the good, the bad and the ugly patrick k. lynch chief do-gooder global medical imaging linda comisar...

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Patrick K. Lynch Chief Do-Gooder Global Medical Imaging Linda Comisar National Purchasing Manager Catholic Healthcare Initiatives (CHI) 3/30/2015 1

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Page 1: The Good, The Bad and the Ugly Patrick K. Lynch Chief Do-Gooder Global Medical Imaging Linda Comisar National Purchasing Manager Catholic Healthcare Initiatives

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Patrick K. LynchChief Do-Gooder

Global Medical Imaging

Linda ComisarNational Purchasing Manager

Catholic Healthcare Initiatives (CHI)

3/30/2015

Page 2: The Good, The Bad and the Ugly Patrick K. Lynch Chief Do-Gooder Global Medical Imaging Linda Comisar National Purchasing Manager Catholic Healthcare Initiatives

23/30/2015

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Who am I?• CBET, CCE, CPHIMS, CHTS-PW, fACCE• 40 years in Biomed• Managed large In-house, ISO and corporate Biomeds• Active in certification of BMETs and CEs• 1st Pres of NCBA (North Carolina branch) - 1980• President, HTMA-SC• Treasurer – HTMA-GA• Member of all Biomed Associations (honorary NC, KY, Utah)• Board Member – META, SC, GA• Advisor – OH, KY, TN, UT, VA, NC, Texas• Writes monthly for TechNation and BI&T (AAMI) - Heineman

Medical Foundation (Guatemala)• Currently, works for GMI is sales development, who

sponsors my activities3/30/2015

Page 4: The Good, The Bad and the Ugly Patrick K. Lynch Chief Do-Gooder Global Medical Imaging Linda Comisar National Purchasing Manager Catholic Healthcare Initiatives

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Disclaimer

• The materials available in this presentation are for informational purposes only and not for the purpose of providing legal advice. You should contact your attorney to obtain advice with respect to any particular issue or problem. I am not an attorney.

3/30/2015

Page 5: The Good, The Bad and the Ugly Patrick K. Lynch Chief Do-Gooder Global Medical Imaging Linda Comisar National Purchasing Manager Catholic Healthcare Initiatives

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Simplest Service Contract

• Extended Warranty• Offered at Checkout• Explained to you by a cashier• You accept it when you sign for your purchase• It is a legally binding contract• Simple and easy – Right?• Wrong

3/30/2015

Page 6: The Good, The Bad and the Ugly Patrick K. Lynch Chief Do-Gooder Global Medical Imaging Linda Comisar National Purchasing Manager Catholic Healthcare Initiatives

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Lowes’ Extended Warranty

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Lowes’ Extended Warranty

3/30/2015

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Extended WarrantiesAdvice From Consumer Reports, Dec 2014

• Do not buy.• Over 50% store profit.• May be covered by warranty.• Products seldom break during service plan window.• Repairs aren’t that costly.• Mfgrs sometimes cover out-of-warranty items.• You may have other rights.• Insurance may cover you.• The plan may let you down.• You can’t afford to protect everything.3/30/2015

Page 9: The Good, The Bad and the Ugly Patrick K. Lynch Chief Do-Gooder Global Medical Imaging Linda Comisar National Purchasing Manager Catholic Healthcare Initiatives

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Extended WarrantiesFrom Consumer Reports, December 2014

• Alternatives to Extended Warranties:– Self-Insure.– Buy reliable products.– Read the manufacturer’s warranty before buying.– Examine the retailer’s return policy.

3/30/2015

Page 10: The Good, The Bad and the Ugly Patrick K. Lynch Chief Do-Gooder Global Medical Imaging Linda Comisar National Purchasing Manager Catholic Healthcare Initiatives

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What we will cover

1. What is a contract?2. Financial Aspects of a Contract.3. Risk Aspects of a Contract.4. Workflow Aspects of a Contract.5. Future Freedom Aspects of a Contract.6. Legal aspects of a Contract.

1. Standard Clauses2. Negotiable Clauses

7. Negotiation of a contract3/30/2015

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What is a contract?

• An agreement creating obligations enforceable by law.

3/30/2015

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What is a contract?

• When crafting a contract, the parties are creating a special law, applicable only to the signing parties, which they intend for a court to enforce as law.

3/30/2015

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Why do people sign contracts?

• Protection. Afraid of the alternative.• Admin thinks that the manufacturer is the

Cadillac service and the safest bet.• They are spending hospital money, not their

own.• Contracts are less work.• Nobody ever lost their job because they

signed a contract with the manufacturer.

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Contracts

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Financial Aspects

• Warranty Week• COSR• Parfait Slide

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Actual Cost of Maintenance and Repair

• Cost during 1st year warranty should be about the same as every year afterwards?

