Tardiness policies fine-tune rural OR reform efforts
When a speaker at a recent conference asked if anyone had achieved a first-case on-time start (FCOTS) rate above 90%, Jay Parker, BSN, RN, could have been the only one in the room with his hand up. However, Parker was not inclined to call attention to himself. As director of…
No construction required—AI uncovers system-wide capacity
Amid rising demand for surgical procedures, improving perioperative operations is a pressing priority for any hospital. For a system serving one of the fastest-growing counties in the US, it becomes an operational imperative. This is the case for WakeMed Health & Hospitals (WakeMed). With ORs spread across multiple facilities in…
Upcoming webinar covers 6 key metrics to improve OR capacity
Editor's Note A recent OR Manager Conference presentation on enhancing OR efficiency and transparency—and, in turn, hospital profitability—is coming to the web. Tune in live this Thursday, November 14 at 1 pm EST, when leaders from LiveData will offer an encore presentation detailing how a medical center in the southeastern…
Medicare policy on prior authorization falls short on shifting outpatient surgery trends
Editor's Note A Medicare policy introduced in 2020, which requires prior authorization for certain procedures done at hospital outpatient departments (HOPDs), has not significantly reduced the volume of surgical procedures being done at these facilities, reports a study by Michigan Medicine, University of Michigan, published on October 9. The policy,…
Pilot project takeoff proves promise of AI staff optimization
Perioperative leaders face mounting pressures to optimize resources, reduce costs, and improve patient outcomes. However, one challenge stands out among the rest: OR staffing shortages. According to a November/December survey conducted by LeanTaaS in collaboration with OR Manager, staff recruitment and retention is a top priority for OR leaders this…
State of the huddle: The barriers to and benefits of preop meetings
Complex problems do not always require complex solutions. Consider the surgical safety checklist. In 2020, more than a decade after the World Health Organization (WHO) started advocating that every hospital use the checklist, research from PSNET found that more than 90% of ORs in countries with a high human development…
Ambulatory endoscopy management strategies keep patients, finances healthy
Gastrointestinal (GI) endoscopy is one of the most common procedures in the US. Performed more than 17.1 million times per year in inpatient and outpatient hospital settings as well as ambulatory surgery centers (ASCs), GI procedures account for 68% of all endoscopies, according to a May 2022 article in Digestive…
Study deems EHR manipulation “elephant in the room” for OR scheduling accuracy
Editor's Note Reducing surgeon manipulation of electronic health record (EHR) OR scheduling systems can improve efficiency, save resources, and enhance service to patients, according to data published in the March/April issue of the Journal of Healthcare Management. Although predictive models using EHR and machine learning improve accuracy compared to traditional…
Balancing the demand for OR time with resource utilization
ORs are a key revenue driver for hospitals, with surgical services accounting for nearly half of hospital margins. Efficient use of OR time is therefore critical to sustaining and growing hospital revenue and profitability. Perioperative leaders face an ongoing challenge in optimizing OR utilization, however, because of the common mindset…
Challenges and best practices with strategizing flip rooms
Consider the following requests posed to OR scheduling staff by surgeons: • “I need two blocks in different rooms to accommodate my daily case volume.” • “Can’t I just use that empty room to start my next case while the first case is wrapping up?” Surgeon requests like these are…
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