|
INSIDE THE
CURRENT ISSUE |
July 2007 |
30th Anniversary ● Most Influential |
Healthcare Supply Chain
Influencers to Watch
Karen Barrow
Amerinet Inc. vice president in charge of the GPO’s Clinical
Advantage program is putting physician preference items – high-end
surgical devices and technology traditionally outside of a national
GPO’s influence – squarely on target for national GPO coverage.
Lynn Britton and
Vance Moore
Key supply chain executives within St. Louis-based Sisters of Mercy
Health System who helped develop Resource Optimization & Innovation (ROi),
an operating division of Sisters of Mercy dedicated to supply chain
performance improvement, which recruited a national GPO to help them
bring more of those services in-house.
Lawton Burns, Ph.D
The director of the Wharton Center for Health Management and
Economics and professor of healthcare systems and management at the
Wharton School at the University of Pennsylvania, Philadelphia, shocked
and seduced the healthcare supply chain management industry more than
five years ago with his blunt and frank assessment of the market. With
several popular books and comprehensive market studies under his belt
and a big draw on the speaking circuit Burns is establishing his claim
as one of two industry-regarded potential successors to Dean Ammer.
Allen Caudle
The former vice president of supply chain management at Swedish
Health Services, Seattle, successfully used value analysis and a variety
of clinical strategies to gain control of supply expenses, influence
clinician behavior and standardize products and processes. Now he’s
on the consulting side with Appleseed Healthcare Resources, a cost
management firm, to share the wealth and spread the word.
Florence Doyle
With a pedigree that includes serving as division chair of materials
management at the Mayo Clinic, Florence Doyle now is wrapping her arms
around her biggest challenge yet – improving operations at the
sprawling, multi-state IDN Catholic Health East as vice president,
supply chain management.
Frank Fernandez
A stalwart evangelist for C-suite recognition of supply chain
management and a champion of data-synchronized supply chain IT, Frank
Fernandez put his words into active practice as assistant vice president
and corporate director of materials management at Baptist Health South
Florida, Miami, where he enjoys an open door to award-winning and
nationally recognized CEO Brian Keeley. Fernandez also successfully
pushed for AHRMM to adopt an industry Code of Ethics.
Lou Fierens
One of a growing breed of non-healthcare supply chain executives
tapped six years ago at the age of 39 to apply his General Motors Corp.
experience and strategies to Trinity Health, Novi, MI, as vice
president, supply chain. Fierens has stressed accountability and metrics
analysis, as well as custom contracting to move the IDN to the next
level.
Jim Fitzgerald
As one of the key architects, along with Scott Farrar, in the
development of HealthTrust Purchasing Group, the GPO that spun out of
Columbia/HCA Healthcare Corp., scored a momentous coup when HPG landed
Consorta Inc. as its most recent shareholder. During the next few years,
he and Consorta chief John Strong will match wits, as well as contract
portfolios and operations, as the industry watches a marriage between
for-profit and faith-based cultures and philosophies.
Joane Goodroe
The president and CEO of Goodroe Healthcare Solutions, now a part of
VHA Inc., is recognized as a national thought leader in the areas of
hospital-physician economic alignment, clinical patient care and product
line development and has developed proprietary software that analyzes
the cost and quality of specialized clinical programs. As the healthcare
industry explores policy and practice reform in the face of the pricing
transparency movement, Goodroe’s views on such strategies as gainsharing
with physicians are timely.
Ed Hisscock
A former hospital and IDN supply chain executive with demonstrated
expertise in IT and management engineering, Ed Hisscock redirected his
skills as founder and president of the supply chain practice at
Appleseed Healthcare Resources, one of the newer names in the roller
coaster consulting field. Hisscock has been assembling and recruiting a
formidable brain trust of industry practitioners and thought leaders
that makes his firm one to watch as the GPOs grow their consulting arms.
Brent Johnson
As another of a growing number of industry outsiders recruited into
healthcare Brent Johnson, vice president, supply chain, at Intermountain
Health Care, Salt Lake City, brings a fundamental, no-nonsense approach
to an already progressive IDN looking to refine its processes even
further.
Michael Langlois
The senior vice president and chief supply chain officer at Ascension
Health Inc., Michael Langlois is using performance management, IT, value
analysis and custom contracting to harness and wield the collective
buying power of the largest Catholic-sponsored health system in the U.S.
Renee Landry
With more than 20 years experience in healthcare supply chain
management, Renee Landry, vice president, support services, Washington
(DC) Hospital Center, is a leadership award-winning, past president of
AHRMM who was instrumental in orchestrating the merger of the Health
Care Resource Management Society into AHRMM six years ago and in
developing AHRMM’s Certified Materials Resource Professional (CMRP)
program.
Eileen McGinnity
The founder and president of Aspen Healthcare Metrics placed herself
in the crosshairs of a major medical device manufac-turer regarding her
strategies and tactics in helping hospital clients better manage their
physician preference item costs, which has become a key growth area for
consulting firms and GPOs.
Curt Nonomaque
An astute numbers guy, Curt Nonomaque was a financial analyst at VHA
who rose through the ranks of the organization to assume the top
leadership role. His efforts to reform and improve operations –
including supply chain management – at the national alliance are turning
heads and already establishing his legacy of honing the GPO’s
competitive edge.
Dennis Orthman
A former hospital supply chain manager-turned-consultant, Dennis
Orthman now serves as project director at the Strategic Marketplace
Initiative (SMI), a not-for-profit consortium of healthcare provider,
supplier and service company executives striving to actively re-engineer
the supply chain. Orthman conducts extensive analysis and research while
coordinating ongoing activities of initiative teams. He’s the go-to guy
and traffic cop for ongoing working projects, the outcomes of which have
heightened awareness but are just beginning to emerge in wide-scale
practice.
Eugene Schneller, Ph.D.
With a keen sense of humor, Eugene Schneller, Ph.D., director of
health sector supply chain initiatives and professor of health
management and policy at Arizona State University’s W.P. Carey School of
Business, Tempe, AZ, raised eyebrows and turned heads with his extensive
and critical analysis of contemporary supply chain management through
published works and public speaking. Schneller is one of two educators
that has picked up the baton from the late Dean Ammer.
