title: Achievement of substantial cost reduction through joint purchasing by the radiology departments of a large vertically integrated health care system.
abstract: OBJECTIVE
  The authors sought to lower costs by coordinating the purchase of equipment, supplies, and services in the radiology departments of a vertically integrated health system formed by the merger of two of the largest academic medical centers in New England.
  
  
  METHODS
  The radiology departments at Massachusetts General Hospital and Brigham & Women's Hospital formed a cost-reduction task force to explore opportunities to jointly decrease costs. Data from the operating budgets of both institutions were collected and analyzed to find specific items within the budgets that could yield substantial cost savings.
  
  
  RESULTS
  The project's first phase yielded over $810,000 in reduced costs from a system-wide annual budget of only $7 million for film and contrast material. Ongoing additional projects suggest that longer term contracts that contain steeper discounts with a decreased number of vendors will result in further decreases in the cost of materials and supplies.
  
  
  CONCLUSIONS
  Coordination of purchasing by the radiology members of an integrated delivery system can yield substantial savings.
authors.affiliation: Department of Radiology, Massachusetts General Hospital, Boston 02114, USA.
authors.forename: R T
authors.initials: RT
authors.lastname: Bramson
authors.forename: B F
authors.initials: BF
authors.lastname: Chiango
authors.forename: S E
authors.initials: SE
authors.lastname: Seltzer
authors.forename: B L
authors.initials: BL
authors.lastname: Holman
authors.forename: J H
authors.initials: JH
authors.lastname: Thrall
mesh_terms: D003363:Cost Control; D006273:Health Facility Merger; D006801:Humans; D008404:Massachusetts; D011787:Quality of Health Care; D011872:Radiology Department, Hospital / Q000191:economics* / Q000458:organization & administration* / Q000592:standards