How do you Compare to your Peers?
We just had two of our Utilizer® Dashboard clients ask us to provide them with a scorecard on their supply utilization management, over the last two years, so that they could discover where they had gaps in their performance. I thought this was a great idea and I was anxious to see the results.
Yet, until I actually reviewed the results of the exercise I didn’t realize how important a scorecard could be in identifying and then targeting where a healthcare supply chain organization needs to focus their supply utilization management efforts to get better than just good.
Here are the eight areas of our scorecard rated that we believe are the most important supply utilization indicators to be tracked for success:
| Data Integrity | Supply Utilization |
| Standardization | Purchase Service Utilization |
| National Best Price | Best in Class: Supplies |
| Inventory Utilization | Best in Class: Purchase Services |
Moreover, our methodology for this rating system was to compare these measurements against all of our clients in the same categories based on a statistical scale of 100 being the best in class. It was a pleasant surprise to find that the two clients who requested our supply utilization management scorecard didn’t fall below the 75th percentile in any category that we measure. In most categories, these clients were at the 90th or 95th percentile which was the motivation for them signing on to our Utilizer® Dashboard subscription service in the first place: To Improve their utilization management in all areas of their supply chain expense operations.
We also provided these same two clients with specific utilization supplies and purchase service categories (Custom OR Packs, Urologicals, IV sets, freight, postage, pacemakers, etc.) where they were “best in class” vs. their cohort group, which gave them even more particulars on how they stacked up against their peers.
Overall, I thought this exercise met its intended goal of shedding light on what was working or not working in our client’s supply utilization management program, thereby, providing these clients with specific targeted savings opportunities for this current fiscal year.
Now that you understand this rating system, how do you compare to your peers? If you know the answer to this question then you don’t need to read further. However, if you aren’t currently comparing yourself in all areas of your supply chain operations to your own cohort group then you are flying blind. To put it bluntly, you will never reach the level of “best in class” in any supply chain category you choose to excel in without first investing the time, money and resources to do so. You can’t win the game without first knowing the score!
When the Going Get’s Tough — Don’t Fixate on Price
If you are a regular reader of my blog, then you know that I’m predicting a bumpy road ahead for healthcare organizations due to the unintended consequences of the new healthcare reform bill.
If you don’t believe my prediction then you only need to look at Massachusetts’ decision last week to place price controls on all but a few healthcare insurance companies operating in their state — after only three years — of enacting its own statewide healthcare reform legislation.
To me this decision means that these insurance companies will be cutting their reimbursement to their hospital customers almost overnight, because they have no other option if they want to stay in business. I see this same scenario in the other 49 states too in just a few years.
What can we do about this? First off, don’t fixate on price savings if you want to continue to have double-digit savings to counterbalance your hospital’s lost reimbursement that will be coming your way in a few years. This is because if you do fixate on price, it won’t generate enough savings to stem the tide of red ink on your hospital’s financial statements.
On the other hand, progressive healthcare organizations throughout the country are finding another answer to the conundrum. They are maintaining their price stability (i.e. holding their price increases to below the annual rate of inflation) with the help of their national and regional GPOs and their own custom contracts. But instead of stopping their expense management efforts here, they are now seriously focusing on eliminating their utilization misalignments (in use cost) of the millions of dollars of products, services and technologies they are buying annually.
We call this evolution the “Supply Expense Savings Triangle” or the price, standardization, utilization continuum. Once you have attacked your price and standardization savings, there is no where else for you to go but to focus on your utilization misalignments. In doing so, you can save an additional 7% to 15% (overall) in your supply chain expenses to build your cash reserves.
If you would like to read more about this new emerging best practice, I would suggest that you order our new “Healthcare Supply Utilization Revolution” book that we are providing to our “Savings Beyond Price™” blog subscribers at no cost.
