PDF Surgical Services Optimization: First Case Starts and ...
SURGICAL SERVICES OPTIMIZATION: FIRST CASE STARTS AND TURNOVER TIME
by Caitlin Thayer B. S., Psychology, University of Pittsburgh, 2012
Submitted to the Graduate Faculty of Department of Health Policy and Management Graduate School of Public Health in partial fulfillment
of the requirements for the degree of Master of Health Administration
University of Pittsburgh 2015
UNIVERSITY OF PITTSBURGH GRADUATE SCHOOL OF PUBLIC HEALTH
This essay is submitted by
Caitlin Thayer on
April 24, 2015 and approved by
Essay Advisor:
Nicholas Castle, MHA, Ph.D.
______________________________________
Professor
Department of Health Policy & Management
Graduate School of Public Health
University of Pittsburgh
Essay Reader:
Bopaya Bidanda, Ph.D
______________________________________
Ernest Roth Professor and Chairman
Department of Industrial Engineering
Swanson School of Engineering
University of Pittsburgh
Essay Reader: Amy Bush, BSN, MBA, RN, CNOR ______________________________________ Vice President of Operations West Virginia University Healthcare
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Copyright ? by Caitlin Thayer 2015
iii
Nicholas Castle, MHA, Ph.D.
SURGICAL SERVICES OPTIMIZATION: FIRST CASE STARTS AND TURNOVER TIME
Caitlin Thayer, MHA University of Pittsburgh, 2015
ABSTRACT Operating room (OR) efficiencies are vital to the financial success of the hospital. Due to the negative outlook for hospital reimbursements and the rising costs of delivering care, it is important for hospitals to optimize OR efficiency for decreased costs and increased revenues. On-time first case starts (FCS) and turnover time (TOT) are two metrics that set the stage for other OR efficiencies to follow. The case of a community hospital is applied to four successful OR efficiency programs for opportunities for improvement. Opportunities to decrease OR costs and optimize surgical services metrics will thereby increase the OR capacity and revenue generating ability. OR efficiency is significant to the field of public health because optimization of efficiency contributes to the hospital's financial success and long-term viability in serving the community's needs.
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TABLE OF CONTENTS
PREFACE.................................................................................................................................. VII
1.0
INTRODUCTION........................................................................................................ 1
1.1
SIGNIFICANCE OF OPERATING ROOM EFFICIENCY .......................... 2
1.2
CASE OF PITTSBURGH AREA COMMUNITY HOSPITAL ..................... 3
1.3
IMPROVEMENT STRATEGIES ..................................................................... 8
1.3.1 Bottom-up Approach: UC Davis Medical Center ........................................ 8
1.3.2 Comprehensive OR Efficiency Program: Stony Brook Medical Center.... 9
1.3.3 Rapid Cycle Change Approach: A For-Profit Hospital............................. 10
1.3.4 Financial Incentive Program: University of Maryland School of Medicine
......................................................................................................................... 11
1.4
RECOMMENDATIONS FOR IMPROVEMENT......................................... 12
1.5
CONCLUSION .................................................................................................. 14
BIBLIOGRAPHY ....................................................................................................................... 15
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