OR Manager - August 2020 - 1
AUGUST
2020
Volume 36
Number 8
The monthly publication for OR decision makers
IN THIS ISSUE
OR Manager Conference
The Year of the Nurse...and
what a year it has been!
OR Manager Conference
Conference builds community
in a time of crisis
Special Series: Enhanced
Recovery After Surgery
Culture, communication,
and clinical skills essential
for ERAS success
Human resources
Pandemic pressures
include recruiting and
retaining OR staff
OR business
Monitoring implant contracts
can save millions of dollars 22
Ambulatory Surgery Centers
Preoperative protocols
enhance outpatient total
joint outcomes
26
18
16
6
S
pikes in coronavirus cases starting
in late June threatened to
overwhelm hospitals in several
states. Utah is one such state, but
steps previously taken at Intermountain
Healthcare in Salt Lake City suggest
the 23-hospital system will be able to
manage a surge.
Leaders at Inova Health System in
Falls Church, Virginia, believe they also
are well positioned to handle any future
spike in coronavirus cases. Both Intermountain
and Inova thus far have been
spared the experience of New York area
hospitals this past spring.
OR Manager spoke with leaders at
Intermountain, Inova, and Long Island
Jewish (LIJ) Medical Center in New
Hyde Park, New York, to gain some perspective
about the impact of the pandemic
thus far and how best to prepare
for the months ahead.
Continued on page 9
Continued on page 8
Performance improvement
Data mining yields tool to predict
OR staffing needs
S
taffing to a block duration can
be inefficient. Uncontrolled variables
such as increased case
complexity and unexpected staff absences
can cause chaos. Leaders from
Penn Medicine-Pennsylvania Hospital
in Philadelphia used data analytics
to measure the efficiency of matching
staffing against an optimized OR schedule,
which allowed them to predict staffing
hours to case hours and determine
a productivity score. By matching staff
to case demand, they realized a 6.4%
labor savings and improved productivity.
Pennsylvania Hospital is part of the
multihospital Penn Medicine Health
System. At Pennsylvania Hospital,
24,000 cases a year are performed
across 28 in-hospital ORs and 8 ambulatory
surgery center (ASC) ORs.
Timeline
On her arrival at Pennsylvania Hospital in
January 2017, Frances J. Strauss, MSN,
MBA, MHA, RN, CNOR, NE-BC, clinical
director, perioperative services, says she
heard from many different people about
the unmet needs of the OR-staffing
was erratic, morale was poor, and staff
burnout was high. On-call teams were
being used to do elective cases and finContinued
on page 12
Continued on page 6
COVID-19
4
Nimble response required to combat
COVID-19 surges
OR Manager - August 2020
Table of Contents for the Digital Edition of OR Manager - August 2020
OR Manager - August 2020 - 1
OR Manager - August 2020 - 2
OR Manager - August 2020 - 3
OR Manager - August 2020 - 4
OR Manager - August 2020 - 5
OR Manager - August 2020 - 6
OR Manager - August 2020 - 7
OR Manager - August 2020 - 8
OR Manager - August 2020 - 9
OR Manager - August 2020 - 10
OR Manager - August 2020 - 11
OR Manager - August 2020 - 12
OR Manager - August 2020 - 13
OR Manager - August 2020 - 14
OR Manager - August 2020 - 15
OR Manager - August 2020 - 16
OR Manager - August 2020 - 17
OR Manager - August 2020 - 18
OR Manager - August 2020 - 19
OR Manager - August 2020 - 20
OR Manager - August 2020 - 21
OR Manager - August 2020 - 22
OR Manager - August 2020 - 23
OR Manager - August 2020 - 24
OR Manager - August 2020 - 25
OR Manager - August 2020 - 26
OR Manager - August 2020 - 27
OR Manager - August 2020 - 28
OR Manager - August 2020 - 29
OR Manager - August 2020 - 30
OR Manager - August 2020 - 31
OR Manager - August 2020 - 32
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