© 2005 ecri.montagnolo ecri: partnering with you to improve the safety, quality, and...
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© 2005 ECRI.MONTAGNOLO Independent, unbiased information To ensure the integrity of our findings, ECRI and its staff abide by strict conflict of interest guidelines: No financial interest in the sale of any medical technology No royalties, gifts, finders’ fees, or commissions from the medical device or pharmaceutical industries No ownership of stock in, or consulting work for, organizations in such industriesTRANSCRIPT
© 2005 ECRI.MONTAGNOLO
ECRI: Partnering With You to Improve the Safety, Quality, and Cost-effectiveness of Healthcare
Prepared for Special Libraries Association (SLA)June 8, 2005
© 2005 ECRI.MONTAGNOLO
Who we are
Nonprofit, international health services research agencypromoting the highest standards of safety, quality, and costeffectiveness in healthcare since 1969• What do our resources include?
– Membership-based access to Web resources, databases, research reports, periodicals, guides, directories
– Consultation services and special projects
• Around the world, who relies on ECRI’s services?– Hospitals and health systems, health plans, and insurers– Government agencies, legal and regulatory professionals– Medical device manufacturers
© 2005 ECRI.MONTAGNOLO
Independent, unbiased information
To ensure the integrity of our findings, ECRI and itsstaff abide by strict conflict of interest guidelines:• No financial interest in the sale of any medical
technology
• No royalties, gifts, finders’ fees, or commissions from the medical device or pharmaceutical industries
• No ownership of stock in, or consulting work for, organizations in such industries
© 2005 ECRI.MONTAGNOLO
Credentials and affiliations
• Evidence-Based Practice Center (EPC)– Designated by the US Agency for Healthcare
Research and Quality (AHRQ) as one of 13 EPCs
– Guides Medicare and other insurers in making national coverage decisions
• Collaborating Center of the World Health Organization – Center for excellence supporting research on
patient safety, healthcare technology, and risk management
© 2005 ECRI.MONTAGNOLO
Credentials and affiliations
• Developer of Web-Based Clearinghouses
– National Quality Measures Clearinghouse™– National Guideline Clearinghouse™– QualityTools™
• Universal Medical Device Nomenclature System™– ECRI’s proprietary classification system – Used by 5,000 facilities worldwide
© 2005 ECRI.MONTAGNOLO
ECRI Core Capabilities
Technology Decision-making
Evidence-based resources, recommendations,
and strategic technologyplanning assistance
Quality and Patient SafetyRisk management,
hazards and recalls, problem reports,
care standards and guidelines
The most comprehensive range of healthcare resources available…from one trusted source.
Procurement Assistance
Product evaluations, ratings, specifications,
recommendations, negotiation assistance,
and more
© 2005 ECRI.MONTAGNOLO
Technology Decision-making
How do we develop our perspectives and recommendations?
• 35 years of healthcare technology expertise including laboratory and field evaluations of devices
• Comprehensive literature searches• Proprietary research and data analysis methodology• Extensive internal and external advisory board review• Member requests strongly influence topics selected for
review
Overview
© 2005 ECRI.MONTAGNOLO
How can evidence-based technology assessments inform care and coverage decisions?
HTAIS
Evidence-based evaluations of medical
devices, drugs, and procedures
Searchable, continually-updated online content
Customized Hotline responses and assistance
available when you need it
© 2005 ECRI.MONTAGNOLO
How can you make decisions about tomorrow’s technologies, today?
Forecast
Continually-updated, online
information
Proprietary Technology Impact
Radar™ shows expert consensus on utilization, time to
adoption, and financial, health, and
process impact
ECRI’s perspectives & predictions on hundreds of
emerging technologies in
dozens of clinical service areas
© 2005 ECRI.MONTAGNOLO
TARGET
Online database of evidence-based reports on emerging and newly-available drugs,
devices and procedures
Each short-form, evidence-based TARGET report highlights
key issues for planning, procurement, investment, and
reimbursement
Browse for new topics by technology class, clinical
category, or medical specialty.
How can you make evidence-based decisions about newly-available technologies?
© 2005 ECRI.MONTAGNOLO
Procurement AssistanceOverview
How do we develop our ratings and guidance?• Centralized repository of purchasing data from hospitals
around the country
• In-house testing laboratories
• Procurement and negotiation expertise
• Hazard and recall information from a wide variety of sources
• Accept no manufacturer advertising or sponsorships
© 2005 ECRI.MONTAGNOLO
SELECTplus™
How can you get the best value for your capital equipment investments?
