Ambulatory Surgery Case Study

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Summary:
The demand in ambulatory and cosmetic procedures is rapidly grown in last decade. The volume of ambulatory surgery in U.S hospitals is increased by 2.9 million’s. 40% of the hospital revenue is coming from the perioperative services.
As the clinical and technical advances are transforming the way of surgery is performed. To attract both the patients and physician most of the hospitals introduce digital operating rooms, tele- surgery and robotic assistance. With this the patients have to stay shorter period in the hospital and fewer procedural complications.
A recent study from the Healthcare Financial Management Associations (HFMA) and Health Care Advisory Board (HCAB) found that the average operating room runs only at 68% of the
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While hospitals try to take reasonable precautions to avoid mistakes, the very nature of surgical suite makes it a unique system to susceptible variations and error. Six-Sigma process will help us to reduce this variability and ensure the safest service and delivery in the safest possible manner.
Making the OR (Operation Room) safer and More Cost Effective:
From the perspective of patient and patient entering the hospital, surgery (either same day or overnight stay) is a stressful ordeal. Sensitive and response staff and appearance of calm and well-organized atmosphere can help to put them at ease.
These are some of the performance indicators:
Examples of the core operation room performance indicators provided by the Healthcare Financial Management Association (HFMA).
• In-patient workload
• Out-patient workload
• Cancellation rates on day of surgery
• Day of surgery add-on rates
• Start time accuracy – first case of the day
• Start time accuracy – subsequent cases
• Estimated case duration
• Turnover time in-patient
• Turnover time out-patient
• Total case time in-patient
• Total case time out-patient
• Room utilization: 7:30 a.m.-3:15 p.m.
• Surgeon satisfaction
• Employee
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Greenville Hospital System (GHS) in Greenville, South Carolina, is using technology of RFID, using OR-MAX of IBSS to broaden their communication and gain real-time data. Such revolutionary improvements are very useful when there are problems in the communication.
• Optimization of current operations and redesigning of processes can help improve the communication channels. Also, this is possible only for a few procedures where it is standard. Such procedures can be identified and standardized for speedy delivery of the service to the patients.
• Documentation is a major part in the surgical operations. These can be automated and programmed using technology and collection of real-time data. The whole case is documented step by step and sometimes errors in it are possible. Technology can be used to ensure quality and accuracy along with speed for documentation purposes.

Conclusion:
The six-sigma project done in Valley Baptist Operating Room was excellent in the aspect of strategic imperatives, time taken to complete the project and replicating the results to other departments. But the improvements suggested could have been better considering the advancement of the

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