In closing, while price savings are important to the competiveness of your healthcare organization, unfortunately they aren’t limitless. In fact, price savings are slowly disappearing at most healthcare organizations today. So if you want to keep your savings humming over the next few belt tightening years you will need new strategies, tactics and techniques beyond price just to stay in place. Utilization management is the answer to this challenge and will generate the next level of savings that you will be looking for when the going gets tough at your hospital, system or IDN. There is no where else to go…
Bridging the Gap Between Price and Utilization Savings
I just had a conversation with a material manager who told me that he was trying to change his orientation from price to utilization savings, because he now realizes that his price savings are slowly disappearing.
In response to his comment, I told him that price savings, cost avoidance and inflation fighting should still be a priority with him, but he also needed to bridge the gap between price and utilization savings if he wanted to continue his double-digit savings every year. I believe the goal of every supply chain professional in 2010 should be to avoid being blindsided by diminishing, thinning and meager price savings that are a reality today.
Here’s how to do it! First of all, price savings is exclusively a purchasing activity so let’s keep our buyers pecking away at even more price concessions, better terms and conditions and negotiating special deals to hold our cost of acquisitions to an absolute minimum.
On the flip side, let’s get our value analysis teams in high gear to attack our utilization misalignments, since this is their area of expertise and can best be accomplished by teamwork — not individual activity.
This success formula is the simplest and easiest way I know of to bridge the gap between price and utilization savings without missing a beat. You don’t need to hire new staff, reinvent the wheel or even change the way you do business.
Just change your operational orientation from price ONLY to utilization too since there functions aren’t mutually exclusive. Then you will have the best of both worlds to attack your total cost of acquisition to disposition in just two complementary supply chain operational areas. The solution to this challenge can be just as straightforward as that!
Healthcare Expense Reduction: A Systematic Approach
The phrase “Healthcare Expense Reduction” can have many different interpretations. It could mean getting the best price, benchmarking to find the best practice, searching for the best value products, services or technologies or reducing your inventory levels to near zero. However, I would suggest that “Healthcare Expense Reduction” if done correctly needs to be all of these things and much more.
In point of fact, from our empirical experience it requires a systematic approach to reducing your healthcare organization’s supply chain expenses to get it right. This concept is analogous to what the insurance industry calls BLANKET COVERAGE, a single unifying policy that covers any and all of your risk or exposure to unforeseen calamities. This BLANKET COVERAGE idea holds true with “Healthcare Expense Reduction”; To get it right you need to cover all of your supply expense categories of purchase – all at one time.
To get you started on this journey, we have listed seven core elements of a successful “Healthcare Expense Reduction” unifying system. We advocate these core elements for you to obtain the highest return-on-your-investment of time, effort and resources in order to attack ALL of your supply expense savings simultaneously.
You will notice that these seven core elements described herein are actually interconnecting programs which you should have in place which cover the total spectrum of your “Healthcare Expense Reduction” efforts as follows:
1. Utilization Management Program
2. Value Analysis Program
3. Contracts Administration Program
4. PriceCheck™ Program
5. Inventory Management Program
6. Linen Management Program
7. Forms Management Program
As this list suggests for your “Healthcare Expense Reduction” to be effective you need to have complementary and synergistic expense reduction programs in each of your supply chain disciplines, not one-time events. This way you can be assured that you have “Plugged all of the leaks” in your supply expenses before they become mile-high gushers or raging rivers.
This isn’t just a theory, but the actual system that we have employed ourselves over the last 23 years to assist hundreds of healthcare organizations in reducing their supply expenses to absolute minimums, and then to keep their expenses under control — going foreword.
Metrics Matter: Choosing the Right Ones
If you want to see beyond the clutter, fog and noise that saturates our day-to-day business decisions the best way I know to do so is with metrics. Specifically, a metric is a set of measurements that quantify results thereby telling us more about our supply chain operations. This insightful information will then enable you to make your big and little decisions with confidence, congruity and speed.
