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Putting the Value Back in Your Analysis ! Presented To Society for Arkansas Healthcare Purchasing and Materials Management Fall Conference October 18 th , 2013. How Strong Is Your VA Process?. How Healthy is Your VA Team?. Teams Are People + People Become Sick= - PowerPoint PPT Presentation
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Putting the Value Back in Your Analysis!
Presented To
Society for Arkansas HealthcarePurchasing and Materials Management
Fall ConferenceOctober 18th, 2013
How Strong Is Your VA Process?
Teams Are People + People Become Sick= Teams Can Become Sick, Too
How Healthy is Your VA Team?
Diagnose The Malady
Run Tests/Collect Data
Discuss Findings With The Patient
Develop A RX Plan
Monitor Progress
Adjust The RX
Treat A Sick Team Like A Patient
Obvious Symptoms• Dwindling Attendance
• One Service Line Is Managing The AgendaPrimarily New Products
Majority Are Cost Increases
• Implementation Drags Forever
More Subtle Symptoms• Lack Of Enthusiasm
No Debate/Pushback/Disagreement
Diagnosing Your VA Team
Collect Data Survey Current Members
Why Are They On The Team?What Do They Think The Team Needs?
Go Back To The BeginningIs VA Training Required To Be On The Team?
Is The VA Process Part Of New Employee Orientation?How Often Do Team Members Rotate?
Who Is The Leader/Co-Chair/Facilitator?What Are The Team’s Motivations/Rewards?
Determining The Underlying Cause
Testing/Data Collection
• Look At Your Current WorkWhat Are The Last Six Items On Your Agenda?
How Many Are Cost Savings?How Many Came From Materials Or The Big Spenders?
What Was The Average Value Of Initiatives?How Many Were MD Preference Items?
Determining The Underlying Cause
What Needs Work? Team Structure
Like interests/Cross-team/MD involvement
Team MembershipBe pickier
Team LeadershipPlay to your strengths
Administrative InvolvementNon-negotiable
Meeting Schedule/Agenda/TimeAlternate
Motivational MechanismsMake it loud and public
Generation Of New IdeasPay for play
Discuss Your Findings
Prioritize Your PlanDollar/Resource
Set Measurable, Specific GoalsWhere are you now?
Assign ResponsibilityChampion=Ownership
Set The VisionCreate A Charter
Develop Timelines
Require Team Engagement
Outline Responsibilities
It May Hurt Before It Is Better!!
How Do I Know If My Team Has Reached the DNR Stage?
It May Be Time To Pull The Plug!
Develop A Treatment Plan
How to Tell If It Is Better? Better attendance
Champions are better preparedTimelines don’t need to be extended
Work is being done behind the scenesPeople are talking
There is an abundance of ideasYou have to create a parking lot
Passion is on the rise
Monitor Progress
Develop Metrics
Get a good baselineIdentify true item cost (minus rebates or special buys)
Develop a way to adjust for change in censusSet reasonable targetsCalculate true savings
$$$ eliminated does not always =$$$ saved
Measure Your Success
Realize Your Vision
Value Analysis Team
M
Putting the Value Back in Your Analysis!
• Begin with the Patient• Establish Executive Support• Build your Team• Education• Include and involve the Physicians• Focus on Results• Celebrate and Publicize your Success
Find The Passion!
S upport
P roof
I nvolvement
C ommunication
E ducation
What Do Teams Want?
Find out what motivates your team
Ask the right questionsListen to the answers
Develop team specific motivators
Get The Facts!
1. Describe a change you felt positive about and termed “successful.” What made you support this change?
2. Describe a change that you felt negative about. What made you dissatisfied with the change?
3. What factors in the change process contributed to your feelings?
4. Were you involved in the decision making process in situation 1 or 2?
5. What can this team do to make change more acceptable to others?
Key Questions To Ask Your Team
Factors Influencing Acceptance
What Team Members Want“Be present during the process-don’t ask staff to attend meetings if you don’t”“Ask us how it is going when you see us”“Don’t back down from the physicians when they are unhappy”“Empower employees and support their effort”“Connect the dots-let people understand why this is important”“Focus on how the employees will benefit from the change”“Give me answers to questions the patients will ask”“Threaten job security-tell the team it is products or people”“Create small incentives such as a cookie tray or small prize”“Pay us more if the facility saves the money”“Allow people to own the change”“Listen to me when I tell you why I am concerned about the change”
“Sometimes, nurses do things because it makes us feel good
to do them. Things like using bath in a bag products. When those
are taken away and we have to go back to soap and water, we
grieve about it. It is more than the product-it’s like they are saying
we are no good. People need time to deal with hurt feelings.”
“I have over 20 years experience in Nursing and they never even
asked me if I thought the product would work or not.”
What We Are Seeing• Teams developing formal, signed charters to reinforce their commitment to
the goals• Creative communication
– Morning huddles to reinforce changes– Clear document holders attached to linen and supply carts– Clever ways to remind people of the change
• Cafeteria displays with small giveaways such as light bulbs or detergent• Linen tracked in miles
• More ownership of the process through branding of programs– Bright Ideas
• Mentoring programs-pooling your knowledge
Think…….
Incentive SpirometersNebulizersBathing Products and PracticeLinen-No Specific TimesPersonal Care ItemsSurgeon Glove vs. Sterile ExamOpen To Air vs. BriefsBlood Collection Devices-Limit Butterflies
M
Push.….
Freight ManagementEnergy Utilization/recyclingOffice SuppliesCell Phones and PagersMedical TranscriptionRecord StorageCopier Services & Print ManagementRental Equipment
Put Me In Coach!
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