2011 Fall IDN Summit & Expo

Sept. 13-15, 2011

Arizona Biltmore

Phoenix, AZ

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Tuesday, Sept. 13

 
 7:00 am  7:00 pm Registration Open 
Main Foyer - Conference Center
 7:30 am  11:15 am Team Building 
MacArthur Salon 5-7

Explore the true meaning of collaboration and giving back during the Fall Team Building Challenge. Invest the first morning of your IDN Summit experience building bikes for needy and deserving children of local Phoenix area charities.  This year VHA has challenged the IDN Summit attendees to go beyond the 30 bikes that were built and donated last year by building 50 bikes in 2011! You’ll be placed in a collaborative environment to learn new strategies on working together to meet challenges you face on a day-to-day basis. Breakfast, lunch and beverages will be provided and comfortable clothing is strongly recommended.
11:00 am  12:00 pm First-Time Attendee Lunch
Sedona

Is this your first time attending an IDN Summit & Expo? Don't miss your chance to get together with other first-time attendees and learn more about how to get the most out of your IDN Summit Experience.

12:00 pm  1:15 pm Strategic Management Track: Enhancing the Supply Chain Partnership
Casa Grande

Presenters:  John Donnelly, Administrative Director, Supply Chain, Virginia Mason Medical Center; and John Sdanowich, Capital Administrator, Johns Hopkins Health System

While supply chain partnerships are common in the private industry, they are unique in health care. In light of reform and the increasing demands on both health systems and suppliers, examples of partnering across the healthcare supply chain are emerging across the country. By sharing information and working together, organizations can form collaborations that benefit all parties.

This session will open with a frank look at the importance of full transparency in every transaction. The current economic climate has given rise to many types of sales and marketing programs promoted to healthcare systems. Hear John Sdanowich at Johns Hopkins Health System describe how these programs could impact your healthcare system from a legal, credit rating, accounting, and even fraud and abuse perspective. Learn why all deals should be unbundled and why disclosure of details is essential.

Then, hear how Virginia Mason Medical Center Supply Chain entered into a highly sophisticated activity-based product distribution relationship with Owens & Minor. This unprecedented model, the Alpha Vendor, considers a unique metric, the Total Supply Chain Cost (TSCC), as the gold standard for all measurement of performance and cost. This model has increased O&M margin while reducing VMMC expense and increased quality for both parties.

This presentation will describe these relationships, the challenges, the successes, and visions for evolution into what Womack and Jones describe in Lean Thinking as Lean Enterprise.

Learning Objectives:
1. Analyze the necessary foundation for supply chain partnerships.
2. Evaluate how your organization can better collaborate with business partners.
3. Define an evolutionary model in supply chain efficiency.

12:00 pm  1:15 pm
Financial Operations Track: Developing Successful Strategies to Maximize Your Bottom Line
Gold

Presenters:  Brent Petty, Director, Supply Chain, Wellmont Health System; John Ortiz, Partner, Tatum Healthcare; Laurel Junk, VP, Supply Chain, Procurement & Supply, Kaiser Permanente


Healthcare organizations are seeking to identify and implement successful strategies to streamline operations and increase margins. Focusing on the service line can be effective and yield measurable results. This session looks at three such techniques.

It is estimated that over $50 billion in healthcare savings was lost last year simply due to a lack of data standards in the supply chain. This session will make a strong case for implementation of GS1 data standards to enhance business processes and bring benefits by way of patient safety, supply chain efficiency and regulatory compliance. Hear one health system’s strategy for adopting standards and learn what financial benefits were realized.

Next, the program provides an overview on the use of Activity Based Methods and their connection to Lean Six Sigma for the healthcare industry. Building on this framework, you’ll identify ways to close the gap between cost estimates and actual costs, and how to perform a value analysis to identify waste and cost reduction opportunities in your operation. Finally, you’ll learn about the five key elements to performance management including the creation of a balanced scorecard to translate vision and strategy into action.

To close the session, listen as Brent Petty, director, supply chain, Wellmont Health System, discusses how his system aligned supply chain management activities in order to support service line margin management.