One caveat! The difficulty in using metrics is that you need to choose the RIGHT ones to get the RIGHT results. I find the ideal methodology to do so is Activity-Based Costing: Linking a product or service to an activity or cost driver to uncover significant actionable information.
For instance, if you wanted to have a meaningful metric to analyze your office supply total in-use cost you would use full-time equivalents (FTEs) divided by your office supply spend to arrive at this measurement. You can then benchmark this metric against your peers to determine whether your total in-use cost for office supplies is within acceptable limits. This is a much more scientific method than guessing!
Why FTEs? Because people drive the cost up or down on office supplies, consequently there is a direct relationship between your office supplies spend and the number of people your healthcare organization employs on a full or part time basis.
Get the idea? Anytime you want to measure something you need to first indentify your COST DRIVER for the product or service you are measuring. You then divide your cost driver by your supply spend or labor cost to arrive at your metric. This methodology can become much more complicated than my example of office supplies when a number of variables are involved, but this is the basics on how you would choose the RIGHT metric to keep you from going off track.
I know that this topic boarders on being academic, but it really has real world applications in supply chain management. If you master the basics of this concept, it can make your job easier, more productive and will allow you to become a saving machine. That’s why metrics matter!
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Stretch Goals Can Lead to Breakthrough Thinking!
A goal by definition is an objective we want to reach, but a “stretch goal” is quite different as defined by Jack welsh, the former CEO of General Electric. He says that stretch goals “are essentially stimulating the staff to create goals that, given the current situation and what is known today, appear beyond their reach or otherwise unattainable. This is getting the employees and or managers to conceive of things that are at a magnitude beyond their wildest expectations or beliefs”
As Jack Welsh suggests in his quote, it’s in our human nature to select safe, comfortable and reachable goals. Why should you or your team stick their necks out when management is only asking the bare minimum goals from you? I see this “small thinking” attitude all the time.
I recently asked a material manager at a 238-bed community hospital what his savings goal was for next year and he told me that his senior management had set a goal for him of $50,000. By my estimate this material manager should meet this goal in less than three months — not one year. That’s not a “stretch goal”; it’s a puny, undersized, and no brainer. If I was this material manager I would at least triple my senior management’s goal to $150,000, just to keep me from falling asleep at the wheel.
If you want to have BREAKTHROUGH savings, then you need to bring about breakthrough THINKING for yourself, your staff and your value analysis teams. The best way I know to do so is for you to set “stretch goals” for every level of your supply chain operations vs. letting your senior management set them for you. Then brainstorm with your supply chain team to discover how you will meet your oversized goals.
As an illustration, one of our supply chain clients established a “stretch goal” for their department of $11 million for this fiscal year, although they didn’t know how they would make these savings happen when they committed to this goal. That’s when their supply chain team honed in on their utilization misalignments with our assistance and found $15 million dollars in new potential savings. If they would have settled for a so-so savings goal instead of establishing a stretch goal, they wouldn’t have found these big savings opportunities! With breakthrough THINKING, they are now on target to achieve breakthrough SAVINGS – not meager results!
So remember, when you are setting your supply chain savings and operational goals for 2010, don’t take the road most travel by establishing safe, easy and undersized goals. Stretch yourself, your staff and value analysis team(s) by instituting oversized goals that will lead to breakthrough thinking and gigantic results.
Why are Hospitals Buying So Many Different Products?
We would all like to think we know all the answers to the supply chain puzzle, but I can tell you from experience that until we developed our Value Analytics™ methodology 10 years ago, I found that I didn’t know what I thought I knew… I was just guessing.
For instance, did you know that healthcare organizations hardly ever buy the same products even if they belong to the same GPO or are divisions of the same healthcare system? In fact, our Value Analytics™ studies have revealed that the highest product match we have ever found between comparable hospitals with like operating characteristics is 18%. To bring this point home, one of our clients who owns five hospitals is buying five different surgical clippers. Isn’t that any eye opener?
