While the nation concentrates on the consumer implications of health care reform, ambulatory surgery centers (ASC) are examining its provisions for clues to the impact it will have on their operations and revenue. One likely outcome is that the Patient Protection and Affordable Care Act (ACA) will transform their supply…
Does your OR have a Hodad, a Raptor, or a Shrek? These are handles for dangerous surgeons that Martin Makary, MD, MPH, describes in his scathing new book, Unaccountable. Dr Makary, a surgeon and patient safety leader at Johns Hopkins, advocates a “transparency revolution” to make data public and motivate…
She recalls it as one of her worst days as an OR director. She was paged to the postanesthesia care unit. When she got there, the surgeon told her there had been a horrible mistake. He had performed a total knee replacement on the wrong side. The surgeon asked if…
A kanban system seems like a logical method for managing surgical supplies. But it needs a strong foundation to be successful. Kanban, a Lean manufacturing method, relies on visual signals and standard work (related articles). The idea is to be able to tell at a glance that you have what…
Opening a new hospital gave a New York health system an opportunity to take a fresh approach to the OR supply chain. The 483-bed Orange Regional Medical Center, with 12 ORs, opened in 2011, consolidates surgical volume from 2 smaller hospitals. The Orange Regional Medical Center is part of the…
If you opened a supply cabinet in one of your ORs, what would you find? For many, the answer might be, “a mess.” That was the situation for Martin Memorial Health Systems, Stuart, Florida. Even though the supply cabinets had par levels, when a supply was running low, clinicians would…
Stock-outs were the “burning platform” that caused staff and managers to jump into a 2-year project to overhaul a 22-room OR’s supply management. The previous “system” had been a dissatisfier for OR clinicians and supply staff. Supplies in the OR storeroom weren’t kept in any order. Reordering was hit or…
As financial pressures grow, ORs are adding business managers. That’s particularly true for teaching hospitals, where 64% now have a business manager, and for larger ORs with 10 or more rooms, where 55% do, according to the 22nd annual OR Manager Salary/Career Survey. In contrast, 5 years ago, just 47%…