I am out of the office returning on Monday 9 December.  If you need any
communications or media advice please call James Fuller on extension 8411
or 07 579 8411 or 027 839 1791 -  kind regards diana

 

Notice of Legal Status and Confidential Information: This electronic mail
message and any accompanying attachments may contain information that is
privileged and CONFIDENTIAL. If you are not the intended recipient you are
advised that any use, review, dissemination, distribution or reproduction
of the information is strictly prohibited and may be unlawful. If you have
received this document in error, please notify the sender immediately and
destroy the message.

Ms Hands,

Receipt of your email is acknowledged and a response will be made as soon as possible.

Regards,

Karina Thomson
Executive Assistant
to Phil Cammish, Chief Executive Officer
and Gail Bingham, GM Governance & Quality

Bay of Plenty District Health Board
Private Bag 12024
Tauranga 3143

Ph: (07) 579 8363
Fax: (07) 571 5434

-----Original Message-----
From: Kimberley Bray On Behalf Of Communications
Sent: Wednesday, 4 December 2013 12:18 p.m.
To: Karina Thomson (McClelland)
Subject: FW: Official Information Act request - Information on Hip Revision Surgeries

-----Original Message-----
From: Julie Hands [mailto:[OIA #1345 email]]
Sent: Wednesday, 4 December 2013 12:03 PM
To: Communications
Subject: Official Information Act request - Information on Hip Revision Surgeries

Dear Bay of Plenty District Health Board,

1) Procurement Policy for medical devices

2)Funding Policies for medical devices including when manufacturers
will get paid (ie before surgery, upon receiving implant) with
specific reference to custom devices

3)How many hip revision surgeries involving an acetabular component
for each year for last 5 years 2012 in region? If not available
just 2012.

4) How many patients received a re-revision surgeries in the past
five years? (ie it was their second or third + revision surgery).

4)How much was spent on acetabular implants in revision surgeries
over each year for last five years? If not available just 2012.

5)What is the average costs of running an operating theatre per
hour (minus staffing costs)?

6)Total operating theatre costs for revision surgeries in 2012?

7)How long on average how long does a revision hip arthroplasty
take?

8) How much was spent on rehabilitation after hip revision in 2012?

9) What is the cost of a day of rehabilitation for a hip surgery?

Yours faithfully,

Julie Hands

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hide quoted sections

On behalf of Phil Cammish, Chief Executive

                                                                                                                                              

Julie,

 

In response to your email dated 5^th December 2013 requesting information
regarding hip revision surgeries please find our replies to your questions
as below:

 

Please note that the numbers provided for revision surgery reflect
revisions for all causes; including replacement of joints that had
exceeded the expected life of the prosthesis.

 

1.      Procurement Policy for medical devices

We have eight (8) contracts for hip and knee implants as follows:

 

Lima Orthopaedics NZ Ltd (signed 29/3/12)

Mathys Ltd (signed 29/3/12)

Orthotech orthopaedics NZ Ltd (signed 29/3/12)

Smith & Nephew Surgical ltd (signed 29/3/12)

Stryker NZ Ltd (29/3/12)

Zimmer NZ Ltd (signed 29/3/12)

Biomet NZ Ltd (signed 29/3/12)

Johnson & Johnson NZ Ltd (signed 1/6/12)

 

These are national contracts made available by Health Benefits Ltd and
expire on the 30 April 2014 with a right of renewal of two years. The
price schedules were distributed to Tauranga and Whakatane Theatres along
with a “construct table” which groups component prices for various
procedures.

Ownership of consignment products and loan sets remains with the supplier
until, for consignment products, the product is used by the DHB.

 

2.      Funding Policies for medical devices including when manufacturers
will get paid (ie before surgery, upon receiving implant) with specific
reference to custom devices.

We have standard payment terms with suppliers i.e. 20^th month following.

 

3.      How many hip revision surgeries involving an acetabular component
for each year for last 5 years 2012 in region? If not available just
2012. 

53 in 2012

 

4.      How many patients received re-revision surgeries in the past five
years? (ie it was their second or third + revision surgery)

We are unable to provide this information. The BOPDHB coding does not
differentiate between a revision and a re-revision.

 

5.      How much was spent on acetabular implants in revision surgeries
over each year for last five years? If not available just 2012.

$169,007 in 2012

 

6.      What is the average costs of running an operating theatre per hour
(minus staffing costs)?

Our costing data includes nursing and anaesthetic technician costs as part
of our theatre cost.  Theatre costs approximately $30 per minute including
theatre staff, anaesthetic costs, equipment, recovery, facility costs, and
overheads. The costing excludes anaesthetist and surgeon costs.

