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A System-Wide Approach to Physician Efficiency and Utilization Rates for Non-Operating Room Anesthesia Sites.
Mitchell H Tsai1,2, Tinh T Huynh3, Max W Breidenstein3
1Department of Anesthesiology, University of Vermont Larner College of Medicine, Burlington, VT, USA. mitchell.tsai@uvmhealth.org.
Journal of Medical Systems
|June 10, 2017
Summary
Operating room management metrics are not well-developed for non-operating room anesthesia (NORA) sites. This study found physician efficiency and site utilization metrics diverge when anesthesiologists travel between NORA locations.
Area of Science:
- Anesthesiology
- Healthcare Management
- Operations Research
Background:
- Operating room (OR) management metrics are well-established, but lack application in non-operating room anesthesia (NORA) sites.
- Physician efficiency is a potential clinical productivity benchmark for NORA services.
Purpose of the Study:
- To determine the applicability of physician efficiency as a benchmark for NORA cases.
- To analyze the relationship between scheduling efficiency and physician efficiency at NORA sites.
Main Methods:
- Retrospective data analysis of NORA sites at an academic, rural hospital.
- Calculation of site utilization and physician efficiency using time stamps from WiseOR®.
- Stratification of data based on scheduling efficiency (SE = staffed anesthesiologists / staffed sites).
Main Results:
- Mean physician efficiency was 0.293 (95% CI, [0.281, 0.305]).
- Mean site utilization was 0.328 (95% CI, [0.314, 0.343]).
- On days with SE < 1 (more sites than physicians), physician efficiency was higher than site utilization.
Conclusions:
- Physician efficiency and scheduling efficiency metrics diverge for NORA sites when anesthesiologists travel.
- Increasing scheduling efficiency through "block" allocation of NORA sites may be a tactical solution when scaling operational efficiencies is limited.
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