© 2005 ecri.montagnolo ecri: partnering with you to improve the safety, quality, and...

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© 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

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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 industries

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Page 1: © 2005 ECRI.MONTAGNOLO ECRI: Partnering With You to Improve the Safety, Quality, and Cost-effectiveness of Healthcare Prepared for Special Libraries Association

© 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

Page 2: © 2005 ECRI.MONTAGNOLO ECRI: Partnering With You to Improve the Safety, Quality, and Cost-effectiveness of Healthcare Prepared for Special Libraries Association

© 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

Page 3: © 2005 ECRI.MONTAGNOLO ECRI: Partnering With You to Improve the Safety, Quality, and Cost-effectiveness of Healthcare Prepared for Special Libraries Association

© 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

Page 4: © 2005 ECRI.MONTAGNOLO ECRI: Partnering With You to Improve the Safety, Quality, and Cost-effectiveness of Healthcare Prepared for Special Libraries Association

© 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

Page 5: © 2005 ECRI.MONTAGNOLO ECRI: Partnering With You to Improve the Safety, Quality, and Cost-effectiveness of Healthcare Prepared for Special Libraries Association

© 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

Page 6: © 2005 ECRI.MONTAGNOLO ECRI: Partnering With You to Improve the Safety, Quality, and Cost-effectiveness of Healthcare Prepared for Special Libraries Association

© 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

Page 7: © 2005 ECRI.MONTAGNOLO ECRI: Partnering With You to Improve the Safety, Quality, and Cost-effectiveness of Healthcare Prepared for Special Libraries Association

© 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

Page 8: © 2005 ECRI.MONTAGNOLO ECRI: Partnering With You to Improve the Safety, Quality, and Cost-effectiveness of Healthcare Prepared for Special Libraries Association

© 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

Page 9: © 2005 ECRI.MONTAGNOLO ECRI: Partnering With You to Improve the Safety, Quality, and Cost-effectiveness of Healthcare Prepared for Special Libraries Association

© 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

Page 10: © 2005 ECRI.MONTAGNOLO ECRI: Partnering With You to Improve the Safety, Quality, and Cost-effectiveness of Healthcare Prepared for Special Libraries Association

© 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?

Page 11: © 2005 ECRI.MONTAGNOLO ECRI: Partnering With You to Improve the Safety, Quality, and Cost-effectiveness of Healthcare Prepared for Special Libraries Association

© 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

Page 12: © 2005 ECRI.MONTAGNOLO ECRI: Partnering With You to Improve the Safety, Quality, and Cost-effectiveness of Healthcare Prepared for Special Libraries Association

© 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

Page 13: © 2005 ECRI.MONTAGNOLO ECRI: Partnering With You to Improve the Safety, Quality, and Cost-effectiveness of Healthcare Prepared for Special Libraries Association

© 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.

Page 14: © 2005 ECRI.MONTAGNOLO ECRI: Partnering With You to Improve the Safety, Quality, and Cost-effectiveness of Healthcare Prepared for Special Libraries Association

© 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

Page 15: © 2005 ECRI.MONTAGNOLO ECRI: Partnering With You to Improve the Safety, Quality, and Cost-effectiveness of Healthcare Prepared for Special Libraries Association

© 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

Page 16: © 2005 ECRI.MONTAGNOLO ECRI: Partnering With You to Improve the Safety, Quality, and Cost-effectiveness of Healthcare Prepared for Special Libraries Association

© 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

Page 17: © 2005 ECRI.MONTAGNOLO ECRI: Partnering With You to Improve the Safety, Quality, and Cost-effectiveness of Healthcare Prepared for Special Libraries Association

© 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

Page 18: © 2005 ECRI.MONTAGNOLO ECRI: Partnering With You to Improve the Safety, Quality, and Cost-effectiveness of Healthcare Prepared for Special Libraries Association

© 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

Page 19: © 2005 ECRI.MONTAGNOLO ECRI: Partnering With You to Improve the Safety, Quality, and Cost-effectiveness of Healthcare Prepared for Special Libraries Association

© 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

Page 20: © 2005 ECRI.MONTAGNOLO ECRI: Partnering With You to Improve the Safety, Quality, and Cost-effectiveness of Healthcare Prepared for Special Libraries Association

© 2005 ECRI.MONTAGNOLO

For more information…

Tony Montagnolo, Executive VP/COO

Call +1 (610) 825-6000, 5175E-mail [email protected]

Visit www.ecri.org