Most OR leaders are talented nurses who have risen through the ranks. They have strong clinical expertise but usually little background in financial management. And only about a third of OR directors have a business manager on staff. Recently, senior leaders at Surgical Directions discussed the question, “What financial concepts…
Some 300 surgical services leaders from across the US gathered in Orlando in February for the OR Business Management Conference to escape from winter and absorb the collective wisdom of a stellar group of presenters and exhibitors. Presentations on Lean management, scheduling innovations, staff relationships, nurse education, and cost-saving measures—to…
The changing healthcare environment is forcing physicians and hospitals to find new ways of working together to achieve top performance. As payers move to value-based purchasing and providers raise the bar on quality, efficiency, and cost savings, a sustainable model that drives results is essential. One effective physician–hospital model built…
There are two ways to approach supply cost reduction. One is to minimize direct supply costs by optimizing product selection, controlling utilization, reducing waste, and negotiating more favorable prices. The other is to attack indirect supply costs driven by high inventories—the excess holding and labor costs associated with excessive supply…
Fremont Surgery Center stands in America’s heartland, about 30 miles northwest of Omaha, Nebraska. It faces economic conditions typical of ambulatory surgery centers (ASCs) across the country: stable revenue but minimal growth prospects. Last year, however, Fremont made a strategic move that placed it in the industry’s vanguard. Fremont was…
Hybrid ORs are proliferating in response to market, surgeon, and even patient demands, but building the business case for this technology can be challenging. “It’s a very expensive proposition,” says Lynne Ingle, MHA, BS, RN, CNOR, project manager for Gene Burton & Associates, a healthcare technology consulting company in Franklin,…
New research shows that even a modest 10% reduction in the proportion of emergency surgical procedures for three common conditions could save nearly $1 billion over 10 years. The study also showed significantly lower rates of mortality and better outcomes among patients who had these procedures on an elective basis.…
Over the past decade, the number of quality measurement programs has grown exponentially as hospitals respond to public and government demands for greater accountability and improved patient care. During this time, quality programs have been focused largely on how to do quality, how to measure it, how to improve it,…
A high-performing anesthesiology group is critical to the success of a hospital OR. Most OR leaders, however, do not know how to work effectively with anesthesia providers to define high performance and establish performance metrics. Traditionally, anesthesia group contracts have not included detailed service standards. Language about anesthesia coverage is…
Delivering quality healthcare doesn’t end when a patient leaves the postanesthesia care unit. It continues until the final installment of the bill is paid. It continues even when the payment is overdue, missing, or refused. To stay in business, an ambulatory surgery center (ASC) must collect the fees it has…