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People, Places, Processes & Products that Influence the Supply Chain

 

INSIDE THE CURRENT ISSUE

April 2010

Back Talk

Taking your value analysis program to next level of maturity

8 practices that hold back superior value analysis performance

by Robert T. Yokl

The dynamics of value analysis in the healthcare industry has radically changed over the last 10 to 15 years. I have watched as healthcare organizations moved from sole practitioners to value analysis teams to determine the relative worth of the products, services and technology they are purchasing.

Yet, with few exceptions, hospitals, systems and integrated delivery networks have not reached the superior performance stage of maturity in this evolving discipline. As value analysis matures in the healthcare industry, the basics need to evolve, thus taking your value analysis program to the next level of maturity. This great leap forward is crucial if your healthcare organization is going to survive, let alone thrive in the 21st century.

What’s holding back performance

I have listed below eight practices that are holding back superior performance in value analysis programs at our nation’s hospitals, systems and IDNs today, with the goal of giving you some insight into where you need to focus your efforts for improvement:

1. No road map

Most value analysis programs are started or restarted without much thought, planning, guidelines or training, thereby getting off on the wrong foot before they get to the starting gate.

2. Time-tools-resources

There is never enough time, tools or resources allotted to support value analysis programs so VA teams are left to sink or swim on their own.

3. Winging it

There is a lack of a defined scientific repeatable VA process for evaluating and then selecting the most appropriate and cost effective products, services and technologies for purchase.

4. The puzzle

There is no central database to store VA team’s documentation: Just multiple spreadsheets being continuously pieced together without capturing vital documents, studies and project outcomes.

5. Who does what, when and why

There is no follow up, follow through or accountability for completion of VA studies. Hence, too many VA studies wither on the vine or die a slow death.

6. Round peg in a square hole

The conventional wisdom says that standardization of products, services and technologies is one of the primary goals of value analysis, when in fact VA’s principle goal should be customization. Meaning, you need to write your specifications to an exact match of the requirements of your divergent value groups – not assume that one size fits all customers needs!

7. Trial and error

We see the practice of consuming clinicians’ time with trials of this product or that product in their particular department to see if they like it without first defining their exact critical-to-quality functional requirements.

8. Clinicians push back

We often see the practice of pushing and pulling clinicians in every direction but forward as opposed to doing it with data to help them self-correct their aberrant buying behaviors.

As these eight practices suggest, being a top performer in value analysis requires a constantly evolving process, not a static methodology. It necessitates higher-level skills, new and better strategies, tools and techniques to keep pace with the ever changing demands of the healthcare marketplace.

Four levels of VA maturity

To get you started on this evolutionary process, we have found that there are four levels of value analysis maturity that you can use as a check list to gage your own VA program’s maturity level:

• Awareness stage:

Organization is aware that changes in their VA program are needed since it isn’t working as planned.

• Understanding stage:

Organization has some understanding of the basics of value analysis but doesn’t know how to get to the next level of performance.

• Competency stage:

Organization is competent in utilizing most VA best practices, but still is challenged by time constraints, accountability issues, and clinician resistance.

• Superior performance:

Organization has obtained mastery over VA strategies, tactics and processes and is now performing at a superior level of performance.

With this checklist in hand, you will now have a tool to objectively measure the maturity of your own VA program so that you can identify your performance gaps. The next step is to take massive action to radically improve, refine and reshape your VA program for peak performance.

Raising your VA maturity is an evolutionary process that won’t happen overnight. It will require two to three years of hard work to reach the level of superior performance that I outlined above. More importantly, this state of excellence can only be maintained through ongoing maintenance, incentivizing positive team behavior and coaching for performance. It’s just like managing a sports team; perfection is never reached, but it is the ultimate goal.

Robert T. Yokl is president and Chief Value Strategist of Strategic Value Analysis In Healthcare, which is a leading healthcare firm in supply and process value analysis. Yokl has nearly 30 years of experience as a healthcare materials manager and supply chain consultant, and also is the co-creator of the Utilizer Dashboard that extends beyond spend management for deeper and broader utilization savings. For more information, visit www.strategicva.com. For questions or comments e-mail Yokl at bobpres@strategicva.com.