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- 1. SAME: Wound • Protocol • Outcome DIFFERENT: Supply Expenditure $628 $1,803 Other Suppliers Choose your path carefully.
- 2. Delivering quality outcomes for 30-50% less When choosing a supplier for advanced wound dressings, there is only one path to take…
- 3. ► $0.30 to $0.40 [of every dollar] is spent on poor quality care1 ► Wasteful spending costs $1.2 Trillion2 ► Per capita cost more than double in US3 ► Healthcare family premiums increased by 50%4 1. 2. 3. 4. Lawrence, David. Building a Better Delivery System: A New Engineering/Health Care Partnership – Bridging the Quality Chasm. 2005; Washington, DC: National Academy of Sciences. p. 99 Piper, MA, FACHE, Kip. Results-Driven Healthcare: Addressing the Staggering Cost of Poor Performance. www.ahdbonline.com/article/results-driven-healthcare-addressing-staggering-cost-p Squires, David A. The U.S. Health System in Perspective: A Comparison of Twelve Industrialized Nations. 2011. Commonwealth Fund. November 17, 2011. Volume 26.
- 4. Common Industry Practice Cost Escalators • Dispense maximum amount of dressings permitted by insurance • Substitute generic dressings • Encourage expensive antimicrobial secondary dressings • Bill as out-of-network provider
- 5. Cost Comparison Primary and Secondary Dressing Medicare Supply Expenditure* Weeks Treatment Common Industry Practice Byram 1-2 Silver Collagen (QD) $926 $365 3-4 Alginate (QD) $485 $145 5-6 Foam (Q3D) $196 $59 7-8 Lite Foam (Q3D) $196 $59 $1,803 $628 Closure *Supply Expenditure = Medicare average fee x dressing change frequency x days supply.
- 6. Savings with Byram Healthcare Systems $1,175 Patient 20% co-pay $235
- 7. Other Suppliers Bad for Patients • Reduces compliance • Risk of developing resistant pathogens • Lower satisfaction Wrong for our Healthcare System • Increase cost without improving quality • Overutilization places coverage for advanced wound dressing at risk with Medicare
- 8. Premium Services Value Added Programs Accountability Report Starter Kits Basic Services • Knowledgeable Customer Service • Easy to Use • Timely Delivery • Brand Name Dressings Accept Most Insurance Sample Program + Dressing Continuity Program Single Point of Contact eHealth Services = Premium Services with Byram
- 9. Accept Most Health Plans • Our portfolio of health plans has 225 Million covered lives • Offer deep discounts to plan members with no coverage • No need to outsource orders 2010 Population Distribution in the United States Map http://www.census.gov/geo/maps-data/maps/2010popdistribution.html
- 10. Accountability Report Provides full transparency on how we are doing every day
- 11. Accountability Report ACCOUNTABILITY.4gl RUN DATE: 02/02/11 BYRAM HEALTHCARE - ACCOUNTABILITY REPORT ALBANY MEMORIAL HOSP WOUND COUNTABILITY.4gl CTR REFERRAL# 158380 N DATE: 02/02/11 Name Order date Order Type DOB # Days -----------------------------B ANTHONY 04/01/1968 1 BYRAM HEALTHCARE - ACCOUNTAB Order Status Invoice # Product Description ----------- ---------------- -----------------------------------------02/01/2011 NEW IN PROCESS 12685479 GAUZE SPONGE 4"X 4" 12-PLY STERILE 2'S ( RESTORE CALCIUM ALGINATE W/SILVER 4"X 4. STRETCH BANDAGE 4"X 4YD NON-STERILE(1) ( ANCILLARY ITEMS - 15 DAY SAFE N SIMPLE NO-STING SKIN BARRIER WIPE MEDIPORE 2" SOFT CLOTH TAPE (1) 10YD RL BANY MEMORIAL HOSP WOUND CTR REFERRAL# C CUSTOMER SERVICE PHONE:(Downers Grv)800-334-0235x33960 FAX:(Downers Grv)800-521-6291 02/01/2011 158380 ALMA 01/07/1960 1 REORDER 12692421 SHIPPED PRISMA MATRIX 4.34 SQ IN W/COLLAGEN,ORC, ANCILLARY ITEMS - 15 DAY STRETCH BANDAGE 4"X 4YD NON-STERILE(1) ( TAPE PAPER 2"X 10 YD(1) 11/13/1923 1 12692360 PRISMA MATRIX 4.34 SQ IN W/COLLAGEN,ORC, GAUZE SPONGE 4"X 4" 12-PLY STERILE 2'S ( ALLEVYN 4"X 4" (10) FOAM DRSG UOM --PK EA EA KT PK EA Comments QtyOrd QtyShp ------ -----MISC/OTHER 25 25 12 12 12 12 1 1 1 1 1 1 EA 12 12 EA PK EA 2 15 6 2 15 6 1 Order 1 me Order date Order Type KT 2) Order Status 1) Dispensing EA 6 6 EA 1 Product Descr 1 DOB # Days Invoice # Time Types F JOHN 02/02/2011 REORDER IN PROCESS MISC/OTHER ---------------------------- -----------(10) HYDROFIBER DRSG ----------------15 ------------01/09/1948 0 12687882 AQUACEL 4"X4" EA 15 GAUZE SPONGE 4"X 4" 8-PLY STERILE 2'S(2/ PK 100 100 ANTHONY 02/01/2011 NEW PROCESS KERLIX STR.4-1/2 X 4.1YDS(1) (LATEX-FREE EA 50 IN 50 TAPE, PAPER 1" X 10YDS, HYPOALLERGENIC ( RL 1 1 04/01/1968 1 12685479 GAUZE SPONG F JOHN 02/02/2011 REORDER CANCELED MISC/OTHER 01/09/1948 0 12693447 KERLIX STR.4-1/2 X 4.1YDS(1) (LATEX-FREE EA RESTORE CAL AQUACEL 4"X4" (10) HYDROFIBER DRSG EA STRETCH BAN L KATHRYN 02/01/2011 NEW IN PROCESS MISC/OTHER 06/20/1949 1 12682236 STRETCH BANDAGE 4"X 4YD NON-STERILE(1) ( EA 6 6 ANCILLARY I GAUZE SPONGE 4"X 4" 12-PLY STERILE 2'S ( PK 25 25 MEDIPORE 2" SOFT CLOTH TAPE (1) 10YD RL EA 1 1 SAFE N SIMP ANCILLARY ITEMS - 15 DAY KT 1 1 M MURIEL C 02/01/2011 REORDER IN PROCESS MISC/OTHER MEDIPORE 2" ALMA 02/01/2011 REORDER SHIPPED
- 12. Accountability Report ACCOUNTABILITY.4gl RUN DATE: 02/02/11 BYRAM HEALTHCARE - ACCOUNTABILITY REPORT ALBANY MEMORIAL HOSP WOUND CTR REFERRAL# 158380 EALTHCARE - ACCOUNTABILITY REPORT Name Order date e DOB # Days -----------------------------B ANTHONY 04/01/1968 1 CUSTOMER SERVICE Order Status Product Description UOM PHONE:(Downers Grv)800-334-0235x33960 -------------------------------------------IN PROCESS FAX:(Downers Grv)800-521-6291 Order Type Invoice # ----------- ---------------02/01/2011 NEW 12685479 1) Order Status C ALMA CUSTOMER SERVICE PHONE:(Downers Grv)800-334-0235x33960 FAX:(Downers Grv)800-521-6291 GAUZE SPONGE 4"X 4" 12-PLY STERILE 2'S ( RESTORE CALCIUM ALGINATE W/SILVER 4"X 4. STRETCH BANDAGE 4"X 4YD NON-STERILE(1) ( ANCILLARY ITEMS - 15 DAY SAFE N SIMPLE NO-STING SKIN BARRIER WIPE MEDIPORE 2" SOFT CLOTH TAPE (1) 10YD RL 2) Order Completion 02/01/2011 REORDER REORDER 3) Delivery Tracking or Comments SHIPPED 02/02/2011 PK EA EA KT PK EA Comments QtyOrd QtyShp ------ -----MISC/OTHER 25 25 12 12 12 12 1 1 1 1 1 1 CANCELED Order Status Comments EA 01/07/1960 1 12692421 PRISMA MATRIX 4.34 SQ IN W/COLLAGEN,ORC, 12 12 ANCILLARY ITEMS - 15 DAY KT 1 Product Description UOM QtyOrd QtyShp EA Tracking# 1 STRETCH BANDAGE 4"X 4YD NON-STERILE(1) ( 6 6 TAPE EA 1 ------- ------------------------------------------ PAPER 2"X 10 YD(1) --- ------ -------------- 1 SHIPPED F JOHN 02/02/2011 REORDER IN PROCESS MISC/OTHER 01/09/1948 0 12687882 AQUACEL 4"X4" (10) HYDROFIBER DRSG EA 15 15 ANCILLARY ITEMS - 15 DAY KT 2 2 1Z95X66X0379841368 GAUZE SPONGE 4"X 4" 8-PLY STERILE 2'S(2/ PK 100 100 KERLIX STR.4-1/2 EA 50 50 CONFORM STRETCH BANDAGE 1"X 75" STERILE PAPER 1" X X 4.1YDS(1) (LATEX-FREE RL EA 3 3 1Z95X66X0379841368 TAPE, 10YDS, HYPOALLERGENIC ( 1 1 F JOHN SHIPPED 01/09/1948 0 12693447 KERLIX STR.4-1/2 X 4.1YDS(1) (LATEX-FREE FLUFF ROLL GAUZE 4"X 4YDS STERILE (1) AQUACEL 4"X4" (10) HYDROFIBER DRSG (L EA 30 30 L TAPE, SILK 1" X 10YDS, HYPOALLERGENIC (1 KATHRYN 02/01/2011 NEW IN PROCESS EA 1 1 06/20/1949 1 12682236 STRETCH BANDAGE 4"X 4YD NON-STERILE(1) ( GAUZE SPONGE 4"X 4" 12-PLY STERILE 2'S ( ANCILLARY ITEMS - 15 DAY KT 2 2 MEDIPORE 2" SOFT CLOTH TAPE (1) 10YD RL ANCILLARY ITEMS - 15 DAY SHIPPED M MURIEL C 02/01/2011 REORDER IN PROCESS 11/13/1923 1 12692360 PRISMA EA IN AQUACEL AG 4"X4.7" (1) ANTIMICROBIAL HYD MATRIX 4.34 SQ60 W/COLLAGEN,ORC, 60 GAUZE SPONGE 4"X 4" 12-PLY STERILE 2'S ( BORDERED GAUZE DRSG 6"X 6" (4.25X 4" PAD EA 4" (10) FOAM DRSG 30 30 ALLEVYN 4"X MISC/OTHER EA EA EA PK EA KT MISC/OTHER 6 6 25 25 1 1 1 1 EA PK EA MISC/OTHER 2 2 15 15 6 6
