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Operating Room Efficiency before and after Entrance in a Benchmarking Program for Surgical Process Data.

Sara Pedron¹, Vera Winter², Eva-Maria Oppel³

¹Helmholtz Zentrum München, Institute for Health Economics and Health Care Management, Ingolstädter Landstraße 1, 85764, Neuherberg, DE, Germany.

Journal of Medical Systems

|August 25, 2017

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Participation in surgical benchmarking programs showed mixed results for operating room (OR) efficiency. While first-case tardiness improved, turnover times increased, indicating a need for better strategies to enhance OR performance.

Area of Science:

Healthcare Management
Surgical Operations Research
Hospital Administration

Background:

Operating room (OR) efficiency is a critical concern for healthcare facilities.
Benchmarking has emerged as a key strategy for improving OR performance.
Understanding the impact of benchmarking on OR efficiency metrics is essential.

Purpose of the Study:

To evaluate the association between participation in a surgical benchmarking and reporting program and changes in OR efficiency.
To analyze the effects on raw utilization, turnover times, and first-case tardiness.
To identify potential differences in impact across hospital types and specialties.

Main Methods:

Panel data analysis of 202 surgical departments in German hospitals.

Keywords:

Benchmarking Efficiency Operating room Performance indicators Utilization

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Utilized data from a large database for surgical process data.

Applied panel regression modeling to assess trends associated with benchmarking participation.

Main Results:

No consistent trend in overall OR efficiency was observed.
First-case tardiness showed the most significant trend, generally improving.
Turnover times exhibited an increasing trend, contrary to expectations.
Raw utilization did not show a clear or statistically significant trend.
Subgroup analyses indicated variations based on hospital type and department specialty.

Conclusions:

Benchmarking participation correlated with improved timeliness for first-case starts.
The increasing trend in turnover times suggests a lack of effective strategies in German hospitals.
Findings highlight the need for targeted strategies to optimize OR efficiency and capacity planning.