title: Competitive bidding for interventional cardiology supplies: lessons learned during round 2.
abstract: OBJECTIVE
  To assess the magnitude of savings and develop concepts for "best strategies" in reducing costs in the purchasing of high-technology, high-cost materials used in coronary interventions and electrophysiologic treatments.
  
  
  METHODS
  Observational experience in competitive bidding for defibrillators, pacemakers, coronary stents, and coronary balloon catheters at a large, midwestern, publicly owned, academic cardiovascular center.
  
  
  METHODS
  Iterative negotiation following a broad request for proposal sent to a diverse group of vending organizations in high-technology areas of cardiology. Product costs and volume usage were assessed before and after the process to estimate annualized cost reduction achieved.
  
  
  RESULTS
  Using a combination of identification of preferred vendors; consignment of supplies; and collaborative consensus among physicians, administration, materials management, purchasing, and vendors, an annualized savings of more than $1.3 million was achieved.
  
  
  CONCLUSIONS
  Aggressive, collaborative, fair, and competitive bidding for high-cost products used for coronary interventions and electrophysiologic treatments leads to substantial cost savings and can promote provider-industry partnerships that further enhance product use, provision, and tracking.
authors.affiliation: Department of Internal Medicine, University of Michigan Health System, Ann Arbor, USA. Keagle@umich.edu
authors.forename: Kim A
authors.initials: KA
authors.lastname: Eagle
authors.forename: Bradley P
authors.initials: BP
authors.lastname: Knight
authors.forename: Mauro
authors.initials: M
authors.lastname: Moscucci
authors.forename: S A
authors.initials: SA
authors.lastname: Strickberger
authors.forename: Claire S
authors.initials: CS
authors.lastname: Duvernoy
authors.forename: Frank
authors.initials: F
authors.lastname: Pelosi
authors.forename: Steven W
authors.initials: SW
authors.lastname: Werns
authors.forename: Daniel T
authors.initials: DT
authors.lastname: Eitzman
authors.forename: Fred
authors.initials: F
authors.lastname: Morady
authors.forename: Eric R
authors.initials: ER
authors.lastname: Bates
mesh_terms: D002309:Cardiology / Q000295:instrumentation*; D003164:Competitive Bidding / Q000458:organization & administration*; D004865:Equipment and Supplies, Hospital / Q000191:economics*; D006302:Health Services Research; D017721:Hospital Costs; D006785:Hospitals, University / Q000191:economics*; D006801:Humans; D011682:Purchasing, Hospital / Q000191:economics; D014481:United States