Surgery Management Improvement Group - Hospital and Operating Room Management Services
Surgery Management Improvement Group - Hospital and Operating Room Management Services
Surgery Management Improvement Group - Hospital and Operating Room Management Services
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Surgery Management Improvement Group - Hospital and Operating Room Management Services
  • Comprehensive Operating Room Management Consulting Services . . .

    . . . include surgery process and system assessment, cost manage-
    ment, facility evaluation and design, surgery information and bench-
    marking analyses, operating room schedule planning and administration and interim contract management.
    Learn More about Gail Nogle Photography
  • Experience Matters.

    SMI Group brings over 60 years experience to clients coast to coast. We can successfully assist you in every phase of the surgery process, including improving relationships between staff, surgeons & referring physicians. We deliver marketable, cost-efficient programs with the latest technology and techniques.
    Missing a deadline can be costly.
  • Answers. Coast-to-Coast

    Word of our success gets around – and so do we! SMI Group is proud of it's track record, literally from coast-to-coast. Regardless of where you are in North America, let SMI Group demonstrate how we can improve your hospital operation and bottom line.
    Coast-to-Coast Solutions from SMI Group
  • Let's sit down & discuss how SMI Group can help.

    Give us a call and let's talk about your hospital and operating room issues. We'll crunch some numbers and start your plan.
    Don't put it off another day.
    Call 734-327-4000 and talk with John, Sue and Dorothy.
    Let's sit down & discuss how Surgery Management Improvement Group can help
  • Succession Planning for the Operating Room

    SMI Group provides the tools and assistance to plan the management succession for your operating room. Our process identifies key roles, management capabilities of existing staff, and cultivates qualified internal candidates to become tomorrow's perioperative leaders.
    Let's talk about your financial future

Operating Room Scheduling
Improving OR Resource Utilization

Surgery Management Group

Scheduling System Optimization   Surgery Management Improvement Group - Rapid Operating Room Turnover

Operating Room Scheduling
Surgery Management Group

Scheduling Affects the Entire Organization   Surgery Management Improvement Group - Rapid Operating Room Turnover

Operating Room Scheduling

The "optimal" design of an OR scheduling process is in many instances significantly different, depending on whether you are a:

  • Surgeon
  • Anesthesiologist
  • Operating Room Nurse
  • Administrator
Surgery Management Group

Ideal Scheduling Program for Surgeons   Surgery Management Improvement Group - Rapid Operating Room Turnover

Operating Room Scheduling



"Just have my own operating room, staff, equipment, and an anesthesiologist available 5 days a week whenever I want."








Surgery Management Group

Ideal Scheduling Program for Anesthesiologists   Surgery Management Improvement Group - Rapid Operating Room Turnover

Operating Room Scheduling
Surgery Management Group

Ideal Scheduling Program for Nursing   Surgery Management Improvement Group - Rapid Operating Room Turnover

Operating Room Scheduling
  • One team per room.
  • Scheduled lunch and breaks.
  • Surgeon and anesthesiologist waiting in lounge for case starts.
  • All cases finish in time to leave by shift's end.
Surgery Management Group

Ideal Scheduling Program for Administration   Surgery Management Improvement Group - Rapid Operating Room Turnover Operating Room Scheduling

Keep all rooms utilized as long as possible.

Surgery Management Group

OR Program Balance   Surgery Management Improvement Group - Rapid Operating Room Turnover Operating Room Scheduling
  • What is needed is an OR scheduling system that balances the diverse needs of the four groups.
  • Optimizing personal time utilization can be the “fulcrum” for achieving that balance.





Surgery Management Group

Symptoms of an "Out of Balance" Schedule   Surgery Management Improvement Group - Rapid Operating Room Turnover
  • Late surgeons.
  • High rate of add-ons.
  • Case juggling.
  • Holes in the schedule.
  • Extended preoperative length of stay
  • Decreased morale; pressure for overtime
  • Extraordinary demand to be "first case."
  • Perceived need for more anesthesia coverage.

