Value-based purchasing: What it means for the OR

Value-based purchasing (VBP) is part of the federal government’s plan to link payments for care to improvements in the quality of care and the patient experience. This is a major shift in how hospitals are paid for the care they provide patients. It will have a profound impact on every facility’s financial resources and will increase the importance of focusing on clinical quality and patient satisfaction measures. It is imperative that healthcare professionals are aware of these changes and what they can do to impact their facility’s scores on these criteria.
This presentation outlines the VBP program and its significance for the facility and for perioperative nurses. Ideas for addressing the perioperative measures are presented.

Leader: Martha Stratton, MSN, MHSA, RN, CNOR, NEA-BC, director of nursing, surgical services, AnMed Health, Anderson, South Carolina

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Developing an Effective Pain Management Program

In an environment of increasing healthcare costs, decreasing reimbursement, and uncertainty of the impact of healthcare reform, hospitals are seeking options to increase market share and develop new service lines. In perioperative services, one of the greatest challenges in maintaining an effective surgical program is the ability to sustain a financially viable anesthesiology program. One effective strategy to increase market share and off-set the costs of an anesthesiology payment system is the development of an effective chronic pain management program.

Jerry Ippolito will discuss key elements required to develop a financially successful pain management program and describe necessary resources and operational efficiencies.

Leader: Jerry Ippolito, MBA, MHSA, President, OR Efficiencies, LLC.

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The Older Adult Surgery Patient: Preop to Discharge

The US’s older adult population, those 65 and older, is approximately 40 million and expected to nearly double by 2030. Due to improved living conditions and advancement in medicine and technology, the fastest growing cohort is 85 years and older. These patients are arriving in our ORs for elective surgery, urgent/emergent conditions and trauma. Many OR nurses have never had geriatric nursing courses yet they are caring for these patients who bring unique issues that need to be addressed from preoperative assessment through discharge from PACU. The speaker, an experienced OR nurse and gerontologist, will discuss the challenges this population brings, including physiological change, medication management, sensory deficits, discharge planning, and more.

Leader: Judy Dahle, MS, MSG, RN, Education Coordinator, OR Manager, Inc, and Gerontologist.

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Redesigning Surgery Scheduling Workflow

Is your scheduling process subject to lack of standardization, inaccuracies, and inefficiencies? The surgery scheduling workflow process at Northwestern Memorial Hospital (NMH) had many of these symptoms. Patients, surgeon's schedulers, and surgeons were dissatisfied with the system. Inaccurate information was being entered when cases were reserved by phone or email.

A multidisciplinary team used principles of LEAN to evaluate the current workflow process, which fell under the three categories: reservations, confirmations and schedule production.
Based on their well-received presentation at the recent Managing Today’s OR Suite conference, the speakers will share how they redesigned surgery scheduling workflow, resulting in decrease in phone call abandonment rate, error rate, scheduling delays, and productivity improvement. Learn how a value stream map can reduce or eliminate nonvalue-added functions in the workflow and help streamline operations.

Leaders: Arshia Wajid, MBA, MPH, Project Manager, Surgical Services, Northwestern Memorial Hospital, Chicago
Lennettro D. Taylor, Systems Coordinator, Surgical Services, Northwestern Memorial Hospital

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Targeting Zero Surgical Site Infections

The Association of Professionals in Infection Control and Epidemiology (APIC) has stated that all organizations should strive for zero healthcare acquired infections (HAIs).

Linda Greene, who has presented for APIC on the topic of Targeting Zero, will discuss the most current information on what to anticipate from the Centers for Medicare and Medicaid Services and AORN, and APIC guidelines. She will discuss current information regarding the SCIP measures and reporting. You will also hear about the importance of evidence-based practice in relation to infection prevention and patient safety.

Leader: Linda R. Greene, MPS, RN, CIC, Director of Infection Prevention for the Rochester General Health System in Rochester, NY

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More Cases in Less Time – Your Key to OR Optimization

Learning how to use empirical data to see how shifts in case volume affect staff downtime and OR idle time. With use of data based on experience and observation, you will see dramatic results in terms of:

• fewer gaps in the schedule
• reduced number of after-hours cases
• higher incidence of on-time first case starts
• streamlined turnaround time
• increased physician satisfaction and engagement
• lower staffing costs.

