by: Sonja L. Glass, RN, BSN -Value Analysis Facilitator for Surgical Services Wake Forest Baptist Health
There was interest at our institution from Administration and Surgical Faculty to provide supply cost per procedure. The hypothesis was that if we educated our Faculty on the price of products at the line item level that it would change practice.
As a result of this interest a “Surgical Case Cost Tracker” was internally developed by our Director of Supply Chain. This report is generated weekly for each surgeon and shows a summary of all of their cases for the previous week.
The report provides case overviews related to details of the case number, date, OR suite, OR room, and the primary procedure name as well as the in-room time, OR time cost, and average time of all the Surgeons that perform cases including their total supply cost. The cost shown is true to the unit level and all surgeons understand that pricing presented is confidential to our institution.
There has been a tremendous amount of positive feedback from our Faculty! It is apparent our Surgeons are reviewing reports closely as there are many suggestions and comments such as “this product should be removed from my pick list, I didn’t realize that this product was that expensive, could you find a less costly alternative, had I known this product was this expensive I wouldn’t have used it, and I see we are using two different brands of these products therefore, can we get rid of the more expensive one and use only the more cost efficient product.” When questions are raised, the Director will address or forward the information to Value Analysis Facilitator or other team members to research, answer, and address the concerns.
Writing the program was complex and initially there were some UOM issues such as a box of product instead of an each unit was reported. Generating and sending the reports daily was initially very time consuming, but the current process of sending weekly summaries is more manageable.
End result, our surgeons are more engaged in the product selection and there is a new awareness of the importance of case cost. Eventually our reports will share the per case cost of their colleagues that perform the same procedure.