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SureSELECT - Operating Room and Hospital Resource Utilization Schedule Optimization Tool
SureSELECT - Operating Room and Hospital Resource Utilization Schedule Optimization Tool
SureSELECT - Operating Room and Hospital Resource Utilization Schedule Optimization Tool
SureSELECT - Operating Room and Hospital Resource Utilization Schedule Optimization Tool
SureSELECT - Operating Room and Hospital Resource Utilization Schedule Optimization Tool
SureSELECT - Operating Room and Hospital Resource Utilization Schedule Optimization Tool
SureSELECT - Operating Room and Hospital Resource Utilization Schedule Optimization Tool
SureSELECT - Operating Room and Hospital Resource Utilization Schedule Optimization Tool
SureSELECT - Operating Room and Hospital Resource Utilization Schedule Optimization Tool
SureSELECT - Operating Room and Hospital Resource Utilization Schedule Optimization Tool
SureSELECT - Operating Room and Hospital Resource Utilization Schedule Optimization Tool
SureSELECT - Operating Room and Hospital Resource Utilization Schedule Optimization Tool
SureSELECT - Operating Room and Hospital Resource Utilization Schedule Optimization Tool
SureSELECT - Operating Room and Hospital Resource Utilization Schedule Optimization Tool
SureSELECT - Operating Room and Hospital Resource Utilization Schedule Optimization Tool
SureSELECT - Operating Room and Hospital Resource Utilization Schedule Optimization Tool
SureSELECT - Operating Room and Hospital Resource Utilization Schedule Optimization Tool
SureSELECT - Operating Room and Hospital Resource Utilization Schedule Optimization Tool
SureSELECT - Operating Room and Hospital Resource Utilization Schedule Optimization Tool
SureSELECT - Operating Room and Hospital Resource Utilization Schedule Optimization Tool
SureSELECT - Operating Room and Hospital Resource Utilization Schedule Optimization Tool
SureSELECT - Operating Room and Hospital Resource Utilization Schedule Optimization Tool
SureSELECT - Operating Room and Hospital Resource Utilization Schedule Optimization Tool
SureSELECT - Operating Room and Hospital Resource Utilization Schedule Optimization Tool
SureSELECT - Operating Room and Hospital Resource Utilization Schedule Optimization Tool
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SureSELECT - Operating Room and Hospital Resource Utilization Schedule Optimization Tool

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Optimizing the flow of a surgical patient through the operating room helps ensure the greatest value in the care of that patient. To achieve this optimized flow, the resources needed to provide care …

Optimizing the flow of a surgical patient through the operating room helps ensure the greatest value in the care of that patient. To achieve this optimized flow, the resources needed to provide care through the entire episode of care need to be coordinated.

Coordinating these varied and often disintegrated resources is often nearly impossible without the dedicated time of multiple FTEs to manage the schedules and resources of the different segments of care.

The starting point for the flow of a surgical patient is their placement on the operating room schedule. SureSELECT surveys and assesses all the resources needed for a specific patient’s care and provides the optimized placement on the operating room schedule to achieve optimal flow. Proprietary algorithms assure that all resources are available “just-in-time” throughout the patient’s care.

