This OR initiative is part of VHAs overall push to help members become best performers and to improve clinical quality.
"VHA helps its members deliver the highest value to its patients. This OR collaborative is one more example of how a focus on the patient leads to results," says Trent Haywood, MD, chief medical officer at VHA, a national healthcare alliance.
By working together in this OR project through VHA, the hospitals improved their operational practices in three areas: preoperative activities, intra-operative activities, and post-operative activities.
Hospitals lose revenue each year due to inefficiencies in the operating room, says Carol W. Birk,
Common issues that effect OR processes and impede efficiency include: lack of physician compliance with first-case start time, space and facility design, scheduling staff education, physician office chart documentation, utilization of patient pre-admission testing and the number of steps it takes to prepare the OR for each new case following surgery, referred to as room turnover.
Each of the participating hospitals addressed these issues differently. Many of the hospitals showed improvement across all three of the areas they addressed. For example, 34 percent of the hospitals reduced pre-registration time, getting patients in the operating room within five minutes of scheduled first-case start time. This improved start time accuracy and obviously improved throughput time, which enabled the hospitals to perform more surgical procedures. Ultimately, this generates more revenue for the hospital, but it also improves the patient experience, since they dont have to endure delays.
Spectrum Health United Memorial in
We joined the collaborative to glean best practices from other hospitals, says Patty Shoults, RN, BBA, MBA, director surgical services at Spectrum Health United Memorials campus. We have significantly improved our process from the point a patient is referred to our surgical services to the point when the patient leaves to go home after surgery.
We appreciated communicating with peers about success, struggles and ideas we are all working on in the OR through the VHA initiative, says Kim Reed, RN, outpatient surgery manager at Columbus Regional. Seeking out everyones opinion regarding OR changes and improvement opportunities and making sure people knew their voices were being heard is the key to our success.
By eliminating operational inefficiencies and frustrations, we are enabling the physicians and nursing staff to focus on the important issue of providing patient care, Birk adds. Thats why this program is vitally important to our members.