Flipping assumptions and revisioning perioperative services

Area of Science:

• Healthcare Administration
• Perioperative Services Management
• Nursing Leadership

Background:

• The healthcare landscape is transitioning towards a capitated payment model.
• This shift necessitates comprehensive restructuring of healthcare institutions, particularly perioperative services, to ensure financial viability.
• Nurse executives play a critical role in leading these organizational changes.

Purpose of the Study:

• To present a vision for the future hospital in a capitated environment.
• To discuss strategies for responding to healthcare system changes, focusing on perioperative services.
• To analyze the perspectives of nurse executives on operating room management and adaptation.

Main Methods:

• A qualitative analysis of the evolving healthcare financial environment.
• Exploration of strategic responses for perioperative services.
• Presentation of a vision for future hospital structures.
• Inclusion of findings from a survey of nurse executives regarding operating room practices.

Main Results:

• Nurse executives identified key challenges and opportunities in adapting perioperative services to a capitated model.
• The survey highlighted specific areas within operating rooms requiring revision and restructuring.
• A clear vision for the restructured hospital and its perioperative services was conceptualized.

Conclusions:

• Proactive revisioning and restructuring of perioperative services are essential for financial viability in a capitated healthcare system.
• Nurse executives are crucial leaders in driving the necessary changes within hospitals.
• Strategic adaptation and innovative leadership are required to navigate the evolving healthcare environment.