Learning Objectives:
1. Explain how implementing GSI standards can increase savings. 
2. Explain how activity-based methods can be used to determine the true cost of your operation and how this can provide the foundation for improved operational performance.  
3. Analyze methods for aligning supply chain management activities in ways that support service line margin management. 
12:00 pm  1:15 pm Clinical Integration Track: How to Bridge the Gap Between Clinical Outcomes and Financial Objectives
Flagstaff

Presenters:  L. David Harlow, Director of Pharmacy, Carilion Clinic; Brian Romig, VP, Pharmacy Services & Supply Chain, Cone Health; Dennis Robb, Senior VP, Supply Chain Manegement, UC Health

The historical struggle between quality clinical outcomes and the need to meet financial goals is giving way to a new era where high-quality patient care brings with it financial reward, and meaningful data analysis can help to bridge the gap between supply chain and quality care objectives. This evolution spurs the desire for new methods of aligning financial goals with clinical ones in an effort to maximize synergies, and develop a culture of stronger collaboration and cross-accountability.

Achieving a clinically integrated supply chain is a journey often relying on a strong value analysis process and evidence-based practices. Engaging physicians and management, and the use of data and other means of evaluating product selection and utilization, can play key roles. This session will provide examples of practical approaches for finding common ground between financial and clinical interests, as three healthcare system leaders describe their pathways to successfully building necessary relationships for integration. Dave Harlow, director of pharmacy, Carilion Clinic, will provide a pharmacy perspective. Listen as he and his fellow presenters describe the models they used to achieve balance and a truly successful clinically integrated supply chain.

Learning Objectives:
1. Describe the differences between clinical outcomes and financial objectives. 
2. Evaluate ways to align your organization’s clinical and financial goals. 
3. Compare three strategies for achieving quality clinical outcomes while maximizing available resources.  
12:00 pm  1:15 pm Purchased Services Track: Effective Negotiation Techniques to Maximize Purchased Services Contracts 
Mesa

Presenters:  John Kautzer, Executive Director, Support Services and Distribution, Integrated Sourcing Solutions, ROi

Once confined to a handful of traditionally outsourced tasks, such as food service and housekeeping, purchased services today has grown to include a wide range of contracted services—virtually anything offered through a third party. Contracts have become more complicated, with many functions of the contracted service taking place in-house, whether through regular hospital employees or vendor employees.

Now identified as the third-largest cost area in a healthcare system, purchased services is emerging as a key target for cost reduction. That’s why effective contract negotiation techniques have become even more critical, involving new considerations apart from those usually seen with supplies and equipment.

Further complicating the contract process is that purchased services are often handled by multiple departments with very few standards developed to navigate contracting issues. Lack of benchmarking data makes it difficult for healthcare systems to track purchased services spending and identify inefficient areas.

In this session, you will hear John Kautzer, executive director, support services and distribution, Integrated Sourcing Solutions, ROi, and other experienced healthcare system executives on the negotiation techniques they employed to gain the most from their purchased services contracts. Learn what unique challenges these negotiations posed and what strategies were utilized to address them.

Learning Objectives:
1. Contrast how purchased services contracting differs from traditional supply chain contracting. 
2. Evaluate the challenges unique to purchased services contract negotiating and means of addressing them. 
3. Demonstrate effective purchased services contracting techniques. 
12:00 pm  1:15 pm  Market Strategies Track: Understanding How Healthcare Reform will Impact the Way You Do Business 
Grand

Presenters:  Neil S. Olderman, Partner, DrinkerBiddle; Patricia Tyson, RN, MSA, Vice President, VHA Physician Preference Management and Goodroe Healthcare Solutions; and Joel Sangerman, Payer Relations Director, DePuy Mitek

Healthcare Reform is a game changer. The debate is no longer ‘will it happen,’ but ‘how much change will occur.’ Healthcare suppliers will need to meet the challenges of new delivery models, reimbursement shifts, increased scrutiny and restrictions placed on sales channels, among other game-changing issues.

Shifts toward evidence-based medicine and related changes in conflict of interest legislation can also impact business practices. You will learn from Neil S. Olderman, partner, DrinkerBiddle, why supplier companies must prepare for potential conflicts of interest and how this developing issue could impact how you do business. 

You will also hear from Joel Sangerman, payor relations director, DePuy Mitek, on how ACOs fit into the new era of Healthcare Reform. With 150 ACOs expected to be in place before the year is out, you will learn ways of positioning your organization to adapt to market changes, evaluate value propositions and develop goals that ensure alignment with those of your industry partners for improved quality and reduced costs.