 

7.      Total operating theatre costs for revision surgeries in 2012? 

Approximately $931,000 including all staffing, implants and facility and
excludes surgeon costs.  This amount is for both acute and elective
admission types.

 

8.      How long on average how long does a revision hip
arthroplasty take?

An average of 213 minutes.

 

9.      How much was spent on rehabilitation after hip revision in 2012?

We are unable to provide an accurate answer to this question. We do not
have a separated funded rehabilitation event associate to these
procedures. Rehabilitation forms part of the patients care pathway. 
Patients are expected to begin mobilising on day 1 post operatively.  This
includes nursing, physiotherapy, occupational therapy assessments and
inputs until discharge.  Required rehabilitation varies depending on the
patients associated health factors and age and some patients may require
more mobility training than others.

10.   What is the cost of a day of rehabilitation for a hip surgery

We are unable to provide you with this information.

 

Regards,
 
Karina Thomson
Executive Assistant
to Phil Cammish, Chief Executive Officer
and Gail Bingham, GM Governance & Quality
 
Bay of Plenty District Health Board
Private Bag 12024
Tauranga 3143
 
Ph: (07) 579 8363
Fax: (07) 571 5434

 

-----Original Message-----

From: Karina Thomson (McClelland)

Sent: Thursday, 5 December 2013 11:32 a.m.

To: '[OIA #1345 email]'

Subject: RE: Official Information Act request - Information on Hip
Revision Surgeries

 

Ms Hands,

 

Receipt of your email is acknowledged and a response will be made as soon
as possible.

 

Regards,

 

Karina Thomson

Executive Assistant

to Phil Cammish, Chief Executive Officer and Gail Bingham, GM Governance &
Quality

 

Bay of Plenty District Health Board

Private Bag 12024

Tauranga 3143

 

Ph: (07) 579 8363

Fax: (07) 571 5434

 

-----Original Message-----

From: Kimberley Bray On Behalf Of Communications

Sent: Wednesday, 4 December 2013 12:18 p.m.

To: Karina Thomson (McClelland)

Subject: FW: Official Information Act request - Information on Hip
Revision Surgeries

 

-----Original Message-----

From: Julie Hands
[[1]mailto:[OIA #1345 email]]

Sent: Wednesday, 4 December 2013 12:03 PM

To: Communications

Subject: Official Information Act request - Information on Hip Revision
Surgeries

 

     Dear Bay of Plenty District Health Board,

    

     1) Procurement Policy for medical devices

    

     2)Funding Policies for medical devices including when manufacturers

     will get paid (ie before surgery, upon receiving implant) with

     specific reference to custom devices

    

     3)How many hip revision surgeries involving an acetabular component

     for each year for last 5 years 2012 in region? If not available

     just 2012.

    

     4) How many patients received a re-revision surgeries in the past

     five years? (ie it was their second or third + revision surgery).

    

     4)How much was spent on acetabular implants in revision surgeries

     over each year for last five years? If not available just 2012.

    

     5)What is the average costs of running an operating theatre per

     hour (minus staffing costs)?

    

     6)Total operating theatre costs for revision surgeries in 2012?

    

     7)How long on average how long does a revision hip arthroplasty

     take?

    

     8) How much was spent on rehabilitation after hip revision in 2012?

    

     9) What is the cost of a day of rehabilitation for a hip surgery?

    

     Yours faithfully,

    

     Julie Hands

    

     -------------------------------------------------------------------

    

     This is an OIA request done via the FYI website.

    

     Please do not send progress updates as PDF files.

    

     Disclaimer: This message and any reply that you make will be

     published on the internet. Our privacy and copyright policies:

     [2]https://fyi.org.nz/help/officers

    

     If you find this service useful as an OIA officer, please ask your

     web manager to link to us from your organisation's OIA page.

    

     

     -------------------------------------------------------------------

 

 

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privileged and CONFIDENTIAL. If you are not the intended recipient you are
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of the information is strictly prohibited and may be unlawful. If you have
received this document in error, please notify the sender immediately and
destroy the message.

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hide quoted sections

Hi Julie,

Hip revisions only.

Regards,

Karina Thomson
Executive Assistant
to Phil Cammish, Chief Executive Officer
and Gail Bingham, GM Governance & Quality

Bay of Plenty District Health Board
Private Bag 12024
Tauranga 3143

Ph: (07) 579 8363
Fax: (07) 571 5434

-----Original Message-----
From: Julie Hands [mailto:[OIA #1345 email]]
Sent: Thursday, 19 December 2013 3:24 p.m.
To: Karina Thomson (McClelland)
Subject: RE: Official Information Act request - Information on Hip Revision Surgeries

Hi Karina Thomson,

Thank you for getting back to me so quickly, that information is
great.