Susan Tyk
As senior director, supply chain, at Ascension Health Inc., Susan Tyk
is the data- and process improvement-focused secret weapon on Mike
Langlois’ team, which is streamlining operations at the St. Louis-based
organization. Tyk is spear-heading Ascension’s considerable supply chain
IT initiatives, including standardizing and synchronizing data in the
item master and establishing links with revenue management.
David Zimba
The vice president, corporate contracting at West Penn Allegheny
Health System, Pittsburgh, PA, has been instrumental in the financial
turnaround in the formerly beleaguered IDN, employing a variety
of strategic sourcing initiatives and IT-related practices to effective
manage supply chain operations and perfor-mance. His successful use of,
and persuasive support for, online reverse auctions is becoming
legendary, having convinced supply chain executives at
Premier Inc. to throw its collective muscle behind the process.
HPN |
|
Three decades
of pros worth knowing
Looking back at those
industry leaders
who thought ahead
by Rick Dana Barlow
U nless
you’re neck-deep in the trenches of supply management and haven’t
surfaced for fresh air in three decades you should recognize that the
profession has come a long way since the 1970s.
Whether your title involves
purchasing, materials or materiel management, procurement, logistics,
support services, resource management or some other concoction, the
field that Healthcare Purchasing News has covered and you have
toiled in during the last 30 years only can be as progressive as the
people who innovate and implement changes that take it to the next
level.
Some of the profession’s key
developments HPN has witnessed and reported since its inception
include closer relationships with clinical departments, greater use of
information technology and a slow metamorphosis to being seen as a
strategic ally by the C-suite, as opposed to a mere tactical or
transactional function best kept in the bowels of a facility.
To the outsider or untrained
eye, this may seem like minute gains. But within the profession it’s
akin to driving a car with a turbocharged engine, compared to standard
fuel injection.
As part of its ongoing 30th
Anniversary celebration this year, HPN is looking back at the
industry that was, how events and people shaped it into what it is
today and where it’s going tomorrow. For the last eight months we’ve
been soliciting reader input in identifying key people, events,
processes and products that have influenced supply management’s
progress.
Based on reader suggestions,
HPN archival research and numerous expert interviews topped with a
bit of gut-related intuition, we’ve compiled a list of individuals
selected for their influence and leadership. We considered their
long-standing contributions to the profession, not only to their
respective organizations, but also to the industry as a whole in terms
of the concepts and ideas they espoused and the activities they
achieved.
No doubt, this elite group of
individuals represents some of the best and brightest in the business.
Many of the names you may recognize. Some may leave you scratching
your head. While our choices ultimately may ignite some controversy we
hope they really spark conversation and debate over who made the list
and why. If, after reading the names, you’re shell-shocked as to how
HPN could have forgotten to include [fill in the blank], tell
us who and why on our blog at "HPN Online" or via e-mail. If we can
collect enough intriguing suggestions we’ll publish a "Most
Influential" Readers’ Version in an upcoming edition. At year’s end
we’ll publish a list of the Most Inspiring in Healthcare Supply Chain
Management.
What follows in alphabetical
order are the Most Influential in Healthcare Supply Chain Management,
chosen by HPN readers, sources and staff. We divided the group
into provider and supplier professionals. We included group purchasing
organizations in the supplier category as this category represents
products and services. We included consultants, educators (if they had
direct or indirect influence in hospitals) and any GPO executives in
the provider category if they had notable staff management experience
in a hospital setting.
Noteworthy Providers
Dean Ammer
A prolific author and speaker on industrial engineering, this
energetic and engaging professor from Northeastern University in
Boston in the 1970s and 1980s actively promoted hospital materials
management as a profession. Ammer, who died in late 1999, advocated
that if hospitals centralized purchasing, distribution and warehousing
functions as companies in industry did, employing sound inventory
control and receiving processes they would become more effective and
efficient organizations. His books and other publications were
considered unofficial bibles of the industry and his credibility and
influence captured the attention of the C-suite when it involved
supply chain management processes.
Gene Burton
Although he retired last year
from the consulting firm he founded in 1988, Burton may be most
remembered for his asset management expertise. Certainly, Franklin,
TN-based Gene Burton & Associates established a name for itself in
comprehensive equipment and technology planning services for hundreds
of healthcare construction and renovation projects. But before he
cemented his asset management expertise he established his purchasing
acumen at hospitals in Oklahoma, South Carolina and Kentucky where he
launched a full-service hospital shared service organization in the
late 1960s. He spent much of the 1970s and 1980s heading up the
purchasing programs of investor-owned hospital chains Humana Inc. and
Hospital Corporation of America where he centralized and managed
supply and equipment contracts for hundreds of hospitals, paving the
way for HCA’s industry dominance in the 1990s. Through Burton’s
mentoring efforts, a number of influential materials managers became
executives in their own rights, either launching national GPOs or
occupying other leadership positions in them, as well as moving on to
other hospitals.
Patrick Carroll
Patrick Carroll may have spent
the bulk of his 30-year career-to-date as a healthcare consultant
rolling up his sleeves to conduct strategic planning and analysis
projects for clients on a variety of financial and supply chain
management operations. But before he leapt into the fast-paced, hectic
world of consulting he toiled in the materials management trenches of
several California hospitals, starting as an administrative resident
and culminating as a vice president of support services with key ties
to clinical areas. He parlayed that experience not only to his
burgeoning consulting work but also to leadership positions in
professional associations (he is a past president of AHRMM) and to the
educational and trade publishing world.