This “Aha” made me realize that hospitals aren’t buying their products mainly to provide a primary function (what it is supposed to do) for their customers, but most buying decisions are based on a product’s aesthetic functions or features. There is no other reason, in my opinions, for this phenomenon to be happening.
Here’s an illustration of what I’m talking about using a surgical clipper as an example: its primary function is to REMOVE HAIR and there are no secondary functions (meaning in addition to removing hair it does something else) that I can recognize.
All surgical clippers remove hair therefore what makes them different? The answer is aesthetic functions or features that are nice to have functions, but in many situations are not needed. The only aesthetic functions that I can identify with clippers are its size, shape, color, ease of use, closeness of shave, fixed head or pivotal head. So why isn’t everyone buying the same clipper that provides the ALL the right functions at the lowest total cost?
With few exceptions, EVERY hospital in the country can, in my estimation, can standardize on 80% of the lowest cost functionally reliable products in each category of purchase that they are buying today. The reason that hospitals aren’t doing so is that they are buying too many unnecessary, redundant and glitzy AESTHETIC functions that are holding back billions of dollars of savings for their healthcare organizations.
So the next time you are buying a new product make sure that the aesthetic functions or features that you are purchasing are absolutely, positively required, before you needlessly spend your limited dollars on nice to have characteristics, but attributes that are not needed in order to meet the primary function of the product. It’s just that simple!
Creating the Future of Supply Chain Management
The biggest risk today, as I see it for supply chain professionals, is running out of savings. Yes, I know that some hospitals, systems and IDNs are still finding some low hanging fruit to keep their savings rolling, but those days are numbered. It’s not a growth strategy!
A good way to look at this emerging trend is check out what other industries are doing when they HIT the wall on savings. Over the last 5 years or so manufacturing, energy, financial, airline industries, etc., have been attacking the in-use cost of their products, services and technologies. Why? Because their price savings have disappear!
The tactic industry uses to drive out all of their waste and inefficiency in their value streams is called demand management or as we like to call it in healthcare — utilization management. This approach has saved billions of dollars without hurting their customer’s quality.
In brief, the demand management (i.e. utilization) methodology focuses its efforts not primary on suppliers or price, but on how products, services and technologies are deployed in an organization. Are there wasteful and inefficient practices, are they being misused or misapplied and are there lower cost alternatives to meet these stated functions at a lower cost? Its not uncommon for companies to cut 7 to 15 percent off their expense budgets and the savings can begin in as little as three months.
Extensive Industry research confirms the future of supply chain management isn’t about suppliers or price, it’s about your CONSUMPTION, where 79% of all of your new savings reside. Since most healthcare supply chain best practices (e.g. spend managers, just-in-time, ERP systems, etc.) are adopted from other industries, this is one trend that you don’t want to overlook, ignore or disregard because … it’s the future of supply chain management! This isn’t a prediction, but a fact!
So if you want to start creating the future of supply chain management at your own healthcare organization you need to start today by focusing on your own products, services and technology consumption. That’s where other industries are finding a GOLD MINE of savings, not just by bidding, negotiation or joining a new GPO to obtain a better price.
DATA GAPS: The Data You Have Vs. Actual Use
Most supply chain organizations have at least three trillion bytes of data in storage but they only have the analytical capability to analyze two trillion bytes due to their data gaps (e.g. missing data, inaccurate data, unclassified data, vague descriptors or inadequate classification of data). In fact, most supply chain organizations have only the capability to execute Value Analytics™ to their completion on only one trillion bytes of data.
What does this technical lingo mean to you? Most supply chain organizations are only capable of analyzing one-third of their data, at best, to uncover hidden utilization savings opportunities. Just imagine what you could do if you had ALL your data analytics steps in place to uncover these new and better savings.