Just a quick clarification with regard to total operating theatre
costs for revisions, is that for all types of revision surgery such
as knees, shoulders, hips etc or just for hip revisions? Sorry I
understand my question was very clear so just wanted to check.

Regards,

Julie Hands

-----Original Message-----

On behalf of Phil Cammish, Chief Executive

Julie,

In response to your email dated 5^th December 2013 requesting
information
regarding hip revision surgeries please find our replies to your
questions
as below:

Please note that the numbers provided for revision surgery reflect
revisions for all causes; including replacement of joints that had
exceeded the expected life of the prosthesis.

1. Procurement Policy for medical devices

We have eight (8) contracts for hip and knee implants as follows:

Lima Orthopaedics NZ Ltd (signed 29/3/12)

Mathys Ltd (signed 29/3/12)

Orthotech orthopaedics NZ Ltd (signed 29/3/12)

Smith & Nephew Surgical ltd (signed 29/3/12)

Stryker NZ Ltd (29/3/12)

Zimmer NZ Ltd (signed 29/3/12)

Biomet NZ Ltd (signed 29/3/12)

Johnson & Johnson NZ Ltd (signed 1/6/12)

These are national contracts made available by Health Benefits Ltd
and
expire on the 30 April 2014 with a right of renewal of two years.
The
price schedules were distributed to Tauranga and Whakatane
Theatres along
with a “construct table” which groups component prices for various
procedures.

Ownership of consignment products and loan sets remains with the
supplier
until, for consignment products, the product is used by the DHB.

2. Funding Policies for medical devices including when
manufacturers
will get paid (ie before surgery, upon receiving implant) with
specific
reference to custom devices.

We have standard payment terms with suppliers i.e. 20^th month
following.

3. How many hip revision surgeries involving an acetabular
component
for each year for last 5 years 2012 in region? If not available
just
2012.

53 in 2012

4. How many patients received re-revision surgeries in the
past five
years? (ie it was their second or third + revision surgery)

We are unable to provide this information. The BOPDHB coding does
not
differentiate between a revision and a re-revision.

5. How much was spent on acetabular implants in revision
surgeries
over each year for last five years? If not available just 2012.

$169,007 in 2012

6. What is the average costs of running an operating theatre
per hour
(minus staffing costs)?

Our costing data includes nursing and anaesthetic technician costs
as part
of our theatre cost. Theatre costs approximately $30 per minute
including
theatre staff, anaesthetic costs, equipment, recovery, facility
costs, and
overheads. The costing excludes anaesthetist and surgeon costs.

7. Total operating theatre costs for revision surgeries in
2012?

Approximately $931,000 including all staffing, implants and
facility and
excludes surgeon costs. This amount is for both acute and
elective
admission types.

8. How long on average how long does a revision hip
arthroplasty take?

An average of 213 minutes.

9. How much was spent on rehabilitation after hip revision in
2012?

We are unable to provide an accurate answer to this question. We
do not
have a separated funded rehabilitation event associate to these
procedures. Rehabilitation forms part of the patients care
pathway.
Patients are expected to begin mobilising on day 1 post
operatively. This
includes nursing, physiotherapy, occupational therapy assessments
and
inputs until discharge. Required rehabilitation varies depending
on the
patients associated health factors and age and some patients may
require
more mobility training than others.

10. What is the cost of a day of rehabilitation for a hip
surgery

We are unable to provide you with this information.

Regards,

Karina Thomson
Executive Assistant
to Phil Cammish, Chief Executive Officer
and Gail Bingham, GM Governance & Quality

Bay of Plenty District Health Board
Private Bag 12024
Tauranga 3143

Ph: (07) 579 8363
Fax: (07) 571 5434

-------------------------------------------------------------------
Please use this email address for all replies to this request:
[OIA #1345 email]

Disclaimer: This message and any reply that you make will be
published on the internet. Our privacy and copyright policies:
https://fyi.org.nz/help/officers

If you find this service useful as an OIA officer, please ask your
web manager to link to us from your organisation's OIA page.

-------------------------------------------------------------------

Notice of Legal Status and Confidential Information: This electronic mail message and any accompanying attachments may contain information that is privileged and CONFIDENTIAL. If you are not the intended recipient you are advised that any use, review, dissemination, distribution or reproduction of the information is strictly prohibited and may be unlawful. If you have received this document in error, please notify the sender immediately and destroy the message.

______________________________________________________________________________

This email has been scrubbed for your protection by SMX.
For more information visit http://smxemail.com
______________________________________________________________________________

hide quoted sections