SureSELECT - Operating Room and Hospital Resource Utilization Schedule Optimization Tool
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Sure SELECT OPERATING ROOM AND HOSPITAL RESOURCE UTI LIZATION SCHEDULE OP TIMIZATION TOOL
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Optimizing the flow of a surgical patient through the operating room helps ensure the greatest value in the care of that patient. To achieve this optimized flow, the resources needed to provide care through the entire episode of care need to be coordinated. Coordinating these varied and often disintegrated resources is often nearly impossible without the dedicated time of multiple FTEs to manage the schedules and resources of the different segments of care. The starting point for the flow of a surgical patient is their placement on the operating room schedule. SureSELECT surveys and assesses all the resources needed for a specific patient’s care and provides the optimized placement on the operating room schedule to achieve optimal flow. Proprietary algorithms assure that all resources are available “just-in-time” throughout the patient’s care.
Transcript of SureSELECT - Operating Room and Hospital Resource Utilization Schedule Optimization Tool
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INTRODUCTION
Variability management and improved patient flow through surgery episode of care promises operational performance improvement
We demonstrated the improvement potential at MCF with our MVP project (see Mayo Clinic Case Study)
These improvements were very difficult to achieve and sustain
SureSELECT is proprietary software enabling a hospital to execute variability and patient flow management strategies through the entire episode of care for a surgical patient
SureSELECT integrates the entire episode of hospital care for a surgical patient
Particularly suited to hospitals using variability management and patient flow optimization
Full implementation optimizes end-to-end (admission to discharge
END-TO-END PATIENT FLOW
OPTIMIZED SURGERY CASE SCHEDULING
The starting point for effecting optimized patient flow is the decision about where and when to schedule a surgical case
SureSELECT allows the surgical team to make that choice from a list of Optimized scheduling options
By filling in a few basic details in three successive windows, SureSELECT will interrogate all of the resources needed for the entire episode of care and present to surgical team all available places to schedule a case
OPTIMIZED SURGERY CASE SCHEDULING
Select patient and case type
OPTIMIZED SURGERY CASE SCHEDULING
SureSELECT will auto select surgeon and department based on the logged in user. The department and surgeon can be overridden.
Select procedure from surgeon specific preference list.
Enter case specific estimated cut to close times.
OPTIMIZED SURGERY CASE SCHEDULING
Select search range to get available options
Select from one of the prioritize optimize options
A preview of projected future hospital resource utilization is available with just a click of the mouse
Options presented are customized to the Hospital’s operational priorities and resource availability
OPTIMIZED SURGERY CASE SCHEDULING
A preview of the surgeon and operating room calendar for the day is presented. Click Book It to confirm booking.
CALENDAR INTEGRATION
Fully integrates surgeon overall schedule(s) including travel, vacation and non-clinical work (Clinic Template, OR Appointment Book, Outlook calendar)
Options for placement of a case on OR schedule considers surgeon overall schedule
