Classes of trade

Ambulatory surgery centers

These are facilities or medical practices in business primarily to perform outpatient surgery, or in the case of multipurpose clinics, to perform a significant volume of surgical procedures and have a sterile operating room dedicated to outpatient surgery.

Their objective is to perform surgical procedures on a same-day basis while offering a cost effective alternative to hospital care.

Here is a list of the top 10 ambulatory care centers product categories covered by Vizient contracts:

  1. Custom kits, packs and trays
  2. Woven and nonwoven goods
  3. Gloves
  4. Needles and syringes
  5. Adhesives, bandages, dressings and sponges
  6. Wound sutures
  7. Respiratory products
  8. Parenteral products
  9. Sterilization supplies and products
  10. Surgical instruments and devices

Diagnostic imaging centers

These are facilities whose primary business activity is diagnostic imaging or a significant portion thereof, in the case of multispecialty clinics.

Equipment must be located at the facility, except for mobile units. Also, the facility must offer outpatient care and be free-standing, not attached to a hospital in any physical way, unless separate ownership or management exists.

Here is a list of the top 10 diagnostic imaging center product categories covered by Vizient contracts:

  1. Injectable contrast media
  2. Film
  3. Power injector syringes
  4. Film processor chemistry
  5. Barium
  6. Oral iodonated contrast media
  7. Gloves
  8. Needles and syringes
  9. Paper products: film jackets, labels, etc.
  10. Lead aprons

Physician practices

Here is a list of the top 10 physician practice product categories covered by Vizient contracts:

  1. Needles and syringes
  2. Gloves
  3. Point-of-care testing reagents and supplies
  4. Electromedical
  5. Parenteral products
  6. Adhesives, bandages, dressings and sponges
  7. Wound sutures
  8. Woven and nonwoven goods
  9. Surgical instruments and devices
  10. Metals/plastics/paper products

 

In-home health care

Traditional home health care

These facilities provide health services to ill, disabled or infirmed persons in a noninstitutional setting. They must provide nursing services and at least one therapeutic service, such as physical or occupational therapy, speech pathology, medical services, or home health aid services to patients on a part-time or intermittent basis.

Hospice

A hospice is an organization that provides health care and counseling to the terminally ill.

Here is a list of the top 10 product categories covered by Vizient contracts for traditional home health care and hospices:

  • Advanced wound care
  • Incontinence products
  • Adhesives, bandages, dressings and sponges
  • Urological products
  • Enteral and nutritional products
  • Exam gloves
  • Respiratory products
  • Needles and syringes
  • Standard trays
  • Ostomy products

Home infusion therapy

These are pharmacy-based, decentralized patient care organizations with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. (Source: National Uniform Claims Committee)

Examples of disease states treated via home infusion therapy include:

  • Infection
  • Cancer and cancer-related pain
  • Crohn’s disease
  • Cerebral palsy
  • Alzheimer’s disease
  • AIDS-related conditions
  • Congestive heart failure
  • Hemophilia
  • Thalassemia
  • High-risk pregnancy

Specialty infusion therapy

These are pharmacies that dispense generally low-volume and high-cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. (Source: National Uniform Claims Committee)

Examples of disease states treated via specialty infusion include:

  • Immune deficiency
  • Oncology
  • Rheumatoid arthritis
  • Diabetes
  • Multiple sclerosis
  • Growth hormone disorders
  • Hemophilia
  • Post transplant therapy
  • Infertility
  • Immunosuppressant therapy

 

Long-term care

Skilled nursing facilities

Skilled nursing facilities are freestanding, state-licensed or government certified facility where skilled nursing services are available 24/7 for individuals who need frequent medical or nursing support long-term and is a cost-effective alternative to hospitalization.

All nursing homes are licensed by the state in which they operate and are certified for Medicare as a “skilled nursing facility” or Medicaid as a “nursing facility.”

Here is a list of the top 10 product categories covered by Vizient contracts for skilled nursing facilities:

  • Incontinence products
  • Enteral and nutritional products
  • Gloves
  • Skin care products
  • Point-of-care testing reagents and supplies
  • Wound care
  • Adhesives, bandages, dressings and sponges
  • Metals/plastics/paper products
  • Respiratory products
  • Needles and syringes

Closed-door pharmacies

A long-term care pharmacy provider offers pharmaceutical consulting or dispensing services to a long-term care facility. It must have an implied contract/agreement to perform these services on an ongoing basis (generally more than 30 days) and must have at least one licensed pharmacist employed at the location. If it is providing consulting only, it must have two or more pharmacists.

Such pharmacies provide services to:

  • Adult day care
  • Alcohol/drug rehab centers
  • Correctional institutions
  • Home health agencies
  • Hospices
  • Long-term care beds in hospitals
  • Mental health facilities
  • Residential care organizations
  • Retirement communities
  • Adult homes

Assisted living facilities

These are organizations designed to serve the elderly who are no longer able to live independently, but who do not need around-the-clock nursing care. These facilities may provide transitional care similar to home care, but in a distinct facility.

Here is a list of the top product categories covered by Vizient contracts for assisted living facilities:

  • Skin care products
  • Incontinence products
  • Food
  • Dietary products
  • Pharmaceuticals
  • Durable medical equipment