Project Type: Perioperative and Anesthesia Consulting
Project Size: 4 Hospitals; 4 Anesthesia Groups
Anesthesia Staffing and Service Assessment
Performance Improvement Identification
Standardization Opportunity Identification
Case Study: Perioperative Performance Improvement
Perioperative Performance Improvement: 9-Hospital Health System - Baltimore, MD
Four metropolitan based hospitals within a nine hospital system in the Mid-Atlantic region of the United States wanted to reduce anesthesia costs, maintain appropriate anesthesia coverage, improve standardization of processes, and strengthen working relationships with their anesthesiologists. In addition, each hospital had its own anesthesia group and wanted to achieve some consistency and synergy of processes across the four hospitals. They had taken this on before without success. In order to achieve its goals and ensure the change would be lasting, the Client sought assistance from Health Inventures (HI), a national surgical services and practice management company with a particular expertise in helping physicians and hospitals work more effectively together.
HI focused on identifying opportunities for its Client to rebalance the financial risk and incentives associated with providing anesthesia services at each hospital. The team worked with key anesthesiologists, surgery department and hospital leadership, nursing staff and clinical and administrative stakeholders to determine everyone’s needs. HI then provided an objective analysis of the current anesthesia staffing model versus industry benchmarks and future requirements in order to project appropriate coverage models for all four hospitals. Gaining provider buy-in was critical to achieving the desired results. This is where HI differentiated itself from other consultants. HI used its experience in developing and operating successful physician-hospital partnerships and worked tirelessly with the key provider and hospital stakeholders to achieve agreement with the recommended changes prior to presenting them to the hospitals’ management teams.
The solution proposed by HI allowed for the four hospitals and their respective anesthesia groups, to achieve operational improvement and synergies in relation to quality, service, safety and subsidy. Recommended improvements included reducing MD and CRNA FTEs by 1.25 and 3.2 respectively, eliminating $1.35 million in bad debt through revenue cycle improvements, standardizing financial and operational reports across institutions, consolidating unused OR blocks earlier, and standardizing OR governance across institutions. HI quantified the annual anesthesia subsidy reduction opportunity to be over $2 million, which represents 6.25 times HI’s professional fees.
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