Typical OR case dissected with details…

These are the relevant milestones and intervals in a typical OR case.  I left off the details so as not to detract from the comparison to the normal representation of an OR case as a single block of time with the case name, the surgeon’s name, and maybe a patient identifier.  How can you analyze a single block? Are you using the equivalent of a meeting room scheduler for your OR?  How about a scheduler that you paid $100,000 for that gives you all the patients’ vital signs… but doesn’t help you move the patient through the OR quickly, profitably,  or save your surgeons hours of time?

There’s a lot of data, and a LOT of information that is useful but will never be used because of the lack of awareness about the events and relationships that make up a case.  Are you still using an old scheduler, and collecting irrelevant data that goes into a hard-disk black hole?  Can’t play what-if?  Can’t tell who’s productive and who isn’t?  Where are the constraints?  Bad policies don’t pop out at you?  Who’s in charge there?……….  Why?

If you can’t fix your own sink or toilet, put in an irrigation system, hang a door, work on your car—if you have to hire someone to clean your pool, iron your clothes, fix your computer—if you can’t cook………………..You get someone who can.   So why not for running the OR?

It may be that you know if your sink or toilet is stopped up, your plants are dying, you door is falling off its hinges, your car doesn’t start—your pool is full of algae, your clothes are wrinkled, your computer makes funny noises and beeps constantly—you burn your pot while boiling water………………..   Do you know the potential of your OR?  Is it stopped up, dying, full of sludge?

Time to fix that.

Typical OR Case

About Brian D Gregory MD, MBA

Board Certified Anesthesiologist for 30 years. TOC design and implement for 30 years. MBA from U of Georgia '90: Finance, Data Management, Risk Management. Practiced in multiple US states and Saudi Arabia at KFSH&RC and KFMC Taught residents in two locations. Worked with CRNAs for 20 years.
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