- 13. Dressing Continuity Program • Fastest, most accurate way to order supplies John Doe DOB: 12/31/9999 Ben Casey Ben Casey NPI#: 1234567890 12/31/9999 • Reduces errors and rework • Automated Reorder Reminder
- 14. Dressing Continuity Program Placing an order John Doe DOB: 12/31/9999 Ben Casey Ben Casey NPI#: 1234567890 12/31/9999
- 15. Dressing Continuity Program 1) Check to Order John Doe 2) Check Days Supply DOB: 12/31/9999 3) Enter New Items Ben Casey Ben Casey NPI#: 1234567890 12/31/9999
- 16. Dressing Continuity Program • Placing an order John Doe DOB: 12/31/9999 Ben Casey Ben Casey NPI#: 1234567890 12/31/9999 • Dr. and Wound Information
- 17. John Doe DOB: 12/31/9999 Dressing Continuity Program Ben Casey 1) Dr. On File Ben Casey NPI#: 1234567890 12/31/9999 2) Sign, Date & Check Duration 3) Wound Info
- 18. Starter Kits • Consigned inventory, components are billed to patient’s insurance Available Kits • Reduce facility “sample” budget • Silver Collagen • Provide dressing continuity for new patients • Alginate • Collagen • Silver Alginate • Foam Better than next-day, it’s “same day” delivery! • Silver Foam • Honey Alginate
- 19. Sample Program • Samples are available to patients with private insurance that have an lengthy approval / authorization process • Saves facility sample cost • Your staff will be notified of situations that require sampling
- 20. eHealth Services Go Paperless with our eHealth Services platform! • Secure website to place orders online • Physicians can sign orders electronically without a login or password • Apps for iPad and iPhone • Reduces paperwork • Virtually eliminates rework • Manage reorders • Simple interface DEMO LIVE
- 21. eHealth Services Commercial EMR Platforms Option to place orders electronically through your facilities EMR system
- 22. Single Point of Contact • Personalized customer service • Relationship with one person who understands your needs
- 23. Other Suppliers A good choice for your patients. The right choice for our healthcare system.
- 24. Premium Services Value Added Programs Accountability Report Starter Kits Basic Services • Knowledgeable Customer Service • Easy to Use • Timely Delivery • Brand Name Dressings Accept Most Insurance Sample Program + Dressing Continuity Program Single Point of Contact eHealth Services = Premium Services with Byram
Notes de l'éditeur
- Imagine treating a patient’s wound using the same protocol and achieving the same outcome but…depending on the supplier you choose, have dramatically different dressing expenditures.$628 with Byram Healthcare, vs. $1,803 with other suppliers.Lets see why there is such a substantial difference.
- At Byram, we offer both Premium Service and Lower Costs, which allows us to deliver quality outcomes for 30% to 50% less than other supplies.After examining some healthcare trends, we’ll explore why there is only one path to take when choosing a supplier for advanced wound dressings…
- One of our biggest challenges in the US is we pay more for our health care but don’t always get higher quality care.[read frame][ask HCP how they feel about the future of the healthcare industry… challenges & opportunities]Let’s see why choosing Byram can make a difference.
