Archive for August, 2007

What’s My Line?

Many years ago there was a television game show called What’s My Line?   In the show, a contestant with an unknown occupation faced three panelists.   Asking questions one at a time, the panelists tried to guess the contestant’s career.   

Together with our materials management customers across the nation we have been asking just that very question, “What is a vendor?”  How do you define a vendor?  Is it a company or a person?   It seems like an easy enough question to answer, especially in the eyes of many of our prospects and customers.   A vendor is simply defined as anyone they cut a check to (outside of payroll).  Not so fast, my friend.  

When we get the vendor files of our customers we are shocked with what we see. Municipalities, associations, periodicals, charities, hotels, medical device manufacturers, restaurants, contracted physicians, all bunched together.  Should they be treated equally?  Do they pose the same risks to the organization?  Are there some groupings of vendors that have common risk profiles? 

The vendor/customer relationship varies by vendor type.  Some of them sell products and services from call centers are never on the customer’s premise.  Others have armies of staff that are so entrenched in the customer’s operations that the vendor’s representatives are often mistaken for employees.        

Then, what about the people and companies who don’t sell you anything – yet?  The potential or cold calling vendors.  These folks fill up your voicemail and email boxes with that 30 second elevator pitch (I call it the “mini-mercial”), usually highlighting how they can save you time and/or money.  Who are these folks?  What should you know about them before you ever take an appointment from them?  Are they even a legitimate company? Everyone has to get a start somewhere but not at the expense of exposing your company to unforeseen risks. 

Having basic information available and screened about a company, as well as the principals and staff, even before meeting with potential vendors will eliminate the risk of getting egg on your face after you have signed a contract or PO only to discover that the company is nothing more than a couple guys with a good idea operating in the basement of a Marietta, GA neighborhood. ; ) 

So now you have this vendor who has been pre-qualified to work with your company.  Great…. But the screening process has been approached as an event.  Whereas applying a proactive method of managing and tracking vendors and their information in perpetuity is more appropriate for the ever-changing, contracting, expanding, pliable “thing” known as the vendor.    

One customer told us a story about their HVAC contractor.   At the end of the month, they received a bill for three days of service work on their units.   Purchasing and maintenance had no record of it because their badging system didn’t require contracted service workers to sign in.   They didn’t really believe that their HVAC contractor had taken advantage of them, but they would have been reassured by some impartial documentation. 

Another overlooked group of “vendors” that will never show up on your payables file are the partners that pay you.   I’m not talking about illegal kickbacks.   Nothing under the table.   But you probably have at least one vendor in this category.   Think about the vending machines at your facilities.   Here you have a situation where someone is on your property regularly, but virtually invisible in most records.   As you define your badging and vendor program, take groups like this into account.    

What about Fed Ex/UPS/couriers?   Are they visitors or vendors?   Unless you use them for outbound shipments, they won’t show up on your payables file.   

As you define your vendor management program, consider these questions: 

1.   Who needs access to areas that are restricted for security or safety reasons – regardless of their status as a traditional “vendor”?   How will your visitor access and badging program manage that? 

2.   How will you handle visitors that don’t require an appointment – photocopy servicing, vending machine stocking, routine maintenance?     

3.  If you’re implementing a vendor-funded credentialing program, how will you handle credentialing enterprises or organizations that you do not pay, (e.g., the vending machine contract, accreditation associations, etc.)?    

4.  How do you need to track independent contractors or workers from temp agencies?   What level of detail do expect from the person vs. agency?   

Each enterprise has unique requirements, and your program must be custom defined to your needs.  Take a moment to observe the sensitive areas of your facility.   Watch who goes in there.   See who comes out.   What information about those visitors would help mitigate your exposure?  What would help you make better decisions?     

Back to the What’s My Line? subject, if the contestant’s occupation wasn’t discerned within 10 questions, he walked away a winner and $50 richer.   I said this was “years and years ago”!  (If you are a night owl like me you can catch episodes at 3 AM ET on the Game Show Network.)   

Add comment August 30, 2007

Vendor Blacklisting: Heads Will Roll

Quality and safety concerns have affected just about everything from China recently – from pharmaceuticals to fish to toothpaste to dog food to Polly Pocket.  (Although anything that gets Polly Pocket off the floor is welcome to me.   Stepping on those little plastic toys is second only to LEGO bricks as torture to bare feet.)      

Knowing that exports are keys to their booming economy, China is responding aggressively.   They recently announced the blacklisting of more than 400 companies for export violations.   In addition, nearly 300 drug test vans will patrol rural China in search of counterfeit drugs.   They have worked with U.S. officials for a new framework of safety assurances.   But the ultimate counter to the quality crisis is that the former head of the Chinese State Food and Drug Administration was executed for accepting bribes in exchange for approvals.   

While the Queen of Hearts in Alice in Wonderland shouted, “Off with her head!” for a much lesser violation, I doubt we’ll see a response that extreme in the US.  What we could see is another layer in the “Know Your Vendor” movement from the government or from our own concern that we’re providing the best to our customers.   Another watch list against which we check our providers. 

