Physicians at Intermountain Healthcare were requesting deviations to contracted items and were sometimes resistant to standards, contracts or reducing variability.
Intermountain developed the Center for Value Based Surgery (CVBS), a cross-functional, hyper-focused program that brings the supply chain to the table as an active and engaged partner to surgical supplies decision making. The goal of the CVBS is to decrease costs, improve patient outcomes, and embrace and standardize change through unprecedented clinical and supply chain collaboration.
A dedicated FTE helps facilitate dialogue, collaboration and information exchange, and an intake process assures physicians request a deviation only for the most extenuating circumstances. When change is necessary, or there may be clinical concerns, the team collaborates to listen, explain and act to find solutions that improve patient outcomes and lower costs.
Physicians who request a new product must present their case before a peer committee and ensure the following is true: 1) the item is FDA approved, 2) the item is covered on Intermountain’s insurance plan (SelectHealth) to avoid surprises on the patient’s bill, and 3) the product has peer-reviewed literature. With this process in place, Intermountain has seen a reduction in deviation requests and one-off wishes.
About Intermountain Healthcare
Intermountain Healthcare is a not-for-profit health system based in Salt Lake City, Utah, with 23 hospitals, a broad range of clinics and services, about 1,600 employed primary care and secondary care physicians at more than 170 clinics in the Intermountain Medical Group, and health insurance plans from SelectHealth.