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Value Analysis Committee Dossier

Each hospital's value analysis committee form answered in its own order from approved sources, with the cost impact worked from the hospital's figures and each claim held to the label.

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Follow one knee request from form to sent packet ↓
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The problem

Every committee asks in its own form, and the old packet carries old claims

A surgeon sponsors a new knee, and the hospital's coordinator sends a new product request in the committee's own layout. The account manager collects the label from regulatory, study summaries from medical affairs, the contract price from contracts and a cost spreadsheet from health economics, then pastes it into the form, often over last year's packet.

That is how a line from a field note promising use in revision surgery reaches a committee, and how a cost sum gets built on list price or a hospital price that changed mid-year. Compliance sees the whole file at the end, under the deadline, in tools made for brochures.

Built forAccount managersHealth economistsCompliance reviewersMedical science liaisons

The Problem Today

Every hospital committee asks in its own form, and account teams rebuild the same evidence and cost case by hand each time.

10–30 h
to answer one hospital's form by hand, by our estimate our estimate

Pulled together by hand per form

  • Studies
  • Label
  • Price
  • Cost sum
  • Old claims slip throughOff-label lines from field notes and past packets
  • Sums on the wrong priceList prices or an old hospital price in the cost

The Solution

  1. Read in the hospital's orderEach question split out; the hospital's own fields stay read only
  2. Answered from approved textEach sentence drafted from approved wording and cited to its passage
  3. The cost sum, shownThe hospital's volume times contract and cement prices; a person picks between conflicting inputs
  4. Each claim checked, then signedOff-label lines stopped; compliance opens each one, then approves

Built-in controls

  • Agents never send, sign or pick a price
  • Typed text is always read by a second person
  • Each hospital's prices stay in its own packet

What You Get

A packet the committee can check line by line, and a record of who agreed to each claim in it.

  • Likely questions preparedSourced answers ready before the committee meets
  • Decisions that carry forwardEach committee outcome kept with its reason
  • Sent ahead of the due dateThe packet goes as soon as its last signature lands
Five working days before the deadline

A value analysis committee form for a cementless knee, answered in a morning

A health system of 14 hospitals asks for evidence, price and a 12-month cost before its committee reviews a cementless knee. It uses the cemented version today.

demoThe health system, the knee, the studies, the people and the prices on these screens are sample data.

  1. 0109:12

    13 questions for the supplier, in the hospital's order and words

    Strategic account manager

    The coordinator's form arrives as the hospital wrote it: part A filled in by the hospital, with 1,180 primary total knees projected across 14 hospitals, and part B with 13 questions for the supplier. Her side of the page is empty, and the hospital's own fields stay read only, so nobody can tidy their numbers.

  2. 0209:42

    Eight agents fill it, and one of them stops to ask about cement prices

    Strategic account manager

    She asks the agents to fill the form and watches the steps. First the form reader finds 18 questions, 13 of them for the manufacturer. Next, the contract agent prices the cementless construct at $4,550 and the cemented at $4,310 from the purchasing group agreement. The budget modeler finds two cement prices in the hospital's own file and will not choose between them.

  3. 0309:43

    Each answer cites its passage, down to the patella staying cemented

    Strategic account manager

    She opens a citation on the first answer. The instructions for use open beside it with the passages marked: the indications, the contraindications, and the line saying the all-polyethylene patella is cemented. Each answer is drafted from approved, in-date sources only; a superseded study is skipped with the reason shown.

  4. 0409:44

    Page 2 prices show a $28,320 saving, and page 4 may change that

    Health economics manager

    The sum is laid out line by line: implant $240 more a case, cement saved because the cementless knee needs one dose instead of two plus a mixer. Net −$24 a case across 1,180 knees. The flag below names the problem: page 4 of the hospital's file is a scanned amendment with newer prices.

  5. 0509:46

    He picks the amended price, and a saving becomes a $29,500 cost

    Health economics manager

    He opens both pages and picks the amendment, the newer price on the hospital's own file. Cement saved drops to $215 a case and the net turns to +$25, or +$29,500 over 12 months, 0.54% on these cases. Because the change makes the manufacturer's case less favorable, it applies at once. He signs the model at 09:51.

  6. 0609:54

    A field-note line offers the knee for revision, which the label rules out

    Promotional compliance reviewer

    Six of the 24 claim sentences are flagged. She opens C4 beside its source: the label indicates the knee for primary arthroplasty and lists revision of a failed knee as a contraindication. The line came from an older packet for another hospital. The claim checker proposes removing it; she accepts, one row at a time.

  7. 0710:24

    Six flags decided, two approved sentences sampled, and the price change read

    Promotional compliance reviewer

    Five sentences are removed and the operating time claim is rewritten to what a meta-analysis of other makers' knees found, with a note that no study has measured it for this knee. She reads the two approved-wording sentences drawn for her sample, then the cost correction with both pages of the hospital's file.

  8. 0810:28

    Approved for external use, on-label and sourced

    Promotional compliance reviewer

    With every flag decided, the sample opened and the model signed, the approve button works. She signs with the meaning approved for external use: on-label and sourced. A change after this point resets her approval, so the packet that leaves is the one she read.