Lynn Detlor
For better or for worse, Lynn
Detlor’s name may be synonymous with two powerhouse GPOs: American
Healthcare Systems in the late 1980s to mid-1990s and Premier Inc. in
the late 1990s. But simplifying his career on that level only would
diminish and dismiss his contributions and innovative thinking that,
like it or not, has moved supply chain management forward. At best,
Detlor was a dominant influence and thought leader in the area of
multihospital system operations and centralized purchasing. In the
mid-1970s he created a collective purchasing program for a regional
segment of Adventist Health System hospitals that was expanded to
incorporate all of Adventist’s facilities. By the late 1980s, American
Healthcare Systems tapped him to launch a national group purchasing
program to compete more effectively with the investor-owned hospital
chains. AmHS went on to become one of the largest GPOs in the nation,
eventually serving as one of three primary organizations comprising
Premier Inc., which he led briefly. But if Detlor is known for
anything it’s the behind-the-scenes architect of the concept of
corporate contracting that is his legacy where selected manufacturers
paid administrative fees for help in reducing their selling costs to
hospitals. Today, he serves as a leading group purchasing consultant
with hospital and vendor clients.
Derwood Dunbar Jr.
Since mid-1989 Derwood Dunbar
Jr. has led one of the top 12 largest GPOs in the nation –
Mechanicsburg, PA-based Mid-Atlantic Group Network of Shared Services
(MAGNET), a group of groups, per se, that was partly the brainchild of
Dunbar and consultant Bill McFaul. Over the years, while other GPOs
focused on medical/surgical, laboratory, pharmaceutical and food
service supplies, MAGNET has concentrated more heavily in asset
management, building a specialized, and arguably the most extensive
portfolio of capital equipment and service contracts. What you may not
know is that Dunbar is one of the last remaining, if not only
remaining GPO chief executive with a hospital materials management
background. During much of the 1960s through the late 1970s he served
as purchasing director for three different hospitals in the
Chicagoland metropolitan area before moving to Pennsylvania to enter
the burgeoning field of group purchasing and shared services. But he
developed his considerable asset management expertise in the hospital
environment, exploring new ways to acquire capital equipment cost
effectively for his respective facilities.
James Francis
When three different
religious-oriented healthcare systems in St. Louis merged to form BJC
Health System in 1992, Jim Francis was tapped to be BJC’s vice
president of materiel services to pull everything together. Francis,
who had been part of forerunner organization Christian Health Services
since 1984 and had risen through the ranks to vice president of
corporate services, had his work cut out for him to develop, hone,
streamline and unite disparate materials management operations,
including GPO affiliations, vendor contracts and IT systems. It was
one of those "you want me to do what?" projects that either makes or
breaks a skilled and talented manager. Francis, however, rolled up his
sleeves, dug his feet into the ground and delivered, earning HPN’s
Materials Manager of the Year Award in 1994. Francis initiated
performance improvement teams to explore how to work with clinicians
and administrators to standardize products and significantly reduce
the number of vendors they used, including GPOs. BJC’s three heritage
organizations each belonged to one of the three largest groups at the
time but they ultimately chose VHA. Then they signed a broad
distribution agreement with Baxter Healthcare Corp. instead of the VHA
authorized distributor for "the ability to pursue some strategies on
our own." Francis spent most of the 1990s shaping BJC’s supply chain
that could have resulted in a lucrative consulting career and fame on
the speaking circuit. Instead, Francis left BJC in 1999 for an even
more unusual challenge – leading supply expense management efforts at
the physician-driven Mayo Foundation. At Mayo, Francis was able to
diplomatically and tactfully influence the clinicians to be more
bottom-line focused, standardizing on functionally equivalent products
without compromising quality of care. While his efforts generated
success for Mayo Foundation facilities, it also has left him with a
little more gray hair.
Nick Gaich
If there’s any way to describe
Nick Gaich’s whirlwind career at Stanford (CA) University Hospitals
and Clinics then roller coaster might fit the bill. Seven years ago,
his organization faced some fiscal dire straits. Not only was it
operating in the red but it had to rebound from a costly, painful and
short-lived merger with another organization farther up the coast of
California. Rather than jump ship, Gaich dug in his heels and proved
his mettle, elevating materials management to a respectable place in
the boardroom as a strategic contributor to Stanford’s financial
turnaround. By working closely with physicians and gaining their
trust, as well as reengineering his department’s functions along
service lines, he helped to redefine supply chain management moving
forward. Before moving on to a new role within the organization
centered on clinical trials and research his title was a mouthful:
Vice president of customer service and materials management programs
and service line administrator for functional restoration. These days
he serves as COO of the Stanford/Packard Center for Translation
Research in Medicine, translating his business acumen even more
closely to clinical success.
John Gaida
Ask John Gaida what he believes
history will remember about him and he’ll likely ignore his storied
career in hospital supply chain management and consulting, along with
a brief foray into the dot-com world. Instead, he’ll focus on the one
aspect of his career that means the most to him: Mentoring. Sure, he
ran successful supply chain management programs in Berkeley, CA, and
Boston at such organizations as Brigham & Women’s Hospital and
Partners Healthcare System Inc., which included the vaunted
Massachusetts General Hospital, in Boston, moved into senior-level
consulting work with BD after the manufacturer acquired Tom Hughes’
Concepts In Healthcare firm, jumped into the online fray for a short
time and then returned full circle to be the primary supply chain
executive at multi-hospital system Texas Health Resources. The
leadership award-winning past president of AHRMM may have
organizations and recruiters pursuing him when top management
positions open up, but he remains content keeping THR fiscally
responsible and efficiently under control, as well as watching the
materials managers he’s coached and mentored over the years develop
their careers and contribute to the profession’s progress.
Ned Gerber
As a materials management
speaker, thought leader and prolific HPN columnist in the 1980s
Ned Gerber, CPA, could draw crowds at association meetings not from
his bookworm appearance but through his respected words of wisdom.
Gerber channeled his materials management background at Chicago’s
Northwestern Memorial Hospital into a long-standing consulting gig at
Coopers & Lybrand where he served as their resident healthcare supply
chain guru for much of the decade. But in addition to his acute talent
for supply chain management, Gerber was a deeply religious man who
served as a monk in the Order of St. Benedict at the Chicago Priory of
Christ the King, along with his brother Kirt. Driven by his faith and
ministry, Br. Gerber traveled to Sydney, Australia, as a Benedictine
Brother in the Anglican church. While he followed his religious
calling he also didn’t stray far from his industry specialty,
continuing to consult and lecture on such topics as healthcare supply
chain best practices as the director of health/pharma consulting for
PricewaterhouseCoopers.