- 1 Dispense maximum amount of dressings permitted by insurance [increases costs without improving quality]2 Substitute generic dressings[poor quality product may impede healing rates which drives up the cost per episode]3 Dispense expensive antimicrobial secondary dressings [products like AMD gauze are usually not needed in the home setting and cost 4 to 5 times more than plain gauze]4 Bill as out of network provider[reduced coverage, separate deductibles, higher co-pays, increase patient out of pocket cost] [gain acceptance from HCP]Did you ever wonder how much the “extra” dressings costs when the patient brings in the box of unused supplies?Lets take a look [go to next slide].
- This chart shows the treatment progression of a hypothetical wound over 8 weeks to closureIt includes the Medicare Part B supply expenditures for the primary and secondary dressings with Byram Healthcare versus “common industry practice”At the end of the 8 weeks, common industry practice supply expenditures is $1,803, while supply expenditures with Byram is only $628[next slide]
- That’s a savings of $1,175 to our healthcare system and a patient co-pay savings of $235, assuming 20% co-payment.This amount can be much higher depending on the health plan’s co-payment structureThese are significant savings with one patient on one wound…but imagine how it amplifies, if you consider all of the patients and all of the wounds you treat![next slide]
- Here’s why other suppliers are bad for patients and wrong for our healthcare systemBad for Patients1 - Reduce compliance [by subbing generic products]2 - Risk of developing resistant pathogens [by overuse of AMD gauze]3 - Lower satisfaction [from higher cost]Wrong for our Healthcare System1 - Increase cost without improving quality [this provides no value]2 - Overutilization places coverage for advanced wound dressings at risk with Medicare[discuss what happened to the diabetes market with competitive bidding… generic product, lack of access to a provider, etc. This can happen to wound dressings too.]
- Most companies will tell you the same thing; they have knowledgeable customer service, are easy to use, have timely delivery and offer quality dressings.At Byram, we consider these things to be “Basic Services”, and they represent the minimum requirements to participate in the wound care space.When you add these Basic Services with our Value Added Programs, that equals our Premium Services.[Our Value Added Programs are designed to increase efficiency, reduce rework, improve communication and save the clinic money on supply cost.]No one offers all of these Premium Services and at a lower cost.[offer to setup another sales call to review the benefits of our programs with the staff]
- As a contracted in-network provider with most health plans, Byram saves your patients on unnecessary out of pocket cost vs. companies that bill dressings as an out of network provider.Other companies must outsource orders because they are not contracted with many payors. Their service commitments and delivery promises do not extend to all of orders they outsourceWorse yet, other companies attempt to bill as an out of network provider…this causes a significant increase in out of pocket cost to your patients.
- Quantifies our service commitmentRuns end of day (fax or email)Provides up to date, reliable information on all outstanding ordersSaves phone calls to check on order statusUnique to Byram
- Orders released the same day show as zero under the # DaysYou’ll be able to see when a Starter Kit was given to a new patient and rest assure they have adequate supplies while their initial order is being delivered.You’ll also be able to see when we dispense samples to patients while their health plan processes prior authorizations(note: samples only appear one time on the report)You can also delineate between New and Reorders
- Orders remain on the report until they are shipped or canceledOrder Status: In Process, Shipped or CanceledOrder Completion: indicates the quantity ordered and shipped for each item3 - Delivery Tracking / CommentsShipped orders will have a delivery tracking numberIn Process & Canceled orders will have a “basic reason” in place of a tracking number
- How do you manage reordering supplies for your patients?[read slide]Here’s how it works:Arrives Monday mornings (fax or email)Captures patients that ordered within past 7 to 14 daysShows all items orders within last 60 daysAlpha sorted by patientFile in chart for patient’s next visit
- Let’s see how easy it is to place an order.[read slide]
- Check to order an item for each wound; can order up-to 3 woundsCheck 15 or 30 day option
- Dr. Info: Indicates the physician name & NPI# on filePhysician’s Order: Dr. signs, dates and indicates the duration of needWound Info: Only update when the plan of care changes
- Kits contain three primary, three secondary dressings and tapeAutomatically replenished to your facility up to 2 times per weekFoam kits provide 15 days of product when use in accordance with Medicare guidelines
- We go above and beyond to care for patients with challenging health plans.
- It’s a web based service so there is no software to installIt’s freeware so it cost nothing to useSimple enrollment process to get started, no contracts requiredInteractive training is built into the applicationAdditional support is available at no charge
- Contracted nationally with WoundExpert and IntellicureIntellicure facilities – Program Manager must contact Intellicure to add Byram as your preferred supplierByram is contracted with all NetHealth EMR systems (WoundExpert, iHEAL, etc.)
- Your customer service contact is accountability for your 100% satisfaction with our serviceWorks hand in hand with your local field Account ManagerResource for immediate troubleshooting, product and insurance / reimbursement information
- Close for the business!