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Association Between Surgeon Scorecard Use and Operating Room Costs.

Corinna C Zygourakis1, Victoria Valencia2, Christopher Moriates3

  • 1Department of Neurological Surgery, University of California, San Francisco2UCSF Center for Healthcare Value, University of California, San Francisco.

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Summary

Providing surgeons with operating room cost feedback significantly reduced surgical supply costs by 6.54% without impacting patient outcomes. This intervention demonstrated a substantial cost savings of over $836,000.

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Area of Science:

  • Health Economics
  • Surgical Management
  • Healthcare Operations

Background:

  • Surgeons often lack awareness of operating room (OR) supply costs, despite their significant contribution to overall healthcare expenditure.
  • Understanding and managing OR costs is crucial for improving healthcare value and efficiency.

Purpose of the Study:

  • To investigate the impact of providing surgeons with individualized cost feedback on surgical supply costs within the operating room.
  • To assess the association between cost awareness interventions and changes in surgical supply expenditure.

Main Methods:

  • A prospective controlled study (OR SCORE project) was conducted across multiple departments in an urban academic setting.
  • Intervention group surgeons received monthly scorecards detailing their surgical supply costs compared to institutional baselines and peers.
  • A financial incentive was offered to departments achieving a 5% cost reduction goal.

Main Results:

  • The intervention group experienced a 6.54% decrease in median surgical supply costs per case, resulting in savings of $836,147.
  • In contrast, the control group saw a 7.42% increase in surgical supply costs.
  • Multivariable analysis confirmed a 9.95% reduction in surgical supply costs for the intervention group, with no adverse effects on patient outcomes (readmission, mortality).

Conclusions:

  • Individualized cost feedback, coupled with a modest financial incentive, effectively reduces surgical supply costs in the OR.
  • This approach enhances surgeon cost awareness without compromising patient safety or outcomes.
  • The findings support the implementation of targeted cost-management strategies in surgical settings to improve healthcare value.