George Gossett
Many may recognize the late
George Gossett’s name simply because it’s the branding affixed to
AHRMM’s annual Leadership Award, which has been bestowed 26 times in
AHRMM’s 45-year history as a personal membership group within the
American Hospital Association. (Technically, AHRMM began in 1951 as a
personal membership department within the AHA, which reorganized the
departments 11 years later into societies giving them the right to
elect a president.) Gossett served as AHRMM’s first president in
1962-1963. Back then the association was known as the American Society
for Hospital Purchasing Agents. Gossett held purchasing positions at
the Poly Clinic, Cleveland, Johns Hopkins Hospital, Baltimore and
Mercy Hospital, Pittsburgh, where he also became involved with the
Hospital Bureau and the Hospital Council of Western Pennsylvania.
Certainly as the inaugural president of a "new" industry society
cemented Gossett as a trend-setter of sorts because he was
establishing the bar against which his successors would measure. But
Gossett believed the function and position of purchasing and materials
management was destined for greatness and prominence in hospitals, an
idea that germinated for more than 30 years and finally is being
acknowledged in the C-suites within the last decade. Gossett promoted
the need for education and professional development as a way to
cultivate industry leaders.
Charles Housley
Devoted fans and disciples call
Charles Housley the father of modern healthcare materiel management
(notice the spelling of materiel, which Housley emphasized in
trademark fashion) and it’s easy to see why. During a hospital career
that grew in the late 1960s, flourished in the 1970s and peaked in the
late 1980s, Housley redefined and reenergized the profession,
establishing a benchmark that would take center stage in the managed
care-directed decade that followed. He wrote 15 authoritative books on
healthcare supply chain management strategies, tactics and techniques
that served as effective companions (and arguably rivals) to Ammer’s
tomes on materials managers’ bookshelves, edited prominent industry
publications and was a frequent and popular draw on the lecture
circuit. Most noteworthy is that Housley developed and nurtured his
reputation as a trail blazer and visionary largely at one hospital
where he spent more than 20 years of his career, starting as an
administrative resident and earning his stripes as associate
administrator of materiel management. He helped pioneer the concept of
just-in-time and stockless distribution agreements (thanks in part to
his distributor maintaining a warehouse across the street) using
exchange carts, PAR levels and case carts, retooled the concept of
product evaluation and standardization and emphasized the need for
product formularies. Housley firmly and strongly advocated that
materials management should represent a strong force in a hospital and
be led by a senior-level executive. Another noteworthy accomplishment:
He was one of a small but elite group of materials managers who became
a hospital president and CEO. Today, he continues to soldier on, but
largely under the radar by choice, as CEO of Appalachian Regional
Medical Center, Hazard, KY.
Thomas Hughes
Best known for his consulting
career in the firm he founded, Concepts In Healthcare Inc., Tom Hughes
cultivated his reputation and mastered his trade as the primary
materials management executive at such prominent hospitals as Tufts
New England Medical Center and Beth Israel Hospital in Boston. At
Concepts he took his experience on the road, sharing his supply chain
management expertise with thousands of hospitals across the nation
through numerous educational seminars and individual contracting
deals. He became a stalwart promoter of value analysis, activity-based
costing and cultivating physician relationships for a facility’s
ongoing fiscal health. When he sold Concepts to Becton Dickinson and
Co. in 1998, he envisioned the twilight of a successful career and a
long, drawn-out countdown to eventual retirement. He came close. That
is until a startup organization, Strategic Marketplace Initiative,
recruited him to be its executive director in 2005 where he remains
directing an activist organization dedicated to creating, developing
and implementing best practices in supply chain management.
Frank Kilzer
In 1985, Frank Kilzer did the
unthinkable – and something many hospitals still haven’t done more
than 20 years later. With his (now retired) CEO’s blessing he
purchased the first bar-code technology system designed for healthcare
applications. St. Alexius Medical Center, Bismarck, ND, spent $50,000
for the "bleeding edge" technology and two years trying to make it
work effectively for their needs. It was a dismal failure. So Kilzer
replaced it with some internally designed software to scan bar codes
on all medications and supplies…in 1987. Six years later, St. Alexius
installed computers equipped with bar code scanners in patient rooms
to track medication and supply consumption at the bedside. Such a
strategy became a critical component of the model for an efficient
supply chain of the future now facilitated by Internet-based and
wireless technology. Since the mid-1980s, Kilzer has been a tireless
evangelist for point-of-use bar coding and is widely regarded as a
pioneer in bar coding practices for healthcare supply chain
management. He also cultivated a strong professional relationship with
and mutual respect of his organization’s CEO, elevating the department
to executive-level status as a direct report to the C-suite. Kilzer
serves as vice president of material and facility resources.
Jamie Kowalski
For the bulk of the 1970s, Jamie
Kowalski honed his materials management skills by running the
departments at four different hospitals, each incidentally a new or
replacement facility, located in southeastern Wisconsin and Nashville,
TN. During that time he implemented computerized information systems,
including one of the industry’s first per-diem supply charge system,
and developed product evaluation and standardization processes. He
interrupted his hospital career with a brief year with a national
supplier. In 1981, he launched an independent healthcare supply
chain-focused consulting company that bore his name for more than two
decades, even when a national GPO acquired it and then sold it to a
management outsourcing services firm. In 2004, McKesson Provider
Technologies recruited him to run their new supply chain, surgical
services and revenue cycle consulting business unit within the
distributor’s IT division, but he realized the fit wasn’t right. So
last year he joined distributor Owens & Minor Inc. to head up business
development in the area of supply chain management. A prolific author
of industry textbooks and trade magazine articles, Kowalski has
promoted strategic planning, performance measurement, automation and
IT implementation, as well as advanced and self-contracting and
distribution models within supply chain management.
