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The Guthrie Clinic
POLICY & PROCEDURE
SECTION: ADMINISTRATIVE
SUBJECT: Vendor Policy DEPT. SUPPLY CHAIN, REGULATORY COMPLIANCE
EFFECTIVE: July 1, 2016
POLICY # TGC–955--59
SUPERCEDES: New
PAGE # 1 of 12
DISTRIBUTION: All Departments
I. OBJECTIVE
To establish and promote adherence to corporate policy, credentialing and badging requirements
while maintaining customer satisfaction and promoting the safety of patients and healthcare
workers. This policy shall supersede all previous policies and is the established policy for all areas
and facilities within The Guthrie Clinic Should any existing or future policy of any underlying
area or facility within The Guthrie Clinic be, in any way, a stricter interpretation of definitions,
policies, procedures, etc. the more stringent and restrictive policy shall supersede.
II. POLICY STATEMENT
To assist The Guthrie Clinic in fulfilling its mission, vision and values, The Guthrie Clinic has
established regulations and standards to promote the purchase of equipment, supplies, products, service
and maintenance in a manner that is consistent with the systems operating principles. Equipment,
supplies and products used in the diagnosis and treatment of patients have significant impact on safety,
quality and fiscal responsibility. The advent of new and expensive technology calls for careful
evaluation of each product to assure its rational, safe, and cost-efficient use.
III. DEFINITIONS
TGC: The Guthrie Clinic includes all Business Units (Hospitals, Clinics, Business Offices, etc...)
Vendors: Sales representatives who market products and services to the various entities
comprising The Guthrie Clinic.
TGC Central Purchasing: The Central Purchasing office located at 115 Hospital Place, Sayre PA
18840 is the department responsible for all purchasing and contracting related issues, contracts,
and sourcing decisions at The Guthrie Clinic
Service Representatives: Those who provide warranty or repair service for equipment or systems.
Procedural Patient Care Category: Participation in providing resources (devices, implants, etc.)
or equipment during a procedure or intervention. Vendors in this category who are provided
access to sterile procedural areas will wear a Red Surgical Cap, provided by Guthrie, at all
times when at a The Guthrie Clinic facility as designation of vendor status.
Pharmacy/Nutritional Category: Pharmaceutical Company Representatives (PCR) / Nutritional
vendors interacting with the Pharmacy department.
Policy: Contract Review Procedure Policy #: TGC—955--59
Date: 06/01/2016 Page: 2 of 12
If you are viewing a printed copy of this policy, please note that the most current version is located on the intranet site.
Transitional Care Category: Vendors meeting with clinical staff and patients related to the
transition of care. i.e., Skilled Nursing Facility vendors
Visitor Category: Vendors who are acting, as a “visitor” i.e., conducting business meetings,
conducting education, etc., that doesn’t involve patient contact or is not doing business within a
procedural setting.
Facility: Any inpatient, outpatient or administrative location or office within The Guthrie Clinic
facilities, including but not limited to The Guthrie Clinic-Robert Packer Hospital, Corning
Hospital, Corning Surgery Center, Troy Community Hospital, Towanda Memorial Hospital,
The Guthrie Clinic Medical Group Physician Offices, The Guthrie Clinic Corporate, etc.
IV. POLICY
A. All vendors and representatives must report to TGC Central Purchasing office on their first
visit to receive the Guidelines for Vendors and complete other appropriate paperwork
based on their level of activity for the visit. The vendor will meet with the appropriate
Contract Manager to provide the purpose of the visit, names of staff members to be seen
(Purchasing will verify there is an appointment) and share product or service information to
be discussed at the appointment. Vendors and representatives will provide complete and
factual information on their products/services while respecting the needs and policies of
our facilities. Vendors and representatives visiting The Guthrie Clinic outpatient facilities
must follow site specific processes and policies in addition to those outlined by TGC
Central Purchasing.
B. Vendors must comply with the established procedures related to implants, products,
medical devices, supplies, or equipment not currently being purchased by The Guthrie
Clinic, as detailed in the Guidelines for Vendors. Failure to comply with this will result in
the vendor being barred from doing business in all The Guthrie Clinic facilities, and may
result in, and up to, termination of contracts and/or contracting privileges.
