![与bet8网站备用谈论高成本偏好项目网站](/Areas/CMS/assets/img/blank.gif)
If you’re a hospital administrator, 您可能经历过这样的场景:一位bet8网站备用开完会回来, eager to start using the latest implant, robot, or other technology. Good news! 他们已经和供应商谈过了,下周可以拿到新产品. 你的思维会跳到一个合乎逻辑的问题上:“它要花多少钱??” The physician probably doesn’t know.
Whether it’s a shiny new tool or a reliable standby, 当涉及到他们的医疗用品时,bet8网站备用往往有强烈的偏好. But for many physicians, supply costs can be a mystery. 要求他们考虑高成本物品的替代品可能会让他们感到不舒服. If these conversations are not approached carefully, bet8网站备用可能会觉得他们被期望偷工减料,提供低于标准的临床护理,以保持底线.
通过尊重和透明的方式进行对话, objective data, 你可以让你的bet8网站备用在评估他们所在地区的供应成本和帮助确定临床合适的节省成本的替代方案方面成为杰出的合作伙伴.
Below are 10 ways to ensure those conversations are productive.
Start by increasing awareness. 透明度和教育应该是这些对话的基础. 一定要给你的bet8网站备用一个假定——他们可能会给你5美元,000 stent during a procedure instead of a comparable $1,因为他们更熟悉昂贵的产品.
Make sure you have accurate data when approaching providers. 糟糕的数据弊大于利,会让你的可信度受到质疑. 不准确或不完整的数据可能会引起提供商的防御反应, 谁通常比数据所反映的更清楚地了解他们所使用的供应. Before approaching providers, 与一线员工和部门管理层一起预览和验证数据. 带着好奇的态度开始谈话:“根据你的经验, does this look right to you? If so, how do you think we could best approach this as a team?”
Try framing costs in a way that resonates with physicians. Don’t talk about the hospital’s bottom line; focus instead on the issue of passing costs along to patients. 更昂贵的物品对病人来说可能意味着更高的费用,他们可能负担不起——这对bet8网站备用来说很重要. 找一位德高望重的bet8网站备用与同事展开对话,也有助于开启围绕变革展开对话的大门. 点对点讨论倾向于促进公开对话,减少对成本讨论的阻力, 导致更快的参与和达成共识.
与bet8网站备用分享他们使用的物品与同类物品的数量和成本 . 把重点放在经常使用或价格昂贵的物品上. 将一名bet8网站备用的供应使用情况与同行进行比较可以让人大开眼界. If possible, 走出你所在机构的围墙,为其他bet8网站备用的同事分担供应成本. In some cases, a physician may, indeed, 对病情更重的病人进行更复杂的手术,需要更复杂的工具. In other cases, physicians may perform similar procedures on like patients, and the supply cost variation is based on preference. 这种区别在数据中并不总是很清楚,可能需要更深入的讨论才能辨别. 使用数据作为起点有助于有效地开始这些对话. 包括结果数据,以表明临床结果不受同事使用的低成本替代方案的负面影响.
Ask for physician feedback. Provide information on lower-cost alternatives, as appropriate, and seek to understand why physicians are using current items. 一定要问bet8网站备用是否有临床原因,为什么某种药物是首选的. Is it safer? Does it produce better outcomes (e.g., quicker recovery time) for the patient? Does it make the surgeon more efficient? 确保了解医师教育所需的投资以过渡到新产品. Switching items means educating providers and staff, which includes a learning curve, and should therefore not be done frequently or arbitrarily.
Pick your battles. 如果临床结果不受影响,bet8网站备用可能会改变一些经常使用或高成本的项目, but other items will be viewed as significantly more effective. Don’t challenge every preferred item. An item may be more costly, 但如果手术质量好,并发症少, 那么强迫你的bet8网站备用改变他们的做法是错误的.
让bet8网站备用参与采购委员会和供应决策. This can go a long way toward reducing costs, 特别是如果参与的供应商自己使用高成本项目. 应按bet8娱乐线指定一名医师冠军负责供应和采购活动. In many cases, bet8网站备用有兴趣了解供应成本,并希望做出财务审慎的决定, as long as it doesn’t hurt patients. If your culture supports it, 试着玩配对游戏或“价格竞猜”之类的游戏来放松心情.
从临床工作人员那里寻求对用品功能的反馈. Nurses and technicians are often the ones using the supplies, under physician supervision, and will not be shy about sharing their opinions.
Develop a Value Analysis Committee. 创建一个过程,用于评估大批量/高费用项目的使用,以及评估新的和改进的技术和产品进入组织的流程. 价值分析委员会应包括来自行政部门的代表, purchasing, finance, nursing, and the medical staff, 每月召开一次会议,评估所要求或审查项目的临床疗效和财务影响, considering quality, safety, cost savings, innovation, or replacement of existing products.
![Value Analysis Structure](/user_area/uploads/Value-Analysis-Structure.png)
Consider a test run. 供应商通常会提供免费的产品样品,以使bet8网站备用和员工熟悉新产品.
Partnership Pays Off
减少不必要地使用昂贵的医疗用品可以降低组织和患者的总体医疗保健成本. By increasing awareness, fostering engagement, and creating an open dialogue, physicians can be your partners in achieving an effective, cost-efficient model that doesn’t compromise clinical care.
Published June 5, 2020