Nancy LeMaster
As a data-savvy materials
management executive Nancy LeMaster took an unusual road into the
industry. With the oil and gas industry tanking economically in the
mid-1980s the Houston-educated and newly minted MBA graduate settled
on healthcare by default. After spending several years in strategic
planning and marketing at Houston’s Hermann Hospital, LeMaster
migrated north to Jewish Hospital in St. Louis, prior to the 1992
formation of one of the more innovative integrated delivery networks (IDNs)
in the nation – BJC HealthCare. The IDN’s management team recruited
LeMaster to launch a multi-disciplinary and multi-faceted performance
improvement project to evaluate best practices, cost reductions and
policy and product standardization to promote the merger. After
working successfully with materials management during much of the
1990s, LeMaster assumed the office of vice president of materials
services in 1999, realigning and redesigning the department under
logistics functions and strategy functions, which included contract
management. Like her predecessor, LeMaster tends to sidestep the party
line, particularly when it involves GPO, distributor and dot-com
choices, opting to do what she considers competitive, innovative and
optimal for BJC. Her focused grasp of numbers, process details and
mechanics, as well as support for supply chain IT are legendary while
keeping the big picture sharply in focus, too. LeMaster’s efforts at
best pushed materials management’s influence into the C-suite.
Michael Louviere
With a background rooted in
pharmacy, a profession revered for its inventory management practices,
Michael Louviere should understand what it takes to run an efficient
supply chain management operation. And he’s demonstrated that
proficiency in creative and innovative ways wherever he has worked in
his career – from senior-level supply chain management positions in
hospitals and IDNs to a clinical services executive position for a
national oncology center operator. As the vice president of materials
management for healthcare industry heavyweight and trendsetter
Columbia/HCA Healthcare Corp., Nashville, TN, in the mid-1990s,
Louviere wielded a lot of clout and influence based on facility
commitment and volume. While it seemed as though Columbia/HCA drove
compliance by standardization unilaterally if you peeled back the
curtain you found that Louviere and his team conducted extensive work
with clinical end users, gleaning their input and earning their
support before negotiating blockbuster supply deals. His career seemed
to peak at Columbia/HCA, which appointed him CEO of one of its
Louisville hospitals for barely a year as the company began to suffer
under a black cloud of fiscal problems. He resurfaced leading the
resource management department for Baptist Memorial Healthcare System,
Memphis, TN, at the turn of the millennium, then moved to U.S.
Oncology before becoming vice president, supply chain, at Baptist
Health System, Birmingham, in 2004. Baptist’s serious financial
challenges motivated Louviere to lead the turnaround charge by
redesigning and reinvigorating supply chain operations at the IDN and
reaching out to clinicians in an award-winning effort that contributed
to the organization swinging back to the black.
Carl Manley
What Carl Manley lacks in
physical height and size he more than makes up for it in spirit and
stature. As the vice president of materials management at Norfolk,
VA-based Sentara Healthcare, one of the earliest and more successful
IDN models to emerge in the 1990s he developed an internal
distribution system and a consolidated distribution center, making it
operational and cost effective when most IDNs were in the exploratory
stage. Manley pursues high-level strategic planning for supply chain
management as much as he rolls up his sleeves and works in the
trenches with his employees. He was one of the principal architects
behind the Strategic Marketplace Initiative, which was formed to
examine critical issues and potential deficiencies in the supply chain
and design and implement tangible and workable solutions.
Lillian Matiska
The late Lillian Matiska
certainly was a woman ahead of the times as director of purchasing at
Jeanette (PA) Memorial Hospital. As AHRMM’s 12th president in
1973-1974, and the association’s second consecutive woman president,
she helped to soften the gender boundaries in the male-dominated
profession. Her gentle influence, but passion for education and
mentoring, helped at least one other person on this list and
contributed to her earning AHRMM’s leadership award in 1980.
William McFaul
Few may realize that prominent
healthcare expense management consultant Bill McFaul came by his
notable expertise the old fashioned way – as a purchasing
clerk/internal auditor for the laboratory at New York’s Mount Sinai
Hospital in the late 1960s, becoming assistant director of purchasing
for the facility by 1971. Helping the regional GPO Joint Purchasing
Corp. (now JPC) develop some new contracting programs exposed him to
group purchasing and shared services, experience he would keep in the
back of his mind as he moved to a New Jersey hospital as purchasing
director in 1973. But that job was short-lived as a local shared
services organization for several hospitals recruited him to be its
director. He grew the company to 16 facilities and began touting the
idea of a "supergroup" of multiple GPOs on the speaking circuit. That
led to the development of Mid-Atlantic Group Network of Shared
Services (MAGNET). By 1980, he and Diana Lyons, a clinical nurse he
had hired to help him better understand clinical practices within the
shared services company he ran, formed McFaul & Lyons Inc. as a
consulting firm that would help hospitals control expenses and
streamline operations. The firm gained national renown for promoting
such innovative concepts as data sharing and product standardization
among multiple facilities. McFaul and his firm worked with hundreds of
hospitals and conducted more than 150 educational seminars. Over time,
though, the extensive travel schedule began to take its toll. McFaul
and Lyons sold the firm to a division of Johnson & Johnson and McFaul
retired. But his absence was short-lived. Within three years, he
re-emerged on the healthcare scene, initially promoting some of the
same issues as before but then moving beyond supply chain management
to tackle some of the high-level issues disrupting the C-suite with a
new venture called The Center for Modeling Optimal Outcomes and a
sister firm called Strategic Initiatives in Healthcare.
Judith Newberry
A consummate professional
throughout her entire career, Judith Newberry was a steadfast champion
and supporter of materials management and group purchasing. She
brought a CEO-level of sophistication to the profession, giving it a
high level of visibility in the C-suite and in GPO circles. From her
association work (she is a past president of the Health Care Material
Management Society, which was absorbed by AHRMM several years ago) to
her hospital experience at such facilities as the University of
Missouri-Columbia Hospital and Clinics and most recently
SwedishAmerican Health System, Rockford, IL, to her GPO influence at
University HealthSystem Consortium, she contributed considerably to
raising the bar for women in the profession.
