"Does Improving First Case On-Time Starts Increase Operating Room Effic" by Clinton S. Beverly, MD, FACS, CPE
 

Does Improving First Case On-Time Starts Increase Operating Room Efficiency in a Community-Based Hospital?

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Presentation

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Publication Date

7-10-2024

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Presentation: 42:25

Abstract

First Case On-Time Starts (FCOTS) is defined as starting the first case of the day on time in each operating room. Operating rooms are the most expensive resource in the healthcare system. With 48 million ambulatory surgical procedures and over 51 million inpatient procedures performed each year, delays in FCOTS can have a significant economic impact on healthcare systems. This study aimed to determine if changes in governance structure impact FCOTS to increase the efficiency of a community-based hospital. The Plan-Do-Study-Act method was utilized for this evaluation. A fourteen-member steering committee was formed to adjudicate changes to the governance policy suggested by an outside consulting group. FCOTS were identified during the review as an area of improvement. Over two months, the evaluation revealed that the most significant improvement opportunity was addressing surgeon lateness issues and patient late arrival times. The unique nature of the two hospitals highlighted the advantages and challenges in a comparative analysis of the data impacting the overall outcome with a higher percentage of later FCOTS reflected at Lynchburg General Hospital.

Language

English

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