The Role of Education in Value Anaysis

Amy Yun, MSN, RN

“The study of function and the search for lower cost alternatives" as opposed to what you are doing now. http://findarticles.com/p/articles/mi_m0BPC/is_10_32/ai_n30892055

“. . .VA is defined as: an organized, systematic application of recognized techniques which identify FUNCTIONS of a product or service, and seek ways to enhance value by providing the required performance at the lowest overall cost” White Paper, Tom Orr, P.E. Georgia Institute of Technology (US Cost)

What is Value Analysis???

Goal is to look at ways to decrease supply costs while improving or maintaining quality

Clinical Value Analysis

Safety/Quality

Patient

Customer Satisfaction

Stewardship

Financial pressures on healthcare organizations

Business intelligence LEAN programs and standardization Need for evidence based approaches to

gain support and approval

Drivers of Clinical Value Analysis

Decrease costs Eliminate waste

◦ Process◦ Environmental

Cultivate a collaborative environment across all stakeholders

Desired Outcomes

Cost Efficiency Standardization

VALUE

Role within Healthcare

$0.00 $2.00 $4.00 $6.00

Function

Value

The Concept of Value

Value is obtained when the essential

functions can be reliably provided

at the lowest possible cost

Value and Function

90K 15K

Which one do you want versus

which one will meet your needs at the best value?

Stewardship◦ What supplies does the patient need that are

added value?◦ What are you willing to pay for?◦ What waste is there?

Tape “Hoarding”

Value Analysis and Changes to Healthcare

Waste◦ Sterility compromised/wrong size◦ Feature rich or feature poor products

Example: Arterial lines◦ Items that are never used in kits/trays◦ “Inadvertent” displacement of products◦ Just in case. . .

Value Analysis and Changes to Healthcare

Standardized Care◦ Is this the goal of your organization?◦ Typically the answer will be yes!

However, can ONE SIZE FIT ALL?◦ Not always!

Utilization◦ If a little is good, than more must be better!◦ Frequent cause is “fear” or “what if”◦ ‘Misuse’ of products◦ Lack of understanding of how the product works

Value Analysis and Changes to Healthcare

Evidence based practice◦ What to look for:

Cross sectional studies, studies with external contraol groups

Observations studies Evidence derived from report/consensus statements of

an expert committee that has a scientific process Cost analyses Utilization analyses Potential risk to patient Organizational values Accreditation and regulatory requirements Legal considerations

Value Analysis and Changes to Healthcare

Evidence based practice◦ Evidence evolves much faster than we think◦ Examples

Central line end caps Thigh high TED hose Swab caps IV Tylenol

Value Analysis and Changes to Healthcare

How important is staff understanding?◦ Staff are the ‘end users’◦ Patient perception

Education and Value Analysis

Technology◦ Over 30 Million medical/surgical products in the

US◦ 20-30% change each year (6-9 million products a

year) Example

Lifts IV pumps

Education and Value Analysis

Healthcare students◦ Safety◦ Over-utilization

Cost to the organization Example: Linens

Education and Value Analysis