Learn from Patricia Tyson, RN, MSA, vice president, VHA Physician Preference Management and Goodroe Healthcare Solutions, how gathering intelligence and gleaning actionable data through service line analytics solution strategies can help systems lay groundwork for adjusting to bundled payments without sacrificing patient outcome. Understand the use of comparative effectiveness research and evidence-based medicine. 

Learning Objectives:
1. Evaluate the impact of service line analytics solution strategies in bundled payments. 
2. Explain how suppliers can support supply chain initiatives in ACOs. 
3. Investigate evidence-based medicine and potential conflicts of interest. 
 1:15 pm  1:30 pm Break
 1:30 pm  2:30 pm Strategic Management Track: Exploring the Role of Supply Chain to Maximize Physician Alignment
Casa Grande

Presenters:  Jean Chenoweth, Senior Vice President, Center for Performance Improvement, Thomson Reuters

Attracting and retaining high quality primary care providers is critical to the success of healthcare systems, but it becomes particularly vital in the creation of successful Accountable Care Organizations (ACOs). Recruiting and relationship building with these primary physicians should be part of your healthcare system’s growth plan. While these physicians are drawn to a system for a wide variety of reasons, one factor gaining prominence is a healthcare system’s access to Group Purchasing Organizations (GPOs). Healthcare systems and ACOs are seeking to position this strategic supply chain relationship as an advantage in attracting independent physicians. 

In this session, Jean Chenoweth, Senior Vice President, Center for Performance Improvement at Thomson Reuters, will discuss the urgent need for supply chain executives to be linked into quality and efficacy evaluations as a means of aligning physicians with healthcare systems and ACOs. 

Learning Objectives:
1. Analyze how supply chain can play a key role in recruiting physicians to healthcare systems or ACOs. 
2. Explain how to leverage supply chain cost benefit analysis to support quality improvement. 
3. Outline the collaborative relationships supply chain can develop to maximize physician alignment with healthcare systems and ACOs. 
1:30 pm  2:30 pm Financial Operations: Developing and Implementing a Strategic Capital Acquisition Plan
Gold

Presenters:  Carol Davis-Smith, Director, Capital Lifecycle Solutions, Premier Consulting Solutions; and Daniel Majka, Senior Vice President, Kaufman, Hall & Associates, Inc.

Healthcare Reform has accelerated the drive toward a value-based business model and healthcare systems are responding by developing new competencies in areas like information systems, care management, new payor relationships and service distribution. Developing and financing these competencies often requires long-term strategic planning and financial analysis to provide a clear picture of the financial and capital implications.

Capital acquisition is a challenge for many healthcare organizations and those challenges have been magnified in an environment of Healthcare Reform. As organizations seek to fund new projects and expansions, they also need to focus on clinical capital requirements necessary for future sustainability.

In this session, you will hear from Carol Davis-Smith, director, Capital Lifecycle Solutions, Premier Consulting Solutions, and Daniel Majka, senior vice president, Kaufamn, Hall & Associates, Inc., on ways your organization can assess and prioritize current and future technology and competency needs, and use this information to develop a capital acquisition plan tailored to your organization and its long-term strategic goals. Learn the importance of ensuring that market and capital strategies, day-to-day operational planning, and financial planning are all integrated across your organization.

You will gain new insights into financial and capital planning strategies, how to implement your capital acquisition plan and how to best develop an effective and efficient decision-making process.

Learning Objectives:
1. Identify key capital-planning needs. 
2. Build a capital acquisition plan that reflects your organization’s long term strategic financial goals. 
3. Explain how to implement your organization’s capital acquisition plan. 
 1:30 pm  2:30 pm Clinical Integration Track: Using Effective Evidence Based Decision Making for Supplies and Equipment
Flagstaff

Presenters:  Anthony Montagnolo, Chief Operating Officer and Executive Vice President, ECRI Institute

Clinical evidence and long-term experience with hands-on testing and evaluation is at the foundation of sound decisions regarding supplies and equipment, particularly in an environment of Healthcare Reform. The first critical step in effectively using evidence-based decision making to support the supply chain is to ensure that the data you are using is unbiased and accurate. Comparative Effectiveness Research provides evidence on the effectiveness, benefits, and harms of various treatment options and can be an effective tool in the process. Information can be generated from research that compares medical devices, drugs, medical tests, procedures, supplies, equipment and ways of delivering healthcare.

