Productivity

Latest Issue of OR Manager
December 2017

PACU patient flow improves with CRNA assistance

Throughput inefficiencies are a growing problem in surgical services departments. Patients are held in the OR because there is no room in the postanesthesia care unit (PACU), and patients are held in the PACU because there are no beds available in the patient care unit or because outpatients having major…

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By: Judith M. Mathias, MA, RN
September 20, 2017
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Efficiency efforts improve staff satisfaction with turnover time

Cost mitigation has become a priority in the American healthcare industry, and addressing inefficiencies is a popular way to curb the high cost of medical care. Decreasing turnover time between cases may pave the way for additional cases to be scheduled, theoretically leading to increased revenue for the hospital. However,…

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By: OR Manager
September 20, 2017
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No consensus on what defines a high-performing system

Editor's Note In this study, researchers reviewed literature from a 10-year period and found no consensus on what defines a high-performing healthcare delivery system or healthcare organization. High performance was variably defined across different dimensions, including: quality (93% of articles) cost (67%) access (35%) equity (26%) patient experience (21%) patient…

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By: Judy Mathias
September 7, 2017
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Electronic scheduling system radically improves OR workflow

Between the expanding population and the increasing number of surgical procedures being performed, demand for surgical services is climbing. One study has predicted a 14% to 47% increase in surgical demand across all surgical fields by 2020. Given the high cost of operations, an efficient workflow is paramount, and there…

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By: Weston Shertzer, DO, Abdel Ragab, MD, Timothy Frymoyer, Matt Fitzpatrick, Courtney Gorgone, MBA, SSBB and Kelly Baylor, CCRC
July 13, 2017
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Reducing robotic OR turnover times with a pit stop model

Editor's Note Concepts from motor racing pit stops, including role definition, task allocation, task sequencing, and a visual cue for ease-of-use, created efficient and sustainable approaches for decreasing robotic OR turnover times in this study. Average turnover time was 99.2 minutes before introducing the pit stop model and 53.2 minutes…

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By: Judy Mathias
July 11, 2017
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The Tightrope—Balancing Surgeon Access and Productivity Targets

After this session you’ll be able to: 1. Understand where productivity ratios originate and how they are derived. 2. Identify ideal target utilization rates based on competitive pressures. 3. Calculate and communicate appropriate productivity ratios. Why this is important: ORs are under constant pressure to reduce labor costs and meet…

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Efforts to improve FCOTS may reduce overutilized OR time

Ccommon cost-saving strategies in the OR include increasing workflow efficiency, reducing turnover times, implementing standardized preoperative protocols, and improving surgical case scheduling and first case on-time starts (FCOTS). These interventions aim to decrease under- and overutilized time in the OR, but there is conflicting evidence about their economic value. Many…

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By: OR Manager
June 20, 2017
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Employee engagement: The path to better patient care--Part 1

What’s the best strategy for OR leaders to boost productivity, reduce costs, and, most important, provide excellent patient care? Ensure staff are engaged. Staff engagement has become something of a buzzword in healthcare, but for good reason. “Employee engagement is the bull’s-eye on the target of providing excellent patient care,”…

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By: Cynthia Saver, MS, RN
May 17, 2017
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New staffing schedule unclogs PACU bottleneck

Perioperative services is a key driver for financial performance, and efficient use of space and staffing is vital in the current era of declining reimbursement. A bottleneck in any of the three phases of surgery—pre-, intra-, and postoperative—can result in long delays as well as surgeon, anesthesiologist, and staff anxiety…

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By: Judith M. Mathais, MA, RN
May 17, 2017
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OR utilization improves with data gleaned from software program

One of the biggest challenges for OR managers is efficient use of OR blocks. OR managers struggle to balance revenue and utilization targets with surgeon and staff preferences. The result is underutilized OR time, unnecessary costs, and dissatisfied staff. “Let’s face it, our block allocation process isn’t very efficient,” says…

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By: Judith M. Mathias, MA, RN
April 21, 2017
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Turnover times improve with multiphase approach

Major changes at a facility such as reorganizing service lines or adding new ORs can be highly disruptive, cutting into productivity and potentially loss of revenue. What can OR managers do to avoid this situation? At Vanderbilt University Medical Center in Nashville, OR leaders were facing several simultaneous challenges: planning…

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By: Cynthia Saver, MS, RN
April 21, 2017
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Optimizing Postanesthesia Care Unit and Same-Day Surgery Productivity

Concepts based on Lean, operations research, and change management were used to achieve efficiencies and flexibility in staffing within the postanesthesia care unit (PACU) and same-day surgery (SDS) unit. Historical staffing models did not reflect changes in the patient flow patterns over time. The mismatch between demand and capacity was…

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