C. Consistent with our values, The Guthrie Clinic requires vendors to observe the same
standards of conduct and professional behavior that apply to our associates. The Guthrie
Clinic will not allow vendor representatives who violate these principles or whose behavior
conflict with our standards to work at our facilities, and reserves the right at its discretion to
request and receive an appropriate vendor representative replacement or to bar vendor
representative from any or all The Guthrie Clinic facilities.
Policy: Contract Review Procedure Policy #: TGC—955--59
Date: 06/01/2016 Page: 3 of 12
If you are viewing a printed copy of this policy, please note that the most current version is located on the intranet site.
D. Vendor must make arrangements/appointments with the appropriate department,
personnel, or medical staff prior to arriving at a facility. No representative will be
allowed at any or all The Guthrie Clinic facility without the request of a surgeon for
the OR, Cath Lab, or other surgical procedure area for which the vendor is providing
intra-operative assistance. Guthrie Medical Group policy specifically forbids
physicians from scheduling appointments with sales reps during patient care hours.
E. Vendors will wear their company designated identification badge, in addition to the TGC
printed badge. Prior to visiting any Guthrie Clinic facilities, vendors must check in with
Central Purchasing or Materials Management at an inpatient facility (The Guthrie Clinic –
Robert Packer, Corning, Troy Community, or Towanda Memorial) and obtain a printed
pass. The printed pass is acceptable for that calendar day and that calendar day only. Only
those vendors designated as approved on TGC Central Purchasing website will be allowed
to print a pass. If a vendor is not designated as “Approved” and unable to print a pass, the
vendor will need to report to TGC Central Purchasing for resolution.
F. Vendors may engage in activities related to the business at hand during normal business
hours. Any vendor requiring activity after hours must have the approval of the department
director/manager and TGC Central Purchasing. Additionally the Safety & Security
Department must be notified of vendors requiring after-hours access.
G. Service Representatives installing, servicing, or demonstrating medical equipment/devices,
or providing loaner equipment/devices, must have these devices inspected by the
Clinical/BioMedical Engineering Department prior to use in any The Guthrie Clinic
facility. These inspections shall be coordinated and scheduled with the
Clinical/BioMedical Engineering Department during normal business hours with a
minimum of 24 hours prior to the equipment inspection requirement.
H. All medical equipment/devices/instrument trays that may be used during a patient
procedure will need to be processed in one of TGC’s Sterile Processing Departments (SPD)
prior to use. SPD will need specific instructions on the handling and sterilization of the
equipment/devices/instrument trays in advance and will require a minimum of 48 hours to
process prior to the scheduled procedure.
I. Credentialing Criteria:
1) To complete the credentialing process all vendors will be required to complete or attest to
the following:
(a) Credentialing application
(b) HIPAA training
(c) Criminal background check
Policy: Contract Review Procedure Policy #: TGC—955--59
Date: 06/01/2016 Page: 4 of 12
If you are viewing a printed copy of this policy, please note that the most current version is located on the intranet site.
2) In addition the following are required for vendor access in Patient Care areas:
(a) Proof of MMR - dates of vaccines or titers showing immunity;
(b) History of Varicella disease, proof of vaccines or titer showing immunity;
(c) Annual flu vaccine is required for ALL (not just in Service and Procedural patient
category) - starting Dec. 1 until May 1 each year - annual requirement;
(d) Proof of PPD within last year, or T-spot / Quantiferon Gold test within last year; PPD's
are no longer an annual requirement - but initially, we would need proof they are
negative;
(e) For any vendors going into areas that bronchoscopy procedures are being done, a
respirator Fit test is required.
(f) Infection Control
(g) Aseptic Principles and Techniques
(h) Attendance at a blood borne pathogens in-service (required by OSHA)
V. PROCEDURE
A. Vendor Parking- Vendors will park in the vendor and service personnel designated parking
lot located by the receiving dock on Hospital Place. Temporary parking passes can be
obtained at the reception desk of the Facilities/Strategic Planning & Marketing office
located at the entrance to the vendor and service personnel parking lot.