The use of meaningful, clean data is an absolute imperative to managing the decision-making process and can facilitate well-informed technology decisions that are consistent with your organization’s strategic visions. In this session, you will hear from Anthony Montagnolo, chief operating officer and executive vice president, ECRI Institute, on how to gather relevant data for evidence-based decision making, as well as learn about examples of how faulty data affected decision making and outcomes. Learn how your organization can utilize effective evidence-based decision making to lower costs while improving care.

Learning Objectives: 
1. Identify resources and issues to consider when gathering data. 
2. Explain how faulty and biased data can affect outcomes. 
3. Describe how to use evidence-based decision making when selecting supplies and equipment.
 1:30 pm  2:30 pm Purchased Services Track: Identifying Key Areas of Purchased Services Cost Reduction
Mesa

Presenters:  Joe Quinones, Vice President, New York City Health & Hospitals Corporation; and William Mosser, Vice President Materials Management, FMOL Health System

The area of Purchased Services has grown into a significant source of potential cost savings as other areas of potential savings in the traditional supply chain have already been realized. The growing demand for many services, such as electronic medical records and nurse and technician staffing, has caused the portion of hospital spending attributed to purchased services to climb, and with it, the potential for greater cost reduction.

Purchased Services spans a broad range of cost areas within a healthcare system, including clinical, ancillary, support, staffing, maintenance and IT, among other segments. With so many potential areas for cost reduction across so many departments, it is essential to prioritize efforts by identifying contracting areas that will yield the greatest results as well as opportunities for strategic partnerships.

In this session, you will first hear an industry analyst utilize data from healthcare systems across the nation to help you identify opportunities that could yield purchased services savings. Then hear from Joe Quinones, vice president, New York City Health & Hospitals Corporation, on labor and support services, such as environmental, plant maintenance, dietary, laundry and bioengineering. Gain insight into how this data could apply to your healthcare system. Learn how to target specific areas and how to utilize strategic partnerships to effectively maximize cost savings.


Learning Objectives
1. Identify the various areas of potential purchased services savings. 
2. Outline how to rank purchased services areas in order of cost savings potential. 
3. Classify and analyze purchased services data from health systems across the nation and identify relevancy to your own healthcare system.  
 1:30 pm  2:30 pm Market Strategies Track: Aligning Customer and Supplier Goals
Grand

Presenters:  Gary McMann, Chief, Supply Chain Network, Los Angeles County Department of Health Service; and Tony Benedict, VP, Supply Chain, Abrazo Healthcare

Healthcare Reform puts even greater stress on healthcare systems that are already facing financial and operational struggles. As a supplier, knowing your customer’s long-term and short-term goals should be a part of your business intelligence. Developing your organization’s strategic plan so that it aligns with your customer’s goals can foster a strong and prosperous business partnership, poised to weather financial challenges.

In this session, you will learn how healthcare system executives have communicated their goals to suppliers, and explore proven methods for extracting this valuable information from your customers. Learn how to identify and utilize examples of positive goal alignment between customer and supplier. Hear how best to develop a plan for aligning your goals with those of your healthcare system customer.

Learning Objectives:
1. Identify proven methods for identifying customer goals. 
2. Adopt strategies for aligning supplier and healthcare system customer goals. 
3. Identify examples of positive customer/supplier goal alignment. 

2:45 pm  4:00 pm

Strategic Management Track: Analyzing Reform: The Payer's Perspective
Casa Grande

Presenter: Herb K. Schultz, Regional Director, Region IX, U.S. Department of Health and Human Services

Healthcare Reform brings sweeping changes for all healthcare stakeholders. Undoubtedly, the healthcare payer industry will be transformed. Initiatives such as guaranteed coverage, ACOs, Medical Homes, and Value-Based Purchasing will restructure current business models. 

Hear from Herb K. Schultz, regional director of the U.S. Department of Health and Human Services, Region IX, on what payers plan to implement in light of these massive healthcare reform changes. As a healthcare provider, analyzing this information will help your organization plan appropriately for the trickle-down impact on operations and prepare your organization for the impact of these initiatives.  