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  • 1. INTRODUCTION  Variability management and improved patient flow through surgery episode of care promises operational performance improvement  We demonstrated the improvement potential at MCF with our MVP project (see Mayo Clinic Case Study)  These improvements were very difficult to achieve and sustain  SureSELECT is proprietary software enabling a hospital to execute variability and patient flow management strategies through the entire episode of care for a surgical patient
  • 2. END-TO-END PATIENT FLOW  SureSELECT integrates the entire episode of hospital care for a surgical patient  Particularly suited to hospitals using variability management and patient flow optimization  Full implementation optimizes end-to-end (admission to discharge
  • 3. OPTIMIZED SURGERY CASE SCHEDULING  The starting point for effecting optimized patient flow is the decision about where and when to schedule a surgical case  SureSELECT allows the surgical team to make that choice from a list of Optimized scheduling options  By filling in a few basic details in three successive windows, SureSELECT will interrogate all of the resources needed for the entire episode of care and present to surgical team all available places to schedule a case
  • 4. OPTIMIZED SURGERY CASE SCHEDULING  Select patient and case type
  • 5. OPTIMIZED SURGERY CASE SCHEDULING  SureSELECT will auto select surgeon and department based on the logged in user. The department and surgeon can be overridden.  Select procedure from surgeon specific preference list.  Enter case specific estimated cut to close times.
  • 6. OPTIMIZED SURGERY CASE SCHEDULING  Select search range to get available options  Select from one of the prioritize optimize options  A preview of projected future hospital resource utilization is available with just a click of the mouse Options presented are customized to the Hospital’s operational priorities and resource availability
  • 7. OPTIMIZED SURGERY CASE SCHEDULING  A preview of the surgeon and operating room calendar for the day is presented. Click Book It to confirm booking.
  • 8. CALENDAR INTEGRATION  Fully integrates surgeon overall schedule(s) including travel, vacation and nonclinical work (Clinic Template, OR Appointment Book, Outlook calendar)  Options for placement of a case on OR schedule considers surgeon overall schedule Surgeon Landmann, Landmann, Landmann, Landmann, Landmann, Landmann, Landmann, Landmann, Landmann, Room Ron (M.D.) Ron (M.D.) Ron (M.D.) Ron (M.D.) OR 408 4th Floor Surgery Ron (M.D.) Ron (M.D.) Ron (M.D.) OR 408 4th Floor Surgery Ron (M.D.) Ron (M.D.) Event Type Unavailable Clinic Admin Block Assignment Admin Clinic Block Assignment Clinic Unavailable Description Unavailable Clinic Duty Admin Time Block Assignment Admin Time Clinic Duty Block Assignment Clinic Duty Unavailable Week Type Week All Week All Week All Week All Week All Week All Week All Week All Week All Day of Week Monday Monday Monday Tuesday Wednesday Wednesday Thursday Friday Friday Start Time 7:00 13:30 15:30 7:00 7:00 10:00 7:00 10:00 14:00 End Time 8:30 15:30 17:00 19:00 10:00 17:00 17:00 12:00 17:00 Starting Day 11/15/2013 11/15/2013 11/15/2013 11/15/2013 11/15/2013 11/15/2013 11/15/2013 11/15/2013 11/15/2013 Ending Day 11/30/2013 11/30/2013 11/30/2013 11/30/2013 11/30/2013 11/30/2013 11/30/2013 11/30/2013 11/30/2013
  • 9. CALENDAR INTEGRATION  Changes to non-OR calendar automatically identifies cases that need to be moved and presents these in a “Reschedule Bin” where they can be easily run through the Case Scheduling module
  • 10. CALENDAR INTEGRATION  Vacated OR Block immediately reassigned and available based on Block Reassignment rules Days Before Starting Day Ending Day Physician Block Release Type OR 408 4th Floor Surgery Room Landmann, Ron (M.D.) Surgeon Bowers, Steven (M.D.) Release To 5 11/15/2013 12/31/2013 Department OR 408 4th Floor Surgery Landmann, Ron (M.D.) General Surgery 2 11/15/2013 12/31/2013 Swing Room OR 408 4th Floor Surgery Landmann, Ron (M.D.) ALL 1 11/15/2013 12/31/2013 Physician OR 405 4th Floor Surgery Bowers, Steven (M.D.) Landmann, Ron (M.D.) 5 11/15/2013 12/31/2013 Department OR 405 4th Floor Surgery Bowers, Steven (M.D.) General Surgery 2 11/15/2013 12/31/2013 Swing Room OR 405 4th Floor Surgery Bowers, Steven (M.D.) ALL 1 11/15/2013 12/31/2013 Physician OR 105 1st Floor Surgery Bowers, Steven (M.D.) Landmann, Ron (M.D.) 5 11/15/2013 12/31/2013 Department OR 105 1st Floor Surgery Bowers, Steven (M.D.) General Surgery 2 11/15/2013 12/31/2013 Swing Room OR 105 1st Floor Surgery Bowers, Steven (M.D.) ALL 1 11/15/2013 12/31/2013
  • 11. CALENDAR INTEGRATION  All events delivered to MS Outlook
  • 12. OPERATING ROOM RESOURCE MANAGEMENT  All resources needed in Operating Room for a particular case are interrogated to assure no conflict on day of case
