for the month, I could also show the block utilization for each of the
surgeons in his group of 10 people, and I could break it down by days
of the week. Trying to do that stuff by hand would have been a bear.
It becomes very valuable. We have a rule that if your block usage is
more than 10% below the mean for 3 months, your time can be reallocat-
ed. Now we can look and see that on certain days your block goes to 5
o'clock, but that you very infrequently go beyond 2 o'clock. We ended up
having an initiative where we cut 180 hours of block out in a month's
schedule, which resulted in a big savings on the labor side with staffing.
And when people saw the data — this is scary — we got absolutely no
pushback from the surgeons.
Q: What kind of pushback did you used to get?
A: Let's say you have 10 general surgeons doing lap cholecystec-
tomies, and you separate them out by quartile in terms of cost of
ASC
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