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OPERATING ROOMS: 60 percent of margin comes from perioperative services at better performing hospitals

These statistics come from the consulting firm Surgical Directions:

  • Over 68 percent of revenue comes from perioperative services at better-performing hospitals
  • 60 percent of margin from perioperative services at these better-performing hospitals

Most of this article is about tackling the challenge of staffing the surgical suite.  The consultants recommend establishing a SURGICAL SERVICES EXECUTIVE COMMITTEE (SSEC), which should include surgeons, nurses, hospital executives, and anesthesia providers.  The specific responsibilities of the SSEC are itemized.  It is recommended that the SSEC have a huddle each day to plan for surgical cases scheduled to take place over the next 3 to 5 days.  The OR staffing tool developed by the firm is also described.

Source: Mathias, J.M. (2015, Aug.). Predictive modeling helps match resources with needs. OR Manager, 31(8), 1, 7-9. Retrieved from http://www.ormanager.com/predictive-modeling-helps-match-resources-with-needs/ Posted by AHA Resource Center (312) 422-2050, rc@aha.org


Trends in Operating Room Procedures in U.S. Hospitals, 2001-2011

Here are some notable trends in hospital operating room procedures over an eleven year span through 2011:

  • The proportion of orthopedic procedures grew by 38%, increasing from 18% of all procedures in 2001 to 24% in 2011. The volume of knee arthroplasties nearly doubled during this time span.
  • Gastrointestinal procedures comprised the second largest number and proportion of procedures, with a small increase over 11 years.
  • Two common cardiovascular procedures — coronary artery bypass graft and percutaneous transluminal coronary angioplasty — each decreased significantly in volume, with CABGs down by nearly half and PTCAs down over a quarter in volume.

These and other surgical volume trends can be found in a new briefing from the Agency for Healthcare Research and Quality.

Source: Weiss AJ and Elixhauser A. Trends in operating room procedures in U.S. hospitals, 2001-2011. HCUP [Healthcare Cost and Utilization Project] Statistical Brief, no. 171, March 2014. http://www.hcup-us.ahrq.gov/reports/statbriefs/sb171-Operating-Room-Procedure-Trends.pdf

Posted by AHA Resource Center (312) 422-2050, rc@aha.org

Complementary and Alternative Medicine Survey of Hospitals

Results of a 2010 survey on complementary and alternative medicine [CAM] services being offered by hospitals are now available. Here are highlights of findings:

  • Massage therapy,  acupuncture, and guided imagery were the top outpatient CAM services offered by reporting hospitals, while pet therapy, massage therapy, and music/art therapy ranked at the top of the list for inpatients.
  • Top wellness services offered to patients were pastoral care, nutrition counseling, and smoking cessation. For hospital employees, stress management, fitness training, and smoking cessation were most prevalent.
  • Patient demand was the leading reason for hospitals to offer CAM services.
  • Since most CAM services are not covered by insurance plans, the services were most often self-paid by patients.
  • Most CAM programs cost under $200,000 for start-up.
  • For hospitals discontinuing CAM programs, poor financial performance was the primary reason.

The survey was a collaboration between the Samueli Institute and the American Hospital Association/Health Forum, with support from the U.S. Army.

Source: Ananth S. 2010 complementary and alternative medicine survey of hospitals. Samueli Institute, Sept. 2011. http://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&uact=8&ved=0CC0QFjAA&url=http%3A%2F%2Fwww.samueliinstitute.org%2FFile%2520Library%2FOur%2520Research%2FOHE%2FCAM_Survey_2010_oct6.pdf&ei=WGB6U-nJD4SbyATayYKIBQ&usg=AFQjCNGxBK6bTFa8lpkniVjgAEBcUjGXlg&bvm=bv.67229260,d.aWw


Related resources: Firth K; Smith K. 2010 survey of healing environments in American hospitals: nature and prevalence. Samueli Institute, 2012. https://www.samueliinstitute.org/file%20library/our%20research/ohe/2010-ohe-report-finalpdf_2012-1-3-web.pdf

Firth K; Smith K. 2007 survey of healing environments in American hospitals: nature and prevalence. Samueli Institute, 2011. http://www.samueliinstitute.org/file%20library/our%20research/ohe/ohe-hospital-survey-final-report-2007.pdf

Posted by AHA Resource Center, (312) 422-2050, rc@aha.org