PRODUCTS & SERVICES
“Besides being used by Davey Martinez when the Washington Nationals won the 2019 World Series, this quote has been cited many times in 2020. Of the many learnings in these unprecedented times has been the need, or should I say the obvious conclusion, that the closer value analysis and supply chain are to a seat at the table with key organizational leaders the more well-informed and bespoke the outcomes will be. “Value Analysis should be no further than three levels from their
organization’s chief executive. Reporting within a department who reports through two to three other departments may fi lter out and dilute key messages, adding delayed time to execute decisions that may mean the difference between saving lives, understanding what is available to change the course of action and advising on processes or practices that might be able to be performed now while waiting for more ideal conditions. “The notion of where value analysis should sit in the line of
reporting really can be addressed by looking back to the value analysis maturity curve. (See Figure 2.) Organizations that have embraced value analysis processes do best through an executive steering or leadership advisor committee-level 4-5. Value analysis has specifi c processes, timelines and means to deliver the clinical- based evidence, quality outcomes and fi nancial impact reports to drive organizational decision making to reach their full value potential.
“Based on personal experience, about fi ve-to-seven times ad- ditional value was derived through a leadership-driven structure than through a middle management organic process. That same experience was enhanced through the establishment of a separate value analysis department that reported to the Chief Financial Of- fi cer. People often see these approaches as the diffi cult roads and take the directions of their cultural GPS too literally and stray from their goal. Others know that the rest of the quote is, ‘the best is yet to come.’”
Robert T. Yokl, Founder & CEO, SVAH Solutions “Based on the classic value analysis model developed at General Electric in the 1940s, value analysis is an extension of procurement; thereby, [it] falls under the responsibility of Supply Chain Manage- ment. Interesting enough, it is observation that 97 percent of healthcare organizations have followed the same trend.”
Deborah Roy, Principal, Vizient “Creating balance across all clinical areas involves a high degree of input from the physician population. As value analysis grows in organizations, it should migrate to a more strategic clinically integrated department with a focus that includes quality along with associated pricing. Having value analysis sit under the Chief Medical Offi cer allows that visibility. Under the leadership of a CMO, opportunities arise to consider value-based purchasing and key performance indicators (KPIs) — strategic imperatives in organiza- tions focusing on HCAHPS [CMS’ Hospital Consumer Assessment of Healthcare Providers and Systems], HACs [CMS’ Hospital-Acquired Conditions], safety, etc. — and to provide a more valuable view of total cost of care. As we work through the pandemic, organizations are challenged to fi nd a more robust and effi cient method of clinical decision making and are better able to do so with guidance at the CMO level. Under this direction, investment strategies for providers can be optimized as focus moves towards the delivery of services at home and other ambulatory opportunities.”
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hpnonline.com • HEALTHCARE PURCHASING NEWS • February 2021 59
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