Just the other day a supply chain manager told us that his spend manager didn’t give him the visibility into his supply spend vs. our Utilizer Dashboard, since our Value Analytics™ went deeper and broader into his supply chain than his spend manager did. The bottom line was $7.7 million in utilization savings that were hidden from his view since he was looking at only one-third of his data
So if you want to move to the next level of savings performance beyond price I would encourage you to implement these seven steps:
- CLEANS your data so that it is usable and defect free.
- HARNESS the latest technology to make your job easier. If you tried to perform these analytic studies without software your job would never be done.
- DEVELOP or use a third parties’ Value Analytics™ methodology to hone in on your utilization misalignments.
- ANALYZE the data that your analytics system spews out.
- ESTABLISH and/or utilize your current value analysis teams to ferret out the savings you have identified.
- FIND an executive sponsor or sponsors to champion your initiative and to remove the roadblocks you will encounter along the way.
- INCENTIVIZE your team members to keep them at peak performance.
I know that you are thinking to yourself that “this seven step roadmap is a tall order when you consider I’m already swamped with work.” However, these seven steps only look overwhelming to you if you try to do everything I’m suggesting — at once.
It took Strategic Value Analysis in Healthcare almost 10 years to be able to have them fire on all eight cylinders. What we would recommend you do to get started with your own Value Analytics™ Program is test the waters, since Value Analytics™ in my opinion is the future of supply chain expense management.
Effectively Maximizing Your Saving Yields
We all have a tendency to forget about yesterday’s savings because they are history, but by doing so we are losing a big opportunity to effectively maximize your savings yields. Worse yet, we are not realizing that your savings have evaporated because they weren’t put into practice properly.
We see this taking place all the time with clients of ours who believe that they have saved big dollars on a product, service or technology only to find, with the use of our Supply Dashboard that they either underestimated or overestimated their savings yields.
This reminds me of a client who thought they would save $52,345 on a disposable glove value analysis project, only to find they were spending $51,298 more than before the project because their food service department was now using the highest priced gloves available at their hospital. This blunder was due to poor communications in introducing our client’s new glove protocol and a lack of controls when the project was implemented.
On the other hand, we have had clients that have estimated their savings yield on a project to be $12,888 only to find with our Supply Dashboard that they actually saved $29,298 because they underestimated their savings by a mile. This is good news and bad news!
If you are to effectively maximize your saving yields you need to measure, manage and control your implementation outcomes. This can ONLY be accomplished by continuously tracking and trending each and every savings initiative that is reported on your saving reports.
This way of doing business will pick up on your radar screen any and all variances from your initial savings estimates and then, if necessary, you can take the appropriate action to get your savings projects back on track.
New Activity-Based Costing Model Makes Huge Supply Utilization Savings Happen!
Activity-Based Utilization Costing is a new utilization savings model that assigns the cost to natural classifications in supply chain expenses to identify their actual consumption by each category of purchase. By doing so, a healthcare organization can establish the true cost of the utilization of all of their products, services and technologies so they can eliminate any and all wasteful, inefficient, unneeded or unnecessary supply chain practices.
—————————————–
I have just given you the definition (above) of a new and emerging best practice called Activity-Based Utilization Costing that can revolutionize the way you save money. I’ve done so because now that price savings are slowly disappearing this new methodology will help you dig even deeper and broader for new and even better savings.
Here’s what it is all about
Activity-Based Costing (ABC) was developed in manufacturing in the 1970s. It was introduced by cost accountants that were seeking to identify the cause-and-effect relationship of their organization’s products and services to more objectively and accurately assign cost to each of their operations. Prior to this point in time, most operating cost were assigned by accountants as broad percentage for direct and indirect cost.
Where products, services and technology costs are shared, such as we do in healthcare organizations, the ABC methodology requires some sort a weight factor to allocate cost accurately. This weight factor is based on what is called a COST DRIVER or activity that directly relates to your products, services or technologies actual cost. For example, the number of custom packs that you use in any given year would be assigned based on the number of case mix adjusted procedures (cost driver) you utilize. In this way you now have identified a cause-and-effect relationship between your custom packs and case mix adjusted procedures that can be precisely calculated.
