The operating room can be one of the most profitable departments of a hospital, but it is also one of the costliest. As such, the OR is often a prime target for initiatives that reduce waste and other inefficiencies.
A study from the Orthopedics journal evaluated 190 surgeries lasting anywhere from an hour and a half to three hours. The study was originally meant to explore efforts to keep ORs contamination-free, but revealed other startling statistics:
- OR doors opened an average of every two and half minutes and stayed open for 10 minutes. Not only does this affect airborne contamination, but also shows an excess of OR traffic, revealing possible personnel and logistical inefficiencies.
- All this extra movement through the OR indicates personnel may not have the supplies they need at hand.
- Nurses spent three and a half hours of an eight-hour shift looking for supplies.
Real Examples of How You Can Reduce OR Costs
In an effort to reduce costs, Chicago-based health system Presence Health's Sts. Mary and Elizabeth Medical Center worked to trim OR turnover times. By reducing OR turnover times by six and a half minutes, it’s estimated Presence Health could increase its annual revenue by $600,000.
To do this, the system introduced the Lean performance improvement method, which saw a group of housekeepers, nurses, surgical techs and assistants spend a week observing their colleagues between surgeries to identify inefficiencies and improve workflow.
Though the Lean method uses frontline staff to identify and solve workflow problems, hospital executives can bottleneck improvements, reports Modern Healthcare.
“... Frontline staffers know how to solve problems, but too often are never asked. And when they have offered solutions, leaders have not listened.”
Then there’s Dr. Vivian Lee. Dr. Lee wanted to know the costs of procedures at the University of Utah Health Care, so she implemented a computer program that tracks everything from the cost of drugs and medical devices to a doctor’s time in the OR. It also tracks outcomes and readmissions. It’s not a simple process: A hospital must go through every process a patient experiences and determine the costs of each person who cared for that patient.
Dr. David A. Bull, chief of cardiothoracic surgery at the University of Utah, examined the costs associated with bypass surgery and created nine variables that determine “perfect care.” These included things like giving patients oxygen if they were having trouble breathing after they came off the ventilator, managing blood sugar in diabetic patients and allowing nurses to give medication or oxygen without having to get a doctor’s authorization. As a result, Dr. Bull’s department saw a 30 percent decrease in costs.
Taking a look at the processes at work in your hospital and ORs can reveal surprising findings and present opportunities to make cost-cutting measures that can improve efficiency and outcomes.Butchers workbench via photopin (license)