Orthopaedic Value Dossier Generator

Transparent Value Analysis Committee (VAC) dossier builder—separating index episode costs, acute complication probability, and downstream revision risk with input-level evidence tagging.

By Alvin Kuek

1. Procedure, Technology Pairing & Currency
2. Clinical Summary & Workflow Notes
3. Economic, Operational & Risk Parameters (With Input-Level Evidence Tags)
Parameter Comparator New Technology Evidence / Source Classification
Implant Acquisition Cost Direct device tender / invoice cost per case
Operating Theater (OR) Time (Mins) Skin-to-skin / anesthesia theater duration
OR Facility & Staffing Rate ($/Min) Institutional theater overhead rate per minute
Inpatient Length of Stay (Ward Days) Post-operative inpatient bed-days
Inpatient Ward Bed Rate ($/Day) Daily inpatient bed, nursing & routine care cost
Acute / Non-Revision Complication Rate (%) Infection washout, dislocation/instability, fracture, readmission
Episode Cost per Complication ($) Direct hospital cost to manage a non-revision complication
5–10 Yr Revision Probability (%) Implant loosening / structural failure requiring revision surgery
Episode Cost per Revision Surgery ($) Full salvage arthroplasty / re-operation episode cost
Annual Institutional Case Volume Projected procedures performed per year

Value Dossier: [Procedure] — [Proposed Technology]

Comparator: [Existing Comparator]

Evidence Quality: Moderate

Executive Value Analysis Committee (VAC) Bottom Line

Enter acquisition costs, OR rate, complication cost, and revision cost above to generate the automated break-even threshold statement.

1. Clinical Evidence & Indications

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Indications: Awaiting user input...
Evidence Summary: Awaiting user input...
Clinical Outcomes: Awaiting user input...

2. Operational & Workflow Impact

Theater & Ward
OR Time 🟢 Published data 0 mins vs. 0 mins 0 mins delta
Length of Stay (LOS) 🟢 Published data 0.0 days vs. 0.0 days 0.0 bed-days delta
Tray & CSSD Footprint —
Rehabilitation —

3. Episode-of-Care Economics (Per Case)

$
Acquisition Cost 🟢 Hospital data $0 vs. $0 $0 incremental
Index Episode Cost (Implant + OT + Ward) Excl. downstream risk $0 vs. $0 $0 index delta
Expected Complication Cost (Prob × Cost) 🟢 Published data / 🟡 Modelled $0 vs. $0 $0 delta
Expected Revision Cost (Prob × Cost) 🟢 Registry / 🟡 Modelled $0 vs. $0 $0 delta
Total Risk-Adjusted Episode Cost Index Episode + Total Expected Downstream $0 vs. $0 $0 net episode delta

4. Institutional & VAC Budget Impact

0 Cases / Year
Annual Volume 🟢 Hospital data 0 procedures / year
Annual Index Budget Delta (Direct Outlay) $0 Implant + OT + Ward delta × Volume
Total Annual Risk-Adjusted Budget Impact $0 Enter parameters to compute
Capacity Impact (OR Theater Hours) 0.0 OT Hours / year
Capacity Impact (Inpatient Bed-Days) 0.0 Bed-Days / year
Parameter Evidence Audit: OR Rate (🟡 Assumption) • Ward Rate (🟢 Hospital data) • Complication Cost (🟡 Modelled) • Revision Cost (🟡 Modelled) All figures represent decision-analytic estimates for VAC evaluation.
Formula Verification: Total Risk-Adjusted Episode Cost = [Acquisition + (OR Mins × OR Rate) + (LOS × Ward Rate)] + [(Complication % × Complication Cost) + (Revision % × Revision Cost)].