  9. 0910:33

    Sent 12 days before the committee meets, with 6 sentences stopped

    Strategic account manager

    The send screen shows the chain behind it: agents filled the form, health economics signed the cost, evidence answers used approved wording, compliance decided the claims and approved. She sends it with her own password. After the meeting she records the committee's decision and reason, and a second person confirms it.

The 12-month cost change, from the hospital's own file

Signed by health economics on the amended cement prices from page 4.

Cementless construct, tier 2 contract line$4,550
Cemented construct used today$4,310
Implant difference a case+$240
Cement saved a case: (2 × $121 + $94) − $121−$215
Net change a case+$25
Over 1,180 projected knees+$29,500
The same sum on the page 2 pricesbefore the amendment on page 4−$28,320

demoSample data, from the working solution.

Around the packet

Evidence, decisions and versions behind each value analysis packet

What the account team, medical affairs and compliance keep between one committee and the next.

Committee rehearsalEight likely questions from the evidence gaps, the cost result and two past decisions on this knee, each with a sourced answer. She picks what goes in.
The evidence libraryFiltered to what a packet may cite, each item with who approved it and its review date. A drafted summary waits until the medical science liaison approves it.
Decisions and reasonsWhat committees decided this year and why they deferred or declined, recorded by the owner and confirmed by a second person.
VersionsEach change with who made it. Approved wording may be reused at other hospitals; prices, volumes and the cost model never travel.
Open requestsEvery open hospital request with its committee date and stage. Seven packets citing a superseded study are blocked until redrafted.
Audit trailAgent steps, sentences read, fixes accepted and the four signatures, with session and the stated meaning.

demoSample data, from the working solution.

Off-label lines from field notes, stopped before the committee read them

Four of the six flagged sentences in one packet.

A patient group the label excludes

Suitable for patients with osteoporosis, while the label contraindicates bone that cannot support uncemented fixation. Removed.

Minutes nobody measured for this knee

Saves 10 minutes became what a meta-analysis of other makers' knees found, with a note that none has measured this one.

A safety claim the construct breaks

No cement, so no cement-related complications, on a knee whose patella is still cemented. Removed.

The same instruments, plus one tray

Uses the same instruments as the cemented knee was inaccurate; the set adds a porous preparation tray. Rewritten.

demoSample data, from the working solution.

Four signatures, and the person who changed an item never checks it

Each signer reads a different part.

Health economics manager
Sees
The cost sum and any conflicting input
Signs
Picks between inputs and signs the model
Medical science liaison
Sees
Evidence answers someone changed
Signs
Approves evidence wording for external use
Promotional compliance reviewer
Sees
Flagged claims, a sample of approved ones, and price changes
Signs
Approves the packet as on-label and sourced
Strategic account manager
Sees
The form, the rehearsal and the chain of sign-offs
Signs
Sends the packet and records the decision
Eight agents per form

They draft from approved sources and never send, sign or pick a price

Every agent hands its work to a person by role.

Form reader

Splits the hospital's form into its questions, in its order, and keeps its fields read only.

  • Never answers a field the hospital fills
Evidence matcher

Finds the approved, in-date item and passage for each question.

  • Never cites a superseded or internal-only item
  • Never reads complaint or recall files
Contract and price agent

Reads the contract, tier and line price.

  • Never offers a discount
Budget impact modeler

Works out the yearly cost change from the hospital's volume and prices and shows the sum.

  • Never picks between conflicting inputs
  • Never counts operating minutes as cash
Reimbursement coder

States the procedure and payment codes and whether the device is paid separately.

  • Never advises how to code a patient
Claim checker

Checks each sentence against the label, the clearance and approved wording, and proposes a fix.

  • Never approves a claim
Committee rehearsal agent

Predicts the committee's next questions and drafts sourced answers.

  • Never answers a patient question beyond the label
Packet assembler

Builds the packet in the hospital's order and versions it.

  • Never sends without the full sign-off chain

What account and compliance teams ask about value analysis packets

What is a value analysis committee dossier?

A value analysis committee dossier is the packet a device maker sends when a hospital's value analysis committee reviews a product: evidence, regulatory status, price, cost impact and coding. Here agents answer the hospital's own form from approved sources and people sign each part.

Whose prices go into the cost impact?

The contract price from the purchasing group agreement and the hospital's own supply prices from its attachments. When the hospital's file disagrees with itself, health economics picks and records why.

Can a price from one hospital end up in another's packet?

No. Prices, volumes and the cost model stay inside each hospital's packet. Only approved wording travels between packets.

Does the packet claim time savings in the operating room?

Only as background, labeled as a study of other designs, with no minutes or dollars put on it. Operating time stays out of the cash total.

Who decides whether a sentence is on-label?

The promotional compliance reviewer, one sentence at a time, after it has been on her screen beside its source. The claim checker only flags and proposes.

What happens after the committee meets?

The account manager records the decision and the committee's reason, a second person confirms it, and the rehearsal agent reads those reasons before the next packet.

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Start with one hospital's request form
and the packet you sent last time.

We will answer it in the committee's order and show you which sentences the label does not support.

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