Learning Objectives:
1. Analyze key challenges facing the healthcare insure industry as it relates to healthcare reform mandates.
2. Evaluate strategic insights on how healthcare reform will affect the payer community and how your organization’s financial picture could be impacted.
3. Outline potential strategies for managing new payer-provider relationships.

 2:45 pm — 4:00 pm

Financial Operations Track: Building a Financially Successful Accountable Care Organization
Gold

Presenters:  Greg Shufelt, Senior Manager, The Camden Group

ACOs are one of the most talked-about provisions of Healthcare Reform and may be modeled in many ways, including integrated delivery networks, multispecialty group practices, physician-hospital organizations, independent practice associations, and virtual physician organizations. These innovative models offer healthcare providers financial incentives to provide quality care to Medicare beneficiaries while also holding down costs.

With such organizations springing up across the country, it is essential that the framework be in place to build financially secure ACOs. Healthcare systems and physicians will need to coordinate care, and align their professional and financial goals. Although at times overlooked, it is imperative that an ACO establish actuarial cost and utilization targets appropriate for its designated business, and provide the necessary medical management to achieve those targets.

In this presentation, hear from Greg Shufelt, senior manager of The Camden Group, on the vital framework needed for healthcare systems starting their ACO journey. Go in-depth on the potential challenges faced in the developmental phase and the roadmap for the future in ensuring that your organization sustains a financially secure ACO model. 


Learning Objectives: 
1. Identify key factors to consider when forming an ACO.
2. Outline what steps your organization should take in preparing for development of a financially sound ACO. 3. Compare three approaches to ACO formation.

 2:45 pm — 4:00 pm

Clinical Integration Track: Utilization of Data to Engage Physicians 
Flagstaff

Panelists: Susan Widhalm, Senior Contract Portfolio Manager, Mayo Clinic; Gregg Yocum, Executive Director of Materials Management, Saint Francis Health System; Chris Toomes, VP, Professional Services, Memorial Hermann Healthcare System

Moderator: Steve Huckabaa, Network VP, Supply Chain Management, Biomedical Services & Center for Innovation & Research, Kettering Health Network

As they prepare for payment reform, health system supply chain executives will seek out innovative ways to communicate with and engage physicians in the drive to reduce costs. Physician preference items (PPIs), such as implants, stents, and pacemakers, can present a challenge to cost reduction strategies, though such devices can account for as much as 60 percent of total supply expenditures. But oftentimes, their acquisition bypasses the organization’s usual purchasing process.

Using accurate clinical data can be your greatest ally when engaging hospital physicians in the process of improving patient care while holding down costs. Meaningful involvement of physicians in supply chain decisions can improve communication throughout clinical, financial and operational areas. This improved relationship fosters mutual trust and a better understanding of the challenges faced by the supply chain department.

In this session, hear from Chris Toomes, director, professional services, supply chain management, System Services, Memorial Hermann Healthcare System; Susan Widhalm, senior contract portfolio manager, Mayo Clinic; and Gregg Yocum, executive director of materials management, Saint Francis Health System, on how certain actions and processes can contribute significantly to creating ongoing, successful relationships while lowering costs and improving patient care. Learn how they formulated goals, identified and compiled the most relevant data available, and presented this business intelligence to physician leaders.

Learning Objectives: 
1. Identify supply chain goals that are key in cultivating physician involvement.
2. Plan how your organization will devise a strategy to compile accurate data.
3. List specific ways to engage physicians in achieving shared goals.

 2:45 pm — 4:00 pm

Purchased Services Track: Proven Models for Purchased Services Savings
Mesa

Presenters:  Jo Ann Autenrieb, Vendor Access Program Manager, Supply Chain Organization, Intermountain Healthcare; and Robert Handfield, Bank of America University Distinguished Professor of Supply Chain Management, North Carolina State University 

With half of all U.S. hospitals losing money, it’s no surprise that potential cost savings through purchased services represents an appealing opportunity for healthcare systems. This session will focus on potential savings in three key areas.

Jo Ann Autenrieb, vendor access program manager, supply chain organization,Intermountain Healthcare, will discuss the first of these, vendor management. Because it is government-mandated, vendor management practices must be in compliance both with internal policies and government regulations. Keeping track of all the vendors coming and going in a healthcare system is essential to patient security and cost control. In this session, you will hear how one healthcare system faced challenges in this area and the strategies it employed to address them.

