procurement

(redirected from Competitive bidding)
Also found in: Dictionary, Thesaurus, Legal, Financial, Encyclopedia.
Related to Competitive bidding: International Competitive Bidding

procurement

 [pro-kūr´ment]
the obtaining of something.
organ procurement in the nursing interventions classification, a nursing intervention defined as guiding families through the donation process to ensure timely retrieval of vital organs and tissue for transplantation.

procurement

Medpeak-UK
A UK term of art for obtaining goods/services which ideally are cost effective and provide the best quality outcomes for service users. Effective procurement needs effective commissioning guidelines as well as a transparent and open process in which to apply to provide services and goods.

NIH-Speak
The acquisition by purchase, lease or barter of property or service for the direct benefit or use of the US National Cancer Institute (NCI) or other government agencies. The procurement instrument most often used is a contract, which details the rights, duties and obligations of each of the parties involved.

Transplantation
Before activating a "procurement team”, it must be established that the donor meets certain criteria (below). If the donor criteria are met, the team may charter a small private jet and fly to the donor's hospital. Once the donor's thoraco-abdominal cavity is opened, it is packed with a "slush" preparation—ice and lactated Ringer's solution—which reduces organ activity to a metabolic "ground zero”. The team then organises itself into 3 to 5 sections, each of which is poised to remove 1 organ block—e.g., the liver, pancreas, kidneys (which count as one block collectively), heart-lung block or heart and lungs as separate blocks.

Once the team is ready, the aorta is cannulated and clamped above the heart; at this critical step—known as "cross-clamping”—a countdown of viability begins, after which time each organ block has an allowed "cold ischaemia time" before it becomes suboptimal for transplantation—which is 4 to 6 hours for the heart-lung block, 20 hours for the liver and pancreas, and up to 72 hours for the kidneys. After cross-clamping, the vena cava is cut and the donor's blood is exsanguinated and a perfusate is gravity-fed into each organ via the aorta and arteries; the organs are then removed by each "section" and placed in containers filled with the "slush" preparation, maintained at near 0ºC, and then transported to their respective recipient teams.

Transplantation Harvesting
The obtaining of organs for transplantation; the best donor of multiple organs is a recently brain-dead patient with unimpaired circulation.

Procurement criteria, transplant organs 
Physical criteria
Young age, previous excellent health before the trauma that left the donor in a persistent vegetative state, absence of substance abuse history.
 
Legal criteria
Appropriate permission for organ donation from next-of-kin.
 
Lab criteria
Serologic tests (IgG, IgM ELISA) for HIV-1, HTLV-I, HAV, HBV, hepatitis C, Treponema, blood-group compatiblity, HLA matching.

procurement

Transplantation The obtention of organs for transplantation; the best donor of multiple organs destined for transplantation is a recently brain-dead Pt with unimpaired circulation. See Slush preparation, Transplantion, UNOS.
Procurement criteria  
Physical criteria–eg, young age, previous excellent health before the trauma that left the donor in a persistent vegetative state, absence of substance abuse history
Legal criteria–ie, appropriate permission for organ donation has been obtained from next-of-kin
Lab criteria A battery of serologic tests–IgG, IgM ELISA–for  HIV-1, HTLV-I, HAV, HBV, hepatitis C, RPR–Treponema 
References in periodicals archive ?
These competitive bidding rates will then be used by CMS to set the rates in the non-competitive bidding areas in the rest of the country.
Under competitive bidding, the market would price these parameters.
At a minimum, competitive bidding requires bidders: multiple, identifiable "health plans" that are able and willing to submit bids to provide some defined health care benefit.
Competitive bidding will occur and the time for preparation is at hand.
"Applying competitive bidding paces for diabetes testing supplies to independent community pharmacies is financially unsustainable for these pharmacies and will hurt seniors."
CMS is announcing the next steps to implement the DMEPOS Competitive Bidding Program now to give the supplier community ample time to prepare as well as inform other stakeholders," said Charlene Frizzera, CMS acting administrator.
The 2003 Medicare Modernization Act, best known for implementing a prescription drug benefit for seniors, also included a provision for a competitive bidding demonstration project for Medicare Part B clinical laboratory services to occur in two areas.
Competitive bidding could reduce Medicare program payments by providing an incentive for suppliers to accept lower payments for items and services to retain their ability to serve beneficiaries and potentially increase their market share.
CAP's testimony stressed that competitive bidding, as a payment method for clinical-laboratory services, will have a negative impact on access to and quality of clinical-laboratory services.
Due to multiple bidders and the competitive bidding process, the team was able to save an estimated $2.7 million versus original projections.
The Service will conduct a competitive bidding process in choosing PCAs.
Caplan's report also supports the competitive bidding process with some changes.

Full browser ?