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Thinking Differently About Healthcare Materials Management CAHPMM Annual Meeting

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Title: Thinking Differently About Healthcare Materials Management CAHPMM Annual Meeting


1
Thinking Differently About Healthcare Materials
ManagementCAHPMM Annual Meeting
  • October 25, 2007
  • Teri Louden, PresidentThe Louden Network
  • www.louden.net

Thinking Differently About Healthcare
2
Todays Lineup
  • What Hasnt Changed?
  • 2. What Is Changing?
  • 3. WIIFY?

3
What Hasnt Changedor Back to the Future!
  • Healthcare Cost Pressures
  • Quality of Care and Best Practice Focus
    (remember TQM?!)
  • Physicians Wanting The Latest and Greatest!
  • 47 million Americans lack health insurance
  • Ever-Laborious Legal and Regulatory Pressures

4
Healthcare costs continue to skyrocket
  • Premiums for employer-sponsored health insurance
    plans rose an average of 7.7 in 2006, a rise
    that was more than double the inflation rate of
    3.5 and the 3.8 gain in wages.
  • HMO premium rates will increase by approximately
    14.1 in 2008-the highest increase in four years.
  • _U.S. Comptroller
    Generals Office

5
And The Train Keeps on Coming!
  • _ In the next decade U.S. Healthcare spending
    will double from todays level to 4.1 trillion,
    one fifth of our nations economy.
  • _ By 2030 one fifth of Americans will be 65 or
    over. Instead of three workers paying into Social
    Security and Medicare for every one beneficiary,
    there will be just two.

6
The Revenge of the Acronyms
  • The CMS, the CBO, the GAO, the OMB are all
    looking at healthcare costs. So are the
    presidential candidates from both parties. So are
    employers.
  • A recent report by the Leapfrog Group says there
    are now 155 pay for performance programs in place
    this year, compared with only 39 in 2003.

7
  • Researchers looked at 10 different
    pay-for-performance programs and found they used
    almost 60 different physician performance
    indicators, that no one indicator was used by all
    10 programs and no two programs rewarded
    providers the same way.

  • _Pricewaterhouse Coopers

8
The Voters Weigh In
  • What are the most important issues facing the
    U.S.?
  • War in Iraq 43
  • Healthcare 21
  • Immigration 18
  • Economy 13
  • Gas Prices/energy 12
  • Terrorism/security _Kaiser Health Tracking Poll
    June 2007

9
Americans Biggest Healthcare Concerns
  • How much do I have to pay out of pocket? 38
  • Cost of Medicare/Medicaid 18
  • Cost of Healthcare overall 18
  • Increases in employer costs 13
  • _Kaiser
    Health Tracking Poll, June 2007

10
Do you think the government should provide a
national health insurance program for all
Americans, even if this would require higher
taxes?
  • Yes 64
  • No 35
  • Not sure 2
  • _CNN/Opinion
    Research Poll, May 2007

11
Physician-Hospital-Vendor Relations ScrutinyA
Given!
  • HHS OIGs office Stark II Phase 3
  • Department of Justice
  • Federal Trade Commission
  • IRS
  • CMS/Congress crackdown on specialty hospitals
  • FDA
  • JCAHO random surveys

12
Health Care A Trillion Industry!
  • Financial Services
  • Healthcare Trade Payors
    Alternative
  • Associations Medicine
  • Disease/Condition Vendors/
  • Focused Associations Suppliers
    Foundations
  • Healthcare Retailers
    The DotComs
  • Providers
  • Consumers

13
No Matter the Challenges or Opportunities
  • . Never Forget Why We Are Here
  • There is the Word Care in Healthcare!

14
Todays Lineup
  • What Hasnt Changed?
  • 2. What Is Changing?
  • 3. WIIFY?

15
Healthcare Provider Industry Consolidation
  • Fewer and fewer independent hospitals
  • Multi-Billion Health Care System Providers with
    Multi-Billion Budgets and Buying Power!

16
Boston Scientific/Guidant Deal of the Century!
  • 27 billion dollar acquisition
  • Largest medical device MA transaction ever
  • Medical device MA long characterized by many
    small deals vs. large transactions
  • Industry consolidation fewer large companies as
    acquirers

17
Medical Device Companies by Size
  • Less than 20 employees 3,377
  • 20-99 1,022
  • 100-499 373
  • 500 324
  • Source US. Dept of Commerce

18
Understanding Vendors
The Consolidators
The Innovators
19
Medical Product Industry Sectorsby FDA
Regulations
  • Pharmaceutical/Drug
  • Manufactured by a chemical process
  • Regulated by Center for Drug Evaluation and
    Research (CDER)
  • Bio-pharmaceutical/Biologic
  • Manufactured by a biological process
    (biotechnology)
  • Regulated by Center for Biologics Evaluation and
    Research (CBER)
  • Medical Device
  • Neither chemical nor biological
  • Mechanical, Electrical, Information Technology,
    etc.
  • Regulated by Center for Devices and Radiological
    Health (CDRH)

