The Scanning Imperative – Improving Patient Safety and Reducing Costs

June 13 | 1pm-2pm CT

Sign up here and use "ahrmmscanning" at checkout to waive registration fees.

Please join us for a webinar hosted by AHRMM and in collaboration with Zebra Technologies and AIDC. This is part 1 in a series of 3 webinars.

Webinar Overview

Learning Objectives

  • Define the terminology associated with UDI
  • List the characteristics of barcode scanning including speed, accuracy, timeliness of data and subsequent uses
  • Discuss the benefits and associated efficiencies with scanning the UDI

Management of inventory turns, reducing waste due to product expiration and reducing annual audit shortfalls are all possible thanks to the UDI barcode. Although scanning is a common practice throughout hospitals today with pharmaceuticals/patient identification, it’s brand new for implants and other devices. Many health systems are still typing device identifiers into their EHR systems for implants.This is a dangerous practice due to the known potential for human error.

In the first of three webinars, leading field experts will focus on the immense benefits of using scanning technology to document medical device usage. UDI scans can improve patient safety through recall and expiration date management, reduce clinical time spent documenting product use and ultimately help hospitals reduce costs each year.


HCP Hospital Supply Chain Conference - Fall 2019

Learn more here.

Kansas City, MO | September 23-25

To inquire about setting up a meeting, please complete a form here.


OR Manager 2019

Learn more here.

New Orleans, LA | September 18-20

Our booth location will be announced soon! To inquire about setting up a meeting, please complete a form here.


AHRMM Conference & Exhibition 2019

Come visit us at AHRMM 2019!

San Diego, CA | Expo: July 29-30

Find us at our Booth #504. Come say hello and learn more about how our products enable hospitals to effectively manage implants throughout their life, from receipt to explant, to improve patient safety, reduce costs, and minimize risk. Plus, enter our raffle for a chance to win an Apple Watch.

To inquire about setting up a meeting, please complete a form here.

Peter Casady, Champion's CEO and Cofounder will also be co-leading a Learning Lab with James Phillips from FMOL on Monday, July 29 at 10am:

The Benefits and Practice of Tracking Implants Leveraging UDI 

We would like fellow providers to understand the benefits that effective implant tracking can have on cost, quality and outcomes. Specifically, these benefits include opportunities to reduce cost through reductions in waste, optimization of inventory levels, and minimization of clinical variability. Tracking also allow hospitals to improve quality by preventing usage of expired and recalled implants. Finally, effective tracking lays the groundwork for improving outcomes by linking specific implants to patient outcomes and allowing hospitals to recognize which implants are more effective than others. While tracking implants provides clear and impactful benefits, we recognize there exist significant challenges to tracking implants in practice due to significant variability in implant labeling. We will summarize these challenges, and present best practices to overcoming them, with a focus on a leading health system’s journey to better manage their implants.

Full details here. 

 

 


GS1 Connect Conference 2019

Denver, CO | June 19-21

Peter Casady, CEO and Cofounder of Champion Healthcare Technologies will be attending and speaking at the GS1 Connect Conference. To set up a meeting with Peter, please contact hello@championht.com. See below for more information about the session:

Point of Care Scanning for Implant Devices
Friday 9:40 AM - 10:10 AM - Healthcare Theater
Conference Track: Healthcare

Demonstrating the benefits of scanning unique device identifiers (UDIs) at point of care, this session will present a case study view of how one healthcare provider leveraged GS1 Standards and barcodes to improve productivity and inventory management. And how their partnership with a GS1 US Solution Provider, the Veterans Affairs Medical Center in Miami, helped them increase efficiency, stay on inventory (correct product names and expiration dates), and deliver safer patient care. Hear how the hospital moved away from manual data entry processes towards automated inventory management.


HCP Hospital Supply Chain Conference - Spring 2019

Learn more here.

Miami, FL | April 29 - May 1

To inquire about setting up a meeting, please complete a form here.


