ROJoson and Concept and Project Maximal Utilization of Operating Room Services

ROJoson and Concept and Project Maximal Utilization of Operating Room Services

Since January 2012, I have been advising the Continual Improvement Program (CIP) Team of MDH Operating Room Complex (ORC) on a project dubbed as Project Maximal Utilization of Operating Room Services.

What is the concept of maximal utilization of the operating rooms?

Currently, MDH ORC has 10 operating rooms, 2 designated for use of minor operations and 8 for major operations (but can be used for minor operations if needed).

When and how does one say the 10 operating rooms are maximally utilized?

My thoughts, perceptions, opinions, and recommendations: The current 10 operating rooms are maximally utilized in terms of number of operations that can be accommodated during the declared open hours.

Currently, the 2 minor rooms (minorR1 and minorR2) are declared open from 7 am to 4 pm from Monday to Saturday.  The 8 major rooms are declared open from 7 am to 4 pm from Monday to Saturday for elective cases.  There is no determined number of rooms that should be used after 4 pm for emergency cases.  Strictly speaking, all rooms can be used for emergency cases at any time.

The project is challenging.  I have yet to see a project like this.

My conceptual framework for the project:

1. Define parameters and criteria for maximal utilization of the operating rooms.

2. Determine current status whether there is a shortfall in the maximal utilization or not.

3. If there is a shortfall, do a cause analysis for the shortfall in maximal utilization. If there is none, do refinements if needed.

4. If there is a shortfall, set a target for 2012, 2013 and 2014 (3-year project).

5. Formulate strategies and action plans to improve on the maximal utilization.

6. Implement action plans.

7. Monitor.

8. Evaluate.

I welcome comments and inputs from people who have experiences in such a project.

Below are some pictures of the MDH ORC CIP Team after meeting with me.  Lyn is not in the picture yet.

March 17, 2012

 

March 23, 2012

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