Example
Here is an example to show you how Valio works.
Step /01: Product Details & Evidence
Scenario
This scenario has the following variables
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1 Product
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1 Claim
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2 Procedures
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2 Patient Groups
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2 Physicians
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4 pieces of Evidence
The example product is named “Bio Cleanse”, which has approved claims to say that it reduces surgical site infections.
The cost of the the product is $350/unit, and is reimbursed $75/unit.
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Dr. Smith wants to use it in all of his mastectomy cases.
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He does 100 of those cases/year, and would use 2 vials / procedure.
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He currently uses CleanWound with 2 vials / procedure, and thinks he can reduce usage 50%.
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You have 4 evidence credentials to address the Frequency, Cost & Impact of the Product Claims in this patient group.
Below is how you would enter your information into Valio.
Product Claim
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Select the Submission & Product - Procedure - Patients from the previous step.
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Claim = Reduction of surgical site infection
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Tracking Criteria = Yes / No
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As the patient will either have an infection or not have an infection, the tracking criteria is “Yes / No”.
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If, for example, the claim was “decrease in blood pressure”, the tracking criteria would be “Starting / Ending Point”, as the patient's blood pressure would be recorded before and after usage of the product.
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Click Submit Another Response & do the same for the Mastectomy procedure with All Patients.
EVIDENCE
This is your opportunity to submit the supporting evidence for your Product Claims.
You will want to enter evidence supporting the following:
Frequency / Starting Point
How often the problem occurs OR the Starting Point, depending on the type of claim (an example of Starting Point would be Length of Stay).
Cost
What is the financial cost of the problem.
Impact
What is your Product's impact on the problem.
1 piece of evidence may speak to each key value of Frequency, Cost, Impact, or you may need 3 papers to capture all 3 key values.
You can (and should) enter as many pieces of evidence as you have to support each key value for your Product Claims. The more evidence you have and the higher the Level of Evidence, the stronger evidence rating your claim will have. You can learn more about Levels of Evidence below.
Evidence: Paper #1
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Evidence Title : “Abdominal hysterectomy in obese patients; issues & costs.”
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Level of Evidence: Level 1
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As this is prospective, randomized, controlled clinical study, it is Level 1 data.
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Frequency = 0.08
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The paper found that infections in this patient population occurred during Abdominal Hysterectomy 8% of the time.
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Cost = $19,380
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The paper found that the cost of infection in these cases is $19,380.
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Impact = -0.93
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The paper found that Bio Cleanse lowered infection by 93% in patients with a BMI>30.
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Be sure to enter in decimal format, with negative numbers for reductions and positive numbers for increases.
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Click the blue “Submit another response” to enter the next paper.
Evidence: Paper #2
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Evidence Title - “Antibiotic prophylaxis for elective hysterectomy””
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Level of Evidence: Level 1
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As this is prospective, randomized, controlled clinical study, it is Level 1 data.
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Frequency: 0.07
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This paper found that the rate of Surgical Site Infection after abdominal hysterectomy is 7%.
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Please be sure to enter as a decimal (i.e. 15% = 0.15, 1% = 0.01)
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Cost: $23,350
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The paper found that the cost of infection in these cases and patients is $23,350.
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Impact: -0.85
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The paper found that Bio Cleanse lowered infection by 85% in patients with a BMI>30.
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Click the blue “Submit another response” to enter the next paper.
Evidence: Paper #3
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Evidence Title - “Infections following mastectomy, a meta-analysis of randomized trials”
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Level of Evidence: Level 2
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The study is prospective, but non-random, and the exposure to the treatment occurred after the start of the study, so it is Level 2 data.
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Frequency: 0.065
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This paper found that the rate of Surgical Site Infection after abdominal hysterectomy is 6.5%.
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Cost: $12,800
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The paper found that the cost of infection in these cases is $12,800.
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Impact: -0.20
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The paper found that Bio Cleanse lowered infection by 20% in all patient groups.