Surgeon Room Event Type Description Week Type Day of Week Start Time End Time Starting Day Ending DayLandmann, Ron (M.D.) Unavailable Unavailable Week All Monday 7:00 8:30 11/15/2013 11/30/2013
Landmann, Ron (M.D.) Clinic Clinic Duty Week All Monday 13:30 15:30 11/15/2013 11/30/2013
Landmann, Ron (M.D.) Admin Admin Time Week All Monday 15:30 17:00 11/15/2013 11/30/2013
Landmann, Ron (M.D.) OR 408 4th Floor Surgery Block Assignment Block Assignment Week All Tuesday 7:00 19:00 11/15/2013 11/30/2013
Landmann, Ron (M.D.) Admin Admin Time Week All Wednesday 7:00 10:00 11/15/2013 11/30/2013
Landmann, Ron (M.D.) Clinic Clinic Duty Week All Wednesday 10:00 17:00 11/15/2013 11/30/2013
Landmann, Ron (M.D.) OR 408 4th Floor Surgery Block Assignment Block Assignment Week All Thursday 7:00 17:00 11/15/2013 11/30/2013
Landmann, Ron (M.D.) Clinic Clinic Duty Week All Friday 10:00 12:00 11/15/2013 11/30/2013
Landmann, Ron (M.D.) Unavailable Unavailable Week All Friday 14:00 17:00 11/15/2013 11/30/2013
CALENDAR INTEGRATION
Changes to non-OR calendar automatically identifies cases that need to be moved and presents these in a “Reschedule Bin” where they can be easily run through the Case Scheduling module
CALENDAR INTEGRATION
Vacated OR Block immediately reassigned and available based on Block Reassignment rules
Block Release Type Room Surgeon Release To Days Before Starting Day Ending Day
Physician OR 408 4th Floor Surgery Landmann, Ron (M.D.) Bowers, Steven (M.D.) 5 11/15/2013 12/31/2013
Department OR 408 4th Floor Surgery Landmann, Ron (M.D.) General Surgery 2 11/15/2013 12/31/2013
Swing Room OR 408 4th Floor Surgery Landmann, Ron (M.D.) ALL 1 11/15/2013 12/31/2013
Physician OR 405 4th Floor Surgery Bowers, Steven (M.D.) Landmann, Ron (M.D.) 5 11/15/2013 12/31/2013
Department OR 405 4th Floor Surgery Bowers, Steven (M.D.) General Surgery 2 11/15/2013 12/31/2013
Swing Room OR 405 4th Floor Surgery Bowers, Steven (M.D.) ALL 1 11/15/2013 12/31/2013
Physician OR 105 1st Floor Surgery Bowers, Steven (M.D.) Landmann, Ron (M.D.) 5 11/15/2013 12/31/2013
Department OR 105 1st Floor Surgery Bowers, Steven (M.D.) General Surgery 2 11/15/2013 12/31/2013
Swing Room OR 105 1st Floor Surgery Bowers, Steven (M.D.) ALL 1 11/15/2013 12/31/2013
CALENDAR INTEGRATION
All events delivered to MS Outlook
OPERATING ROOM RESOURCE MANAGEMENT
All resources needed in Operating Room for a particular case are interrogated to assure no conflict on day of case
OPERATING ROOM RESOURCE MANAGEMENT
Operation Room options and limited availability equipment
OPERATING ROOM RESOURCE MANAGEMENT
Post OR Hospital Resources
OPERATING ROOM RESOURCE MANAGEMENT
Uploaded Surgical schedule for any day can be analyzed and conflicts found days in advance allowing rescheduling or acquiring additional resources well in advance
Conflict Description Surgeon Room Start Time End TimeDuratio
n Resource DescriptionConflict Start
TimeConflict End
TimeConflict Duration
Surgeon Conflict Mastectomy Total SLNB Dissection Axillary Nodes
McLaughlin, Sarah (M.D.)
OR 103 1st Floor Surgery
11/19/13 7:30 11/19/13 20:00 750 McLaughlin, Sarah (M.D.)
Breast Biopsy or Lumpectomy w/ Seed Localization SLNB Poss A
11/19/13 9:30 11/19/13 10:30 60
Surgeon Conflict Mastectomy Total SLNB Dissection Axillary Nodes
McLaughlin, Sarah (M.D.)
OR 103 1st Floor Surgery 11/19/13 7:30 11/19/13 20:00 750
McLaughlin, Sarah (M.D.)
Breast Biopsy or Lumpectomy w/ Seed Localization SLNB Poss A
11/19/13 11:15 11/19/13 12:15 60
Room Conflict LINX Procedure Landmann, Ron (M.D.)