Here’s how it can help you
We have found by employing the ABC methodology to measure utilization performance for our clients, once we have assigned a weight factor (or cost driver) to all of our client’s natural classifications (IV sets, Oxisensors, elevator contracts, dressing, trays, pacemakers, orthopedic implants, etc.), we can then quickly and easily identify any and all of our client’s utilization misalignments. This means in real terms a saving in the range of 7% to 15% based our client’s total supply chain spend annually.
There are no shortcuts
You might say after reading this blog article, “Bob you are giving me a headache with all these calculations, isn’t there a simpler way to get the same results?” I’m sorry to disappoint you but there isn’t an easy way to make these huge utilization savings happen. Believe me when I tell you that I’m always looking for an easier way to save money, but sometimes there are no SHORTCUTS to making savings happen.
Where are your next savings coming from?
I would like to restate the fact that your easy price savings are slowly disappearing therefore, new and better savings strategies, tactics and techniques must be employed for you to keep your savings machine humming. Activity-Based Utilization Costing is one of the proven best practices that can assist you in improving on any savings strategy that you are now pursuing to save money.
Lastly, don’t be overwhelmed by the intricacies of ABC methods that I just talked about because if I can learn, master and then apply these ABC techniques of this new science of savings — YOU CAN TOO!
Moving From Fuzzy Supply Chain Benchmarks to Actionable Results
There is a level of uncertainty in the healthcare supply chain circles regarding what benchmarks are the best for measuring your supply chain effectiveness and efficiency, now that you need to live by and be judged by those numbers. What’s the correct answer to this challenge?
Let’s first start by looking at the history of supply chain benchmarking systems. Predominantly, these are global supply chain benchmarking systems that have been utilized by supply chain professionals for 10 to 12 years. These systems focus on the overall global performance of supply chain organizations, such as, supply expense as a percent of net operating revenue or supply cost per procedure/test for respective hospital departments.
These are the preponderance of benchmarking systems that are in the marketplace today. I’m not saying that these are not somewhat effective but from the prospective of the supply chain manager are they good enough to obtain actionable results?
With this said, I think the word that best describes these systems’ metrics would be “ambiguous” at best. Yes, I’m saying they are uncertain, hazy, unclear, and vague. For example, if your surgical service cost per procedure is $122 over your peer hospital’s benchmarks and you are running 4,233 procedures per year your opportunities in surgery supply savings will be calculated at $516,426 per year. But this result still leaves any supply chain manager asking these big questions:
- Where’s the surgery services actual savings hidden?
- Is it Physician Preference? Clinical Preference? Waste? Misuse?
- What specific products are causing this variance?
- Where do I get started attacking these identified savings?
The answers to these questions are just the beginning of what I call the “time trap” that could take months, maybe even years to actually uncover these globally identified savings opportunities.
Yes, your intuition could point you to the “usual suspects”, such as, implants, sutures, custom packs, endomechanicals, etc. However, we have found that the surgery suite is much more complicated, difficult and denser in supplies than you might think. Accordingly, you may expend ALL of your time and resources in this area of your supply chain operations and then not yield the maximum return-on-investment you are looking for.
The most certain way I know to uncover where your supply savings actually reside in any category of purchase, and to avoid the ‘time trap” I just talked about, is to develop deeper and broader supply expense metrics at the SKU (stockkeeping unit) to lead the way to your savings. For instance, a good metric that we have been employing for some years to determine the reasonableness of the cost of custom packs is: Total Custom Pack Cost/ Procedures CMI Adjusted. This metric has been a reliable benchmark for us when compared to a client’s peer group to determine if their custom pack cost is out of line. This is much better than guessing if this is the reason why our client’s total surgical services expenses have been “red flagged” as being extremely high.
