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The Role of Education in Value Anaysis. Amy Yun, MSN, RN. What is Value Analysis???. “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

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what is value analysis
What is Value Analysis???
  • “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)
clinical value analysis
Clinical Value Analysis
  • Goal is to look at ways to decrease supply costs while improving or maintaining quality

Safety/

Quality

Stewardship

Patient

Customer Satisfaction

drivers of clinical value analysis
Drivers of Clinical Value Analysis
  • Financial pressures on healthcare organizations
  • Business intelligence
  • LEAN programs and standardization
  • Need for evidence based approaches to gain support and approval
desired outcomes
Desired Outcomes
  • Decrease costs
  • Eliminate waste
    • Process
    • Environmental
  • Cultivate a collaborative environment across all stakeholders
role within healthcare
Role within Healthcare
  • Cost
  • Efficiency
  • Standardization
  • VALUE
the concept of value
The Concept of Value

Value is obtained when the essential functions can be reliably provided at the lowest possible cost

value and function
Value and Function

15K

90K

Which one do you want

versus

which one will meet your needs at the best value?

value analysis and changes to healthcare
Value Analysis and Changes to Healthcare
  • 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 healthcare1
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 healthcare2
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 healthcare3
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 healthcare4
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
education and value analysis
Education and Value Analysis
  • How important is staff understanding?
    • Staff are the ‘end users’
    • Patient perception
education and value analysis1
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 analysis2
Education and Value Analysis
  • Healthcare students
    • Safety
    • Over-utilization
      • Cost to the organization
      • Example: Linens