20
What is a Medical Device?
  • Diagnostics and therapeutics
  • Surgical and medical and dental and equipment and
    supplies
  • Ophthalmic products
  • Laboratory apparatus
  • Veterinary instruments
  • ButThe World is Converging!!!
  • NAICS codes

21
Combination Products
  • A product comprised of two or more regulated
    components
  • Drug, Device, Biologic
  • Physically/chemically combined
  • Drug-eluting stent (drug/device)
  • Orthopedic implant with growth factors
    (device/biologic)
  • Co-packaged or kit
  • Pre-filled syringe
  • Metered dose inhalers
  • Separate cross labeled products
  • PET imaging (diagnostic with a radiopharmaceutical
    )
  • Hyperthermia device with chemotherapeutic drug

22
AndThe Emerging Convergence of
Device/IT/Wireless Technologies
23
The Future Medical Technology Converging Across
Many Disciplines
  • New Learnings for product developers coming
    together
  • Physicians other clinicians engineers
    biologists material scientists nanotechnology
    experts IT optical scientists data mining
    experts statisticians biotechnicians
  • Along with new IP, regulatory and
  • Reimbursement issues to be addressed
  • Plus, new learnings for manufacturing

24
Major MedTech Market Trends
  • Convergence of technologies
  • Global research and market launches
  • Off-shore manufacturing (esp. for less technical
    products)
  • Industry consolidation
  • Disease management focus
  • IT as a key success factor

25
Advanced Medical Technology A Robust Market
Today and Positive Future Prospects
  • Environment
  • Explosive growth in elderly population
  • Continued need for cost-effective health care
    solutions
  • Trends
  • Early diagnostic emphasis
  • Alternative-to-drug therapeutics gaining
    popularity

26
Advanced Medical Technology A Robust Market
Today and Positive Future Prospects
  • Capital Markets
  • 1st Quarter 2007, record vc investments of 1.1
    billion in medical devices, surpassing IT
    investments
  • 2006 investments up 20 to 2.63 billion record
    year in number of deals and amounts invested
  • 2004-2006
  • 44 device IPOs, most with high after-market
    performance
  • 92 acquisitions of venture-backed device
    companies

27
Medical Technology Follow The
  • 1965
  • Disposables
  • Diagnostics
  • Less Invasive Surgery
  • Miniaturization
  • Imaging
  • Digital Age/IT
  • Biotech and Drug Delivery
  • The Big Diseases
  • Support for Labor Realities
  • Combination Products
  • Genomics

Future?
28
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29
Synecor A Unique MedTech Incubator Concept, and
an Amazing Launch!
  • Raised 24.3 million since 2000
  • Second financing was by JJ valuation was
    200mill
  • In 2007, Synergy Life Science Partners 150 mill
    fund being launched to further support Synecor
    device launches (source In Vivo)
  • In 6 yrs, has launched 4 companies, 2 in NC, with
    one already sold to Guidant
  • Source In-Vivo magazine article

30
Major MedTech Growth Sectors
  • Ortho
  • Cardiology
  • Obesity
  • Diabetes
  • Ophthalmic
  • Cosmetic
  • Non and least-invasive
  • Wireless monitoring

31
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32
Its a Global World Now!
  • Medical Technology Launches Research Outside
    the US
  • World Population age 20-34
  • By 2010,
  • 4 US
  • 60 Asia
  • World GDP
  • 50 will be in Asia in the next 20 years

33
We Can Hardly Imagine the Future IMPACT OF THE
WWW!!!
  • Virtual Dr. Visits
  • Patient Compliance Measurement and Reminderswith
    Incentives
  • Gaming Technologies for Health Care Worker and
    Patient Edutainment
  • Patients Seeking Out Technology Access vs.
    Just a Dr. or Hospital
  • Global Learnings

34
Continued Explosion of
  • Healthcare Facilities Building
  • Medical Technology Advances
  • Wireless Technology Applications in Healthcare
  • Aging Population

35
Baby Boomers and the Health System Its the
Workforce, Stupid!
  • Hospitals have read the demand side of the baby
    boomers wrong!
  • Technology will continue to reshape the demand
    for hospital care
  • While they wait for years for baby boom health
    services demand to crest, hospitals will
    experience a human resource crisis of
    unprecedented magnitude!
  • Source Jeff Goldsmith

36
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37
Todays Lineup
  • What Hasnt Changed?
  • 2. What Is Changing?
  • 3. WIIFY?

