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Reducing cost and waste in pediatric laparoscopic procedures.

Keon Young Park1, James I Russell2, Nathan P Wilke2

  • 1Division of Pediatric Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA; Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA; Department of Surgery, University of California San Francisco, San Francisco, CA, USA.

Journal of Pediatric Surgery
|November 3, 2020
PubMed
Summary

Providing surgeons with monthly report cards significantly cut costs and waste in pediatric laparoscopic surgery. This intervention reduced supply costs by 43% and disposable item use, demonstrating a successful cost-saving strategy.

Keywords:
ChildCost savingsCosts and cost analysisOperating rooms/economicsUrban hospitals/economics

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Area of Science:

  • Healthcare Management
  • Surgical Supply Chain Optimization
  • Pediatric Surgery

Background:

  • US healthcare costs reached 17.9% of GDP in 2017, with facilities generating over 4 billion pounds of waste annually.
  • Variability in surgical procedures contributes significantly to healthcare expenses and waste generation.
  • Pediatric laparoscopic procedures were examined due to their contribution to cost and waste.

Purpose of the Study:

  • To assess the impact of a surgeon-specific report card on reducing costs and waste.
  • To analyze the effect of detailing disposable and reusable surgical supply utilization and cost.
  • To evaluate changes in pediatric laparoscopic surgery supply management.

Main Methods:

  • A prospective study comparing six quarters before and after the intervention.
  • Surgeons received monthly individual reports on supply cost, utilization, and clinical outcomes.
  • Cost-effectiveness analysis was performed on 998 pediatric laparoscopic procedures.

Main Results:

  • Median supply cost per case decreased by 43%, yielding $71,035 in savings over four quarters.
  • Utilization of disposable trocars reduced by 56%.
  • Use of disposable harmonic devices and staplers decreased by 33%.

Conclusions:

  • Periodic surgeon report cards effectively reduced supply costs in pediatric laparoscopic surgery.
  • The intervention led to a significant decrease in the utilization of disposable surgical items.
  • This strategy proved successful at the University of Wisconsin American Family Children's Hospital.