Our Take:  Flexibility while being diligent in dealing with security and partners is key.  Issues arise and are cleared.      Regardless of how you do it, you need to track who you work with.   Know their people as well as you know their financials.  Oh, and stop chewing on your toys.       

Add comment August 21, 2007

Did you hear the one about …

So a sales representative walks into a hospital.   It would be a new account, and he’s anxious to start the relationship off right.   He steps through the front door, glances around the unfamiliar lobby and spies the receptionist.  Confidently striding forward, he walks up to the receptionist and says, “Hi, I’m from Really Great Products.   I’m sure my products can help your hospital.   How do I register as a prospective vendor?  How do I get a badge here?” 

The receptionist looks at him blankly, then slowly drawls, “Badges?  Badges?   You don’t need no stinkin’ badges.   Just go on back to the O.R. and see who you can see.” 

I know.  I know.  It’s not a good joke.   But it is true.   It’s one of the many tales that we’ve already heard here in San Diego at AHRMM’s Annual Conference and Expo.   Vendor programs are becoming the standard in hospitals and healthcare systems across the nation.  Hospitals are adopting vendor credentialing so quickly that vendor representatives already understand, accept, and expect them.   

Highlights at AHRMM Conference 

Dr. James T. Reese had the attendees buzzing with his keynote address about coping with change.   The humor carried from the title (Staying Bitter or Getting Better) throughout the day.   We heard a number of attendees at our booth (#1121) talking about his call to accept and balance change. 

Meanwhile, at the Vendormate booth, we were enjoying the opportunity to meet so many attendees and hear what was on the minds of the best of the hospital materials management world.   And what we heard was “know your vendor” – a quest to know who was in the halls and to know that your vendors were authorized/certified/qualified to do business with you.    

Of course, changing to Vendormate VISION is one way to get better, not bitter.  Vendormate VISION can respond to your evolving vendor programs by updating compliance requirements and credentials in near real time.   So you can be confident you know your vendor.     

Add comment August 15, 2007

Stark on Steroids

The Centers for Medicare and Medicaid Services (CMS) has released its proposed Medicare Physician Fee Schedule payment update for fiscal year 2008.   Embedded in this update are proposals for significant changes to the current Stark regulations. One change that could potentially affect every healthcare system, providers, physicians, and staff, is a proposed change in the definition of an “entity” for Stark law guidelines.    

Currently, an entity is any person or entity to which the CMS makes payments for designated health services (DHS).  The proposal would expand that definition to include any person or entity that performs DHS services.   In effect, existing situations where a physician-owned (or invested) entity provides DHS services “under arrangement” for a hospital would no longer be acceptable, even if the physician-owned facility does not receive direct payment from Medicare.   

Wow!!! “Know Your Vendor” initiatives are escalating across all verticals.  If this is to pass then there would be a huge project management impact to compliance offices and the staff responsible for entities impacted by this new legislation.   As we have discovered over the past 3 years, few hospitals do not have updated, reliable vendor information.  Notifying those potentially impacted would be a time consuming and costly project. 

This highlights the dynamic nature of healthcare regulation.  In this constantly changing – and escalating – “prove who you are” environment, healthcare organizations benefit from a flexible and centralized vendor management system.    

Vendormate customers currently require their vendors to self-disclose any conflict of interest scenarios.  Fortunately for Vendormate customers, the capability to push new compliance acknowledgements to their vendors is a manageable experience.  

Our view:  Those early adopters who have invested in and implemented Vendor Information Management initiatives are better prepared for the onslaught of regulatory requirements coming down the pike which should prevent a compliance fire drill.  

 

Andy Monin 

Add comment August 8, 2007

Compliance — A Case for the Fashion Police?

If you’ve been out and about in the past year, you know that Crocs are the required footwear of suburbanites and campers across the nation. 

It was only a matter of time before someone poked holes in the plastic peds.   Now, Mercy Hospital in Pittsburgh has announced that Crocs are no longer allowed in the patient care areas.   In the name of employee safety, Mercy Hospital has banned the holey shoes for fear of a rougue syringe piercing a slightly exposed toe.  

Now, Vendormate is all about risk mitigation, compliance assurance, and security.   And we strive to stay current on all issues and bring them forward to our customers.   So when I read this news, I immediately thought of implementing a new compliance statement for all of our customers’ vendors.   Something to the effect of:   I have read and understand that the shoes known as Crocs, or any other shoe with excessive holes, piercings or other openings, are not allowed in (CLIENT FACILITY).  

We had planned to have coders burning the midnight oil to deliver this enhancement in our next update, but the Croc company  has beat us to the safety punch.   Just in time for back-to-safety shopping, they have released two new closed-toe models – the Endeavor (think plastic clogs) and All Terrain (does anyone besides me remember duck shoes?).

Seriously though, managing the security of your facility and data is never complete.   New threats emerge.   Watch lists are updated.  Vendors change.   Vendor management and compliance monitoring is a constant search for holes that may start as small as Crocs.  At Vendormate, we’ll be constantly working with you to fill the holes. 

1 comment August 1, 2007


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