B. Registration
1) Prior to receiving clearance to enter a The Guthrie Clinic facility, prospective vendors
must appear at TGC Central Purchasing, state the purpose of their interactions with The
Guthrie Clinic and complete any/all appropriate paperwork.
2) Each Vendor should receive a copy of the Guidelines for Vendors.
3) Vendors will be directed to Reptrax System and must meet the
requirements/documentation necessary to achieve “Green” status and secure access to a
The Guthrie Clinic facility. Vendor profiles are considered current for 1-12 month period.
However, the vendor profile in the Reptrax system must be updated on as needed basis as
well as re-certified prior to expiration of application anniversary date. Once “Green”
access is granted vendors must secure a Reptrax printed pass prior to being cleared to
enter a The Guthrie Clinic facility. Printed passes are required on a daily basis as all
passes expire date of issuance.
C. For vendors in the Procedural Patient Care (PPC) category, health care testing,
interpretation of the tests and attestation for proof of health care screening criteria
compliance is the sole responsibility of the vendor applicant as defined in this vendor
credentialing process. Without satisfactory completion of all elements of the health screen,
the application will be considered incomplete and access denied.
Policy: Contract Review Procedure Policy #: TGC—955--59
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If you are viewing a printed copy of this policy, please note that the most current version is located on the intranet site.
D. An "Emergent Situation" can be declared by the OR/procedural Director and or Manager in
consultation with the physician doing the procedure or patient care intervention. In
instances where a device, implant, or supply is necessary for timely patient care, and it is
approved for use at The Guthrie Clinic either by the appropriate Value Analysis Team or
the OR Director in consultation with the attending physician, but is only available from a
vendor who has not completed their vendor packet, then the vendor must complete the
paperwork post case as soon as possible.
E. The Guthrie Clinic ID Badging
1) Daily vendor passes are required through Reptrax and can be printed at Vendor check-
in stations or via mobile application.
2) Guthrie hard badges/ID’s will no longer be issued unless by exception as determined by
the Safety and Security Department and the Purchasing Manager.
3) All vendors in possession of a hard badge/ID must return to TGC Central Purchasing,
the hard badge/ID previously issued within 30 days of receipt of this policy update.
TGC Central Purchasing will cross reference, with the assistance of security, to review
and ensure all hard badge/ID’s that were previously issued are returned within the
above referenced timeframe. Any vendor who does not meet this requirement will have
all visitor privileges revoked at the sole discretion of TGC Central Purchasing.
F. Re-certification
1) Vendor profile and certification is valid for 12 months from original issuance date, with
a 30 day grace period if deemed appropriate.
2) Prior to the 12 month application anniversary date vendor will be required to re-certify
with Reptrax.
G. Pharmaceutical Company Representatives (PCR)/Nutritional Vendors
1) See Addendum -1 for Pharmacy Specific Guidelines
H. Transitional Care:
1) Representatives providing transitional care services such as; home health, skilled
nursing, rehabilitation and hospice may access The Guthrie Clinic facilities for
purposes of evaluation, collaboration and assessment.
2) Representatives will be required to obtain and wear their company designated
identification badge, in addition to the TGC printed badge and abide by any/all
applicable policies and procedures contained herein.
a) For more information on registration with Reptrax, please contact Central
Purchasing or the safety & security office.
Policy: Contract Review Procedure Policy #: TGC—955--59
Date: 06/01/2016 Page: 6 of 12
If you are viewing a printed copy of this policy, please note that the most current version is located on the intranet site.