HCCA Compliance Institute 2019

Come visit us at HCCA's Compliance Institute 2019!

Boston, MA | Expo: April 7-9

Find us at our Booth #222. Come say hello and learn more about our product WarrantyTracker that reduces risk for a hospital's explants, ensuring warranty claims are successfully pursued, tracked, and reconciled in accordance with CMS guidelines.

To inquire about setting up a meeting, please complete a form here. We look forward to seeing you.


AORN Global Surgical Conference and Expo 2019

Come visit us at AORN Global Surgical Conference and Expo 2019!

Nashville, TN | Expo: April 7-9

Find us at our Booth #2039. Come say hello and learn more about how our end-to-end implant management solutions improve patient safety, ensure compliance, and reduce costs in the OR. Plus, enter our raffle for a chance to win an Apple Watch.

To inquire about setting up a meeting, please complete a form here.


Hospitals Still Fall Short in Pursuing Claims for Recalled CRM Devices

Response to OIG Report

January 8, 2019

Hospitals Still Fall Short in Pursuing Claims for Recalled CRM Devices

 

Paul Cicciarelli, Product Manager, Champion Healthcare Technologies

In 2018, the Office of Inspector General (OIG) published a report citing that 210 hospitals did not always comply with Medicare requirements for reporting certain cardiac device manufacturer credits.

Specifically, all 296 payments reviewed by the OIG for recalled cardiac medical devices did not follow Medicare requirements for reporting manufacturer credits. Medicare contractors incorrectly paid hospitals $7.7 million for cardiac device replacement claims rather than the $3.3 million they should have been paid, resulting in potential overpayments of $4.4 million. The OIG contributes these overpayments to Medicare controls not being sufficient to ensure that hospitals properly reported manufacturer credits for cardiac devices.

Though an eye-opening report, this is not the first time the OIG has highlighted its concern about medical device credits. OIG estimated that from 2005 to 2014, services related to the replacement of recalled and prematurely-failed medical devices cost Medicare $1.5 billion. Given the widespread nature and heightened attention to noncompliance, hospitals need to take notice or otherwise risk facing substantial overpayment fines in an audit.

Hospitals’ path towards compliance, however, does not come without challenges. Below are some challenges that my colleagues and I at Champion have observed for hospitals to properly identify, track, and report credits to Medicare:

  1.     The process for identifying, tracking, and reporting medical device credits on Medicare claims requires many different hospital departments and staff disciplines (materials management, accounts payable, clinical departments, etc.). For example, separate hospital personnel are responsible for contacting the manufacturer, tracking the availability of the credit, and determining whether an adjustment claim needs to be submitted to pass along the credit to Medicare. Staff need to ensure very close coordination and open communication to be successful.
  2.     It is the hospital, not the manufacturer, that is responsible for initiating the warranty credit process. However, complex documentation make this difficult for staff. For instance, hospitals are faced with many types of submission forms, as each manufacturer has a distinct device return authorization process that requires details in varying formats. Furthermore, hospital staff submitting Medicare claims must be aware of credits that are at least 50 percent of the price the facility paid for the replacement device, and must report the credit as a deduction on a submitted claim.
  3.     Another challenge is that hospitals often do not know whether they will receive a credit or how much that credit will be at the time of billing for the device replacement procedure. In these ambiguous situations, the hospital has two options. First, the hospital may hold the claim until a determination is made about the credit and then submit the claim with the appropriate condition code and value code or modifier if it receives a reportable credit. Or, the hospital may submit the claim immediately without a condition code and value code or modifier, and if the hospital receives a reportable credit later, submit an adjustment claim with the appropriate condition code and value code or modifier. Either option may work, but they both underscore how onerous pursing credits can be, particularly if hospitals do not have policies and procedures in place.

Ensuring compliance and reducing audit risk for hospitals is paramount, but it’s clear from these examples that challenges and confusion around pursuing credits still exist.