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There are 2 physicians requesting the product:
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Dr. Jones wants to use it in Abdominal Hysterectomy procedures in patients with a BMI >30.
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She does 75 of those cases/year.
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She currently uses CleanWound, and thinks she can eliminate that product if Bio Cleanse works out.
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Dr. Smith wants to use it in all of his mastectomy cases.
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He does 100 of those cases/year, and would use 2 vials / procedure.
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He currently uses CleanWound with 2 vials / procedure, and thinks he can reduce usage 50%.
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You have 4 evidence credentials to address the Frequency, Cost & Impact of the Product Claims in this patient group.
Product - Procedure - Patients
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Select the Submission from the previous step.
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Product = Bio Cleanse
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Procedure = Abdominal Hysterectomy
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Patients = BMI >30
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Click Submit Another Response & do the same for the Mastectomy procedure with All Patients.
Step /02: Create & Submit a Quote
This is where you link your product with the facility you are sending it to.
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Product: Bio Cleanse
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Vendor: Select your name & company.
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Facility: Add the facility you are submitting your information to and where the product will be used.
Usage
Note that you are linking product usage to the procedures and patient population that you have approved claims for. Therefore, when entering your Product Claims, think about who will be using your product so you can be sure you enter relevant claims for their usage.
Dr. Jones does 75 abdominal hysterectomy cases per year on patients with a BMI>30.
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Select the Submission & Product - Procedure - Patients entered in the previous steps.
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Physician Using the Product = Dr. Jones
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Location / Department within facility product will be used / dispensed = Operating Room
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Annual Patients = 75
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Units per patient = 1, since 1 unit of Bio Cleanse is used per patient
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Unit Cost = $350
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Reimbursement = $75.
Click Submit Another Response to enter Dr. Smith's usage.
Reduced Usage
Dr. Jones currently uses Clean Wound, but will eliminate its usage by using Bio Cleanse.
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Select the Submission entered in the previous steps.
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Will there be reductions in other products due to the usage of the new product?
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Select, “Yes”.
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If there will be no reductions of other products, select “No”, and click “Submit”.
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Reduced Product = Clean Wound
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Reduced Product Unit Price = $275
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Reduced Product: Current Units Used Per Patient = 1
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% Reduction = 1
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Reduction are entered in decimals (i.e. 0.75 for 75%).
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As she is eliminating 100% of her usage of Clean Wound, you would enter the decimal value of 1.
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Click Submit Another Response to enter Dr. Smith's reduced usage.
Quote
This is where you link your product with the facility you are sending it to.
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Product: Bio Cleanse
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Vendor: Select your name & company.
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Facility: Add the facility you are submitting your information to and where the product will be used.
Incentives
This is where you detail the incentives you are offering your customer to purchase your capital.
Submission: Select the Submission you created above.
Capital Deal: Select the Capital you had entered in the Capital step above.
Incentive: Select the incentive you are offering. You can add as many as you like by clicking "submit" and then choose "Submit another response" and select another (you can do this for as many incentives as you need).
Price lock
Disposable discount
Bulk buy discount
Additional warranty
Repair fee avoidance
Capital buy back
Economic Impact of associated product (this is if you would like the economic impact of your disposable products listed as a financial incentive to purchase capital (recommended).
Financials
This is where you can show your customer the Cash Flow & P&L (profit & loss) impact of purchasing capital.
With the Economic Impact of your product, plus any Incentives you have selected, you can truly show the value of your proposal, and speak the same language of your financial partners.
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Select the Submission from the previous step.
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Choose the financial Line Item you would like listed on your proposal.
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Capital Depreciation
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Service Amortization
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Total Incentives (provides a total of the Incentives you listed in the Incentives step).
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P&L Impact: Proves a bottom line Profit & Loss #.
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After you enter your information, the Clinical & Economic Impact report will be created and made available for you and your customer in the Product Gallery in your Private Links.
You can add edit your information or add additional information as needed.
Now you have what you need to speak the same language of Clinical & Economic Impact, supported by Evidence.