Ian:
In the US, we typically refer to this type of contract as a "cost per reportable;" the vendor charges a set fee for every reportable test result. In general, this is the most expensive way to operate a clinical analyzer, because the vendor is accepting nearly all the financial risk (capital for equipment + uncertain volume). A lease/purchase agreement shares the risk between vendor and laboratory, and a capital purchase puts virtually all the risk on the lab. Therefore, in terms of cost per test, capital purchase is typically the cheapest in the long run, cost per reportable is the most expensive, and lease/purchase agreements are intermediate in cost.
Roger
Roger L. Bertholf, PhD
Medical Director of Clinical Chemistry
Houston Methodist Hospital
-----Original Message-----
From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Ian Brincat
Sent: Wednesday, August 16, 2017 5:39 AM
To: [log in to unmask]
Subject: Pay per test tenders
Dear Colleagues,
We are in the initial stages of preparing a new tender document for chemistry and immunoassay analysis. We have always applied the Equipment on Loan system when issuing tenders for new equipment, however administration wants us to use the Pay per Test system. This is the first time we will be issuing this type of tender and so our experience is very limited.
Has anyone ever used this approach (Pay per Test)? If you did, are there any important clauses which should be included in the specifications? What is your experience with this tendering system, is it better or worse than the Equipment on Loan approach?
Thanks and Best Regards,
Ian
AHPract MLS
Clinical Chemistry Laboratory
Department of Pathology
Mater Dei Hospital
MALTA
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