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

reportActive / Technical Report | Accession Number: ADA516603 | Open PDF

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 Tamhanes 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.

Author(s):
Moakler, Megan C.
Author Organization(s):
REYNOLDS ARMY COMMUNITY HOSPITAL FORT SILL OK
Descriptive Note:
Final rept. Jul 2008-Jul 2009
Supplementary Note:
DOI: 10.21236/ADA516603
Pagination:
0064

Security Markings

DOCUMENT & CONTEXTUAL SUMMARY

Distribution:
Approved For Public Release
Distribution Statement:
Approved For Public Release; Distribution Is Unlimited.

RECORD

Collection: TR
Identifying Numbers
Report Number(s):
AMEDDCS-24-09
Monitor Series:
24-09, AMEDDCS
 Subject Terms
Joint Capability Areas:
JCA_6.4.1_Secure Information Exchange; JCA_5_Command and Control; JCA_5.3_Planning; JCA_4.7.2_Installation Services; JCA_4.7_Base and Installations Support; JCA_6_Net Centric; JCA_6.4_Information Assurance; JCA_1.4_Force Support; JCA_1.4.1_Force Health Protection; JCA_4.6.1_General Engineering; JCA_4.6_Engineering; JCA_5.3.3_Develop Strategy; JCA_5.3.4_Develop Courses of Action; JCA_5.3.5_Analyze Courses of Action; JCA_5.3.2_Apply Situational Understanding; JCA_1.4.2_Health Service Delivery; JCA_1_Force Support; JCA_1.3_Human Capital Management; JCA_5.6.3_Assess Achievement of Objectives; JCA_5.6_Monitor; JCA_1.3.2_Personnel Management
Communities of Interest:
Biomedical
Descriptor(s):
*METRICS, *PRODUCTIVITY, *SURGERY, HOSPITAL ADMINISTRATION, UTILIZATION, COSTS, ACCOUNTING, WORKLOAD
Field(s)/Group(s):
Medicine and Medical Research, Medical Facilities, Equipment and Supplies
Keyword(s):
*OPERATING ROOMS, *REYNOLDS ARMY COMMUNITY HOSPITAL, COST ACCOUNTING, RVU(RELATIVE VALUE UNITS), SURGICAL SERVICES
Report Date:
2009 Jun 28
Creation Date:
2010 Apr 07