Analytics for optimization depict what happens on the schedule, pinpointing opportunities for demand match staffing and for eliminating causes of waste. The analytics also function as a driver of consensus among surgeons, OR administration, anesthesiologists, and C-suite executives as well as a catalyst for governance best practice. During this webinar, the speakers will share how this process helps hospitals anticipate health care reform by focusing on accountability, quality, and collaboration while considering fewer resources to pay for care. They will share case studies to demonstrate how metrics were used to attain desired outcomes. They will discuss a road map to optimize your OR performance.

Leaders:
Starla M. Wilkes, BSN, RN, CNOR, Vice President – Account Services, Syús
David Reynolds, Executive Vice President, Syús

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Patient Flow Improvements: Application and Outcomes

As hospitals deal with increased patient volume, patient flow issues that affect the OR will become more pressing. Wait times and other delays are key drivers of both patient satisfaction and clinical quality. The most effective organizations will address patient flow issues through changing the production process with operational management techniques from private industry.
During this webinar, the speaker will discuss how organizational patient flow problems that affect the OR manifest themselves and what data is necessary to determine the best course of action. Simulation modeling to enhance performance will be discussed.
You will learn about organizational patient flow and types of variability and how to manage it.

Leader: Christy Dempsey, MBA, RN, CNOR, Senior Vice President of Clinical Operations, Patient Flow, Press Ganey, Boston

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Putting Teeth in Your Loaner Policy

Have you ever been faced with a situation where the loaner instruments arrive for a case on the same morning as the case is scheduled? Or they arrive without cleaning/sterilization instructions for use? If so, you will find a new position paper and sample policy from the International Association of Healthcare Central Service Materiel Management (IAHCSMM) to be enlightening and invaluable. This webinar will focus on this tool and recommendations by the Association for the Advancement of Medical Instrumentation (AAMI) and the Association of periOperative Registered Nurses (AORN) that can be used to put teeth in your loaner policy and improve patient safety.

Leader: Martha Young, BS, MS, CSPDT, President, Martha L Young, LLC, providing SAVVY Sterilization Solutions for Healthcare, Woodbury, Minnesota

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Turnover Time: The Challenge that Never Disappears – New Managers

As a new OR manager, you will be challenged by physicians and hospital leaders to address issues related to turnover time and the chronic complaints that it is too long. It is important to be able to speak to the subject in a professional, knowledgeable, data-driven, and non-defensive manner. An experienced perioperative leader will provide guidance for managing turnover, understanding all the metrics affecting it, and recognizing the give and take on the part of all the team players. No finger pointing allowed!

Leader: Judy Dahle, MS, MSG, RN, Education Coordinator, OR Manager, Inc

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What do you need to do to prepare for value-based purchasing? Under the he Patient Protection and Affordable Care Act (PPACA), provider organizations are encouraged to manage patient populations cost effectively without compromising quality of care. 

A key goal is for providers to work together to manage clinical processes while accepting risk for savings and attainment of quality of care thresholds. The Hospital Value-Based Purchasing Program (VBP) represents a fundamental shift in how providers will be paid, requiring important changes in operating models, clinical processes, and alignment of interests between physicians and hospitals.

With perioperative services experience as a hands-on clinician, hospital administrator, and consultant, this webinar leader will provide essential information about VBP, including what hospitals should be doing now to prepare for mandated value-based payment.

Leader: Mary Jane Edwards, MHSA, RN, CNOR, FACHE, Specialist Leader, Strategy & Operations, Deloitte Consulting, LLP, McLean, Virginia.

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Vendor Management in the OR

Traditionally, vendor representatives have cultivated long-standing close relationships with physicians, sometimes dating back to medical school. Some physicians have developed loyalty to vendor representatives that trumps loyalty to provider organizations. These well-established relationships may drive higher device costs for organizations.

So how can health care providers better manage vendors? One answer is the implementation of a strictly enforced, robust vendor access and credentialing policy. There are automated systems available that register and provide credentialing guidelines and background checks to ensure that vendors are good partners.

This webinar  looks at vendor management from a corporate, end-user, and vendor perspective to guide your implementation of an effective vendor management program.