I. Procedural Patient Care (PPC) and Service Vendors:
1) Routine Business
a) Procedural Patient Care vendor’s access to The Guthrie Clinic facilities is strictly
limited to the OR, Cath Lab or Special Procedure Suite areas where participation in
providing resources (devices, implants, etc.) or equipment during a procedure or
intervention is required. Vendor representatives will be allowed access during a
procedure by the specific and explicit invitation of the attending physician or
surgeon. If the vendor arrives without prior notification, the physician/surgeon will
be asked if he/she does in fact require the vendor to be present during a specific
procedure. If the physician/surgeon has not requested the vendor to be present, this
will be considered a violation of the Vendor Representative Guidelines.
b) At no time is vendor permitted to enter, physician lounge, employee lounge
physician dining room. Nor are vendors to enter, uninvited and/or unaccompanied
by the Guthrie staff member extending the invitation to classrooms, conference
rooms or other areas within the facility that are not related to the provision of
services, with the exception of the OR Locker Room(s) to change into provided
Scrubs. Any PPC identified as having violated this area restriction will be barred
from the facility at the sole discretion of TGC Central Purchasing.
c) Vendors will not use their cell phone and/or camera in Operating Rooms or
Procedural Areas.
d) Vendors are not allowed to bring outside duffle bags or backpacks into the OR.
e) Vendors in PPC category who are provided access to sterile procedural areas will
wear Red Surgical Caps, provided by Guthrie, at all times when at a The Guthrie
Clinic facility as designation of vendor status.
f) Service vendor’s access to The Guthrie Clinic facilities is strictly limited to those areas
in which equipment, technology or instrumentation requires repair or delivery at
any one given time. All service vendors must notify TGC Central Purchasing,
department director/manager and Safety and Security Department of both arrival
and departure. A log of the arrival times, departures and repairs will be maintained
by TGC CENTRAL PURCHASING.
2) Educational Programs (In-services) at The Guthrie Clinic facilities
a) In-service/educational programs are strictly prohibited unless:
(1) Coordinated in conjunction with the Continuing Medical Education Offices
and associated with the issuance of CEU’s or CME’s associated with a skills
or cadaver lab.
(2) OR and Cath Lab, provided the in-service/education program relates to a
specific; TGC Central Purchasing or facility based product purchase of new
products or equipment, continuing education associated with existing
product purchases, products or equipment.
Policy: Contract Review Procedure Policy #: TGC—955--59
Date: 06/01/2016 Page: 7 of 12
If you are viewing a printed copy of this policy, please note that the most current version is located on the intranet site.
(3) Transition of Care education must be coordinated with the Director, Care
Coordination, and is deemed necessary for changes in services offered and
to update operating processes.
3) Clinical Trials and Evaluations must have prior approval, and no-charge purchase order
issued by TGC Central Purchasing. Any products and/or equipment that have not
obtained this approval will be considered gratis and non-reimbursable to the vendor.
Approved trials and evaluations will be facilitated and monitored by TGC Central
Purchasing and the Value Analysis Team (VAT) in conjunction with the corresponding
clinical council.
J. Compliance with TGC Vendor Policies:
1) TGC’s Central Purchasing and Pharmacy Administration have primary responsibility
for administrating and enforcing the vendor policies and relationships with our trading
partners. Vendors are expected to work through Central Purchasing or Pharmacy
Administration on all new product, contract, pricing, terms and transactional issues.
2) Disciplinary action against a vendor may result if the vendor violates any part of this
policy.
a) First Violation- Verbal warning to the representative.
b) Second Violation- Written warning to the representative and the representative’s
manager or supervisor.
c) Third Violation- Suspension of representative AND all of the representatives
from the offending company from visiting The Guthrie Clinic facilities and
staff, for a period not to exceed six (6) months, along with written notification
to the representatives National Accounts Manager or VP of Sales.
d) Fourth Violation- Suspension of representative AND all of the representatives
from the offending company from visiting The Guthrie Clinic facilities and staff
for a period in excess of six (6) months, along with written notification to the
representatives National Accounts Manager or VP of Sales.
e) If the severity of a violation warrants, Guthrie reserves the right to bypass the
progressive process to take the appropriate immediate action (determined solely
by Guthrie and administered by Central Purchasing) up to and including
suspension.
3) Reinstatement:
a) Suspended representatives must petition for reinstatement to the appropriate
Contract Manager in Central Purchasing or Pharmacy Administration, following
the term of suspension.