OR 408 4th Floor Surgery
12/5/13 8:30 12/5/13 9:00 90 OR 408 4th Floor Surgery
LINX Procedure 12/5/13 7:05 12/5/13 8:35 5
OPERATING ROOM RESOURCE MANAGEMENT
Emergency Leave Booking Task-1a (Enter Dates and description)
OPERATING ROOM RESOURCE MANAGEMENT
Emergency Leave Booking Task-1b Review Conflicts
Emergency Leave Booking Task-1c Review Block Release
OPERATING ROOM RESOURCE MANAGEMENT
Emergency Leave Booking Task-2 Search and reschedule affected procedures
HOSPITAL PREDICTIVE CENSUS AND RESOURCE MANAGEMENT
Based on surgical schedule, utilization of downstream resources can be predicted (PACU, ICU, In-Patient Bed)
All resources needed for entire episode of surgical care can be anticipated and managed including diagnosis specific equipment / supplies / staff
Any expected or elective admission to hospital can included to give more complete picture of Hospital resource demand
REAL-TIME ANALYTICS AND SMART EVOLUTION
Data related to all aspects of the path of care generates custom metrics and dashboard(s)
Data used to refine allocation and flow design allowing evolution toward further optimized flow
Surgeon Block Owner Operation Room ProcedureCut to Close
Room Time Day
Cut Start Time
Close Time
Asbun, Horacio (M.D.) Landmann, Ron (M.D.) OR 408 4th Floor Surgery Laparoscopic Whipple 506 536 11/26/2013 7:15 15:41Asbun, Horacio (M.D.) Bowers, Steven (M.D.) OR 408 4th Floor Surgery Laparoscopic Whipple 506 536 12/3/2013 7:15 15:41Bagaria, Sanjay (M.D.) Open Room OR 105 1st Floor Surgery Excision Mass Lower Extremity 90 120 1/2/2014 7:30 9:00Bagaria, Sanjay (M.D.) Open Room OR 105 1st Floor Surgery Excision Melanoma, Lower Extremity, SLNB 120 150 12/2/2013 10:45 12:45Bagaria, Sanjay (M.D.) Open Room OR 105 1st Floor Surgery Excision Melanoma, Upper Extremity, SLNB 90 120 12/2/2013 16:05 17:35Bagaria, Sanjay (M.D.) Stauffer, John (M.D.) OR 405 4th Floor Surgery Laparoscopic Adrenalectomy 180 210 11/25/2013 8:15 11:15Bagaria, Sanjay (M.D.) Open Room OR 105 1st Floor Surgery Laparoscopic Cholecystectomy w/ Cholangiogram 90 120 12/16/2013 8:30 10:00Bagaria, Sanjay (M.D.) Open Room OR 105 1st Floor Surgery Laparoscopic Hernia Repair, Umbilical 120 150 12/2/2013 13:25 15:25Bagaria, Sanjay (M.D.) Open Room OR 105 1st Floor Surgery Mastectomy Total SLNB Dissection Axillary Nodes 90 120 12/2/2013 8:30 10:00Bagaria, Sanjay (M.D.) Open Room OR 105 1st Floor Surgery Mastectomy Total SLNB Dissection Axillary Nodes 120 150 12/16/2013 10:45 12:45
Surgeon Total Procedures
Surgeon's Block
Open RoomOther
Surgeon's Block
Owner Percent Open Room Percent
Other Surgeon's Percent
Starting Date Ending Date
Asbun, Horacio (M.D.) 7 5 0 2 71% 0% 29% 11/1/2013 1/1/2014
Bagaria, Sanjay (M.D.) 11 1 8 2 9% 73% 18% 11/1/2013 1/1/2014
Bowers, Steven (M.D.) 30 20 8 2 67% 27% 7% 11/1/2013 1/1/2014
Devine, Rick (M.D) 0 0 0 0 0% 0% 0% 11/1/2013 1/1/2014
Landmann, Ron (M.D.) 17 14 0 3 82% 0% 18% 11/1/2013 1/1/2014
McLaughlin, Sarah (M.D.) 6 6 0 0 100% 0% 0% 11/1/2013 1/1/2014
Landmann, Ron (M.D.) 3 3 0 0 100% 0% 0% 11/1/2013 1/1/2014
Stauffer, John (M.D.) 11 6 2 3 55% 18% 27% 11/1/2013 1/1/2014
Colibaseanu, Dorin (M.D.) 7 4 0 3 57% 0% 43% 11/1/2013 1/1/2014
Merchea, Amit (M.D.) 4 2 1 1 50% 25% 25% 11/1/2013 1/1/2014
Example Block Compliance
DATA FEED AND CUSTOM BUILD
Initial data entry and build simplified through import templates / wizards
Data loaded into Excel spreadsheet(s) for drag-and-drop import
Entire system can be purged and rebuilt in minutes
Each spreadsheet designed to include the hospital specific flow management rules and requirement
Optimizes within segments of care and across entire episode of care
SureSELECT