Leader: Marita Parks, MHA, RN, Director Healthcare Organizations, AORN, Denver, CO

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Legal Competencies for the Management of Perioperative Services: New Managers

Understanding your legal responsibilities can be confusing. The number of disciplines you must manage, hundreds of rules and expectations from multiple interested parties and no textbook to make sure you stay away from trouble leads to confusion and uncertainty for the new OR manager.

In this webinar, a perioperative director and a specialist in nursing law will address the legal requirements to meet and maintain standards of care. During the session you will learn key strategies for documentation of patient care, employee files, and your responsibilities for maintain a safe environment.

Attendees will also learn how to identify and avoid risky practices. You will be able to identify two areas of consent. Duffy will explain reasonability, the key to the legal system.

This is an hour and a half webinar.

Leader: William J Duffy, MJ (health law), RN, CNOR, Vice President, Nursing Evanston Hospital, Northshore University HealthSystem

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Sterilization & Disinfection: Understanding the Most Current Issues

This webinar will identify the sterilization and disinfection issues that are the focus of attention by accrediting agencies such as the Joint Commission.

Good news is that instrument processing is finally getting the attention it deserves. Appropriate instrument processing contributes to patient safety and prevention of surgical site infection. The bad news is that it can also put a facility at risk if the most current and appropriate sterilization disinfection practices are not being followed.

You will hear the latest trends and information related to instrument processing. You will be able to identify practices in your facility that may need to be revisited.

Invite your SPD personnel to listen to this outstanding expert in the field of sterile processing and infection control. This webinar will provide an excellent opportunity for OR and SPD personnel to learn together.

This is a one-hour webinar.

Leader: Cynthia Spry, MA, MSN, RN, CNOR, CSIT, Cynthia Spry is an independent clinical consultant with thirty years of perioperative nursing experience. She retired from Advanced Sterilization Products, a Johnson & Johnson Company, where she was an international clinical consultant focusing on sterilization and disinfection.

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Silence Still Kills: Opting for the Crucial Conversation

Health care professionals are often reluctant to speak up when they observe colleagues doing something wrong. In the 2005 study, Silence Kills, VitalSmarts and the AACN found that 84 percent of healthcare professionals observe colleagues take dangerous shortcuts when working with patients and yet less than 10 percent speak up about their concerns.

Since that time, the healthcare community has turned to safety tools and checklists to reduce unintentional slips and errors. And yet, a new study called The Silent Treatment has found that the effectiveness of safety tools is undercut by undiscussables. Every day, health care professionals are making calculated decisions to not speak up—even when safety tools alert them to potential harm.

The Silent Treatment reveals that despite the safety interventions taken in the last decade, silence still kills. Safety tools do not compensate for crucial conversations failures in the hospital.

Join David Maxfield, a bestselling business author in leadership and influence, as he shares with us how to apply the ground-breaking implications from The Silent Treatment study. Learn about the conditions that make a conversation crucial, what it means to toggle between silence and violence in a crucial conversation and how doing so leads to failure.

This is a one-hour webinar.

Leader: David Maxfield, Vice President of research at VitalSmarts, an innovator in organizational performance and corporate training. He is also the coauthor of the New York Times best sellers, Influencer and Change Anything.

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Driving Beyond the Speed Limit with Surgical Dashboards

Daily operations in the surgical suite are vital to the overall success of your facility. To effect permanent change, precise and accurate measurement of performance is necessary.
In this webinar, you will hear about the development of a surgical dashboard and how it is driving performance improvement and surgical growth.
The speaker will discuss the concept of a dashboard for perioperative services, including the process of metric selection and how to keep the dashboard functional and user friendly. You will learn about the importance of a “balanced dashboard” to be sure that quality metrics are included so that there is a balance between efficiency and good patient outcomes.
The speaker will examine the benefits and disadvantages of the dashboard implementation. She will discuss the deployment of a dashboard in one facility as well as in a multiple hospital corporation.

Leader: Stephanie Sfikas Davis, MSHA. RN, CNOR, Assistant Vice President, Surgical Services Clinical Service Group, HCA, Nashville, Tennessee

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Clinical Guidance on Surgical Fire Prevention and Management

Your surgeons and anesthesiologists will be interested in this webinar on preventing and managing surgical fires. Invite them to join you for this important and informative webinar.
ECRI Institute has published clinical recommendations on preventing and managing surgical fires developed in collaboration with the Anesthesia Patient Safety Foundation (APSF). In this webinar, the current recommendations will be presented along with information on upcoming educational initiatives from APSF

You will hear Mark Bruley, an expert on OR fire safety, discuss surgical devices, materials, and fluids that can burn and how they ignite. You will learn the hazards of an oxygen-enriched environment and how to minimize the chance of a surgical fire. Bruley will provide information about the proper method to extinguish a surgical patient fire and share examples of outcomes from actual surgical fires.