NOTE: Suspended representatives will not be automatically reinstated.
b) Violations are cumulative with no time limit. The Guthrie Clinic will not
provide an opportunity to have status repaired by removing violations over time
or through other reparation actions.
Policy: Contract Review Procedure Policy #: TGC—955--59
Date: 06/01/2016 Page: 8 of 12
If you are viewing a printed copy of this policy, please note that the most current version is located on the intranet site.
Providing gifts, food and catered meals:
The Guthrie Clinic strictly prohibits vendors from providing gifts of a personal nature. Non-Cash
gifts such as flowers, candy, baked goods or decorative crafts that are of a nominal value may be accepted
on behalf of the entire work unit.
Appropriate entrances for vendors to register
Robert Packer Hospital/Sayre Campus: One Guthrie Square, Sayre PA, 18840
Main Entrance-Hallway to RPH-Alcove on Right.
Sumner Building Lobby.
Purchasing Office, School of Nursing building.
Emergency Entrance- After Hours Emergency Access ONLY (for equipment breakdown repair or
Emergency Surgery trunk stock)
Corning Hospital/Campus: One Guthrie Drive, Corning NY, 14830-2899
Main Entrance.
Corning Surgery Center: 31 Arnot Drive, Horesheads NY 14845-8533
Main Entrance.
Troy Community Hospital: 275 Guthrie Drive, Troy PA 16947
Main Entrance.
Towanda Memorial Hospital: 91 Hospital Drive, Towanda PA, 18848
Main Entrance.
TGC Medical Group Physician Offices- TGC Central Purchasing, Other TBD
Policy: Contract Review Procedure Policy #: TGC—955--59
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If you are viewing a printed copy of this policy, please note that the most current version is located on the intranet site.
Developed: 12/16/15 Reviewed/Approved 5/10/16:
Revised: 05/11/2016 Owner: TGC Supply Chain
Addendum 1- Pharmacy Vendors 1. Routine Business
a) Pharmaceutical/Nutritional Vendors are strictly prohibited from accessing
all The Guthrie Clinic facilities except for:
(1) TGC Central Purchasing
(2) Pharmacy Directors office
b) Vouchers or coupons will be accepted via any direct shipment method (ex:
FedEx, UPS, etc.) to the pharmacy manager/director or site administrator for
the facility.
c) Exceptions are exclusively provided by the Director of Pharmacy, TGC.
2. Authorized Drug Purchases
a) Only the Pharmacy Department of the Robert Packer Hospital is authorized
to make drug purchases on behalf of The Guthrie Clinic. Other departments
such as Purchasing and Radiology may purchase drugs for The Guthrie
Clinic System with approval of the Pharmacy Department.
b) Pharmaceutical representatives may not accept any order (verbal, phone,
electronic, fax or written) for pharmaceuticals unless an official purchase
order has been completed by the Pharmacy Department.
3. Directory
a) A file of current supplier contact information is maintained in both the
Pharmacy and Purchasing Departments.
b) Upon request, the pharmacy department may provide the supplier’s contact
information to the facility’s professional staff.
c) The Pharmacy Department has the right to deny planned activities by the
pharmaceutical representatives.
d) The pharmaceutical representative will be provided with a dated name tag to
be prominently worn along with the representative’s current company
nametag.
4. Locations Permitted
a) Pharmaceutical representatives are restricted from pharmacy storage and
work areas without supervision and any other area as defined in specific
departmental policies and procedures.
b) Meetings with professional staff are conducted in areas convenient to staff
and generally in non-patient care areas.
c) Pharmaceutical representatives must maintain confidentiality of patient
information.