Another focus of potential savings is in the maintenance of clinical and diagnostic maintenance, also known as clinical engineering. Clinical and diagnostic equipment repair is a critical contracting area because hospitals are challenged to find skilled engineers and technicians capable of maintaining and repairing sophisticated imaging equipment and other diagnostic tools in compliance with accreditation standards. You will hear from a healthcare system executive who will relate first-hand experience in achieving clinical engineering cost savings.

Healthcare transportation infrastructure is an opportunity ripe for maximizing performance and lowering costs. In looking at this third area of potential savings, you will hear a researcher describe how he uncovered a dichotomy between the perceived importance of transportation as a high-cost, high-impact service, and the limited spend analytics and lack of attention paid to it by many IDNs as they seek to maximize cost savings.

Learning Objectives:
1. Outline how your organization can adopt strategies for savings through vendor management.
2. Identify savings opportunities in the area of clinical engineering.
3. Describe ways to improve cost efficiencies through healthcare transportation infrastructure.
 2:45 pm  4:00 pm Market Strategies Track: Utilizing Data To Enhance Sales Strategies
Grand

Presenters: Jay Kirkpatrick, CEO, MidAmerica Region, Parallon Supply Chain Services; Michael Langlois, Vice President of Supply Chain, Beaumont Health System

Moderator: Maria Hames, Partner, HealthCare Links 

Identifying, gathering and analyzing actionable data is a significant step in developing and maintaining strong business relationships in the healthcare industry, particularly within the ever-changing environment of Healthcare Reform. Certainly there is a great deal of information generated and a variety of ways to manage it. But as a supplier, are you gathering the right kind of business data and utilizing it for optimal effectiveness in your organization?

In this session, join Maria Hames, partner, HealthCare Links, as she moderates a panel of industry leaders from different types and sizes of systems. Listen as they provide their perspectives on how to identify data that is most valuable in achieving your organization’s sales goals. You will also hear how to effectively and efficiently utilize data to drive strategic decisions of your organization. Learn to sift valuable data from the growing amount of chaff, and model your organization’s sales strategies accordingly, based on meaningful and useful business intelligence.

Learning Objectives:
1. Identify resources of available data.
2. Outline how data can provide valuable market intelligence. 
3. Evaluate how data and other business intelligence can be used to shape sales strategies.
 4:15 pm  6:00 pm Market Strategies Track: GPO Informational Forums
With Healthcare Reform changing the rules for supply chain channels, the role of Group Purchasing Organizations (GPOs) continues to develop in ways that help GPOs provide effective and enhanced services to IDNs. The role of GPOs has continued to grow in the wake of an aging population and rising expenditures. Nearly every hospital in the U.S.—between 96 and 98 percent—utilizes GPO contracts for their purchasing processes in hopes of saving 10 to 15 percent off their purchasing costs. Overall, about 72 percent of purchases made by hospitals are done using GPO contracts. As the industry adapts to new initiatives, such as ACOs, GPOS will carve out new roles in the formation and execution of emerging models. Rather than a single session, each of the national GPOs will host a concurrent informational forum where suppliers can learn about their organizational values, contracting strategies and health system clients. Suppliers will have the opportunity to ask questions and network with the GPO executives in attendance.

Amerinet GPO Forum
HealthTrust GPO Forum
MedAssets GPO Forum
Novation GPO Forum
Premier healthcare alliance GPO Forum
 4:00 pm  6:00 pm







Vision Sessions
Invitation for Providers Only

Vision sessions are in-depth educational forums providing opportunity for discussion of current issues impacting the healthcare supply chain. They are neither a sales pitch nor a research study, but rather provide the chance for honest and open discussion about strategies, problem-solving and informed decision making, as well as frank analysis of hard-hitting industry issues. Led by industry leaders, these provider-only sessions are designed to be interactive and to provide you with access to experts in a number of specific topic areas. Each session will afford you with ample opportunity for open dialogue with the presenting companies. Session content begins at 4:30 pm.

Cook Medical Vision Session
ArjoHuntleigh Vision Session
TECSYS Vision Session
TriMedx Vision Session
VHA Vision Session
 6:00 pm  7:30 pm
GPO Receptions

Amerinet
HealthTrust
MedAssets
Novation
Premier healthcare alliance