OR Manager November/December 2021 - 31

Leadership
First,
the OR needs collaborative
governance in some form. Every stakeholder
group contributes to problems in
the OR, so everyone must take part in
finding solutions.
The most effective venue for collaboration
is a multidisciplinary Surgical Services
Executive Committee (SSEC) with
representation from the surgeon staff,
anesthesia providers, nursing leadership,
and hospital administration. An
FCOTS initiative is the ideal first step
for a new SSEC because it allows the
committee to learn the techniques of
collaborative performance improvement
on a relatively easy project.
Second, OR leaders need to establish
data transparency. One of the biggest
obstacles to process improvement in
Continued from page 28
Deloitte Centre for Health Solutions.
Medtech and the Internet of
Medical Things. July 2018.
https://www2.deloitte.com/content/dam/Deloitte/global/Documents/Life-Sciences-Health-Care/
gx-lshc-medtech-iomt-brochure.pdf.
Dontov
D. What businesses are the
most vulnerable to cyberattacks?
Forbes. January 19, 2021.
https://www.forbes.com/sites/
theyec/2021/01/19/what-businesses-are-the-most-vulnerable-tocyberattacks/?sh=20fd9fc13534.
Goar
E. The price of EHR downtime.
For the Record Magazine. 2017.
https://www.fortherecordmag.com/
archives/1117p24.shtml.
Hufstader M G, Noblin A, Rutherford A,
et al. Data breach locations, types,
and associated characteristics
among US hospitals. AJMC. February
2018. https://ajmc.s3.amazonaws.
com/_media/_pdf/AJMC_02_2018_
Gabriel%20final.pdf.
Lawrence C. Internet of medical things
(IoMT) and cybersecurity woes.
Iot Tech Trends. 2021. https://
www.iottechtrends.com/internet-ofwww.ormanager.com
the
OR is that different stakeholders
do not look at performance in the same
way. An SSEC can overcome this obstacle
by establishing a common set
of performance measures. This puts
physicians, nurses, and administrators
on the same page, giving them a shared
view of operational problems and viable
solutions.
As a simple example, an FCOTS
initiative must be based on a shared
understanding of " on time. " This concept
seems uncontroversial, but in fact,
some surgeons (based on their experience
in other hospitals) might define
timeliness as " within 10 minutes of the
scheduled start time. " Similar issues
affect room turnover, utilization metrics,
and other OR processes.
medical-things-cybersecuritywoes/.
McKeon
J. Lawsuit links baby death to
AL Healthcare ransomware
attack. Cybersecurity News. October
1, 2021. https://healthitsecurity.
com/news/lawsuit-links-baby-deathto-al-healthcare-ransomware-attack.
Medical
Device Cybersecurity Working
Group. Principles and practices for
medical device cybersecurity.
International Medical Device Regulators
Forum. March 18, 2020.
http://www.imdrf.org/docs/
imdrf/final/technical/imdrf-tech200318-pp-mdc-n60.pdf.
Morgan
S. Patient insecurity: Explosion
of the internet of medical things.
Cybercrime Magazine. February
19, 2019. https://cybersecurityventures.com/patient-insecurityexplosion-of-the-internet-of-medicalthings/.
Office
of Inspector General. Medicare
lacks consistent oversight of cybersecurity
for networked medical
devices in hospitals. US Department
of Health and Human
Services. June 21, 2021. https://
oig.hhs.gov/oei/reports/OEI-01-2000220.asp.
Big
step to culture change
The biggest benefit of a quick win-like
a successful FCOTS initiative-is that
it can jumpstart culture change. Rapid
gains in first-case timeliness will demonstrate
to both physicians and nurses
that everyone can come together to improve
OR operations.
A quick win will not fix the OR overnight,
but it will help teach OR stakeholders
how to tackle more complex
challenges that have a major impact on
clinical, financial, and operational performance.✥
Michael
Besedick, MS, is director and
Kartik Bhatt, MPH, is engagement
manager at Surgical Directions, a healthcare
consulting firm specializing in
operating room transformation.
Continued from page 25
Susan Klacik, BS, FSC, ACE,
CHL, CIS, CRCST, AAMIf, is
the International
Association of Healthcare
Central Service Materiel
Management (IAHCSMM) Representative
to the Association of the Advancement
of Medical Instrumentation (AAMI), a role
she's held since 1997. She is the author
of the IAHCSMM magazine's column " Inside
Washington " and the OR Manager
column " Sterilization & infection prevention. "
Susan represents IAHCSMM for
regulatory affairs dealing with sterilization
and disinfection.
Resources
Association for the Advancement of
Medical Instrumentation. ANSI/
AAMI ST79:2017 & 2020 Amendments
A1, A2, A3, A4. Comprehensive
guide to steam sterilization and
sterility assurance in health care
facilities.
International Association of Healthcare
Central Service Materiel Management.
Central Service Technical
Manual, Eighth Ed. 2016.
OR Manager | Nov/Dec 2021
31

https://www.iottechtrends.com/internet-of-medical-things-cybersecurity-woes https://www2.deloitte.com/content/dam/Deloitte/global/Documents/Life-Sciences-Health-Care/gx-lshc-medtech-iomt-brochure.pdf https://healthitsecurity.com/news/lawsuit-links-baby-death-to-al-healthcare-ransomware-attack http://www.imdrf.org/docs/imdrf/final/technical/imdrf-tech-200318-pp-mdc-n60.pdf https://www.forbes.com/sites/theyec/2021/01/19/what-businesses-are-the-most-vulnerable-to-cyberattacks/?sh=20fd9fc13534 https://www.fortherecordmag.com/archives/1117p24.shtml https://cybersecurityventures.com/patient-insecurity-explosion-of-the-internet-of-medical-things https://ajmc.s3.amazonaws.com/_media/_pdf/AJMC_02_2018_Gabriel%20final.pdf https://oig.hhs.gov/oei/reports/OEI-01-20-00220.asp https://www.iottechtrends.com/internet-of-medical-things-cybersecurity-woes http://www.ormanager.com

OR Manager November/December 2021

Table of Contents for the Digital Edition of OR Manager November/December 2021