5. Appointments and Purposes
Policy: Contract Review Procedure Policy #: TGC—955--59
Date: 06/01/2016 Page: 10 of 12
If you are viewing a printed copy of this policy, please note that the most current version is located on the intranet site.
a) Pharmaceutical representatives are required to schedule in advance
appointments with appropriate pharmacy department staff to:
(1) provide information useful for product evaluation
(2) provide timely information on the supplier’s products and services
(3) facilitate procurement and crediting transactions
(4) obtain and provide information necessary to support the
organization’s formulary system
(5) facilitate informational activities for the pharmacy staff with respect
to the supplier’s products
b) Representatives are encouraged to schedule, in advance, appointments with
other Guthrie Departments outside of Patient Care hours. These
appointments may be used to facilitate informational activities for health
care professionals with respect to the supplier’s products that are currently
on the hospital formulary
c) Pharmaceutical representatives may not make appointments with other The
Guthrie Clinic Departments to discuss non-formulary medications without
prior approval from the Pharmacy Director well in advance of the
appointment.
6. Dissemination of Promotional Materials
a) The pharmaceutical representative may not disseminate information
regarding non-formulary products to anyone other than the Pharmacy
Department unless approval is granted from the Department of Pharmacy
b) Pharmaceutical representatives may be asked to provide the pharmacy
department with copies of all informational and promotional materials
disseminated in the organization.
c) The U.S. Food and Drug Administration (FDA) prohibits advertising and
promoting drug products for uses not reflected in FDA approved product
labeling. Pharmacists and other health care professionals should be aware of
these laws and regulations when evaluating the content of promotional
materials.
d) The Guthrie Clinic Pharmacy Administration may limit the type of materials
disseminated by pharmaceutical representatives to include only company-
approved, labeled material and reprints from peer-reviewed journals.
e) Promotional techniques that violate FDA guidelines are subject to reporting.
f) Pharmaceutical representatives are expected to communicate warnings and
contraindications as well as indications and endorsements by medical
experts.
g) Pharmaceutical representatives may not solicit providers to complete a
formulary request form for their product. Providers are required to contact a
Policy: Contract Review Procedure Policy #: TGC—955--59
Date: 06/01/2016 Page: 11 of 12
If you are viewing a printed copy of this policy, please note that the most current version is located on the intranet site.
member of the Pharmacy Department to request a review of a medication
for formulary addition.
7. Dissemination of Hospital/Pharmacy Policy
a) No pharmaceutical representative shall interpret or communicate policies of
the hospital, Pharmacy Department or Pharmacy and Therapeutics
committee to any member of the hospital or medical staff.
b) All such communication must be referred to the appropriate member of the
Pharmacy Department.
8. Dissemination of Drug Price Information
a) Pharmaceutical representatives may not provide comparative cost data to
physicians as they do not have access to the actual acquisition prices of the
hospital and therefore cannot provide accurate price comparisons of their
drug and a competitive drug.
9. New Information on Products
a) The pharmaceutical representative is responsible for communicating all
changes in the legal or therapeutic status, new labeling or product
formulation to the pharmacy department for all drug products currently
stocked.
10. Gratuities
a) The pharmaceutical representative will abide by Guthrie’s Corporate
Compliance policy regarding gifts and gratuities.
b) The pharmaceutical representative may not supply trademark/logo materials
including but not limited to pens, paper pads, tote bags, clip boards and
other paraphernalia.
Policy: Contract Review Procedure Policy #: TGC—955--59
Date: 06/01/2016 Page: 12 of 12
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Addendum-2 Loaner Instruments 1) When surgery is completed, loaner instruments are soaked in an enzyme solution, returned to SPD in a case
cart, and processed in the washer-sterilizer for decontamination. If necessary, the ultrasonic cleaner is used to
remove debris. Instrument sets are held in SPD for the vendor to reassemble and package for shipping out. If
the vendor is unable to do so, prior arrangements must be made with the Team Leader. Removal of
instruments and implants must be completed within 24 hours of the surgery date.
2) If an instrument set is required for an impending surgery. The vendor will be responsible for reassembling the
set for sterilization.
3) Prior to instruments and implants leaving a Guthrie facility, the vendor will sign them out on the loaner
instrument board in SPD. The vendor is also responsible for reconciling all billable items used and their cost
with the OR Inventory Coordinator. This information is used to ensure accurate patient charging and
communication of billing information to Purchasing against the purchase order.