who moved my stent? · © 2016 cardinal health. all rights reserved. cardinal health, the cardinal...
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© 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks
or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
Who Moved My Stent? Manage your cath lab inventory efficiently!
Ken Shastany, RN, MSN
Strategic Solutions
Cardinal Health™ Inventory Management Solutions
May 12, 2016
© 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks
or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
Welcome
Who moved my stent?
Manage your cath lab inventory efficiently!
Learning objectives:
• Explain how supply chain efficiencies help accurately manage, track, and monitor high-value
procedural inventory and reduce waste and variability.
• Describe how RFID-enabled inventory management solutions drive rapid improvements and
enhance staff satisfaction and safeguard patients.
• Tell the story of how the Cardiovascular Institute at Florida Hospital gained greater control of
their cardiovascular suite inventory.
Today’s Presenter
Ken Shastany, RN, MSN
Strategic Solutions
Cardinal Health
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© 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks
or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
Agenda
• Trends driving change in the
cardiac cath lab today
• Challenges of managing your
inventory
• Impact on your own facility
• Overcoming these challenges with
automation
• Success story: Florida Hospital
Cardiovascular Institute
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© 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks
or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
About Cardinal Health
Recognized leader in healthcare supply chain transformation
• Ranked in the top 2 by Gartner 2011-2015 for transforming the
healthcare value chain to meet new challenges around costs,
revenue and outcomes
Unparalleled understanding of healthcare value chain
• Nearly 100 years of experience serving hospitals
• Supporting nearly 4,000 leading healthcare systems
• 40+ years of leading supply chain solutions
• A passion for innovation and managing the business of healthcare,
so our clients can get back to the business of healing
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© 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks
or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
Trend: reimbursements at risk
• Transition to value-based purchasing (VBP): changing the
management of high-cost cardiac cath labs
Source: ICTPost, http://ictpost.com/new-tech-trends-in-cath-lab-are-changing-the-face-of-healthcare/
Loss of 50 to 60
patients in 1 year
Drains $500,000 to
$600,000 of hospital
revenue
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• High exposure to VBP reimbursement measures: 6 of 19 directly
impact cath lab setting or post-procedure
Evaluation of reimbursement is based on:Quality of Outcomes, Clinical Process of Care and Patient Experience
• Greater scrutiny: CV financial and quality performance
© 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks
or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
Trends: volume increase and scope
• Transcatheter aortic
valve replacement
(TAVR) over (SAVR)
• Renal denervation to
treat drug-resistant
hypertension
• Ventricular septal
defects (VSDs)
• Cardiac assist devices
LVAD and BIVAD
Source: ICTPost, http://ictpost.com/new-tech-trends-in-cath-lab-are-changing-the-face-of-healthcare/
Growing ComplexityConsolidated Services
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© 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks
or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
The goal: lower costs, better care
Across the continuum of care
Safety
&
Quality
of Care
Lower
Costs
Clinical and Operational
Excellence for
better experience
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© 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks
or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
Polling Question
How is your facility currently managing high
cost cardiovascular inventory?(may choose multiple items)
1. No formal system (intuition)
2. Manual (periodic physical inventory)
3. Automated cabinet system
4. Barcode system
5. RFID tracking solution
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© 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks
or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
Impact on your cath lab
• Pressure to reduce spending
and costs while improving
quality of outcomes
• Operational challenges
• Regulatory issues
• Negative events
• Increase in the need for better
care coordination and patient
care
Source: Deloitte Center for Health Solutions. “The road to value-based care.” 2015
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© 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks
or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
Changing the culture
Source: Deloitte Center for Health Solutions. “The road to value-based care.” 2015
Better
control of
high cost
PPI Items
Build more
trust and
collaboration
Advanced
Data
Analytics
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© 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are
trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
11
5 major barriers in the cardiac cath lab
Emotional
stocking
Manual
processes
Charge
capture
inaccuracies
,
Expired,
obsolete and
recalled
products
Consignment
1 2 3 4 5
© 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are
trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
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Polling Question
Where are your major barriers to inventory
management in the Cardiac Cath Lab?
(may choose multiple items)
1. Emotional stocking
2. Manual processes
3. Charge capture inaccuracies
4. Dealing with expired, obsolete, recalled products
5. Consignment
© 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are
trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
13
Developing a supply chain excellence strategy
Create end-to-end
product visibility
Align supply
chain priorities
Automate inventory for
process improvement
Drive informed
decisions
through
analytics
© 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks
or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
Automation is the answer
Integrated
advanced
analytics
Lowproduct cost
Highproduct cost
High-cost
physician
preference items
and implantables
RFID-enabled
Smart Cabinet
Surgical packs and
other mid- to
high-cost supplies
RFID-enabled
Smart Wand
Low-cost supplies
like gauze
and bandages
2-Bin Kanban
Low-cost supplies
that require
each-level tracking
Barcode
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© 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks
or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
Automating your procedure workflow
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© 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks
or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
Advanced Analytics: Drive visibility of usage patterns
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© 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks
or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
Polling Question
I believe our hospital has good visibility into our
cardiovascular inventory.
1. Strongly Agree
2. Agree
3. Neutral
4. Disagree
5. Strongly Disagree
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© 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks
or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
The Trial: Putting RFID to the test in the CV Suite
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© 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks
or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
Improving the Bottom Line
• Inventory optimization
• Cut more than $5M in expense
• Reduced Billing Errors
• Streamlined Workflow
• Improved quality care
Tightened budgets,
streamlined workflow
and reduced inventory
significantly— adding
up to $1.7 million in
annual savings.*
*Reported in Cardiovascular Business
Special Section – Practice
Management March/April 2015
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© 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks
or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
Greater control in managing interventional labs
• Automated inventory tracking
• Data analytics
• Clinician satisfaction
• Patient safety
• Charge capture
Tightened budgets,
streamlined
workflow and
reduced inventory
significantly.*
Source: Cardiovascular Business Special Section – Practice Management March/April 2015
Cut more than
$5 million
waste in 13
interventional
labs* Added up to $1.7
million in annual
savings.*
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© 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks
or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
The future, here today . . .
Easily and efficiently find your stents and monitor cath lab inventory
• Supply chain excellence strategy
• Lean management
• Advanced analytics
Source: ICTPost, http://ictpost.com/new-tech-trends-in-cath-lab-are-changing-the-face-of-healthcare/
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© 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks
or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.
Q&AKen Shastany, RN, MSN
Strategic Solutions
www.cardinalhealth.com/cims
614.553.5322