Surgery Management Group

Effective Surgery Scheduling Requires Two Distinct Efforts:   Surgery Management Improvement Group - Rapid Operating Room Turnover Operating Room Scheduling
Operating Room Scheduling
Surgery Management Group

Schedule Planning Process   Surgery Management Improvement Group - Rapid Operating Room Turnover

Operating Room Scheduling


Surgery Management Group

Key Components of Schedule Planning   Surgery Management Improvement Group - Rapid Operating Room Turnover

  • Coverage Plans Balanced with Surgical Demand
  • Variable OR Room Access (set aside time to accommodate historical add-ons w/o disrupting elective schedule)
  • Maintenance of Correct Materials Requirements (accurate preference cards)
  • Accurate Case Duration Estimates
  • Knowledgeable and Accessible Scheduler(s)
  • Policies and Guidelines for Assigning and Re-Allocating Block Time
  • OR Committee as Governance/Oversight Body
Surgery Management Group

Elements of a Block Management Policy   Surgery Management Improvement Group - Rapid Operating Room Turnover

  • Block Times (defined by hour-of-day)
  • Scheduling Block Time (process for booking into one's block time)
  • Block Time Allocation (how blocks are requested and assigned)
  • Required Utilization Target (for block holders to retain time)
  • Measurement & Reporting Frequency (of block utilization)
  • Measurement Formula (how is block utilization to be computed)
  • Block Release (when should unused time be made available for others' use)
    - Automatic
    - Voluntary
  • Requesting Block (the process for new surgeons to gain guaranteed access to the schedule)
Surgery Management Group

Data Needs for Initiating Blocks   Surgery Management Improvement Group - Rapid Operating Room Turnover

Operating Room Scheduling
Surgery Management Group

Data Needs for Determining Block Release Time   Surgery Management Improvement Group - Rapid Operating Room Turnover

Operating Room Scheduling
Surgery Management Group

Example Block Scheduling Model   Surgery Management Improvement Group - Rapid Operating Room Turnover

Operating Room Scheduling
Surgery Management Group

Elements of a Schedule Planning Policy   Surgery Management Improvement Group - Rapid Operating Room Turnover

  • Scheduling Goals
  • General Scheduling Definitions
    - Schedule Start time
    - Turnover time
  • OR Access Plan (number of ORs available by time of day and day of week for block elective, first come-first serve elective, and urgent/emergent use)
  • Scheduling practices
  • First case start time
  • Scheduling office hours of operation and after hours scheduling
  • "Closing" the schedule
  • Information requirements when booking a patient for surgery
Surgery Management Group

Elements of a Schedule Administration Policy   Surgery Management Improvement Group - Rapid Operating Room Turnover

  • The responsibility for running of the daily schedule
  • Order of elective cases (guidelines and who is responsible for establishing and when)
  • Case "on time" definitions
  • Delay classification (how will "delays" be categorized, by whom)
  • Delay sanctions (surgeons, nurses, anesthesia providers)
  • Flip-flopping protocols
  • Staff assignments (who will make case assignments, using what criteria, when will assignments be known)
  • Bumping Protocol (urgent/emergent accommodation of add-ons)
Surgery Management Group

Decreasing TOTAL Turnaround Time   Surgery Management Improvement Group - Rapid Operating Room Turnover

Operating Room Scheduling
SERVICES "SNAPSHOT"
Surgery Management Improvement Group - Operating Room Scheduling Management
Operating Room Scheduling Management: Operating room planning is a complex task where numerous resources must be synchronized in order to achieve efficiency. Surgeon availability, operating team scheduling, patient related information (i.e. estimated operating time, priority and diagnosis), equipment, and support resources must all be carefully orchestrated. (learn more)
Surgery Management Improvement Group - Hospital &  Operating Room Management Services
Surgery Management Improvement Group - Anesthesiology Program Consulting
Anesthesiology Program Consulting: A well-defined, coordinated anesthesiology program is essential to a cost and operationally effective, marketable operating room. Areas of evaluation and development expertise include: Program Evaluation and Design, Anesthesiologist/CRNA/ Resident Care Team Process Evaluation, Surgeon Nursing Interrelationship, (learn more)
Surgery Management Improvement Group - Hospital &  Operating Room Management Services
Surgery Management Improvement Group - Ambulatory Surgery Center & Program Development
Ambulatory Surgery Center & Program Development: SMI Group provides hospital and surgery center consulting services that provide ambulatory surgery program development & management solutions. We help you retain & grow Ambulatory Market Share while improving expected surgery outcomes. (learn more)
Surgery Management Improvement Group - Hospital &  Operating Room Management Services
SMI Group, Inc.
P.O. BOX 7590
Ann Arbor, MI 48107-7590
734-327-4000