Leader: Mark E. Bruley, BS, CCE, an expert on fire safety in the OR Vice President, Accident and Forensic Investigation, ECRI Institute

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Strategic Planning for OR Leaders

Strategic planning, designing programs, and understanding when it is time to move from strategic thinking to tactics for implementation can be challenging. In this webinar, we will discuss the value of strategic planning in the operating room, explore strategic management both inside and outside health care, and offer tools for use in the OR environment.

As the complexity of health care continues to evolve, OR leadership is expected to have more sophisticated processes. Use of business tools that translate well for the OR is one way of advancing that level of sophistication. Whether it is clinical outcomes, operational efficiencies, assuring a competitive advantage, or recruiting and retaining the stars for our ORs, strategic planning is an integral part of our business moving forward.

Join us for an informative, invigorating hour discussing operating room issues, and how strategic planning can help you take your OR to the next level.

Speaker: Kathleen Brooks, PA, VP Clinical Operations, Jackson Surgical Assistants

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The OR Business Manager’s Role in Perioperative Services

Many of the operational challenges of effective perioperative management fall outside of the clinical realm, layers away from direct patient care. The effective business manager is an equal partner with the clinical OR manager.
The role of the business manager in perioperative services is evolving as the position becomes more widespread in departments of all sizes. Identifying the responsibilities and role of the business manager is fundamental to the maximum return on investment.
Candidates often come from diverse backgrounds. Prioritizing and matching the diversity of skills to the needs of your organization are keys to success for the department and the individual in the role.
This session will describe the role of the business manager in strategic planning, physician relations, service line development, revenue enhancement, and operational efficiency. The speaker will prioritize useful skills and identify tools for developing and implementing the position in any organization.

Speaker: Dana Crompton, MHA, Vice President, Perioperative Services, Long Beach Memorial Medical Center and Miller Children’s Hospital Long Beach.

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Taming the Charge Master

Are your reimbursements covering your OR costs? Business managers and OR directors are concerned that OR charges have appropriate reimbursement for professional and nonprofessional labor and benefit costs, supply costs, and other direct and indirect costs required to provide a high quality, safe, and appropriate surgical service for their patients. This speaker will explain how OR time charges should be structured, how to recover costs for equipment, and how Medicare determines implant reimbursement. He will discuss whether supplies should be managed and charged locally or systemwide. You will hear discussion on whether to bill for all supplies in the OR and many more pertinent charge master topics.

Speakers: Keith Siddel, MBA, CEO, HRM Consulting, Creede, Colorado. This expert on OR finance has been a popular speaker at the OR Business Management Conferences.

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The Business Case for ‘Flipping’ in the OR Suite

Every OR engages to some degree the practice of “flipping,” allowing a surgeon to operate in two adjacent ORs. This presentation will present criteria for surgeon eligibility to flip rooms, delineate basic requirements, including actual OR real estate, equipment, instrumentation, staff, and the fiscal impact. The speakers will engage in a discussion about flipping as precursor to lower utilization and will suggest approaches to monitoring surgical volume. You will have the opportunity to consider the impact on quality patient care. Based on a popular program at Managing Today’s OR Suite, this webinar will provide you with the skills to peel back the layers of flipping and thoroughly manage the process.

Speakers: Mary Jane Edwards, MHSA, RN, CNOR, FACHE, Specialist Leader, Deloitte Consulting, LLP; and David Wyatt, MPH, MA, RN, CNOR, Administrative Director, Perioperative Services, Vanderbilt University Medical Center

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Improving the OR Revenue Cycle

Understanding the revenue process helps OR directors and business managers improve health care charging practices and enables them to make informed policy decisions. Integrating the revenue cycle processes throughout an organization can increase reimbursement, improve compliance with reporting requirements, reduce payer denials, and decrease rework by staff members. In this webinar, you will learn about the ability to charge for extended recovery room time, preoperative time, the difference between bundled and unbillable items, medications that can or can not be billed, and many other important topics about revenues.