Richard Perrin
As one of the leading advocates
for information technology adoption and implementation in the supply
chain, as well as industry-wide data standardization and
synchronization you’d be hard-pressed to attend a supply chain- or
IT-related conference and not find him there as a featured speaker or
simply speaking his mind. Perrin remains visually and vocally
passionate about the need for supply chain IT to the point that the
entire industry, thanks to heightened concerns about patient safety,
fiscal transparency and cost management being spurred by government
interest, finally may be catching up to him. Perrin plied his skills
early on as director of materials management at the esteemed
Massachusetts General Hospital in Boston before he moved on to
healthcare consulting work and educational experience as a faculty
member for management information systems at Northeastern University
where Dean Ammer also served. His IT experience spans a variety of
applications ranging from mainframe-based multi-hospital environments
to distributed data processing systems involving the use of mini- and
micro-computers, including bar codes and relational data bases. A past
president of HCMMS who also is active with AHRMM, HFMA and HIMSS as a
thought leader in the IT association’s supply chain management group,
Perrin and his supply chain consulting firm (first Healthcare Concepts
Inc., then AdvanTech Inc.) specialize in IT across the enterprise,
productivity improvement and value analysis, among others. Perrin also
played a key role in the consolidation progression of
Catholic-sponsored group purchasing during the 1990s, working with the
forerunner organizations of Consorta Inc.
Paul Powell
Paul Powell was a dominant
presence in the investor-owned hospital community during the 1970s and
1980s – first with Hospital Corporation of America and then with rival
Humana Inc. as vice president of purchasing. Powell is credited, along
with Gene Burton, for shaping HCA’s and Humana’s contracting and
purchasing programs, positioning the chains to become a trend-setting
force in group purchasing, which they did in the 1990s following their
merger into Columbia/HCA. Regarded by some as fearless in his
negotiating, Powell exemplified the business professionalism of
materials management.
Robert Simpson
If Charles Housley’s presence in
healthcare supply chain management reverberated through the industry
in the 1970s and 1980s, Bob Simpson’s presence considerably impacted
the 1990s and continues to be felt today. A towering figure who
radiates charisma, Simpson established himself as an industry leader
and influencer with a varied career that spanned key management
positions in hospitals and healthcare systems, a regional group
purchasing organization, a vendor, a government agency, a disaster
relief agency and a charitable organization. He served as AHRMM
president in 1995 during a tumultuous period of unprecedented job
changes and losses by materials managers in a market caught up in
healthcare reform and considerable consolidation among providers and
suppliers. During that time he helped to redefine the profession,
giving it a more positive outlook amid the storm, and developed a
charity that provides medical supplies and free surgery to
underprivileged children around the world. His seven-year career with
a prominent vendor taught him the tenets of man aging
in a for-profit company and how to run a business, skills he
transferred to his current position as president and CEO of LeeSar
Regional Service Center and Cooperative Services of Florida, joint
ventures between Florida’s Lee Memorial Health System and Sarasota
Memorial Healthcare System. Although Simpson inherited the centralized
distribution and group purchasing operations in 2002 he guided them to
the next level, expanding LeeSar and launching an outsourced custom
packing operation as well as developing an outsourced sterile
processing operation.
John Strong
John Strong is familiar with
making tough, career-changing decisions, the most recent of which
involved signing the GPO he led and helped develop since 1998 as an
affiliate of HealthTrust Purchasing Group earlier this year. Consorta
Inc.’s debut nine years ago emerged from a long-running debate about
the feasibility and need for a national organization to represent
Catholic-sponsored and religious-oriented facilities, culminating in a
monumental decision to merge supply chain operations for a dozen
Catholic-sponsored GPOs. Strong, who had helped to create Premier Inc.
with Lynn Detlor a decade ago, left to spend a year consulting with
Tom Hughes before Consorta recruited him as its chief. Regarded for
his high personal and professional ethical standards, forward-thinking
strategies and thorough deliberations on business decisions, Strong’s
quiet strength and unassuming demeanor shrouded his leadership
qualities, making him the ideal choice to run Consorta. Like Derwood
Dunbar Jr., Strong was another GPO CEO who rose through the ranks of
hospital materials management. He spent his early career in the late
1970s and early 1980s at Lutheran General Hospital System, Park Ridge,
IL. There he headed materials management operations for the system
through a subsidiary company called Parkside Associates. In the
mid-1980s, Strong established a hospital-backed joint venture, teaming
Parkside with local distributor Harris Hospital Supply, Broadview, IL,
to form Health Care Materials. As HCM president, Strong wanted to
distribute products and offer outsourced materials management services
starting with Lutheran and branching out to the metro Chicago area and
ultimately to several states. With interest in just-in-time
distribution growing and stockless arrangements peaking in the late
1980s and clinicians resistant to changing their buying habits, HCM
lasted only five years. Strong then moved to Premier Health Alliance,
one of the forerunner organizations of Premier Inc., as vice president
of materials management in the early to mid-1990s.
Peggy Styer
With a career that has spanned
materials management operations in hospitals and complex healthcare
systems, involving large-scale projects, as well as a term in
healthcare supply chain management consulting, Peggy Styer can
strategize effectively from an ivory tower but also jump into the
trenches to implement strong and successful cost management programs.
She currently is one of the driving forces streamlining processes and
reducing costs at Catholic Healthcare West as the director of supply
chain management/operations. Her current hurdle involves implementing
an ERP module system-wide among 42 CHW hospitals, accounting for data
standardization and synchronization. Styer’s inherent professionalism
and calm demeanor represent unflappability under intense pressure.
Claude Trafas
As the director of purchasing at
Wilmington (DE) Hospital, a large influential facility in the late
1970s and 1980s, Claude Trafas was a staunch and vocal advocate for
centralizing the materials management function and operating like a
real business on a "sound profit-and-loss basis." Trafas, an
influential leader among Delaware facilities, most likely was
influenced by the growing power of the investor-owned hospital chains
and hospital management companies. Despite his preference for
hospitals to maintain control of all of their supply chain operations,
Trafas recognized the contributions and influence of the new breed of
GPOs emerging at the time. He argued that once a hospital committed to
joining a group it should avoid negotiating better deals on its own
using the group price as a benchmark or be dropped from the group. At
the same time he stressed that vendors not sell to group members at
"other than group rates."
