Case Study:
Surgical Instrument Service
Consolidation/Internalization
I/T Technology Management Division
Clinical Engineering – Diagnostic Imaging Service - Technology Assessment & Planning
Banner Health
Non-profit multi-state
health system
28 Acute care hospitals;
MDACC, BIMC, BGFMC, BCGMC,
BFCMC, UMAC
I/T Technology Management Division
Banner Health Vital Stats
 275,000 pieces of medical equipment
 Medical equipment net asset value = $35 billion
 5,500 beds
 43,000 employees
 205 operating rooms
I/T Technology Management Division
20/20 Vision
I/T Technology Management Division
Background
 Banner Technology Management
 Clinical Technology Assessment and Planning
 Diagnostic Imaging Service
 Clinical Engineering
 ENTECH (ISO)
I/T Technology Management Division
Background
 Charged by leadership to:
“Think outside the Box”
 Budgetary challenges
 HealthCare Reform; Obama Care, Affordable
Care Act, etc…
 Decentralized service expense
 Centralized service expense
I/T Technology Management Division
Target Services
 Flexible Endoscopes
 Rigid Endoscopes
 Surgical Power Tools
 Stryker System 6 & 7
 Surgical Hand Instruments
 Sharpening & Repair
2
I/T Technology Management Division
I/T Technology Management Division
“Herding Cats”
 Key stakeholder multi-disciplinary team
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C-Suite
Endoscopy
Perioperative
Sterile Processing
Clinical Engineering
Supply Chain
I/T Technology Management Division
Communication
 Meet on a regular frequency
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Develop charter
Subcommittees
Financials
Selection criteria
RFP
I/T Technology Management Division
RFP
 Scope of work
 Specific timelines for deliverables
 Vendor site visits
I/T Technology Management Division
RFP
 Repair service evaluation
 Per modality
 Per discipline
 Risk share model
 Create win-win opportunities for both
organizations
I/T Technology Management Division
RFP
 Escalation Protocol
 Original Equipment Manufacturer
 Specialty Scopes
 Olympus flexible ultrasound scopes
 Divinci
I/T Technology Management Division
“Go Live”
 Expense realignment
 Escalation protocol
 Customer web portal
 Onsite instrument service lab
I/T Technology Management Division
“Entrance Area”
I/T Technology Management Division
“Surgical Service Lab”
I/T Technology Management Division
“LEAN Work Bench”
I/T Technology Management Division
“Flexible Scope QC Station”
I/T Technology Management Division
“Flexible Scope Sink”
I/T Technology Management Division
“Metal Filter System”
I/T Technology Management Division
Monitoring
 Scheduled partnership reviews
 Operational metrics
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Turn times
Educational opportunities
Operational efficiencies
Loaner pool utilization
I/T Technology Management Division
Monitoring Cont.
 Warranty repairs
 Financials
 Share best practices
 Work flow analytics
I/T Technology Management Division
Questions
?
Frank Cabrera
Sr Director Clinical Engineering
Banner Health
602-747-9088
Frank.cabrera@bannerhealth.com
I/T Technology Management Division