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Assigning OR time based on surgeon’s contribution margin?

Operating room managers often try to achieve a profitable service line by keeping OR utilization relatively high, perhaps as much as 90 percent utilization.  In this study, based on data from Stanford University Medical Center, the authors take a look at developing an alternative way to allocate operating room time based on the contribution margin of individual surgeons.  They provide a formula in the appendix to allocate block time according to this philosophy.

Historical Note: This is not a new article–it was published in 2001–but I came across it recently while looking for something else and thought it was interesting.  Any comments?  Has this approach become accepted in the 12 years that have passed since this article was published?  Or, is it not used?  I’m curious as to your thoughts based on your experience. 

Source:  Macario, A., Dexter, F., and Traub, R.D.  Hospital profitability per hour of operating room time can vary among surgeons.  Anesthesia and Analgesia;93:669-675, 2001.  Click here for full text: http://www.anesthesia-analgesia.org/content/93/3/669.full.pdf  Posted by AHA Resource Center, (312) 422-2050, rc@aha.org

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