Improving healthcare value through clinical community and supply chain collaboration

Lisa Earnest Ishii, Renee Demski, K. H. Ken Lee, Zishan Mustafa, Steven Mark Frank, Jean Paul Wolisnky, David B Cohen, A Jay Khanna, Joshua Ammerman, Harpal S Khanuja, Anthony S. Unger, Lois Gould, Patricia Ann Wachter, Lauren Stearns, Ronald Werthman, Peter Pronovost

Research output: Contribution to journalArticle

Abstract

Background: We hypothesized that integrating supply chain with clinical communities would allow for clinician-led supply cost reduction and improved value in an academic health system. Methods: Three clinical communities (spine, joint, blood management) and one clinical community-like physician led team of surgeon stakeholders partnered with the supply chain team on specific supply cost initiatives. The teams reviewed their specific utilization and cost data, and the physicians led consensus-building conversations over a series of team meetings to agree to standard supply utilization. Results: The spine and joint clinical communities each agreed upon a vendor capping model that led to cost savings of $3 million dollars and $1.5 million dollars respectively. The blood management decreased blood product utilization and achieved $1.2 million dollars savings. $5.6 million dollars in savings was achieved by a clinical community-like group of surgeon stakeholders through standardization of sutures and endomechanicals. Conclusions: Physician led clinical teams empowered to lead change achieved substantial supply chain cost savings in an academic health system. The model of combining clinical communities with supply chain offers hope for an effective, practical, and scalable approach to improving value and engaging physicians in other academic health systems. Implications: This clinician led model could benefit both private and academic health systems engaging in value optimization efforts. Level of evidence: N/A.

Original languageEnglish (US)
JournalHealthcare
DOIs
StateAccepted/In press - Oct 28 2015

ASJC Scopus subject areas

  • Health Policy

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    Ishii, L. E., Demski, R., Ken Lee, K. H., Mustafa, Z., Frank, S. M., Wolisnky, J. P., Cohen, D. B., Khanna, A. J., Ammerman, J., Khanuja, H. S., Unger, A. S., Gould, L., Wachter, P. A., Stearns, L., Werthman, R., & Pronovost, P. (Accepted/In press). Improving healthcare value through clinical community and supply chain collaboration. Healthcare. https://doi.org/10.1016/j.hjdsi.2016.03.003