# Presentation: 387132

## VHA PROSTHETICS/LOGISTICS STANDARDIZATION PROGRAMS

- Frederick Downs, Jr., Chief Prosthetics and Clinical Logistics Officer

## Presentation Agenda:

- Prosthetic Clinical Management Program (PCMP) Work Groups
- Prosthetic National Contracts
- Real Vs. Projected Savings
- National Standardization Program

## Prosthetic Clinical Management Workgroups

- Currently 30 Clinically-Driven Work Groups
- Products for workgroup development and standardization selected
- Specifications/Criteria and evaluation factors developed
- Product Evaluation
- Contract Awarded

## TENS
Vacuum Erection Devices
BP Monitors
Closed Circuit TVs
BIPAB/CPAP
Pacemakers/Leads
AICDs
Ortho Hips
Ortho Knees
Deep Brain Stimulators
Diabetic Socks
Scooters
Transport Wheelchairs
Orthotic Laboratories

- Vacuum Erection Devices
- BP Monitors
- Closed Circuit TVs
- BIPAB/CPAP
- Pacemakers/Leads
- AICDs
- Ortho Hips
- Ortho Knees
- Deep Brain Stimulators
- Diabetic Socks
- Scooters
- Transport Wheelchairs
- Orthotic Laboratories

- Powered Wheelchairs
- Manual Wheelchairs
- Coronary Stents
- Aortic Stents
- Peripheral Stents
- Walkers
- Cochlear Implants
- Hospital Beds
- Computers for Blind
- Intra-Ocular Lenses
- Eyeglasses
- Home Oxygen
- Blood Pressure Monitoring
- Patient Lifts
- Lift Chairs
- Speech Devices

## Prosthetic National Contracts

- Currently 26 National Contracts monitored
- 21 National Contracts with a 95% mandated VISN Compliance Rate

## Real Vs. Projected Savings

| FY02 Real Cost Savings | Real = $14,675,141 | Projected =
$11,068,747 |
| --- | --- | --- |
| FY03 Real Cost Savings | Real =
$13,411,549 | Projected =
$16,228,373 |

## Success in Establishing National Contracts

*“**I prefer autocratic clarity to participatory fuzziness.”*

- Fred Downs

## NATIONAL STANDARDIZATION PROGRAMProjects

## 21 clinically-driven work groups each with a unique and dynamic work plan.

1.  Wound Care
All Wound Gauzes/Dressings
Wound Cleansers
Incontinent Skin Care Products
Stretchers
Multipurpose

- 1.  Wound Care
- All Wound Gauzes/Dressings
- Wound Cleansers
- Incontinent Skin Care Products
- Stretchers
- Multipurpose

- National Standardization Program Work Groups (Cont’d.)

## National Standardization Program Work Groups (Cont’d.)

- Vital Signs Monitors Review
- Vital Signs Monitors Interface WG
- Textiles
- Reusable Patient Gowns
- X-ray
- Multipurpose
- Telemetry
- Reusable Linen

## National Standardization Program Work Groups (Cont’d.)

- OR Linen
- Reusable Bed Pads
- Lab Coats
- Surgical Scrubs
- Chemicals
- Hospital Grade Chemicals
- Paper Products

## National Standardization Program Work Groups (Cont’d.)

- Sutures
- Monofilament
- Specialty Sutures
- Auto Sutures and Endomechanicals
- Anesthesia Record Keeping Systems
- Laboratory
- Blood Collection Tubes
- 10 Part Specimen Labels
- Glucose Monitors

## National Standardization Program Work Groups (Cont’d.)

- Flexible Endoscopes
- Gastroscopes
- Colonoscopes
- Sigmoidoscopes
- Duodenoscopes
- Laryngoscopes
- Bronchoscopes

## National Standardization Program Work Groups (Cont’d.)

- Dental
- Dental Digital Radiology Equipment
- Cook-Chill Equipment **(Advance Delivery Systems)**
- Therm
- Re-therm
- Blast Chillers

## National Standardization Program Work Groups (Cont’d.)

- Radiology
- CT Scan
- Pet Scan
- MRI
- Fluoroscopy
- C-Arm

## National Standardization Program Work Groups (Cont’d.)

- Medical/Surgical
- Conversion of 35 expiring BPAs from Large to Small Business
- Gauze (All Types)
- Pressure Reduction Mattresses
- Subsistence Prime Vendor
- Nutritional Supplements

## National Standardization Program Work Groups (Cont’d.)

- Engineering
- Air Conditioning Filters
- Hemodynamic/Physiolgic Monitors
- Cardiology Monitors
- Telemetry Monitors
- ICU Record Keeping Systems
- Office Supplies

## NEW PROJECTS

- 74 Proposed New Projects
- 26 Non- Medical
- 48 Medical
- Anesthesia Machines & Breathing Circuits
- Hyperthermia Units
- IV Infusion Pumps
- PCA Pumps
- Respiratory Ventilators
- Incentive Spirometers

## NEW PROJECTS

- 98 Proposed New Projects
- 26 Non- Medical
- 72 Medical
- Anesthesia Machines & Breathing Circuits
- Hyperthermia Units
- IV Infusion Pumps
- PCA Pumps
- Respiratory Ventilators
- Incentive Spirometers

## NEW PROJECTS (cont’d.)

- Microscopes
- Intra-aortic Balloon Pumps
- Cardiac Output Units
- Thermal Dilution Catheters
- Lasers

- Blood Flow Meters
- Arthroscopes
- Cast Cutters
- Electrocautery Units
- Peritoneal Dialysis Units