The Business of Surgery 
A visual management board is a communication tool that provides at-a-glance information about current process performance to help staff coordinate and guide their daily work and monitor ongoing improvement projects. Perioperative staff at Harbor-UCLA Medical Center in Torrance, California, have a 20-minute weekly huddle at their Lean-based visual management board,…
The medical device industry aims to create valuable innovations that help improve patient outcomes, reduce costs, and improve efficiencies for OR staff. Because these technologies and devices have a myriad of benefits, improving speed to value is a top priority. A key component of extracting the full value of these…
This year, the OR Business Management Conference was held in Savannah, Georgia, and returned to its regular schedule of February. The intimate event was again a symbiotic blend between financial-, business-centric education and high-quality networking. The education offered to seasoned and new business leaders alike, perhaps more than previous years,…
The OR department is often what keeps most hospitals afloat. Surgical services account for roughly 50% of a hospital’s revenue, but they also contribute approximately 60% to overall costs. ORs must be efficient. Successes and failures in the surgical suite affect the entire system. Healthcare systems have found that highly…
Float teams have been a staple of nurse-staffing plans for many years, but they have not been widely used in the operating room. Utah Valley Hospital, a Level II trauma center in Provo, Utah, and part of the Intermountain Healthcare system, has been developing float teams for nearly 2 decades.…
For healthcare, and for hospitals and health systems especially, 2022 was one of the years with the worst financial performance seen in decades. Monthly reports throughout last year depicted rising costs, mostly exacerbated by the crippling staff shortages and a reliance on more expensive contract staff, and diminished profit margins.…
Nationwide staffing shortages are causing significant strain on healthcare systems. Hospital leaders have to be creative with how to mitigate this challenge while still prioritizing patient care. Healthcare workers are essential, but labor costs are often the largest expenses for hospitals. Even before the pandemic, labor costs, including recruitment, retention,…
When making decisions about technology and equipment, there is a tendency to focus on immediate productivity increases—or perhaps, practical aspects such as carrying out an implementation or training staff. But here is another major issue: how to maintain OR equipment once the warranty runs out. This is more complex than…
Over my 40-year career—after starting at the bedside in surgical intensive care, moving to emergency medicine, and then to perioperative services—I have been fortunate to progress into executive leadership positions in academic medical center health systems and community hospitals, consult with a top global advisory firm, and now work in…
The use of electrosurgical instrumentation is common in minimally invasive surgery (MIS). However, while these instruments are common, processing them is complex and time-consuming. Insulated electrosurgical instrumentation can cause patient harm, including an electrical burn, if there is a breach in the insulation. These instruments are designed to have an…