• Cost to service a 1 year warranty on all types of products averages 1% to 2% of the sales price.

• Therefore, the cost of a service year should be the same – about 1 to 2% per year.

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• Cost to service a 1 year warranty on all types of products averages 1% to 2% of the sales price.

• Therefore, the cost of a service year should be the same – about 1 to 2% per year.

• What does a Service Contract Sell for (as a percentage of the equipment price)?

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Cost of Service Ratio

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Workflow Aspects• Contract - Call the 1-800 number.

– Wait for the service guy (or gal).

• No contract –• Each Call –

– Get a Purchase order.– Call their dispatch. – Give Billing info.– Track service.– Collect service ticket.– Verify times, replaced parts, etc.– Wait for bill.– Match to original service ticket for accuracy.– Pay the bill.3/30/2015

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Future Freedom Aspects

• Almost no freedom to change terms, conditions, coverages, etc. regardless of satisfaction with service, response, cost, etc.

• If reimbursements or volumes change,the contract does not.

3/30/2015

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The fine print

• How to breakdown a contract into its individual parts.

• Which clauses are important.• Essential clauses to have• How to change the offered terms and

conditions.

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Assignment/Subcontracting:

• Neither party shall have the right to assign or subcontract any part of its obligations under this agreement.

• Neither party shall have the right to assign or subcontract any of its obligations or duties under this agreement without the prior written consent of the other party, which consent shall not be unreasonably withheld or delayed.

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Entire Agreement

• This agreement sets forth and constitutes the entire agreement and understanding of the parties with respect to the subject matter hereof. This agreement supersedes any and all prior agreements, negotiations, correspondence, undertakings, promises, covenants, arrangements, communications, representations, and warranties, whether oral or written, of any party to this agreement.

• This means that the contract containing this provision is the only agreement that a court will examine to determine what the "deal" or agreement between the parties was. No other written documents or verbal statements can be used as evidence in a dispute over the agreement.

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Hold Harmless Clause

• A Hold Harmless Agreement is a document wherein one party agrees to hold another party harmless that would normally be legally liable for damages incurred.

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Force Majeure

• Neither party shall be held responsible for any delay or failure in performance of any part of this agreement to the extent such delay or failure is caused by fire, flood, explosion, war, embargo, government requirement, civil or military authority, act of God, or other similar causes beyond its control and without the fault or negligence of the delayed or non-performing party.

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Limit of Liability

• This provision means that an injured party cannot recover the costs of indirect damages resulting from an injury. It has no effect on either company's liability for direct damages. Indirect or consequential damages can be huge, so disclaiming them is a way of reducing risk in the contract.

• Lost revenues from not being able to use a machine.

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Notices

• All notices shall be in writing and shall be delivered personally, by United States certified or registered mail, postage prepaid, return receipt requested, or by a recognized overnight delivery service.

• Contracts typically require one party to provide notice to the other party in the event one party thinks the contract was breached, when termination of the contract is desired, or in other instances specific to each contract. This provision sets out the requirements for how and when a notice must be made to be legally valid.

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Written Modification

• This provision means that only a written signed agreement will be enforceable to amend or modify the agreement.

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Exclusions

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Slices Provision

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Circumstances

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Cost with a Contract

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Cost to Customer

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Daytime PMs

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Uptime Guarantee

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Uptime Calculation Formula

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BASIS HOURS is all-Important

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Downtime BASIS Hours

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Limited Basis Hours

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Effect of BASIS Hours

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9-5 M-F 24 x 7

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Termination Clause

• provides the parties to a contract different options for ending their contractual agreement. General termination clauses often allow the parties to end a contract at the end of specified time, after a specific event or project or for no reason at all. If a termination clause allows for unilateral termination without cause, it is often called a rescission clause.

• Typical contract termination clauses anticipate specific events, such as insolvency, sale of a company or bankruptcy. Depending on the nature of the contract, the parties may wish to include a clause that allows termination when it would become overly burdensome to continue operations.

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Termination for Cause

• If either party breaches any provision of this agreement and if such breach is not cured within thirty (30) days after receiving written notice from the other party specifying such breach in reasonable detail, the non-breaching party shall have the right to terminate this agreement by giving written notice thereof to the party in breach, which termination shall go into effect immediately on receipt.

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Termination for Convenience

• Many contracts include a clause that allows the owner to terminate the contractor’s remaining work at the owner’s convenience. Such a termination is not due to any fault on the part of the contractor.

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Terms and Terminations

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Termination

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Cancel without Penalty

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Convert Full Service to In-House

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Page 52: The Good, The Bad and the Ugly Patrick K. Lynch Chief Do-Gooder Global Medical Imaging Linda Comisar National Purchasing Manager Catholic Healthcare Initiatives

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Thank You

• Questions?

3/30/2015

Patrick [email protected]

www.htma-sc.org