  • 13. OPERATING ROOM RESOURCE MANAGEMENT  Operation Room options and limited availability equipment
  • 14. OPERATING ROOM RESOURCE MANAGEMENT  Post OR Hospital Resources
  • 15. OPERATING ROOM RESOURCE MANAGEMENT  Uploaded Surgical schedule for any day can be analyzed and conflicts found days in advance allowing rescheduling or acquiring additional resources well in advance Conflict Description Mastectomy Total SLNB Dissection Axillary Nodes Mastectomy Total SLNB Surgeon Conflict Dissection Axillary Nodes Surgeon Conflict Room Conflict LINX Procedure Surgeon Room Start Time End Time Duratio n Resource Description Conflict Start Time Conflict End Time Conflict Duration McLaughlin, Sarah (M.D.) OR 103 1st Floor Surgery 11/19/13 7:30 11/19/13 20:00 750 Breast Biopsy or McLaughlin, Lumpectomy w/ Seed Sarah (M.D.) Localization SLNB Poss A 11/19/13 9:30 11/19/13 10:30 60 McLaughlin, Sarah (M.D.) OR 103 1st Floor Surgery 11/19/13 7:30 11/19/13 20:00 750 Breast Biopsy or McLaughlin, Lumpectomy w/ Seed Sarah (M.D.) Localization SLNB Poss A 11/19/13 11:15 11/19/13 12:15 60 12/5/13 8:30 90 OR 408 4th LINX Procedure Floor Surgery 12/5/13 7:05 5 Landmann, Ron OR 408 4th (M.D.) Floor Surgery 12/5/13 9:00 12/5/13 8:35
  • 16. OPERATING ROOM RESOURCE MANAGEMENT  Emergency Leave Booking Task-1a (Enter Dates and description)
  • 17. OPERATING ROOM RESOURCE MANAGEMENT  Emergency Leave Booking Task-1b Review Conflicts  Emergency Leave Booking Task-1c Review Block Release
  • 18. OPERATING ROOM RESOURCE MANAGEMENT  Emergency Leave Booking Task-2 Search and reschedule affected procedures
  • 19. HOSPITAL PREDICTIVE CENSUS AND RESOURCE MANAGEMENT  Based on surgical schedule, utilization of downstream resources can be predicted (PACU, ICU, In-Patient Bed)  All resources needed for entire episode of surgical care can be anticipated and managed including diagnosis specific equipment / supplies / staff  Any expected or elective admission to hospital can included to give more complete picture of Hospital resource demand
  • 20. REAL-TIME ANALYTICS AND SMART EVOLUTION  Data related to all aspects of the path of care generates custom metrics and dashboard(s)  Data used to refine allocation and flow design allowing evolution toward further optimized flow Surgeon Block Owner Operation Room Asbun, Horacio (M.D.) Asbun, Horacio (M.D.) Bagaria, Sanjay (M.D.) Bagaria, Sanjay (M.D.) Bagaria, Sanjay (M.D.) Bagaria, Sanjay (M.D.) Bagaria, Sanjay (M.D.) Bagaria, Sanjay (M.D.) Landmann, Ron (M.D.) Bowers, Steven (M.D.) Open Room Open Room Open Room Stauffer, John (M.D.) Open Room Open Room Bagaria, Sanjay (M.D.) Open Room Bagaria, Sanjay (M.D.) Open Room OR 408 OR 408 OR 105 OR 105 OR 105 OR 405 OR 105 OR 105 Procedure 4th Floor Surgery 4th Floor Surgery 1st Floor Surgery 1st Floor Surgery 1st Floor Surgery 4th Floor Surgery 1st Floor Surgery 1st Floor Surgery Laparoscopic Whipple Laparoscopic Whipple Excision Mass Lower Extremity Excision Melanoma, Lower Extremity, SLNB Excision Melanoma, Upper Extremity, SLNB Laparoscopic Adrenalectomy Laparoscopic Cholecystectomy w/ Cholangiogram Laparoscopic Hernia Repair, Umbilical Mastectomy Total SLNB Dissection Axillary OR 105 1st Floor Surgery Nodes Mastectomy Total SLNB Dissection Axillary OR 105 1st Floor Surgery Nodes Cut to Close 506 506 90 120 90 180 90 120 Room Time 536 536 120 150 120 210 120 150 11/26/2013 12/3/2013 1/2/2014 12/2/2013 12/2/2013 11/25/2013 12/16/2013 12/2/2013 Cut Start Time 7:15 7:15 7:30 10:45 16:05 8:15 8:30 13:25 Close Time 15:41 15:41 9:00 12:45 17:35 11:15 10:00 15:25 90 120 12/2/2013 8:30 10:00 120 150 12/16/2013 10:45 12:45 Day Example Block Compliance Total Procedures Surgeon's Block Open Room Other Surgeon's Block Owner Percent Asbun, Horacio (M.D.) 7 5 0 2 Bagaria, Sanjay (M.D.) 11 1 8 2 Bowers, Steven (M.D.) 30 20 8 Devine, Rick (M.D) 0 0 Landmann, Ron (M.D.) 17 McLaughlin, Sarah (M.D.) Open Room Percent Other Surgeon's Percent 71% 0% 29% 11/1/2013 1/1/2014 9% 73% 18% 11/1/2013 1/1/2014 2 67% 27% 7% 11/1/2013 1/1/2014 0 0 0% 0% 0% 11/1/2013 1/1/2014 14 0 3 82% 0% 18% 11/1/2013 1/1/2014 6 6 0 0 100% 0% 0% 11/1/2013 1/1/2014 Landmann, Ron (M.D.) 3 3 0 0 100% 0% 0% 11/1/2013 1/1/2014 Stauffer, John (M.D.) 11 6 2 3 55% 18% 27% 11/1/2013 1/1/2014 Colibaseanu, Dorin (M.D.) 7 4 0 3 57% 0% 43% 11/1/2013 1/1/2014 Merchea, Amit (M.D.) 4 2 1 1 50% 25% 25% 11/1/2013 1/1/2014 Surgeon Starting Date Ending Date
  • 21. DATA FEED AND CUSTOM BUILD  Initial data entry and build simplified through import templates / wizards  Data loaded into Excel spreadsheet(s) for drag-anddrop import  Entire system can be purged and rebuilt in minutes  Each spreadsheet designed to include the hospital specific flow management rules and requirement
  • 22. SureSELECT  Optimizes within segments of care and across entire episode of care

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