Outpatient Surgery Magazine

OR Excellence 2019 Awards - September 2019 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Page 19 of 144

For a new facility, once you have a reasonably accurate list of anticipat- ed cases, you can create a ramp-up schedule (see the sample on the fac- ing page) where you start small — opening partial rooms a few days per week — until you "ramp up" to a full capacity when the maximum num- ber of rooms are opened on the maximum number of days. Base block times on data, not tradition. Once you've taken a closer look at your scheduling blocks, you'll likely want to rework them. This is particularly challenging for established facilities where doctors aren't going to want to hear about losing time. Look, we all know certain physicians who have delusions of grandeur, so you must use tact and diplomacy when scaling back scheduled block times. It's a tough balancing act. You want to accommodate your surgeons as much as possible while at the same time not letting them keep those giant blocks if they don't sufficiently fill them. Surgeons who run over their block time are also a problem. It's not uncommon for surgeons' offices to book a 20-minute knee arthroscopy that actually takes 45 minutes so they can book more procedures. One caveat: Some physicians may argue they're not in the room the entire time. Be clear that it doesn't matter who's in the room; it's still the physician's patient, and as a facility, we can't gener- ate revenue until everyone is out of the room. Set clear expectations If you want to run an efficient surgical facility, you need to make sure everyone understands exactly what's expected of them schedule-wise. If you schedule add-on cases before the normal starting time and an anesthesiologist gives some push back about early start times, don't be afraid to say, "Your contract clearly states you're to be 'available 4 Staffing S 2 0 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • S E P T E M B E R 2 0 1 9

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