The OR Materials materials management systems analysis involves an in-depth review of operating room commodity and capital support systems. It results in an evaluation, and where opportunities for improvement are identified, specific and detailed recommendations for achieving either cost savings, improved surgery coordination, or both. Specific objectives of each portion of this analysis follow.
Organization & Staffing
The responsibilities of all OR personnel relative to materials management support of the surgery schedule are analyzed to identify whether the organization plan, staffing, role definition, and interdepartmental coordination activities are appropriate.
Detailed staffing determinations can be performed for instrument processing and central sterile functions whether performed entirely by OR personnel, by CS employees, or shared between the two departments. This ascertains whether demand for reprocessing services is matched by availability of sufficient labor resources.
Storage & Locator Systems
The ease in which OR staff can locate supplies for surgery contributes significantly to lowering case turnover time. The consultant examines supply storage location(s) for the OR to assess accessibility, adequacy, proximity of specialty items to specialty rooms, adequacy of moveable equipment, and presence/effectiveness of stock and non-stock item locator codes and “finder” systems.
The process for selecting, evaluating, and storing stock and non-stock supplies adds significantly to the cost per case of a hospital’s surgery program. We thoroughly evaluate the product standardization process, as well as the on-hand supply quantity appropriateness and distribution alternatives.
In order for the operating room to maximize its throughput of patients, coordination of availability of the right supplies, in the right quantities, at the right time, for the right case, must be well orchestrated. Whether employing a case cart, PAR level, exchange cart, or requisition system, our experience designing OR materials logistics systems affords the expertise to evaluate and identify opportunities for improvement with preference cards, pick lists, surgery scheduling – materials management information systems interface, custom packs, post-case breakdown, instrument selection, and stock/non-stock materials activities supporting timely and efficient case set up.
OR Charge System
Capturing charges for inpatient and ambulatory surgery services must be consistent with shifting reimbursement practices and the local competitive market. During our review of the charge process our consultants identify and evaluate nursing staff input requirements; verify master description, accuracy and completeness; audit billing practices; and identify labor saving interfaces between preference card and charge systems.