Speaker: Keith Siddel, MBA, CEO HRM Consulting, Creede , Colorado. Siddel is an expert on OR finance and has been a popular speaker at OR Manager conferences.

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Surgery Scheduling: A Critical Element for Patient Flow

Patient flow through perioperative services starts with scheduling. Scheduling cases is tricky and, even with the most sophisticated information system, accurate schedules can be elusive. If the schedule is not accurate, staffing and start times will be inaccurate and patient, physician, and staff satisfaction will suffer. During this one-hour webinar, we will focus on the critical patient flow element of scheduling cases and starting them on time consistently. You will learn how to develop a more accurate scheduling process and identify strategies to start cases on time.

Speaker: Christy Dempsey, MBA, RN, CNOR, Senior Vice President, Clinical Operations, Press Ganey. A popular speaker at OR Manager conferences, Dempsey is an expert on patient flow in the OR.

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Creating an Effective Pre-op Program

The PAT process starts with scheduling and patient preparation but impacts the entire operating room. With proactive scheduling and modern preoperative process, the hospital can have a competitive advantage to attract patients and surgeons. A Lean process can reduce costs to <$50 per patient by eliminating unneeded testing, wait time, and day of surgery cancellations. Nationally recognized for his work in presurgical evaluations programs, David Young, MD, Medical Director, Pre-Anesthesia Testing, Advocate Lutheran General Hospital, Chicago; Partner, Surgical Directions, LLC, Chicago, will discuss the characteristics of an effective preoperative program. You will hear strategies to streamline the preoperative process in your facility.

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The Perils and Pitfalls of Block Scheduling

Block scheduling directly affects efficiency, surgeon satisfaction and the hospital's bottom line. This popular webinar with Dr William Mazzei will provide guidelines and strategies for creating, implementing, and monitoring an effective block scheduling system that will improve access to the OR and increase surgeon, staff, and anesthesiologist satisfaction.

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Unraveling the Mystery of Biologics

With the recent explosion in the number of biological products available, many perioperative professionals are faced with challenges related to the management of biologics in the operating room setting. Not only are there an overwhelming number of biological products and tissue forms available, but how do you categorize them, control inventory, and contain cost? This session will increase your general understanding of the types of biologics utilized in the operating room, as well as provide strategies for differentiation. Evaluation tools will also be provided to help your facility control excess inventory and assess new biological products in the future.

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There are many definitions for what OR specialty teams really are. It may be staff who consistently work in the same service or for the same physician but don’t take call for that service or physician. It may be an exclusive team that only works for that service or physician and takes call exclusively for that specialty. Is a team a full complement of staff who work in the OR or just a specific few who maintain expertise in particularly complex cases in that specialty? Do teams receive special education, schedules, or compensation? More importantly, by what metrics are these teams evaluated in terms of quality, efficiency, cost, and benefit? During this webinar, we will explore these questions and discuss what works, what doesn’t, and how to tell if specialty teams are working or will work for you.

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Prevention of Retained Surgical Items: A Critical Discussion

A national expert on retained surgical objects, Dr Verna C. Gibbs will discuss the new AORN Recommended Practices for prevention of retained surgical items, focusing on the interdisciplinary roles required to provide a safe environment for the patient. She will discuss why these events occur and where hospitals can move in the future. She will describe a reliable manual sponge counting practice, NoThing Left Behind. You will hear the pros and cons of the new technologies for sponge management and how they match up with manual counting practices.

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Inaccurate case duration estimates negatively affect utilization, start-time accuracy, cost per case, customer satisfaction, and quality of workload management. Tina Foster, RN, MBA, CNOR, Vice President, Performance Analytics, McKesson, will discuss key strategies for improving case duration accuracy.

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Managing an OR schedule is challenging in today’s competitive environment. OR leaders must create a surgery schedule that satisfies the surgeon and at the same time balances the need to run an efficient OR, meets the demand for surgical beds, and enhances market share and reputation. By successfully implementing an improved scheduling policy and procedure, your facility may improve its utilization of the surgical arena. From Stephanie S. Davis, RN, MSHA, CNOR, Assistant Vice President of Surgical Services, HCA, Nashville, you will hear about tools that have been successful in establishing an efficient, well-managed block scheduling system.

