Understanding Your Customer Dynamics in Value Analysis

Hospital Value Analysis Tools
Understanding Your Customer Dynamics in Value Analysis

One of our mantras that we have lived by in my company and with our hospital and health system clients is, “Value analysis begins and ends with the customer.” We don’t have specifications to analyze without our customers, we don’t have requests for new products without our customers, we don’t solve problems without our customers, we don’t have real internal information about outcomes without our customers, and I could go on. We need our customers and our customers need us to pull that great information out of them that is vital for our Supply Chain and Value Analysis Programs.

Value Analysis Directors, Managers, or Coordinators are Generalists

No matter what your background is, once you enter the VA world you are no longer a nurse, clinician, or supply chain category manager. You are a generalist, and even though you speak the language and are inside the circle of confluence, you are still on the outside looking in and can’t make any calls. That’s okay, and in some ways better, as the value analysis process needs you to be impartial in your actions, strategies, and evaluations for all studies.

Are There Dynamics for Customers in VA?

Each customer has distinct characteristics and dynamics that should be considered when performing value analysis studies and evaluations. No value analysis study is the same and neither are the end customers, so it is important to identify their role in the process for you to facilitate your study to the optimal effect. It sounds simple, but when the new product request, contract conversion, or retrospective cost optimization review hits, these things get a bit lost as we jump into a knee-jerk reaction to get it done ASAP.

Start Every VA Study by Understanding Customer Dynamics for Success

Over my 34 years in healthcare value analysis, I have found it very helpful to identify who your key customers are and identify how they are going to impact your study. Why is this important? Because you need to know their point of view. In other words, if someone is turning the screws to influence your study, you need to quickly understand their role. Most importantly, you are going to need to control your study – otherwise, your customers will take control and there goes your value analysis process and checking all the right boxes for workflow, evidence, options, etc.

Below is an overview of key customer roles and responsibilities that you want to identify in all of your VA studies which will greatly aid you in the success of your projects. Remember, some may have dual roles. For example, a Surgeon can be both User and Stakeholder at the same time.

User Stakeholder
  • Uses the product/service
  • Has an interest in the success of the functionality and reliability of the product/service
  • Sees the actual outcome of the product/service up front
  • Is removed from having a vested interest in the product/service
  • Often a hands-on user of the product/service
  • Has a vested interest in the product/service
  • Has influence in the process and selection of the product/service
  • Has a say in the decision-making process
Technical User Expert/Coach
  • Does not use the product but has an interest in customer outcomes
  • Wants patient, procedural, quality, and financial success
  • Needs you to follow workflow and compliance rules of the organization
  • Mindful of risks and alternatives

 

  • Knows more about the product/service inside or even outside your health system
  • Wants you and your study to succeed
  • Does not have a vested interest in the product/service but sees and knows all about the use, maintenance, problems, and day-to-day interaction with the users, stakeholders, and technical users
  • Will guide you in your strategy and selection of value analysis options

To help you understand each of the roles and responsibilities better, below are some examples of value analysis customers.

User Examples Stakeholder Examples
  • Patients – everything we do is for the true customer, the patients
  • Clinicians – Nurses, Surgical Techs, Lab Techs, Pharmacists, etc.
  • Other Users – Central Sterile team, Environmental Services, Biomed, etc.
  • Surgeons asking for a new surgical instrument or system – will make more money in surgical fees from the new cases
  • Lab Director asking for new instruments – will make the organization more revenue and increase speed of services
  • Chief Nursing Officer asking for new nurse scheduling system to improve nurse care flow
  • Chief Medical Officer – must keep the machine running with new cases and keep the physicians happy
Technical User Examples Expert/Coach Examples
  • Supply Chain – need we say more about standardization, contracting, sourcing, inventory, negotiations, etc.
  • Finance – revenue integrity, budget awareness, return on investment, etc.
  • Infection Control – assess and avoid risks
  • Value Analysis Team (peer department heads and managers) – need you to follow the health system’s rules and workflow processes to receive the decision/outcome they are looking for.
  • OR Manager providing coaching and feedback
  • Nurse Managers – know what their teams do with products on the nursing floors and are wary of the pros and cons to most products. They have, in the past, walked the walk in the same shoes as their users.
  • ED Manager – they use more product than most and do things like start more IV’s than the entire hospital – they can guide you on most clinical products.

The Most Important Customer to Find First in Any VA Study

We always teach that the first customer you need to identify for all value analysis studies, bar none, is the Expert. They know the most about the product and can act as your coach to help you understand the real-world aspects of the products, departmental use patterns, problems/challenges, and all the nuances regarding what you are studying. This is invaluable, especially if you are in a large hospital or even more valuable when you look at the system level. Remember, they have an interest in your success and follow through as your coach. Lastly you can have more than one Expert depending upon the depth and broadness of your VA study (i.e., one expert for a hospital level VA study, three experts for a health system-wide VA study, etc.).

Remember, you choose your experts!

Don’t Miss a Key Customer, User, Stakeholder, or Expert

Using these templates to quickly and easily keep track of who your customers are in the VA process is invaluable. After a while you will start to automatically identify and classify these customers and what they mean to the dynamic of your VA study. No one customer is the same and you must always keep that in mind, but if you classify your customers right you will eliminate the dreadful downside of VA that hits from time to time. That downside is missing a key customer who throws your VA study for a loop. It is better to be proactive and make sure you are covering all your bases than to miss that key customer. Follow these simple templates and you will have mastered the customer end of the VA equation!

About Robert W. Yokl, President of SVAH Solutions
Robert is the President of SVAH Solutions which provides value analysis, clinical supply utilization, and savings validation tools to help healthcare organizations gain the next level of savings beyond price and standardization.
https://www.SVAH-Solutions.com
https://www.SavingsValidation.com

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