Compirion and Anderson Surgery Center Reduce OR Inefficiencies and Improv...(noted in the way materials were dispense...),Health

Date:8/3/2009

noted in the way materials were dispensed to surgery. Cases were picked randomly and routed from one of three departments through multiple hands before they made it to surgery, often arriving late. Duplicate excess inventory amounted to thousands of dollars. Hospital administration made a bold move to streamline the process and move Materials Management and Sterile Processing responsibilities under the auspices of the Surgical Services Department to eliminate duplicate materials and staff. A meeting was held with the Materials Director, Sterile Processing Department, buyers, technicians and key staff nurses. They worked collaboratively to painstakingly roadmap a new process for materials flow that reduced volume and cost and realigned jobs so only one person picked cases and delivered upstairs, instead of many. Materials were now to be delivered to, inventoried and dispensed from Sterile Processing. That required literally knocking out walls and rebuilding to handle the new space requirement in Sterile Processing.

They next worked with IT to set up a new system of electronic documentation to help capture more charges and to maintain par levels in inventory. A goal of an annual reduction in supply costs was set at $100,000. At this time, construction is underway, and supply costs have already been reduced by $10,000 per month. Physician and Staff Satisfaction improved, and lost revenue is being recovered.

As productivity increased, more beds were needed. This increased communication between the floors. Physicians and hospital personnel across the board became a team. Bed hold times dropped from 9 hours on average to 6.

At a point in the project, a backslide in on-time starts was showing up in the data. Most of the late starts were attributed to issues with the anesthesia team. The newly incentivized surgeons confronted the anesthesiologists peer-to-peer and began to hold them accountable
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