Improving operating room efficiency via an interprofessional approach

American Journal of Surgery
Jeffrey S BenderWilliam J Ertl

Abstract

Third-party payer reimbursements will likely continue to decrease. Therefore, it is imperative for operating rooms (ORs), often a hospital's largest revenue source, to improve efficiency. We report the outcome after 3 years of a lean, Six Sigma program to improve OR utilization. In January 2011, our hospital system instituted a facility-wide approach to address the problem of OR efficiency. Interprofessional teams were formed to examine all aspects of OR use. An OR Governance Committee consisting of Department Chairs, nursing and senior administration oversaw the project. Outpatients' readiness on time for surgery increased from 59% to 95%, while first case on-time starts improved from 32% to 73%. Block utilization went from 68% to 74% and actual room utilization improved from 56% to 68%. The number of cases increased by 9%. Overtime went from 7% of total to 4%, so personnel costs decreased 14% despite 26% more employees. There was a reduction in annual voluntary OR staff turnover from 28% to 11%. Revenues increased more than 10% annually. A concerted effort to optimize OR performance resulted in marked improvements in access, overall case efficiency, staff satisfaction, and financial performance.

References

Dec 24, 2005·Annals of Surgery·David M FriedmanDavid L Berger
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Mar 23, 2011·Journal of the American College of Surgeons·Robert R CimaUNKNOWN Surgical Process Improvement Team, Mayo Clinic, Rochester
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Citations

Jan 13, 2016·The International Journal of Health Planning and Management·Mazen HassanainAhmed Al-Badr
Apr 23, 2016·Current Problems in Surgery·Anna WeissDaniel Klaristenfeld
Aug 28, 2016·The Journal of Surgical Research·Abigail J FongAlexander Langerman
Sep 18, 2016·The Orthopedic Clinics of North America·Zain SayeedKhaled J Saleh
Sep 2, 2016·Journal of Medical Systems·Miguel A Ortiz Barrios, Heriberto Felizzola Jiménez
Nov 5, 2016·American Journal of Surgery·Romina DeldarMichael W Chu
Oct 6, 2018·The Journal of the American Academy of Orthopaedic Surgeons·Zain SayeedKhaled J Saleh
Mar 8, 2019·Journal of Healthcare Management / American College of Healthcare Executives·Robert W AllenErik Busby
Nov 20, 2016·Journal of Evaluation in Clinical Practice·Emma MontellaGiovanni Improta
Feb 23, 2019·Surgical Infections·Sarah A BrownleeAndrew M Ibrahim
Apr 17, 2019·Current Urology Reports·Daniel J LeeThomas J Guzzo
Aug 8, 2020·International Journal of Environmental Research and Public Health·Carlos Zepeda-LugoGuilherme Tortorella
Mar 3, 2020·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Diego TlapaManuel I Rodriguez-Borbon
Aug 14, 2021·American Journal of Surgery·Michael E Zenilman

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