Department of Orthopaedic Surgery and Rehabilitation, Vanderbilt Orthopaedic Institute Center for Health Policy, 1215 21st Avenue, Medical Center East Suite 4200, Nashville, TN 37232-8774, USA.
Clin Orthop Relat Res. 2012 Apr;470(4):1054-64. doi: 10.1007/s11999-011-2147-9.
Health care in the United States is known for its continued innovation and production of new devices and techniques. While the intention of these devices is to improve the delivery and outcome of patient care, they do not always achieve this goal. As new technologies enter the market, hospitals and physicians must determine which of these new devices to incorporate into practice, and it is important these devices bring value to patient care. We provide a model of a physician-engaged process to decrease cost and increase review of physician preference items.
QUESTIONS/PURPOSES: We describe the challenges, implementation, and outcomes of cost reduction and product stabilization of a value-based process for purchasing medical devices at a major academic medical center.
We implemented a physician-driven committee that standardized and utilized evidence-based, clinically sound, and financially responsible methods for introducing or consolidating new supplies, devices, and technology for patient care. This committee worked with institutional finance and administrative leaders to accomplish its goals.
Utilizing this physician-driven committee, we provided access to new products, standardized some products, decreased costs of physician preference items 11% to 26% across service lines, and achieved savings of greater than $8 million per year.
The implementation of a facility-based technology assessment committee that critically evaluates new technology can decrease hospital costs on implants and standardize some product lines.
美国的医疗保健以其持续的创新和新设备及技术的生产而闻名。虽然这些设备的目的是改善患者护理的提供和结果，但它们并不总是能实现这一目标。随着新技术进入市场，医院和医生必须确定将哪些新设备纳入实践，而这些设备为患者护理带来价值是很重要的。我们提供了一种医生参与的流程模型，以降低成本并增加对医生偏好项目的审查。
问题/目的：我们描述了在一家主要学术医疗中心购买医疗设备的基于价值的流程的成本降低和产品稳定化的挑战、实施和结果。
我们实施了一个由医生驱动的委员会，该委员会标准化并利用基于证据、临床合理和财务负责的方法来引入或整合新的供应品、设备和技术，以满足患者的护理需求。该委员会与机构财务和行政领导合作，以实现其目标。
利用这个由医生驱动的委员会，我们提供了新产品的渠道，标准化了一些产品，降低了 11%至 26%的服务线的医生偏好项目的成本，每年节省超过 800 万美元。
实施一个对新技术进行严格评估的基于设施的技术评估委员会可以降低医院在植入物上的成本，并标准化一些产品线。
