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Case Study—289 Bed Quaternary Hospital Situation: Hospital not meeting budget because of OR issues; OR rooms are closed due to lack of anesthesia coverage, high same day cancellation, long room turnovers, abuse of block time privileges, and dissatisfied surgeons.
Intervention: Worked with senior physician and hospital leadership to strengthen anesthesia and OR nursing leadership; established a preoperative clinic; strengthened perioperative systems through improved materials management, scheduling, preoperative evaluation, and information systems.
Outcome: Surgical volume increased 19% within 24 months; Anesthesia Department fully staffed; Anesthesia financial performance improved; all ORs open and staffed; same day cancellations decreased and surgeon satisfaction increased.
Case Study—570 Bed Tertiary Hospital Situation: Surgery volume stagnant; conflict between anesthesia and surgeons; inefficient perioperative systems including scheduling and preoperative preparation; OR experiencing significant delays, cancellations, and add-ons.
Intervention: Established new model of collaborative perioperative leadership; expanded OR schedule; established urgent room; facilitated workflow redesign; facilitated development of strategic perioperative growth plan.
Outcome: Surgeon satisfaction increased; surgical volume increased 7% within six months; perioperative systems improved; hospital has new, positive vision for future.
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