In the final analysis, supply chain benchmarks can be useful, constructive and very definitive in your search for supply savings, but only if they give you the answers to just about all of the questions that you might think of in your benchmarking exercise. This can’t be done at the 30,000 feet level. This information only can be deciphered at the ground level which will require you to greatly ENLARGE your benchmarking range, choice and depth. That’s the only correct answer to this challenge!
Value Analysis is all about SCAMPER
Savings Beyond Price -Weekly eNewsletter – June 24, 2009
Robert T. Yokl
President & Chief Value Strategist
Value Analysis is all about SCAMPER
Greetings,
If you aren’t using the techniques of SCAMPER to boost your value analysis savings and improve your quality, then I have a big savings idea to share with you today. Here’s what I’m talking about!
Value analysis is all about “the search for lower cost alternatives to meet your desired functions (primary, secondary and aesthetic) reliably”. Whereas, SCAMPER is a proven technique to help you reach this goal. That’s because every new idea is just an addition or modification to something that already existed which SCAMPER helps you flush out.
So if you can modify, adjust, or alter a product, service or technology you are buying you will dramatically increase your odds of coming up with new and better ideas that can save your money or improve your quality.
Here’s a mnemonic developed by Bob Eberle to help you remember the SCAMPER concept when you are applying it to your value analysis studies:
Substitute something: Replacing a disposable with a reusable.
Combine it with something: Adding it to a kit, tray or pack.
Adapt something to it: Add fax chips to PCs to eliminate fax machines.
Modify or Magnify it: Reduce the size, volume or bulk of a item.
Put it to some other use: Use gloves for ice packs (it’s been done).
Eliminate something: Removing items from kit, tray or pack.
Reverse or Rearrange it: Don’t use custom packs at all (it’s been done).
Simply put, the SCAMPER mnemonic is all about searching out new and better alternatives to what you are doing and what you are buying now and will force you and your VA teams to change your thought patterns. This in turn will change your thinking about how you can save money or improve your quality. It will open up whole new vistas and pathways that will give you and your VA teams surprising insights and ideas on how to save money in every corner of your healthcare organization.
Your Partner In Savings Beyond Price™,
Robert T Yokl
Chief Value Strategist
Strategic Value Analysis® In Healthcare
1-800-220-4274
P.S. If your value analysis team(s) is in a slump you may want to invest in our two-day on-site advance value analysis training program to move your value analysis teams and committees to the next level of savings performance.
What Happens When You Run Out of Price Savings?
Price savings are harder to find, contain, negotiate or even identify now that everyone (including your vendors) understands and has become highly skilled at how to play the price game. Wouldn’t you agree?
What happens when you run out of price savings, or as I like to say, “What happens when the fish stop jumping into your boat?” At a recent seminar that I conducted a MM’s answer to this question was “Look for a new job”. I don’t think that’s the right answer to this question — do you?
Reality check: Your vendors’ cost for transportation, energy, plastics, etc. (or 80% of the things your hospital buys) will continue to escalate. So who do you think your vendors are going to pass this cost along to?
Yes you got it right – YOU!
I was just talking to one of my major teaching hospital clients the other day who is scrambling to find more savings in their orthopedic and spine implants, but even after benchmarking his cost with us and bidding his implants using our benchmarks as a guide, he only shaved a few percent off his implant prices. By the way, this client belongs to two GPOs and still can’t get better prices even with his own custom contracts on implants
The next day I talked to another client of ours who is the Vice President of Purchasing for a six hospital system who is racking his brain on how to get better prices for his hospitals, when he never had this challenge before. Until recently, he always could find a new and better price savings on any commodity he was purchasing.
What does this all mean to you! If you are betting your career on finding new and better prices for the commodities you buy in the future you are going to be in for a rude awaking – it isn’t going to happen.
On the other hand, if you look beyond price you can make a quantum leap forward in utilization savings that are never ending and are right in front of your eyes just waiting to be harvested.
