Its the process and I pointed it out very early after approval when people were posting all sorts of wild speculation and off to see their congressman cause it couldn't possibly be true and all posters who don't say positive things are liars and frauds etc etc.
Every burns center is different. No cookie cutter model. Some are special sections , others are just special beds and some are independent areas and all have different staffing and financial or administrative hurdles. Different centers deal with different types and severity of burns normally depending where they are and the demographic of users. These aren't just modular things - they are all different even with same hospital groups and each will be approached and need to prove the model . Obviously with Recell there is a fair bit of data out there but it i the results in trial taht really matter
It is the same process. surgeons don't run hospitals. Administrators , accountants and and committees do. It is a good thing a lot of the time as it stops useless expensive products getting into the system and allows recell and others in. It just takes time. Most I have seen have quarterly meetings ( occasionally bi monthly or adhoc) and in the first one the option for a new product is brought up and various things are looked at from results ,medical, cost, training, insurance , supplier , codes etc etc. They then do a complete financial model and also prove the medical model and look at actual benefit to hospital and to patient. They weight up storage , availability reliability of seller etc etc They externally confirm product and review trials etc. They then propose how , when they will use it and see if they will buy via hospital group purchasing if they are offering it or via direct etc. Another meeting to show results and confirm answers and then it sits in the line awaiting administrators approval for training and finally purchasing authority etc. Then when stocked it is finally available to be used and initially they will set low reorders until it is accepted etc. They will have a audit after a period and review it etc.
Every hospital and hospital group will have their own specific process and they follow that process and larger companies know the dates and cycles of various hospitals and ensure all material for them required from outside is available and staff available to answer etc. Only in special circumstances do they allow out of cycle meetings and purchases to be rushed as the system is in place to stop dodgy drugs , processes and problems from arising. Hospitals that already been purchasing will still have a process that takes time. Many hospitals only have 2 -3 windows a year for introduction of new things due to their budget cycles and the time it takes from normal operating to access new devices etc. Many have hard inflexible deadlines so staff can be doing other processes and not being harangued by sales people all the time.
Oh well so they are going to sell millions on day after trial release- what a surprise that must be to some spruikers.
Looking at depth in buyers and sellers is a mugs game as it is too easy to fake and have orders triggered to cancel when prior order gets filled etc. Keep an eye on the orders at the coalface being executed and see who is the buyer and seller and who is climbing to fill and who is sitting and waiting is a better indicator. Looking at just how many ADR are on issue also helps regardless of price and working out if it is punters or investors .
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