Metrics for reviewing your operating facility

December 17, 2014

Operating theatre management is progressively gaining attention due to the large proportion of a hospital’s budget that goes towards operating theatres. E.g. In 2011/12 NSW Health spent approximately 17% of its inpatient hospital services budget on elective surgery.

What are key factors in improving perioperative service delivery?

  1. Define a sustainable competitive advantage for the institution
  2. Provide transparent robust information to clinicians
  3. Define which clinicians are keepers, and how to address outliers
  4. Improve perioperative performance – reduce risk and cost.

Operational (surgical and managerial) excellence leads to improved patient experiences and outcomes as well as fiscally sound and efficient services.  To achieve operational excellence many levels of management must work together across the various perioperative areas. There must be:

  • Leadership from a cohesive board
  • Long term operational and strategic management addressing the core processes of the operating theatre
  • Day to day operational management that is responsive and proactive

What actions will help?

  1. Establish a governing body to assess how the OR can improve performance. Include clinical and managerial personnel
  2. Establish robust preoperative screening. Ideally this will utilise online technology to make personalised risk-reduction recommendations.
  3. Require at least 75 percent theatre list time utilization, and full day blocks
  4. Provide feedback with performance measures to physicians. These can be confidential, however should compare to shared aggregate measures
  5. Focus on long-term outcomes in addition to process measures. Anaesthesia Information Management Systems will assist here
  6. Conduct brief daily meetings across department heads (admissions, theatre, recovery and discharge) to identify bottlenecks and improve cooperation

Contact for more information or assistance.

Posted in Blog by Douglas Fahlbusch