Table 1 Layers, categories and criteria in the MEAT VBP Framework
Layer | Category | Criteria | |
|---|---|---|---|
Costs | Product | Purchasing | 1. Price of purchasing / renting product / solution |
2. Delivery and installation | |||
3. Conversion: staff training for new product | |||
4. Compatibility: upgrades to systems / infrastructure | |||
Maintenance | 5. Spare parts | ||
6. Technical staff time | |||
7. Service contract | |||
Storage | 8. Storage room / infrastructure | ||
9. Replacement at end of shelf life | |||
Disposal | 10. Disposal / decommissioning | ||
Care delivery | Operating / healthcare delivery | 11. Medical staff time using device | |
12. Ongoing staff training | |||
13. Cost of consumables | |||
14. Infrastructure usage | |||
15. Unplanned usage: failure rate | |||
16. Power / gas usage | |||
17. Reprocessing costs | |||
Outcomes | Outcomes and evidence | 18. Evidence of relevant outcomes improvement | |
19. Existence of high quality outcomes data | |||
Outcomes focus | 20. Support in measuring and reporting on outcomes | ||
21. Willingness to offer outcomes-dependent risk sharing | |||
Other benefits for key stakeholders | Patients’ secondary benefits | 22. Patient and/or relative comfort and convenience | |
23. Patient flexibility and mobility | |||
24. Impact on treatment adherence | |||
Healthcare professional benefits | 25. Secure usage for care providers | ||
26. Ease-of-use / handling and functionality | |||
27. Training and access to education | |||
Healthcare provider benefits | 28. Maintainability, warranty and technical service support | ||
29. Support improving efficiency along patient pathway | |||
30. Alignment and support with reimbursement structure | |||
31. Support on administration, storage or logistics | |||
32. Strategic fit for provider and support of strategy | |||
Healthcare system benefits | 33. Reduced long-term costs of treatment | ||
34. Reduction of rehospitalisation / number of treatments | |||
Broader impact on society | Innovation | 35. Development of new and substantially improved technology | |
36. Contribution to development of healthcare | |||
Sustainability | 37. Environmental impact | ||
38. Socially responsible product value chain | |||
Socio-economic impact | 39. Impact on people not in the workforce | ||
40. Burden carried by non-professional care providers | |||
41. Impact on competition in medical technology sector | |||