Value Analysis: More than a Product Request. Kristen Sinke, MSN, RN, PCCN Sr. Value Analysis Program Manager Spectrum Health

Transcription

1 Value Analysis: More than a Product Request Kristen Sinke, MSN, RN, PCCN Sr. Value Analysis Program Manager Spectrum Health

2 Introduction Value Analysis Overview Value Analysis Maturity How to Mature a Team/Program

3 What is Value Analysis? Value analysis (n.) a systematic, objective process for providing an evidence-based methodology to evaluate current and emerging technologies in order to reduce/manage expenses by considering alternate products, services and practices which meet, but do not necessarily exceed, the clinical and end-user s specifications while maintaining or improving safety and quality of patient care. Value Analysis is evidence-based, patient-centered, customer-focused, process-oriented and data driven. Adapted from the Association of Healthcare Value Analysis Professionals Value Analysis is NOT just a product request

4 What is Value Analysis? New Product Integration Evidence-based Cost analysis Outcome tracking Patient outcomes Financial outcomes Workflow Program growth System Standardization New Products Before implementation Trials Post-implementation Existing Products Product formulary RFP formulary

5 Value Analysis Teams Interdisciplinary Teams Clinical leaders Operational leaders Value Analysis experts Supply Chain experts Finance experts Content experts Infection Prevention Quality Clinical Nurse Specialists Clinical input and expertise Within Value Analysis Program Within Value Analysis Teams Healthcare Value Analysis & Utilization Management Magazine, 2018

6 Value Analysis Program Models: Centralized Program System VA Program Oversight: Executive Leaders Cardiovascular Service Line Orthopedic Service Line Neuroscience Service Line Surgical Service Lines General Products Primary Health Acute Care Acute Care Acute Care Acute Care Acute Care Ambulatory Care Ambulatory Care Ambulatory Care Ambulatory Care Ambulatory Care Ambulatory Care

7 Value Analysis Program Models: Decentralized Program Hospital VAT Hospital VAT Hospital VAT Hospital VAT Hospital VAT

8 Defining Value Analysis Maturity

9 Traits of Value Analysis Maturity What makes a program mature? System-focused Coordinated between locations Covers the continuum of care Consider total cost to serve Aligned with organizational goals System impact considered Forward thinking Consider future implications Outcome driven Patient outcomes followed Structured processes Adopted throughout system Evidence-based Internal & External Formalized structures Role clarity Engaged teams Input from all affected provider groups

10 Maturity Models Define maturity for your Value Analysis program Align with organizational values and goals Applicable to all VATs Research existing models Incorporate selected traits into model Measurable growth Obtain high level support for model Begin to advertise Google.com

11 Spectrum Health s Value Analysis Maturity Model

12 Moving in the Right Direction

13 Creating the Movement Where are you going? How will you get there? Will others follow?

14 Strategic Plan Know the opportunities Create a business case Adopt a change management strategy ADKAR Awareness, Desire, Knowledge, Ability, Reinforcement Break large projects into smaller ones Start with a service line that will produce the largest impact or that will offer the least resistance

15 Process for Change 1. Assessment 2. Support & Engagement 3. Foundation Building 4. Optimization A D K A R

16 Step 1: Assessment Collect data Interviews Observations Ask key questions to understand current state Questions should be built from established maturity model A

17 Step 2: Support and Engagement Support must be obtained at the highest level Use business case Share assessment findings and opportunities Read the room is there appetite for change? How will the organization benefit? What will mature Value Analysis look like? A

18 Support and Engagement

19 Create and initiate a communication strategy How will employees hear about Value Analysis? What do they need to know? What does it mean to them? Integrate Value Analysis language into the system Use your executive support to infuse throughout the organization Engage inquisitive early adopters A D

20 Here comes the heavy lifting From:

21 Step 3: Foundation Building Tools & Templates Structure Value Analysis Team Standard Work Process Build a process that works in all areas Include key stakeholders in foundation building Adopt a PDSA (Plan, Do, Study, Act) mentality Incorporate components of maturity model into foundation Pillars of process = clinical efficacy Pillars of structure = utilizing clinical expertise in key roles

22 Tools and Templates Tools & Templates Structure Value Analysis Team Standard Work Process Universal Product Request Form Triage Tools Standard Letter Templates Product request approval/denial Request to trial approval/denial Request for additional information or evidence Decision-making Tool VAT Meeting Templates Agenda PowerPoint Minutes

23 Standard Work Structure Tools & Templates Value Analysis Team Process Create standard work (SW) to clearly outline roles and responsibilities Train to the SW for accountability Keep SW accessible to all Modify SW as needed Standard Work

24 Provide education to all stakeholders Leaders: Broad, high-level End-users: Detailed, practical Make tools and resources readily available and user friendly A D K A

25 Process Structure Tools & Templates Value Analysis Team Process Stick to the process!! Monitor for compliance Individual follow up is a must you WILL make enemies Standard Work

26 Monitor For Compliance Track every request s progress Use time stamps Create dashboards to report compliance and progress Celebrate success and efficiencies A D K A R

27 Step 4: Optimization Obtain early wins Track a single outcome and report on it at VAT meeting Incorporate large scale category plans each fiscal year Build into budget for supply savings Use gate charts to track progress Challenge evidence Gradually increase outcome measuring Define exit strategies for products that don t meet outcome expectations Develop advanced tools

28 Using Metrics To Illustrate Growth

29 Sustainment Continuous improvement is key to ongoing maturation Reassess VAT maturity regularly to illustrate growth (or stagnancy!) Share results with teams Report out to VATs Dashboards with metrics Gate charts Success stories Lessons learned Create fiscal year goals for each VAT Include goals that advance maturity A D K A R

30 Spread the Good Work! Mature existing VATs Be strategic Follow the process Create new VATs Identify areas that don t have value analysis incorporated into their culture Change management is key! Heavy pre-education and stakeholder management

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