  4. 20/20 Vision I/T Technology Management Division

  5. Background • Banner Technology Management • Clinical Technology Assessment and Planning • Diagnostic Imaging Service • Clinical Engineering • ENTECH (ISO) I/T Technology Management Division

  6. Background • Charged by leadership to: • “Think outside the Box” • Budgetary challenges • HealthCare Reform; Obama Care, Affordable Care Act, etc… • Decentralized service expense • Centralized service expense I/T Technology Management Division

  7. Target Services • Flexible Endoscopes • Rigid Endoscopes • Surgical Power Tools • Stryker System 6 & 7 • Surgical Hand Instruments • Sharpening & Repair 2 I/T Technology Management Division

  8. I/T Technology Management Division

  9. “Herding Cats” • Key stakeholder multi-disciplinary team • C-Suite • Endoscopy • Perioperative • Sterile Processing • Clinical Engineering • Supply Chain I/T Technology Management Division

  10. Communication • Meet on a regular frequency • Develop charter • Subcommittees • Financials • Selection criteria • RFP I/T Technology Management Division

  11. RFP • Scope of work • Specific timelines for deliverables • Vendor site visits I/T Technology Management Division

  12. RFP • Repair service evaluation • Per modality • Per discipline • Risk share model • Create win-win opportunities for both organizations I/T Technology Management Division

  13. RFP • Escalation Protocol • Original Equipment Manufacturer • Specialty Scopes • Olympus flexible ultrasound scopes • Divinci I/T Technology Management Division

  14. “Go Live” • Expense realignment • Escalation protocol • Customer web portal • Onsite instrument service lab I/T Technology Management Division

  15. “Entrance Area” I/T Technology Management Division

  16. “Surgical Service Lab” I/T Technology Management Division

  17. “LEAN Work Bench” I/T Technology Management Division

  18. “Flexible Scope QC Station” I/T Technology Management Division

  19. “Flexible Scope Sink” I/T Technology Management Division

  20. “Metal Filter System” I/T Technology Management Division

  21. Monitoring • Scheduled partnership reviews • Operational metrics • Turn times • Educational opportunities • Operational efficiencies • Loaner pool utilization I/T Technology Management Division

  22. Monitoring Cont. • Warranty repairs • Financials • Share best practices • Work flow analytics I/T Technology Management Division

  23. Questions • ? Frank Cabrera Sr Director Clinical Engineering Banner Health 602-747-9088 Frank.cabrera@bannerhealth.com I/T Technology Management Division

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