1. Fully Contracted Coverage to In House Service
MRI
Fully Contracted Coverage to In House Service

2. Christiana Care Health System
Delaware’s largest private employer.
More than 11,000 employees.
Extensive range of outpatient services.
Major teaching hospital with four campuses.
Largest teaching affiliate hospital for Sidney Kimmel Medical College at Thomas Jefferson University, training more than 280 residents annually.
Net operating revenue of $1.66 billion.
Christiana Care Health System

3. Christiana Care Health System
150+ Patient and Family Advisers
Primary Care Office Visits: 227,295
Home Health Care Visits: 308,096
21st in U.S. Admissions: 53,072
29th in U.S. Surgeries: 38,712
21st in U.S. ED Visits: 187,317
32nd in U.S. Births: 6,469
Christiana Care Health System

5. CCHS Equipment Snapshot
6 R/F
22 Rad Rooms
25 C-Arms
30 Portables
10 Nuc Cameras
8 Densitometers
1 Blood Irradiator
10 3D Mammo 2 2D Mammo
1 Biopsy Table
9 Imaging Centers
4 Cardiac Diagnostic Centers
2 Outpatient Surgery Centers
26 CTs and 2 PET/ CT
15 MRIs
5 Linaccs
205 US
14 Cath Labs
25 Process Chillers
CCHS Equipment Snapshot

6. Elevator Speech Start with an FTE at $100/hour and 2080 hours/year
$208,000 is the point where you break even
$150,000 per year for a full service contract – 10% of the average purchase price per year
3 units costs reduced by 50% pays for the program
4 units to 50% is a cost avoidance of $75,000
$75,000 is $1,500,000 in Healthcare not needed to be provided by caregivers at 5% profit margin to break even.
Elevator Speech

7. Assumptions Duplicate Magnets – No solo models to start
Training is Available
Cooperative OEM
FTE with the right temperament
Moderate to Enthusiastic Support of C-Suite
Control of the Service Budget
No-Hiring Freeze
5% COSR
Assumptions

8. Risks Quench MRI Safe Tools PTO On Call
Failure beyond repair skill / capability
Chiller Service
Risks

9. Planting Seeds Stakeholder Buy In Training Budget Contract Flexibility
Robust CMMS for Data
Planting Seeds

10. Roots Grow Proof of Concept - Program in Action Data Gathering
Retain Backup Plan
Evaluate Technical Support, Cryogen, Coil Repair, Remote Monitoring, Chiller Repair, and Parts Suppliers
Specialty Tool Acquisition Begins
Roots Grow

11. Shoots Appear Analyze Data – Costs vs Benefits
Determine Appropriate Scale
Meet with Stakeholders, present Data
Shoots Appear

12. Unexpected Butterflies
First Responder to the unit
Off hour Planned Maintenance
Local Expert – Protocol Adjustments
Value Adds – Patient Monitoring / Infusion Pumps / Anesthesia
Unexpected Butterflies

13. Shade Tree PM’s are done off hours Costs are down
Cryogen fills are planned
Remote Monitoring
Life Cycle Collaboration
Shade Tree

14. Risks Quench MRI Safe Tools PTO On Call
Failure beyond repair skill / capability
Chiller Service
Risks

15. Elevator Speech Start with an FTE at $100/hour and 2080 hours/year
$208,000 is the point where you break even
$150,000 per year for a full service contract – 10% of the average purchase price per year
3 units costs reduced by 50% pays for the program
4 units to 50% is a cost avoidance of $75,000
$75,000 is $1,500,000 in Healthcare not needed to be provided by caregivers at 5% profit margin to break even.
Elevator Speech

16. Q&A