Perioperative & Anesthesia Consulting Services

Operate More Profitably

 

Operating Room Assessment

A complete review of operational and clinical processes, including but not limited to:

  • Governance and Leadership
  • Key Performance Indicators – Baseline Current Activity to Surgical Directions’ “Best Practice” Metrics
  • Anesthesia Integration – both in and out-of-OR areas
  • Pre-Admission Testing Center Protocols
  • Holding and PACU Areas
  • Nursing Practices
  • Materials Management
  • Central Sterile Processing
  • Block Scheduling and Overall Scheduling Practice
  • Surgical Growth and Market Opportunities 

Surgical Directives Perioperative & Consulting Services

Operating Room Implementations

Implement recommendations outlined in our detailed Assessment Report

  • Lean Methodology to integrate key constituents of perioperative services
  • Knowledge transfer to sustain cultural change in perioperative arena
  • The nation's leader in process, cultural and financial improvement in the OR and procedural areas 

Surgical Directives Perioperative & Consulting Services

Pre-Admission Testing Department Assessment and Implementation

Surgical Directions can review your current department and outline areas of opportunity, provide a comprehensive gap analysis, and quantify any financial opportunity.

Implementation of "Best Practice" policies and procedures within the pre-operative department is also available. Surgical Directions assists in revamping the entire department and will:

  • Optimize patients prior to day of surgery and improve the overall quality of care
  • Significantly reduce same day case cancellations
  • Signicantly reduce pre-operative testing charges (included in the DRG payment)
  • Increase surgeon, primary care physician, and patient satisfaction 

Surgical Directives Perioperative & Consulting Services

Facility Planning – Both Main OR and ASCs

  • Space planning
  • Lean Methodology redesign
  • New construction planning 

Surgical Directives Perioperative & Consulting Services

Procedural Assessment

A complete review of operational and clinical processes in Endoscopy, Cath Lab, and Interventional Radiology, including but not limited to:

  • Governance and Leadership
  • Baseline Current Activity to SD “Best Practice” Metrics and Key Performance Indicators
  • Anesthesia Integration – both in and out-of-OR areas
  • Pre-Admission Testing Center Protocols
  • Holding and PACU Areas
  • Nursing Practices
  • Materials Management
  • Central Sterile Processing
  • Block Scheduling and Overall Scheduling Practice
  • Procedural Growth and Market Opportunities 

Surgical Directives Perioperative & Consulting Services

Anesthesia Department Assessment

  • Review the current Anesthesia Model
  • Review current Anesthesia Contracts and Service Standards
  • Review Anesthesia Staffing Plan
  • Review Anesthesia Clinical Processes
  • Review current anesthesia practices to Surgical Directions’ Metrics and Key Performance Indicators 

Surgical Directives Perioperative & Consulting Services

Anesthesia Service Level Agreement and Anesthesia Contract Negotiations

  • Outline anesthesia service levels
  • Facilitate discussions between both the hospital and the anesthesia practice
  • Define level of support/stipend required to fulfill service standards 

 

Anesthesia Medical Director Mentorship

  • Assist Anesthesia groups with the development of an OR Medical Director who assists the nursing director to run the OR on a daily basis; the “Best Practice” model for better performing institutions 

Surgical Directives Perioperative & Consulting Services

Anesthesia Billing & Revenue Cycle Audit

  • Review of Compliance
  • Review of optimal charge capture
  • Review of coding practices
  • Analysis of Billing Lag Time, A/R Aging, and strategies to increase Cash Flow and Receivables
  • Review Financial Policies for Self Pay patients
  • Analysis of payments received compared to current anesthesia contracts
  • Quantification of potential opportunity, if any 

Surgical Directives Perioperative & Consulting Services

Interim Placement

Surgical Services – Nursing Managers and Directors

  • We provide experienced and well-qualified interim leaders
  • Candidates are thoroughly screened
  • We match the candidates skills and experiences to your situation
  • Placement supported by the Surgical Directions’ Chief Nursing Executive
  • Insure stability and direction until a permanent replacement is found

Surgical Services – Nurse Educators

  • We provide experienced and well-qualified interim leaders
  • Candidates are thoroughly screened
  • Provide clinical core competency evaluations
  • Tailor education to the needs/deficiencies of the staff
  • Complete ongoing support until a dedicated staff member is found

Surgical Services – Business Managers

  • Provide business and financial rigor to the OR practice
  • Provide financial analysis and reports, as required
  • Provide support for value analysis
  • Provide ongoing support until a dedicated staff member is found 

Sterile Processing Department – Managers and Directors

  • We provide experienced and well-qualified interim leaders
  • Candidates are thoroughly screened
  • We place interim Sterile Processing Department Managers and Directors to help stabilize the department until a suitable permanent replacement is found.

Surgical Directives Perioperative & Consulting Services

Central Sterile Processing Assessment

  • Review of current practices
  • Infectious Disease integration
  • Air Exchange analysis
  • Compare current practices to Surgical Directions’ Metrics and Key Performance Indicators
  • Detailed outline of areas of strength as well as those opportunities of significance

Surgical Directives Perioperative & Consulting Services

Ala Carte Menu

  • Block Time and Scheduling Practices
  • Governance and Leadership Structure
  • Surgical and Procedural Strategic Plan
  • Sales and Business Development Plan and Tactics
  • Surgical Site Infection Evaluation
  • Obstetrics Simulation
  • Safer Surgery Initiatives
    • Surgical Directions is a leader in helping organizations implement a "safer surgery "culture
    • WHO safer surgery checklist
    • Value based purchasing outcome improvement
    • Reduction in Surgical Complications
    • Optimizing SCIP measures/scores
  • ACO Readiness