Alex Vallas
An outspoken lightning rod of a
thought leader going back to the 1980s, Alex Vallas often opposed the
prevailing wisdom that dominated the industry zeitgeist. To the casual
observer, the often controversial director of materials management at
Pittsburgh’s Magee-Womens Hospital may have come across as an industry
curmudgeon. But that wasn’t the case. Like the Old Testament prophets
predicting doom and gloom for Israelites because of their sin, Vallas
decried the inclusion of consultants, which he viewed as vendors, and
vendors being so intimately involved in industry associations. To some
Vallas seemed old school and behind the times. But he simply was
something of a purist who merely advocated a clear separation between
providers and suppliers as the lone voice of reason in the wilderness.
As prominent hospital materials managers joined the consulting, GPO
and vendor community market delineations began to blur. At best,
infusing the provider market with vendor blood and vice versa did
affect the profession’s development, for better or worse, but arguably
didn’t impede progress. Still, Vallas’ vocal encouragement of hospital
materials managers doing things well on their own and discouragement
blending the provider and supplier cultures too closely served as a
useful reality check.
Lou Vietti
As director of materials
management at the University of Minnesota Hospital and Clinic in the
late 1980s and early 1990s and later as system director of materials
management at Fairview Health System, Minneapolis, Lou Vietti liked to
push the envelope in terms of non-salary expense management and
reduction. In an educational institution with so many clinicians and
scientists with vested interests that can be a challenge. But Vietti
was able to reach out to those clinicians, engage them in a value
analysis process to standardize products and reduce inventory by the
millions. Today, such strategies and tactics are commonplace –
typically standard operating procedure. Two decades ago, however, they
were more novel and potentially risky ventures. Vietti also was
credited for his innovative development of a large-scale warehouse
operation to manage supply flow for a variety of facilities.
Noteworthy
Suppliers
George Ainsworth
Industry veterans bestow the
late George Ainsworth with the unofficial title of "the father of
administrative fees for group purchasing." In the late 1960s and 1970s
Ainsworth was an executive within New York-based The Hospital Bureau
Inc., generally credited as the first official GPO in the nation with
its origin in 1910. The Bureau recruited and partnered with a spate of
state hospital associations to coordinate their collective buying
power under such guidelines as committed volume contracting, one
member-one vote and administrative fee funding by participating
suppliers. Ainsworth, regarded as a highly ethical and principled man,
led the battle against suppliers resistant to the fee concept, driving
home the point that if you didn’t pay you didn’t play.
John Bardis
As the most contemporary name on
the list, John Bardis’ long-standing contributions to the healthcare
supply chain have yet to be determined but his influence already is
being felt, particularly in the area of disrupting the status quo in
the group purchasing industry. Bardis launched MedAssets in mid-1999
as a supplier of refurbished imaging equipment, taking advantage of
the burgeoning online e-commerce wave at the turn of the millennium.
But that vision was short-lived as he launched a series of
acquisitions that by 2000 established MedAssets as a major player in
group purchasing with very public intentions of redefining the model.
Among the key acquisitions were InSource Health (previously Purchase
Connection) and Health Services Corporation of America (HSCA). For the
last seven years, MedAssets has been steadily expanding its presence
and reach in group purchasing services and data and revenue cycle
management with a goal to become a public company.
Karl Bays
A gregarious and popular thought
leader in the 1970s and 1980s, the late president of American Hospital
Supply Corp. (now part of Cardinal Health Inc. through a series of
mergers) had a habit of disrupting the status quo and pushing the
envelope. The groundbreaking exclusive distribution agreement Bays
signed with Voluntary Hospitals of America (later VHA) in 1979
attracted federal heat on antitrust grounds and a lawsuit by four
medical/surgical distributors. When Bays proposed merging American
with Hospital Corporation of America in 1985, VHA chose to "phase out"
of its contractual relationship with the distributor, citing HCA as a
competitor. Bays’ motivation for an HCA merger? "The competition is
causing consolidation, and the lines are getting blurry. We simply
decided we wanted to set the pace." However, Baxter Travenol
Laboratories outbid HCA and merged with American to form Baxter
Healthcare Corp. Four years after the merger, Bays died in 1989.
Within a few years, VHA warmed up to Baxter, due to member demands and
market forces, and signed the company as an authorized distributor.
Robert "Bud" Bowen
Bud Bowen spent more than 35
years carefully building a career based on integrity and the
conviction to conduct business in an ethical manner, culminating in
his role as the second president – and first CEO – of Amerinet Inc.,
one of the nation’s largest GPOs, before his retirement last year.
Bowen entered the healthcare arena with American Hospital Supply
Corp., a leading distributor, where he learned fundamental healthcare
materials management concepts and techniques. He then spent five years
as director of purchasing and materials management at New England
Management Corp., a long-term care management company that owned and
operated six skilled nursing facilities. Haricomp Inc., the shared
services company forerunner to Vector HealthSystems, recruited Bowen
as its director of group purchasing, and he helped Haricomp grow into
a strong regional player. In 1986, Bowen was instrumental in the
formation and launch of Amerinet Inc., with Haricomp as one of four
shareholders.
Jonah Hughes
As vice president of purchasing
at St. Louis-based Daughters of Charity National Health System during
the late 1980s and 1990s, Jonah Hughes steered the supply chain
activities of the largest Catholic-sponsored GPO in the nation. He
became an influential thought leader whose career spanned 30 years
before his retirement in 2002. Hughes helped to usher in Daughters of
Charity’s expansion to Ascension Health Inc. in 1999 and was
instrumental in the inking of a major distribution deal with Medline
Industries where he later served as a consultant on diversity issues.
Hughes began his career as a hospital purchasing director in New
Jersey.