Access a wide variety of online resources
and reports
Customized capital equipment advisory
services
Request custom reports and
recommendations tailored to your facility’s needs
© 2005 ECRI.MONTAGNOLO
How can you benchmark the best prices paid for capital equipment?
SELECTplus
ECRI’s real time PricePaid Database
shows average and low prices paid for medical
devices.
This database is populated by member hospitals sending us
data directly.
Detailed information is provided for the last 10 transactions showing model configurations
for easier comparisons.
© 2005 ECRI.MONTAGNOLO
How can you negotiate the best price and service contract for capital equipment?
SELECTplusModel: LightSpeed 16
Total Potential Cost Savings = $141,827
THE BOTTOM LINE
Quoted ECRI Recommended Discount 20.8% 28.6% Selling Price $1,808,925 $1,291,573 Terms & Conditions 10/70/20 upon installation 0/80/20 upon clinical acceptance Freight FOB manufacturer FOB Destination Warranty One year One year parts & labor Service Contract Not specified $144,000 Your facility’s quoted discount is below average for recent purchases of this
equipment. We recommend that you negotiate for at least the average discount of 28.6%, saving you $141,827.
We recommend that you negotiate for a service contract at this time while your
negotiating leverage is at its best. Your quoted configuration does not include an injector. I f you plan on
performing vascular studies an injector will be necessary.
TECHNI CAL CONFIGURATION
Catalog No. Description Qty B7868JD LightSpeed 16 D3D AM 1 B7858LC Flat Panel LCD Monitor 1 B7500PL ConnectPro HIS/RIS Interface Option 1 E8201NM DryView 8700 PACS Link Laser Imager 1 M80501FA AW Linux 2 LCD Monitor 1 B77001ST CT AVA for AW Linux 1 B78001ME CT-Advanced Lung Analysis 1 B79971CL CT Colonography 1 B77011PX CT Perfusion 3-Multi Organ Package for AW 4.1 or Higher (Linux) 1 W0100CT CT Onsite System Training 2 W0001HC 4-Day CT Course in Milwaukee 1
Custom Quotation Analysis shows
average discount for recent purchases of this model based on
ECRI’s real time PricePaid DatabaseECRI’s negotiation experts recommend
key points to negotiateECRI evaluates whether the
equipment will meet your facility’s needs—now and in the future
© 2005 ECRI.MONTAGNOLO
Which models are safest and most cost-effective? Health Devices
System
Brand-name comparative evaluations, ratings, and
guidance on the safety, cost-effectiveness, and effectiveness
of medical devices and technologies
Detailed, specific purchasing and service recommendationsPublished monthly; 10 years of
back issues available online
Based on ECRI’s expert laboratory and in-hospital
testing
© 2005 ECRI.MONTAGNOLO
How can you safely and quickly resolve hazards and recalls? Health Devices
Alerts
The world’s most comprehensive
international database of recalls, hazards, product safety alerts, and reported
problems
Each week, ECRI e-mails new Alerts right to your in-
box
ECRI verifies all content and adds action priorities and recommended next
steps
© 2005 ECRI.MONTAGNOLO
Which models have the features your facility needs?
HPCS
Create customized, printable comparison
charts showing features and
specifications for easy side-by-side comparisonDo the models you
selected meet ECRI’s recommended
specifications for your performance needs?
Current specifications for thousands of
models in hundreds of categories
Standardized UMDNS terminology
© 2005 ECRI.MONTAGNOLO
How can you quickly and easily locate manufacturer information?
Health Devices International Sourcebase
Search by supplier or device, and filter results
by geographic area
Comprehensive, continually-updated,
searchable online database of more than
14,000 US and international suppliers
Names and complete contact information for each supplier, including
web sites and e-mail addresses
© 2005 ECRI.MONTAGNOLO
How can you benchmark prices paid for medical/surgical supplies and implantable devices?
PriceGuide
PriceGuide database includes more than 200,000 line items!
Benchmark your hospital’s supply pricing against facilities nationwide—and see where to negotiate better deals with
current suppliers
© 2005 ECRI.MONTAGNOLO
For more information…
Tony Montagnolo, Executive VP/COO
Call +1 (610) 825-6000, 5175E-mail [email protected]
Visit www.ecri.org