By Bill Denton, RN, MBA, Senior Principal, GE Healthcare Partners
There are a number of influencing factors that affect and determine operating room efficiency. ORs are becoming increasingly complex with many moving parts: patients and families, technology, supplies, and the surgical team...just to start.
Your operating room is one of the most critical areas related to overall hospital performance and continues to be the “engine of the hospital.” Like a car, your operating room is becoming increasingly complex with many moving parts requiring regular maintenance and tune-ups to avoid a complete overhaul.
It’s no secret that inefficiencies abound in many of today’s operating rooms. Patients, technology and the surgical team all have a great impact on OR efficiency. With more cases being done in outpatient facilities, inpatient surgical patients today are sicker. They have higher acuity needs that use more resources and take longer.
Not only are patients more complex, but the technology used to support the surgical team and enhance the care provided to the patient is making surgical procedures more complex. From imaging components, robotics and laser technology to video assisted procedures and hybrid ORs, all require surgical subspecialty teams that are able to keep up with these technologies and provide good outcomes.
With the shift in complexity and acuity, a question is increasingly being asked by hospital leadership across the country: “Is my OR efficient?” There are a number of influencing factors that affect and determine overall OR efficiency, including such signs as:
- Surgeons are unhappy and constantly in your office
- Cases can’t ever seem start or finish on time
- Turnover times remain painfully slow
- Cases cancel frequently on day of surgery
- Labor and supply costs are constantly over budget
- You have very busy days and very slow days in the same week
- Patient and staff satisfaction is poor or not improving
A good place to begin answering the above question is to understand your current state, find your gaps, and empower a team to make necessary changes. Also, having an empowered team in place to address these inefficiencies can be a platform to shift the culture and have your policy and procedure changes stick for the long term. Such coordination among services, teamwork and enhanced communications is essential to improve efficiency, strengthen quality and safety, and reduce the cost of care. Good quality costs less.
In a series of blog postings, we will be exploring the leading practices related to the key elements of efficiency that lead to improved perioperative performance. While each will be discussed individually, it must be remembered that they are interdependent, and if there is a breakdown with any of them, overall performance will be impacted. We will then wrap up the blog series with a discussion of key metrics and the importance of creating and monitoring a perioperative performance dashboard.
Mr. Denton is an executive vice president with GE Healthcare Partners with more than 30 years’ experience as a clinician, healthcare executive, and consultant. He is recognized industry-wide for his expertise in using evidence-based decision-making to reduce expenses and improve quality of care, with a laser focus on sustainability. Mr. Denton partners with C-suite executives as they work diligently to create a culture of change throughout their organizations to sustain improvements. He possesses extensive experience in healthcare administration and as a clinician, provides that perspective to guide clients through the complex process of identifying and implementing significant cost-saving initiatives with physicians and other clinicians. He may be reached at email@example.com.