38
W I I F Y
?
  • 1. Think Differently About the Role of
    Materials Management
  • 2.
  • 3.
  • 4.
  • 5.

39
Thinking Differently
  • Take Time Out To Think Strategically!!
  • Radical innovation is needed to change the
    healthcare business model-today it is
    incremental at best
  • The Radical Solutions are not always in all our
    newfound data and information.

40
The Radical Solutions Will Come From Creativity
  • Value time to think strategically and
    creatively and stretch your thinking!
  • Where Is The Wisdom Weve Lost In Knowledge?
  • Where Is The Knowledge Weve Lost In
    Information?
  • T.S. Elliot

41
Imagination Is More Important Than Knowledge
  • Albert Einstein

42
Who Moved Our Cheese?
  • ITS TIME TO THINK
  • TOTALLY DIFFERENTLY!!

43
How Do You Want to Be Perceived? What is Your
Value?
  • Purchasing
  • Logistics and Materials Management
  • Expert Contract Negotiator
  • Product and Technology Cost, Reimbursement, and
    Finance Expert
  • Medical Technology Management
  • Advanced Medical Technology Expert
  • All of the Above??? Plus More?

44
How Are You Perceived By
  • Senior Management?
  • Physicians?
  • Nursing?
  • Other Clinicians?
  • Your Staff?
  • Your Peers?
  • How Do You Want to Be Perceived??

45
Be a Part of the Senior Executive Mgmt. Team
  • More and More MM Reporting to CFOsits a sign
    of the times!
  • Billions of Under Your Control
  • Represent Solutions Not Just Expenses!
  • Talk The Languageanalysis, numbers,
    reimbursement, ROI
  • Add Professional Development to your time
    management list of priorities

46
W I I F Y
?
  • 1. Think Differently About the Role of
    Materials Management
  • 2. Focus Your Time With The 80/20 Rule
  • 3.
  • 4.
  • 5.

47
Where is Your Biggest Return for Your Time Going
to Be?
  • What Product Lines to focus on and why eg.
    Pharma, Capital Equipment, Physician Preference
    Items.other?
  • Priority of Focus by Functional area eg.
    purchasing, inventory mgmt, costing analysis, new
    medical technology assessment

48
W I I F Y
?
  • 1. Think Differently About the Role of
    Materials Management
  • 2. Focus Your Time With The 80/20 Rule
  • 3. Make Vendor Relations a Key Strategy
  • 4.
  • 5.

49
Finding The Perfect Partners!
What A Vendor Wants and What They Can Deliver
What You Want and What You Can Deliver
50
Vendor Relations
  • 80/20 RuleIts a Balancing Act
  • Watch and take control of contracts and price
    information sharing
  • Its not just about the Big PlayersDont forget
    emerging advanced medical technology companies
    and university tech transfer as well
  • More and more need for vendor partners with IT
    solutions and data/cost analysis capabilities

51
W I I F Y
?
  • 1. Think Differently About the Role of
    Materials Management
  • 2. Focus Your Time With The 80/20 Rule
  • 3. Make Vendor Relations a Key Strategy
  • 4. Free Up Your Time for Thinking Differently
    and Being The Expert
  • 5.

52
Make Continuous Learning Outside Your Box a
Priority
  • Staying up on Materials Mgmt. is a given
  • But now need to add
  • Financial Management HFMA meetings, Health
    Leaders magazine, Healthcare Finance News
  • Medical Technology/Vendor perspectivesAdvaMed,
    In-Vivo, MX

53
W I I F Y
?
  • 1. Think Differently About the Role of
    Materials Management
  • 2. Focus Your Time With The 80/20 Rule
  • 3. Make Vendor Relations a Key Strategy
  • 4. Free Up Your Time for Thinking Differently
    and Being The Expert
  • 5. Back to the Basics of Mgmt 101!

54
Create the Right Culture
  • Dust off The One Minute Manager!
  • Delegatefor your team and for you!
  • Develop a culture of Learning. Everyone become an
    expert and then the whole team is viewed as
    the experts
  • Rethink work design given the new worker realities

55
Develop Creative Communications Strategies
  • Everybody, Anywhere
  • Is Connected!
  • Entertainment Multi-Media
  • How The
  • New Economy
  • Communicates
  • Content Anywhere/
  • Anytime
  • Fast

56
W I I F Y
?
  • 1. Think Differently About the Role of
    Materials Management
  • 2. Focus Your Time With The 80/20 Rule
  • 3. Make Vendor Relations a Key Strategy
  • 4. Free Up Your Time for Thinking Differently
    and Being The Expert
  • 5. Back to the Basics of Mgmt 101!

57
Food For Thought
  • The Best Way To Predict The Future
  • Is To Create It.
  • --Peter Drucker
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