Find out how Covenant Health Care improved operating room capacity and operating room throughput


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Find out how Covenant Health Care improved operating room capacity and operating room throughput

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Find out how Covenant Health Care improved operating room capacity and operating room throughput

  1. 1. Case Study Covenant HealthAt a Glance Improves OR Productivity and ProfitabilityOrganization with Horizon Surgical ManagerCovenant Health Covenant Health, a comprehensive Horizon Surgical Manager integratesKnoxville, Tenn. health system with five acute-care with Covenant’s registration,– Five acute-care hospitals hospitals in eastern Tennessee, patient accounting, clinical nursing – Methodist Medical Center of wanted to ensure its caregivers documentation and materials Oak Ridge worked in unison. With disparate management systems, sharing data processes impeding operational longitudinally across the continuum – Fort Sanders Regional improvements, Covenant Health of care. “The patient doesn’t have Medical Center implemented an integrated to repeatedly answer the same – Parkwest Medical Center surgery solution from McKesson. questions,” explains Rhonda – Fort Loudoun Medical Center The decision not only improved Crabtree, Covenant’s Information communication but also increased Technology Business Consultant. – Fort Sanders Sevier Medical revenue and improved OR (operating Center room) capacity and throughput. “Before the patient finishes interop, the preoperative record is availableSolution Spotlight Challenges for viewing. Clinicians in post-op,– Horizon Surgical Manager Striving to consolidate processes, PACU and on the floor can access Covenant standardized master the OR record via Horizon Clinicals®– STAR Patient Accounting and the HorizonWP® Physician files but found its facilities still operated independently. Covenant Portal.”Critical Issues needed consistency in its surgery suites, its most profitable depart- Crabtree notes that the integration– Productivity hindered by lack of Horizon Surgical Manager with of standardization ment. Variances in OR turnover rates, scheduling accuracy and McKesson’s STAR Patient Accounting– Lack of integration between staff cost per case affected system allows the billing process to surgery and other departments Covenants productivity and begin immediately. “Physician– Inefficient scheduling processes revenue potential. Additionally, offices can go online, view the different OR information systems record and begin billing on the– Large variances between actual day of surgery, instead of waiting and scheduled case time existed across the enterprise. Covenant needed a solution that three days for paperwork.”– High room turnover rate would streamline processes and optimize productivity. ResultsResults Covenant quickly realized improve-– Standardized OR information Answers ments across the enterprise, most system and processes To improve data integration, notably at Methodist Medical Covenant Health upgraded all Center. Previously an efficient– Increased OR volume, adding ORSOS One-Call™ customer, $1.5 million in annual revenue facilities to the Horizon Surgical Manager™ system. All of Methodist tightly scheduled cases,– Accommodated more surgeons Covenant’s acute-care facilities overbooking by 10 minutes per case without adding staff now work cohesively. on average. With Horizon Surgical– Boosted staff productivity Manager, that variance is less than one minute.– Improved resource utilization
  2. 2. Case Study“Horizon Surgical Manager “Horizon Surgical Manager is offset times needed adjustment to better than anything we could have improve efficiency,” she better than anything we imagined,” relays Crabtree. “Wecould have imagined. . . . can block time more accurately and Covenant is particularly pleased drive our productivity up. Now we with the system’s preferenceNow we can accommodate can accommodate more physicians card management tool, which without having to add staff.” automatically recommends itemsmore physicians without to be added or removed basedhaving to add staff.” She adds, “Methodist can on actual usage. potentially schedule several additional surgical cases per day, “I’ve never seen a system with an which contributes to a $1.5 million out-of-the-box tool that’s thisRhonda Crabtree increase in annual revenue.” robust as far as making predictiveInformation Technology changes,” says Crabtree. “The Covenant soon began to analyze accuracy is really pretty amazing.”Business Consultant average staff cost per case at Covenant uses Horizon Surgical each facility, tracking significant Manager to track inventory, recordCovenant Health variances. “We use this data to supply use and forecast future needs. ensure the proper skill mix is available while bringing more The Patient Tracking module of predictability to the cost and Horizon Surgical Manager profitability of each case,” communicates case, patient and Crabtree explains. room status, as well as staff roles and locations. “Clinicians can see if Using Horizon Surgical Manager, the next patient is in holding yet,” Covenant measures the average reports Crabtree. “If a patient time a patient spends in each phase hasn’t shown up at the hospital, of care. “We can tell if patients are they can quickly reorder cases. It’s spending too much time in the post especially effective for add-on anesthesia care unit (PACU), which patients because it shows when can produce a bottleneck that lab work is complete.” ripples throughout the surgical suite,” reports Crabtree. “We can Patient Tracking also eases waiting anticipate and correct problems.” room anxiety by displaying the patient’s progress on large-scale With Horizon Surgical Manager, monitors for the family to follow. Covenant analyzes turnover time by quarter, month, room or doctor, as “Now everyone is truly working well as by case type or procedure. together,” she says. “And we’ve “A high turnover time for open- only scratched the surface of what heart cases makes sense, but some Horizon Surgical Manager will do. It’s an extremely powerful system.”McKesson Provider Technologies Copyright © 2008 McKesson Corporation and/or one of its subsidiaries. All rights reserved. HorizonWP is a registered trademark of McKesson Information Solutions LLC. Horizon Clinicals, Horizon Surgical Manager,5995 Windward Parkway ORSOS One-Call and Pathways Healthcare Scheduling are trademarks of McKesson Information Solutions LLC.Alpharetta, GA 30005 All other product or company names mentioned may be trademarks, service marks or registered trademarks of their respective companies. PRT223-05/08http://www.mckesson.com1.800.981.8601