ordon Hospital, a small-town facility in the
northwest corner of Georgia, rarely got the hands-on treatment from medical
device sales staff that hospitals in metropolitan areas received. Our staff
was used to being put on hold when placing a product order and dealing with
sales representatives that we would never see in person.
So when one of our physicians requested some urological products from
Bloomington, IN-based Cook Medical, the staff wasn’t prepared for same-day
service and a personal visit from a Cook district manager. But that’s the
kind of support we received. The call ultimately resulted in a full-fledged
conversion to Cook urological products that is bringing state-of-the-art
medical technology to Gordon at a fraction of previous operating costs.
We first contacted Cook to inquire about a kidney-stone extractor that
Urologist Jason Crane had requested. Dr. Crane had trained with Cook urology
products during residency. As a result, when a difficult case presented
itself, he immediately thought of the Cook device as part of the optimal
course of treatment for his patient.
"Having used Cook’s urology devices in the past, I was well aware of the
quality and efficiency of their products," said Dr. Crane, noting in
particular their ease of use.
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The Gordon Hospital team responsible for the
conversion from left: Dr. Jason Crane, Deanna Carter, April Bell,
Debbie Barlow and Pat Aaron. |
First class service for a small-town hospital
Gordon Hospital is an award-winning facility with a state-of-the-art care
center and one of the most progressive programs in the region. But out in
Calhoun, GA an hour outside of Atlanta, its location had proved to be a
challenge in the past.
"It has been difficult for us to get medical device companies to send
representatives to our location," said Cory Reeves, CFO of Gordon Hospital.
We asked Cook’s local sales representatives how quickly they could get
the extractor onsite. To our surprise, Steve Clemmer, district manager for
Cook Medical, brought the device to the hospital that same day, and Dr.
Crane was able to alleviate his patient’s discomfort within hours.
"When Cook sent a representative out to our facilities so quickly, it
made a big impression," said Reeves. "We also knew how well-regarded Cook
products are by our physicians. It made sense to explore working with them
more closely."
Gordon discussed with the company, the feasibility of converting to all
Cook urology devices. Through the Premier healthcare alliance (the group
purchasing organization for the Adventist Health System to which Gordon is a
member), the hospital began exploring the conversion process and determined
that the conversion would not only save a substantial amount of money on
inventory but also supply the medical technology necessary to provide the
same care as a urology "center for excellence." Both of these benefits could
significantly improve overall patient care.
The conversion
Once the decision to go with Cook was made, we began the daunting process
of converting existing inventory to Cook products. Conversion can be a
costly and time-consuming effort riddled with bureaucratic roadblocks.
Without a high degree of both internal and external collaboration, the
process can often grind to a halt.
At the onset of the conversion, Cook worked closely with our
administration and clinicians to ensure that the entire team was comfortable
with the Cook product set, features and functions. The Cook team visited
physicians at the hospital multiple times for training sessions, and was
quick to respond when the hospital’s staff needed more background on a
particular device.
"The most important part of the conversion process is ensuring our
physicians have the information they need to understand and be comfortable
with the products," said Reeves. "That means giving them the opportunity to
interact with the products, test them and become familiar with all their
intricacies. Cook recognized this and went out of its way on multiple
occasions to ensure our physicians had exposure to the product line as we
finalized the cross-over."
Inventory
Once trainings were complete and Cook began shipping its devices to us,
the question arose regarding our existing inventory. How could we make space
onsite for the new stock? How could we re-coup the dollars we had already
invested?
"Without a good strategy to remove the existing inventory, Gordon would
have been sitting on thousands of dollars of unused medical devices," said
Clemmer, Cook Medical. "Holding on to these materials would have been costly
and would have taken up significant storage space at Gordon." Under
Clemmer’s direction, Cook stepped in to help. "We arranged for sister
hospitals to take some of the inventory and donated portions to missionary
groups. This process freed up significant space onsite for the new Cook
products and also gave Gordon some financial return."
Product coding
The next challenge was coding the technology so it could be integrated
into Gordon’s system. Coding ensures easy product identification for
physicians and seamless billing procedures for the finance department. But
the process is often frustrating, time consuming and confusing for hospital
administration. Once again, Cook offered support by introducing an
easy-to-implement, easy-to-use label and coding process for our
administration team that drastically cut the time it took to get Cook
products in the system.
Specifically, the Cook team created laminated labels for each of the new
products being introduced at Gordon. These labels included pictures of the
device, the product names, the GPN reorder number and Gordon’s internal
matching numbers, making the devices easy to identify and to re-order as
necessary. And, to further eliminate confusion and reduce stress for our
team, Cook also provided an indicator of what former product was being
replaced by the new Cook devices, therefore, the clinical staff could
quickly and easily locate the products they needed in the store room,
without the need for a lengthy comparison process.
"Transitioning new products into the system is usually the biggest
headache in the conversion process," said Deanna Carter, Gordon’s operating
room materials manager. "The Cook team developed a seamless process that
reduced the time and costs associated with this type of project. They spent
countless hours helping us re-label each individual product in the new
inventory."
The end result
We are now converted to Cook’s entire line of urology products and
experiencing a significant return on investment, as well as a marked
improvement in patient care. Equally important, the hospital has experienced
a 50 percent cost reduction from the conversion, due in large part to the
durability of Cook’s products. In many instances, we are using only one Cook
product for procedures that otherwise would have required two or more
devices from other manufacturers.
The standardization to Cook also reduced the number of vendors and the
amount of inventory kept in stock by 75 percent combined with a 24-hour
turnaround commitment. Cook’s free shipping program has also allowed for
fast, cost-effective access to devices brought on by quicker delivery time.
As a result of the devices arriving in a timely manner to Gordon, the
clinicians are able to speed-up treatment times and lower procedure costs
from lengthy waits.
"This was by far the easiest conversion we have ever done," said Reeves.
"Steve and the team at Cook went above and beyond what we would have
expected from a vendor, and we could not be more pleased with the results.
Our organization is saving a significant amount of money, and we pass those
savings on to our patients. Further, the quality of care we are able to
provide has only improved since we began using the Cook technology."
"The economic benefits of this conversion to Gordon were clear from the
onset," added Dr. Crane. "However, what has become more apparent throughout
this process is Cook’s commitment to innovation and its ability to adapt to
the evolving needs in the urology field. Cook’s dedication is helping us
provide our patients with state-of-the-art medical care, at lower cost
points. It’s a win across the board. We’ve quickly integrated these products
into our practices and saw immediate, positive impacts on the quality of
care we offer our patients."