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
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
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
Facility Planning – Both Main OR and ASCs
- Space planning
- Lean Methodology redesign
- New construction planning
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
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
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
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
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.
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
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