Ben Latimer
Armed with management
engineering degrees and a brief stint at Procter & Gamble, Ben Latimer
plied his skills at Methodist Hospital, Memphis, TN, in the
mid-to-late 1960s to improve nursing operations with the help of
computer technology and management information systems. Carolinas
Hospital and Health Services Inc., founded in 1969 as the shared
services arm of the North and South Carolina Hospital Associations,
recruited Latimer to be its chief. Under Latimer’s direction, the
company grew to become SunHealth Alliance, a leading regional GPO in
the southeast. With member backing, Latimer merged SunHealth into
Premier Inc. in late 1995 and oversaw the new organization’s
performance improvement consulting business, in effect returning to
his management engineering roots.
Larry & Sharon Malcolmson
Larry and Sharon Malcolmson, the
husband-and-wife team who co-founded MD Buyline in 1983 changed the
way hospitals and other healthcare facilities evaluate and acquire
capital equipment and information technology. Their goal was to
"create a level playing field for hospitals and medical technology
vendors, empowering members to make sound technology and financial
decisions." Today, with its online database on medical capital
equipment and IT, including evaluations, user feedback and vendor
information, MD Buyline remains a competent and comprehensive tool for
strategic sourcing.
Mark McKenna
Although he had a varied early
career on the supplier side, Mark McKenna was most known for his
experience at VHA Inc. and Novation. McKenna joined VHA in 1978 to
manage the GPO’s medical/surgical contracting business, as well as
spearhead its growing private-label program. As far back as the 1980s,
McKenna became one of the early explorers into physician preference
items and how a national GPO could tap into that market segment.
McKenna was instrumental in the creation and development of Novation
in 1998, the joint venture supply management company for VHA and
University HealthSystem Consortium, where he served as president
before his retirement last year.
Joel Nobel, M.D.
Joel Nobel, M.D., may not be a
household name on the healthcare supply chain circuit, but the
organization he founded and actively managed until 2001 certainly is.
While some have labeled it "Consumer Reports" for hospitals,
ECRI, which rebranded itself as the ECRI Institute several months ago,
stops short of the trademark hierarchical product and vendor rankings
for which its consumer counterpart is best know. However, ECRI
Institute’s comparison with Consumer Reports shouldn’t come as
a surprise because Nobel has served as a board member of the Consumers
Union since 1978. Yet, ECRI Institute’s formal program to evaluate
competing brands and models of medical equipment and technology,
including the testing laboratories and staff, was modeled after
Consumer Reports back in 1970. Nobel either created or initiated
many of the ECRI Institute’s programs in technology assessment,
product evaluation, risk management and technical assistance services,
including a wide variety of reliable publications, CD-ROM and online
databases. One of his claims to fame is the 1968 creation and
implementation of the Hospital Emergency Command System, which linked
and mobilized all telecommunications, emergency equipment, elevators
and pagers of key personnel during crisis response. Early in his
career, during one year as a general surgical resident at Pennsylvania
Hospital (the nation’s first hospital), he designed and developed MAX,
a mobile emergency life-support and resuscitation system. His
neurosurgical residency, however, at the Hospital of the University of
Pennsylvania, was interrupted by military service as a medical officer
in the U.S. Navy. He served on a nuclear submarine and then in the
Military Operations Branch of the Submarine Medical Research
Laboratory. Following his naval service, Nobel devoted his career to
full-time research, rather than as a practicing clinician. These days
Nobel is developing ECRI Institute’s expansion in the Middle East and
Asia.
Earl Norman
A consummate entrepreneur with
keen marketing savvy, Earl Norman parlayed his trucking and
distribution business experience to the healthcare industry.
Reportedly with $75 cash in a basement room, Norman launched Norman &
Associates in 1969 and started calling on 10 hospitals. Known as a
tough negotiator, he expanded the company into Mid-America Shared
Services and after acquiring several regional purchasing groups
outside of the Midwest he changed the company name to Health Services
Corporation of America in 1984. HSCA became one of the first
innovators in the concept of electronic order entry and one of the
first GPOs to promote multi-source contracting. An early opponent of
vendor-paid administrative fees, Norman changed his mind during HSCA’s
short-lived experience as a founding shareholder in Amerinet. Norman
sold HSCA to MedAssets in 2000.
Tom Pirelli
As the founder, chairman and CEO
of Enterprise Systems Inc. (ESI) Tom Pirelli channeled his
appreciation for "Star Trek" into making healthcare management
software necessary for cost reduction accessible and even fun for
materials managers. At best, ESI was the Apple in a DOS-based world.
Pirelli, who was more of the Captain Kirk-like business and marketing
genius behind ESI, and his No. 2 guy Dave Carlson, (executive vice
president and co-founder) who was the techy, Spock-like software
developer, launched a concept and a suite of products beginning in
1981 into a popular and respected brand for 1980s and 1990s. Pirelli
took the company public in 1995 and sold the firm to HBO & Co. in
1997. McKesson Corp. subsequently bought HBOC and rebranded the
company as McKesson Provider Technologies. Pirelli launched a new
venture in January 2001, ArialPhone Corp., which produced wireless
earset communications devices and voice-enabling software
applications.
Burt Trouteaud
Respected as an
independent-minded, strong-willed, tough-talking pioneer in healthcare
group purchasing in the 1970s and 1980s, the late Burt Trouteaud
served as the first executive director of Milwaukee-based Sisters of
the Sorrowful Mother, now known as Ministry Health and a Consorta Inc.
shareholder. While he supported the idea of committed volume
contracting he opposed vendor-paid administrative fees because he
believed that hospital members should pay for contracting services on
a fee-for-service basis as a matter of ethical principles. He later
served as executive director of one of the early "super groups during
that era, the Metropolitan Hospital Associations’ Purchasing Services/MHAPS.
Editor’s Note:
If you believe an important name is missing from this list, tell us
who and
why on our blog at
http://hpnblogline.blogspot.com/ or e-mail
editor@hpnonline.com.
If we can collect enough intriguing suggestions
we’ll publish a readers’ version of the Most Influential. |
|
|