School of Medicine, Stanford University, Stanford, CA.
Department of Orthopaedic Surgery, Stanford University, Stanford, CA.
J Orthop Trauma. 2023 Jun 1;37(6):304. doi: 10.1097/BOT.0000000000002560.
To determine whether market-based pricing could be coupled with surgeon integration into negotiation strategies to achieve lower pricing levels for orthopaedic trauma implants. A secondary aim was to identify specific types of implants that may offer larger opportunities for cost savings.
Market pricing levels were reviewed from 2 industry implant databases. This information was used by surgeons and supply chain management at our institution to select appropriate target pricing levels (25th percentile) for commonly used orthopaedic trauma implants. Target price values were provided to the existing 12 vendors used by our institution with a clear expectation that vendors meet these thresholds.
Benchmark modeling projected a potential savings of 20.0% over our prior annual spend on trauma implants. After 2 rounds of negotiation, savings amounted to 23.0% of prior annual spend. Total savings exceeded 1,000,000 USD with 11 of 12 vendors (91.7%) offering net savings. Total percent savings were highest for external fixators, drill bits, and K-wires. Plates and screws comprised the greatest proportion of our prior annual spend and achieved similar savings.
A surgeon and supply chain coordinated effort led to major cost savings without a need for consolidation of vendors.
Economic Level IV. See Instructions for Authors for a complete description of levels of evidence.
确定是否可以将基于市场的定价与外科医生的谈判策略整合起来，以实现更低的骨科创伤植入物价格。次要目标是确定可能提供更大成本节约机会的特定类型的植入物。
审查了来自 2 个行业植入物数据库的市场定价水平。我们机构的外科医生和供应链管理部门利用这些信息，为常用的骨科创伤植入物选择适当的目标定价水平（第 25 个百分位）。将目标价格值提供给我们机构使用的 12 家现有供应商，并明确期望供应商达到这些阈值。
基准模型预测，我们在创伤植入物上的年度支出可能会节省 20.0%。经过两轮谈判，节省的金额相当于前一年度支出的 23.0%。通过与 12 家供应商中的 11 家（91.7%）达成净节省协议，总节省额超过 100 万美元。外部固定器、钻头和 K 线的总节省率最高。钢板和螺钉占我们前一年度支出的最大比例，实现了类似的节省。
外科医生和供应链的协调努力实现了重大成本节约，而无需整合供应商。
经济证据等级 IV。有关证据等级的完整描述，请参见作者说明。
