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Healthcare technology: physician collaboration in reducing the surgical cost.
Clin Orthop Relat Res. 2013 Jun; 471(6):1854-64.CO

Abstract

BACKGROUND

The increasing cost of providing health care is a national concern. Healthcare spending related to providing hospital care is one of the primary drivers of healthcare spending in the United States. Adoption of advanced medical technologies accounts for the largest percentage of growth in healthcare spending in the United States when compared with other developed countries. Within the specialty of orthopaedic surgery, a variety of implants can result in similar outcomes for patients in several areas of clinical care. However, surgeons often do not know the cost of implants used in a specific procedure or how the use of an implant or technology affects the overall cost of the episode of care.

QUESTIONS/PURPOSES

The purposes of this study were (1) to describe physician-led processes for introduction of new surgical products and technologies; and (2) to inform physicians of potential cost savings of physician-led product contract negotiations and approval of new technology.

METHODS

We performed a detailed review of the steps taken by two centers that have implemented surgeon-led programs to demonstrate responsibility in technology acquisition and product procurement decision-making.

RESULTS

Each program has developed a physician peer review process in technology and new product acquisition that has resulted in a substantial reduction in spending for the respective hospitals in regard to surgical implants. Implant costs have decreased between 3% and 38% using different negotiating strategies. At the same time, new product requests by physicians have been approved in greater than 90% of instances.

CONCLUSIONS

Hospitals need physicians to be engaged and informed in discussions concerning current and new technology and products. Surgeons can provide leadership for these efforts to reduce the cost of high-quality care.

Authors+Show Affiliations

Department of Orthopaedic Surgery, Duke University School of Medicine, DUMC Box 3389, Durham, NC 27710, USA. Olson016@dm.duke.eduNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23404417

Citation

Olson, Steven A., et al. "Healthcare Technology: Physician Collaboration in Reducing the Surgical Cost." Clinical Orthopaedics and Related Research, vol. 471, no. 6, 2013, pp. 1854-64.
Olson SA, Obremskey WT, Bozic KJ. Healthcare technology: physician collaboration in reducing the surgical cost. Clin Orthop Relat Res. 2013;471(6):1854-64.
Olson, S. A., Obremskey, W. T., & Bozic, K. J. (2013). Healthcare technology: physician collaboration in reducing the surgical cost. Clinical Orthopaedics and Related Research, 471(6), 1854-64. https://doi.org/10.1007/s11999-013-2828-7
Olson SA, Obremskey WT, Bozic KJ. Healthcare Technology: Physician Collaboration in Reducing the Surgical Cost. Clin Orthop Relat Res. 2013;471(6):1854-64. PubMed PMID: 23404417.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Healthcare technology: physician collaboration in reducing the surgical cost. AU - Olson,Steven A, AU - Obremskey,William T, AU - Bozic,Kevin J, PY - 2013/2/14/entrez PY - 2013/2/14/pubmed PY - 2013/6/26/medline SP - 1854 EP - 64 JF - Clinical orthopaedics and related research JO - Clin. Orthop. Relat. Res. VL - 471 IS - 6 N2 - BACKGROUND: The increasing cost of providing health care is a national concern. Healthcare spending related to providing hospital care is one of the primary drivers of healthcare spending in the United States. Adoption of advanced medical technologies accounts for the largest percentage of growth in healthcare spending in the United States when compared with other developed countries. Within the specialty of orthopaedic surgery, a variety of implants can result in similar outcomes for patients in several areas of clinical care. However, surgeons often do not know the cost of implants used in a specific procedure or how the use of an implant or technology affects the overall cost of the episode of care. QUESTIONS/PURPOSES: The purposes of this study were (1) to describe physician-led processes for introduction of new surgical products and technologies; and (2) to inform physicians of potential cost savings of physician-led product contract negotiations and approval of new technology. METHODS: We performed a detailed review of the steps taken by two centers that have implemented surgeon-led programs to demonstrate responsibility in technology acquisition and product procurement decision-making. RESULTS: Each program has developed a physician peer review process in technology and new product acquisition that has resulted in a substantial reduction in spending for the respective hospitals in regard to surgical implants. Implant costs have decreased between 3% and 38% using different negotiating strategies. At the same time, new product requests by physicians have been approved in greater than 90% of instances. CONCLUSIONS: Hospitals need physicians to be engaged and informed in discussions concerning current and new technology and products. Surgeons can provide leadership for these efforts to reduce the cost of high-quality care. SN - 1528-1132 UR - https://www.unboundmedicine.com/medline/citation/23404417/Healthcare_technology:_physician_collaboration_in_reducing_the_surgical_cost_ L2 - https://link.springer.com/article/10.1007/s11999-013-2828-7 DB - PRIME DP - Unbound Medicine ER -