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Capital Purchase Justification

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Capital Purchase Justification
Jessica Keating
Grand Canyon University: HCA- 530
January 21, 2016

According to the National Cancer Institute, “12.4 percent of women born in the United States today will develop breast cancer at some time during their lives” (NIH,2012). Early detection and treatment of breast cancer is possible with the use of digital imaging through a mammogram and a clinical breast exam. The Center for Disease Control reported, “ In 2010, an estimated 75.4% women aged ≥40 years and 79.7% of women aged 50–74 years reported having a mammogram within the past 2 years” (Miller, 2012). My intent in writing this report is for our organization to capture this very crucial part of the market. My goal is to explain to you how our facility could benefit from the acquisition of a GE SenoClaire 3D Tomosynthesis system. Our facility like others in Arizona are working towards decreasing rising healthcare costs through the promotion of preventative health care and early interventions for high risk populations. I feel like our health care network could be a leader in breast health and breast cancer awareness with the right tools. Currently, “ The cost of screening mammograms is covered without copayments or deductibles. Medicare pays for annual screening mammograms for all female Medicare beneficiaries who are age 40 or older. Medicare will also pay for one baseline mammogram for female beneficiaries between the ages of 35 and 39. There is no deductible requirement for this benefit” (NIH, 2012). Secondary to insurance reimbursement; the the National Breast and Cervical Cancer Early Detection Program and Center for Disease Control have partnered up together to provide low cost breast exams for the underinsured. With the SenoClaire system our organization could collaborate with this healthcare initiative and become a preferred vendor in the Arizona territory. The benefits to using the new GE SenoClaire 3D Tomosynthesis system include lowering the dose of radiation exposure by almost half of the normal level, imaging is able to detect calcifications on a microscopic level, and there are lower reported levels of blurry images; as well as an anti-scatter solution that prevents radiation overflow. Aside from the clinical benefits, the GE SenoClaire system is fairly compact and easy to house. Using such a compact system will limit construction cost and allow for easy accommodation given our current floor plan. Our radiology team can still utilize the same screening room and outpatient waiting area. The SenoClaire system is completely mobile. So we would be able to adjust its location throughout the department as well as move it to a different wing if we chose to host a breast health and screening event. Our cost associated with staffing this equipment is also minimal. Our current radiology technicians can be trained on best practice techniques for precise imaging and they will benefit from the automated guidance this system offers. Unlike, other mammogram imaging machines the SenoClaire offers a simple point and shoot imaging technique and the device automatically sweeps around the patient. This allows for our staff member to stay with the patient the entire time rather than stepping back and forth to readjust the patient and reset the image. Our radiologist will also benefit from the quality of images produced. The SenoClaire produces such high quality, high resolution images that it improves the rate of classifying between benign or malignant cancers. This machine also is able to obtain all imaging needed for a full breast assessment within 10 seconds per breast. Given the short length of time for screening and exams our radiology department could service around 4 patients per hour and at an average of about 30-35 patients a day. The median cost for a mammogram in the state of Arizona is $103 dollars (New, 2016). Reviewing the Medicare reimbursement rates for the SenoClaire system through General Electric (GE) resource it seems that reimbursement rates are approximately $134.80 for both technical and professional costs. This produces a $31.80 profit per mammogram. With the goal of scheduling the SenoClaire to be operating at full capacity that would be a potential profit of $954/ day if we service 30 patients a day. Standard operating costs would apply similar to other imaging equipment in house. It would be ideal for operation to staff the SenoClaire with its own mammogram technician so we would avoid delays in care due to understaffing. Compensation range for a radiology technician in Arizona is around $13.09/hr; working an 8 hour day brings the operator's cost to $104.72/day before tax and insurance deductions. My goal is to provide our executives with all of the information necessary to make a strong and informed decision about the best resources available to make our organization a leader in our community. Acquiring the SenoClaire Tomosynthesis system allows us to serve our community through providing outpatient screening for the community, as well as an elite screening tool for our in patient clients. Having the most cutting edge technology makes us marketable as a leader in breast health and the cancer prevention community. Healthcare technology not only makes us marketable to those inquiring about breast health screening but also to the community at large. The return on investment is profitable in this case and the SenoClaire system allows us to open our doors to the community so we can market all of the resources we have to serve a variety of other populations. In closing the points to leave with is the GE has created a cutting edge tool, the SenoClaire system that allows us to produce high resolution imaging very quickly and conveniently for our clients seeking breast health support. The SenoClaire is compact and mobile so our facility can accommodate it effortlessly. Finally, the operation costs are minimal and our reimbursement margins are profitable so the SenoClaire will be a strong asset for our facility.

References
GE Health. (2016). 2015 Reimbursement Information for Mammography, CAD and
Digital Breast Tomosynthesis1. Retrieved from http://www.file:///home/chronos/u-605d4b7b114cc8fdfd981adbbea5f47bbdeb7c73/Downloads/GEHC-%20Mammo%20CAD%20DBT%20Reimbursement%20Advisory%20JB25004USb.pdf

Medicare.gov The Official U.S. SIte for Medicare Coverage. (2016). Mammograms. Retrieved from https://www.medicare.gov/coverage/mammograms.html

Miller, J., King, J., Joseph, D., & Richardson, L. (2012, June 15). Breast Cancer Screening Among Adult Women — Behavioral Risk Factor Surveillance System, United States, 2010. Retrieved from http://www.cdc.gov/mmwr/preview/mmwrhtml/su6102a8.htm

New Choice Health. (2016). Phoenix, AZ Mammogram Cost Comparison.
Retrieved from http://www.newchoicehealth.com/places/arizona/phoenix/mammogram

NIH- National Cancer Institute. (2012). Mammogram- Fact Sheets. Retrieved from http://www.cancer.gov/types/breast/mammograms-fact-sheet#q8

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