Accession Number : ADA516603


Title :   An Analysis of Operating Room Performance Metrics at Reynolds Army Community Hospital


Descriptive Note : Final rept. Jul 2008-Jul 2009


Corporate Author : REYNOLDS ARMY COMMUNITY HOSPITAL FORT SILL OK


Personal Author(s) : Moakler, Megan C


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/a516603.pdf


Report Date : 28 Jun 2009


Pagination or Media Count : 64


Abstract : This study includes developing workload based metrics that can be used to evaluate OR performance, analyzing the surgical services at Reynolds Army Community Hospital (RACH) with these metrics, and comparing the performance of each of the surgical services in these metrics with the traditional utilization metric. The metrics include: Surgical RVU per Hour, RVU per Assigned Hour, RVU per Staffed Hour, Surgeon Cost per RVU, and Total Cost per RVU. An ANOVA identified a statistical difference among the performance of surgical services in each metric, including utilization rates, p 0.01. For each metric, the surgical services were further analyzed with a post hoc Tamhane's T2 Test. Surgical Services were ranked according to performance in each metric. The ranking order was not the same across all six metrics; however, the top three surgical services were the same for all productivity based metrics. When compared to utilization rates, only one of these surgical services was ranked in the top three performers. The other two were ranked in the bottom three for utilization.


Descriptors :   *METRICS , *PRODUCTIVITY , *SURGERY , HOSPITAL ADMINISTRATION , UTILIZATION , COSTS , ACCOUNTING , WORKLOAD


Subject Categories : Medicine and Medical Research
      Medical Facilities, Equipment and Supplies


Distribution Statement : APPROVED FOR PUBLIC RELEASE