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Benchmarking, benchmarks, or best practices? Applying quality improvement principles to decrease surgical turnaround

L Mitchell1

  • 1St. Joseph's Regional Health System, Stockton, CA, USA.

Best Practices and Benchmarking in Healthcare : a Practical Journal for Clinical and Management Application
|March 1, 1996
PubMed
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This study improved surgical turnaround times by applying quality improvement principles to best practices benchmarking. The medical center achieved an 18% improvement, reducing case times and increasing revenue.

Area of Science:

  • Healthcare Management
  • Quality Improvement Science
  • Surgical Process Optimization

Background:

  • Benchmarking, benchmark data analysis, and best practices studies are distinct processes.
  • Utilized the 1992 Arthur Andersen & Co. "Study of Best Practices in Ambulatory Surgery" as a reference.
  • Highlighted the difference between benchmarking and best practices analysis.

Purpose of the Study:

  • To improve the turnaround time between surgical cases at St. Joseph's Medical Center.
  • To apply a structured quality improvement process to address a specific operational bottleneck.
  • To leverage national best practices data for targeted performance enhancement.

Main Methods:

  • Employed a seven-step quality improvement problem-solving process.

Related Experiment Videos

  • Used results from a national best practices study in ambulatory surgery.
  • Focused on reducing the time between surgical cases.

    • Main Results:

    • National benchmark for turnaround time in 1992 was 13.5 minutes.
    • Initial turnaround time at St. Joseph's Medical Center was 19.9 minutes.
    • Implemented solutions reduced turnaround time to an average of 16.3 minutes (18% improvement).
    • Cost-benefit analysis indicated potential revenue enhancement of ~$300,000 or savings of ~$10,119.

    Conclusions:

    • Quality improvement principles enhance process performance when applied to benchmarking or best practices.
    • Understanding the specific type of benchmarking is crucial for team focus and resource allocation.
    • Collaboration with experienced professional organizations in benchmarking saves resources and improves outcomes.