Tuesday, October 6, 2009

Academic Webinar: Fundamental Shifts in the US Healthcare System

While most of us are probably focusing on our own functional roles within our organizations, it is easy to forget the big picture issues facing the healthcare supply chain.

Given the complexity of healthcare and the current political climate, I have personally started paying attention to issues and trends that may affect my company and part of the supply chain. I work for a GPO and they are again facing scrutiny from the Senate Subcommittee for supposed anti-competitive business practices. Of course I think any company or sector of healthcare is an easy target if they are large or profitable.

I thought Dr. Singh did a great job of discussing the major shifts (i.e. Demographics, technology changes, physician trends, etc.) that will be evolving over the next several years. One example he discussed was a shifting disease pattern and the continuously increasing cost of treatment. He suggested a shift from acute care to chronic care, which will put even greater strain in the supply chain in the coming years.

Another example that Dr. Singh referenced was a shifting technology focus. “Health care has not witnessed technology cost reduction”. I do not think anyone can necessarily make that generalization. Since I’ve been working with a large hospital in Dallas the past 2 years, I have seen them move from manual, paper-based ordering to utilizing EDI and also upgrading their MMIS system to Lawson. This is a perfect example of how technology has resulted in operational cost reduction.

One of the my biggest takeaways from Dr. Singh’s presentation is that we should all have a 10-15 year view instead of a 2-3 year view, keeping in mind all of the different shifts. We tend to be reactive in our roles instead of proactive. It is amazing what we can learn from someone from the outside looking in.

Click here to read more about upcoming Academic Webinars or to order a copy of the Fundamental Shifts in the US Healthcare System Academic Webinar on CD-ROM.

Academic Webinar - Supply Chains and the Surgical Suite: Measuring the Impact of Best Practices on Financial and Operational Performance

Dr. Vicki Smith-Daniels and Dr. Dwight Smith-Daniels have conducted extensive research into improving the financial and operational performance in the OR suite. One of the main reasons for their research is the lack of empirical evidence in the healthcare supply chain industry. To broaden the scope of their research, they looked at the manufacturing industry for evidence of best practices. Manufacturing uses an evidence-based approach and incorporates practices such as lean manufacturing or Six Sigma.


Measuring performance and quantifying the results is difficult - especially since many healthcare organizations rely on distributors, GPOs and/or consultants to provide tools and resources for performance measurement. In addition, best practices tend to be limited to one hospital provider or system, rather than a group of providers.

The research has shown that some of the important elements of high performance supply chains in the surgical suite include physician engagement, value analysis, analytics, and IS Integration. Clinical collaboration is essential in best practices because the stakeholders include end-users, physicians, as well as supply chain staff.

Through one of the online polls conducted, we learn that two of the greatest factors in surgical suite improvement include inventory monitoring and custom procedure packs. Since the results were taken across several hospital organizations, it allows us to start building evidence toward a best practice.

The presenters stressed that practices over time build capabilities which breed better performance. Successful supply chain strategies will move from short-term focus to long-term sustainability.

Click here to read more about upcoming Academic Webinars or to order a copy of the Supply Chains and the Surgical Suite: Measuring the Impact of Best Practices on Financial and Operational Performance Academic Webinar on CD-ROM.