Optimizing Perioperative Efficiency


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	Emergency Services Inpatient Services Perioperative Services Alignment of Surgeon Performance with Operations On-Time Starts Room Turnover Access & Utilization Preop Preparation PACU Throughput Staff Resource Management What We Know Works On-Time Starts & Room Turnover		The 15 minute room turnover is possible. 10 minute outpatient & ambulatory 15 minute inpatient 20 minute total joints & open heart All it takes is preplanning, perioperative team initiative, and measuring the progress. Only a team approach will work. Physicians and staff know their roles Position staff resources to ensure timely access and predictable patient movement Define time expectations for perioperative teams (preop, intraop, and postop) Define a turnover team who will use developed methodologies Allocate proactive transport Track case cart preparation and equipment Make all activities transparent to enable back up resources to be engaged when needed Q. How could you significantly reduce room turnover? Answer A. By the following: Ensure physicians and staff know their redefined roles Position staff resources to ensure timely access and predictable patient movement Define time expectations for perioperative teams (preop, intraop, and postop) Define a turnover team who will use developed methodologies Allocate proactive transport Track case cart preparation and equipment Make all activities transparent to enable back up resources to be engaged when needed "The most significant thing for us is that we've gone from a 38% on-time start to 84% in the last two months. That's exciting! And our turnovers have come down from about thirty minutes to about twenty-one minutes, overall average. That's better than any other OR in the nation—a national benchmark, so we can be very proud of that." Marilyn B., Director of Perioperative Services