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The new health care law will have a significant effect on OR departments. You will gain a better understanding of what changes to anticipate and how best to prepare for them. Jeffry Peters, President, Surgical Directions, covers the impact of the law on surgical demand, reimbursement for surgeons and anesthesia providers, and financial pressures on hospitals.

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Weathering the Economic Storm

Hear how physician-staff partnerships can enhance revenue and reduce expenses. Learn how patient flow improvement can build revenues from Christy Dempsey, RN, MBA, CNOR, vice president of clinical operations, Patient Flow Press Ganey.

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Vendor Management in the OR

Physician-vendor relationships can increase device costs. Marita Parks, RN, MHA, vice president, performance consulting, Sisters of Mercy, ROI, will show how implementing a strictly enforced vendor access and credentialing policy can help manage vendors.

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No Retained Objects: An Ongoing Challenge

After three incidents of retained objects, Christiana Care Health System initiated revised policy and practice changes that resulted in no retained objects in over three years. Mary Cay Curran, RN, MSN, CAPA, and Judith A.Townsley, RN, MSN, CPAN, discuss factors that contribute to incidents of retained objects.

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Managing the Use of Human Tissue

Hear about regulations and standards that minimize the risks associated with transplanting human tissue. Learn about best practices and compliance from Victoria Steelman, RN, PhD, CNOR, FAAN, assistant professor at the University of Iowa, and Michael Hintz, RN, CTBS, surgical consultant, MTF.

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New Clinical Guidance on Surgical Fire Prevention and Management

ECRI Institute has new clinical recommendations on preventing and managing surgical fires. An expert on surgical fire safety, Mark Bruley, vice president, accident and forensic investigation at ECRI Institute, will discuss the guideline and its recommendations.

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SCIP: Overcoming Barriers to Compliance

Learn strategies to implement SCIP measures and how to overcome barriers to change from Amy L. Bethel, RN, BC, MPA, executive director surgical services, Iowa Health System.

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Joint Commission Accreditation Survey: Where are the Scorable Hooks?

What can you expect in your next Joint Commission survey? Learn the most frequently cited standards from this popular consultant, John R. Rosing, MHA, FACHE, vice president and principal, Patton Healthcare Consulting.

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Surgery Scheduling: Critical Element for Efficient Patient Flow

Accurately scheduling cases is critical to patient flow. Christy Dempsey, RN, MBA, CNOR, senior vice president of clinical operations, Patient Flow Press Ganey, will guide you in developing a more accurate scheduling process and identify strategies to start cases on time.

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The Perils and Pitfalls of Block Scheduling

Block scheduling directly impacts efficiency, surgeon satisfaction and the hospital’s bottom line. Bill Mazzei, MD, clinical professor anesthesiology at the University of California San Diego Medical Center, helps you avoid /overcome the perils and pitfalls of block scheduling and increase surgeon satisfaction.

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Aligning Stakeholders for Effective Perioperative Services Governance

Hear about business development, planning, and governance of the surgical services organization from consultant Jerry Ippolito, MBA, MHSA, Southeast Anesthesiology Consultants.

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Lean Improvements Across the OR

An introduction to Lean principles and their application to the OR environment from Lewis Lefteroff, senior Lean consultant, ValuMetrics Services, Ortho-Clinical Diagnostics, a Johnson & Johnson Company.

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Critical Elements for Effective Anesthesiology Programs

Issues of anesthesia reimbursement and regulatory compliance are discussed by Jerry Ippolito, MBA, MHSA. Learn how to work more effectively with anesthesia.

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Taming the Charge Description Master

OR charges need to be well thought-out and accurately implemented. Learn how to ensure accurate reimbursement from Keith Siddel, MBA, CEO, HRM Consulting.

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Improving the OR Revenue Cycle

It is increasingly important for the OR staff to understand and manage the revenue cycle. Improve your reimbursement with advice from Keith Siddel, MBA, CEO, HRM Consulting.

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Implementing a Successful Patient Flow Improvement Project

Patient flow problems mean longer lengths of stay and boarding in the PACU, ED, and OR. Hear how to implement a patient flow improvement project from Christy Dempsey, RN, MBA, CNOR, senior VP of clinical operations, Press Ganey.

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