I encourage you to read more about the complexities of medical device warranty credits in Champion’s 3-part white paper series:

  • Part 1: Awareness and Understanding (download here). Discover the challenges of the process, the cost of noncompliance, and critical components to reduce audit risk.
  • Part 2: Policy and Oversight (download here). Read about the importance of developing a device warranty policy, as well as tips and pitfalls for overseeing the claims process.
  • Part 3: Standard Processes and Procedures (coming soon). Leveraging knowledge from Parts 1 and 2, understand the processes and procedures needed to comply with device warranty claims requirements.

Implant Management to Address $25.4B Supply Chain Savings Opportunity

Response to Navigant Report

November 27, 2018

Focus on Implant Management to Address a $25.4 Billion Supply Chain Savings Opportunity

 

Craig Lan
Craig Lan
Vice President,
Product Management

According to Navigant's October 2018 Healthcare Supply Chain Report1, hospitals can safely reduce their supply chain expenses by an average of 17.7% or $11 million annually. This represents an increase of 10% from 2017 and equates to an annual cumulative savings of $25.4 billion. The analysis further reveals that equal savings opportunities exist across multiple hospital characteristics, including size, location, and for-profit or not-for-profit status.

The clear takeaway from Navigant's findings is that despite current efforts by hospitals and health systems to optimize supply chain processes and product utilization, creative tactics and solutions are still needed -and I couldn't agree more.

Implants, though just one segment of the overall supply chain, can represent up to 30% of a hospital's total supply spend2. Expensive on their own, sometimes accounting for more than 50% of the cost of procedures, implants can be a major source of additional expenditures if not managed closely. According to the Global Healthcare Exchange, hospitals and suppliers nationwide lose up to $5 billion in implantable devices annually because of waste and ineffective processes3.

From my experience working with hospitals and supply chain leaders across the country, I see tremendous opportunity to improve the management of implantable tissues and devices in three key areas - to both yield financial savings and to improve the quality and safety of patient care:

  1. Reduce waste
    Many hospitals continue to use homegrown systems in an effort to track implants, from receipt of items through use in patient procedures. While these solutions perform the job of detailed tracking, they typically do not highlight areas where waste is excessive. For implants, common sources of waste include Expiration, Loss, and Items Used but not Billed for. Software that monitors inventory closely can greatly reduce these types of waste.
  2. Optimize inventory levels
    Hospitals need to manage inventory levels to avoid the risk of stock-outs and to avoid carrying too much inventory. By effectively tracking inventory, supply chain managers can stay within optimal inventory levels, simultaneously minimizing the risk of running out of items, and avoiding an unnecessary quantity of expensive implants.An additional inventory consideration, specific to implants, is the need for hospitals to diligently monitor device recalls. By ensuring the facility is notified of recalls quickly, supply chain managers can remove items from stock to avoid threatening patient safety scenarios.
  3. Reduce clinical variation
    Variation in implants used exists in every complex health system. With the sheer number of options for implant types available to clinicians, different implants that serve the same clinical purpose are used. Sometimes this variation is warranted when a strong clinical reason exists, but other times clinicians may not realize there are lower cost and equal value alternatives. By tracking implants used for identical procedures and comparing these over time, supply chain managers can better inform clinicians about the cost side of the equation when such expensive variability exists.

To address the above opportunities, hospitals will need to invest in a software solution that enables the unique tracking and management requirements of tissue and device implants. A solution with strong predictive analytics and reporting, recall matching, and monitoring of device usage and variation are just a few fundamental features to look for. It is the right time for the status quo of supply chain management to be challenged-and implants are an important place to start.

Footnotes
1. "Hospitals' Supply Chain Savings Opportunity Jumps to $25.4 Billion a Year," Navigant, October 2018
2. Taken from the Navigant 2018 report (1), total supply chain spend includes: medical and implantable device costs, medical/surgical and pharmaceutical supplies charged to patient care departments, and supplies related to buildings/fixtures, maintenance, and plant operations
3. "Industry's Achilles Heel: The Supply Chain," Global Healthcare Exchange (GHX), 2013