1. Case Study: Surgical Instrument Service Consolidation/Internalization I/T Technology Management Division Clinical Engineering – Diagnostic Imaging Service - Technology Assessment & Planning

2. Banner Health I/T Technology Management Division Non-profit multi-state health system 28 Acute care hospitals; MDACC, BIMC, BGFMC, BCGMC, BFCMC, UMAC

3. Banner Health Vital Stats I/T Technology Management Division  275,000 pieces of medical equipment  Medical equipment net asset value = $35 billion  5,500 beds  43,000 employees  205 operating rooms

4. 20/20 Vision I/T Technology Management Division

5. Background I/T Technology Management Division  Banner Technology Management Clinical Technology Assessment and Planning Diagnostic Imaging Service Clinical Engineering ENTECH (ISO)

6. Background I/T Technology Management Division  Charged by leadership to: “Think outside the Box”  Budgetary challenges HealthCare Reform; Obama Care, Affordable Care Act, etc… Decentralized service expense Centralized service expense

7. 2 Target Services I/T Technology Management Division  Flexible Endoscopes  Rigid Endoscopes  Surgical Power Tools Stryker System 6 & 7  Surgical Hand Instruments Sharpening & Repair

8. I/T Technology Management Division

9. “Herding Cats” I/T Technology Management Division  Key stakeholder multi-disciplinary team C-Suite Endoscopy Perioperative Sterile Processing Clinical Engineering Supply Chain

10. Communication I/T Technology Management Division  Meet on a regular frequency Develop charter Subcommittees Financials Selection criteria RFP

11. I/T Technology Management Division  Scope of work  Specific timelines for deliverables  Vendor site visits

12. RFP I/T Technology Management Division  Repair service evaluation Per modality Per discipline  Risk share model Create win-win opportunities for both organizations

13. RFP I/T Technology Management Division  Escalation Protocol  Original Equipment Manufacturer Specialty Scopes Olympus flexible ultrasound scopes Divinci

14. “Go Live” I/T Technology Management Division  Expense realignment  Escalation protocol  Customer web portal  Onsite instrument service lab

15. “Entrance Area” I/T Technology Management Division

16. “Surgical Service Lab” I/T Technology Management Division

17. “LEAN Work Bench” I/T Technology Management Division

18. “Flexible Scope QC Station” I/T Technology Management Division

19. “Flexible Scope Sink” I/T Technology Management Division

20. “Metal Filter System” I/T Technology Management Division

21. Monitoring I/T Technology Management Division  Scheduled partnership reviews Operational metrics  Turn times  Educational opportunities  Operational efficiencies  Loaner pool utilization

22. Monitoring Cont. I/T Technology Management Division Warranty repairs Financials Share best practices Work flow analytics

23. Questions I/T Technology Management Division ? Frank Cabrera Sr Director Clinical Engineering Banner Health 602-747-9088 Frank.cabrera@bannerhealth.com