CommonSpirit Health uses Analytical Technology to optimize OR

The new healthcare system platform replaces manual processes to maximize staff OR use and improve the outcome of a hospital.

A major expansion of technology designed to optimize the use of the operating room is helping to make a profit in one of the largest healthcare systems in the nation.

The technology developed by LeanTaaS replaces manual systems with AI-based automation at Chicago-based CommonSpirit Health, which operates 142 hospitals in 21 states. It streamlines workflows by providing real-time access to OR usability and programming, enabling programmers and staff to manage OR use them more effectively, reducing transcription errors and relieving stress for both providers and patients.

Dignity Health, which partnered with Catholic Health Initiatives to create CommonSpirit Health, reported that 36 of its hospitals used the technology and had an additional contribution margin from May 2019 to December 2020 compared to May 2019 compared to the previous year. annual measurements.

The driving force behind this implementation is Brian Dawson, MSN, RN-BC, CNOR, CSSM, Vice President of Perioperative Systems Services. He joined CommonSpirit Health after a stint at USC’s Sutter Health and Keck Medicine, as well as an executive assistant and director of the U.S. Army Chief Surgeon.

“In healthcare, I come from three different backgrounds,” he says. “One, as a clinician. Two, as a quality leader. And the third, I want to grow the business. Today, in healthcare – and COVID has proven that – we earn from our operating rooms and other areas of procedure” from the catheterization laboratory and adoption radiology.

Brian Dawson, MSN, RN-BC, CNOR, CSSM, Vice President of CommonSpirit Health Perioperative Services System. Photo by CommonSpirit Health.

Everything else in the hospital “really costs us money,” he says. “The longer we stay, the less money we can save on insurance [the Centers for Medicare & Medicaid Services]. “

When she joined Dignity Health, Dawson said nurses were looking for OR schedules and email options for nearby surgeons.

“One of our Bay Area hospitals, Sequoia, has already contacted LeanTaaS to bring this tool to the facility,” says Dawson. “While I was working there as a consultant, I tried to bring the tool to USC.”

CEO Lloyd Dean and Marvin O’Quinn have budgeted for Dawson to expand LeanTaaS IQ to 32 hospitals in 2019.

The platform works by asking surgeons to release time they don’t use, in part by suggesting automatic “release dates” to maximize their chances of filling the operating room of unused staff as much as possible. They are often marketed to nearby surgeons in hospitals that have not previously thought of performing surgeries.

“I’m constantly telling our marketing people,‘ What are we doing to take the volume off our competitors? ’” Says Dawson.

The technology, he says, is available for consultation in all hospitals in the CommonSpirit network in a specific market in the region.

Among the results of the initial deployment was the completion of 21% of the OR released by the system. And Dawson says he can do better than that.

“People in our marketing need to go to surgeons who don’t have surgery with us:‘ Can you get as many surgeries in the hospital as you want? ’” He says. “Their response will be negative, right? Then I turn around and tell you what day you want, because I have that day available. So it is a marketing “.

As a result, health care systems have grown by 153% in OR blocks released by surgeons to encourage greater use.

“The data really speaks to the power, sitting in front of a surgeon, analyzing his data,” Dawson says. “When they realize the data is correct, they get in line. And the same goes for leadership.”

It is also an important tool in communities with a single hospital.

“We’re in places where health has left us,” Dawson says.

Dawson calculated the ROI by identifying the number of minutes he unlocked OR the number of minutes of time, and calculated that each minute filled by the tool was equal to $ 65 in revenue.

The pandemic, which began in the midst of the outbreak, dropped to more than $ 32 as a result of the drop in elective surgeries in hospitals across the nation. But Dawson will recalculate revenue this fall and expects it to be close to $ 50 a minute.

At the same time, the CommonSpirit Health platform is expanding to more hospitals in its network.

“The tool is now all over California, at our two hospitals in Las Vegas, five hospitals around Phoenix, as well as in the Pacific Northwest, Texas, Tennessee, Midwest, and Kentucky Valley. Around Lexington, as well as four or five hospitals in Arkansas,” says Dawson. “It simply came to our notice then [we’ll add] Cerner is using a few North Dakota hospitals. “

There are some limitations. Hospitals with low or critical access to hospitals with less than four ORs are not suitable for technology.

“Hospitals in small rural areas with less than four rooms and [where] there may be five surgeons operating there, each with their own day, so outside of data collection, the tool won’t really be as beneficial to them, ”says Dawson.

The tool also says it can ask surgeons to release dates that are not used by text or email.

“On average, we are releasing unused surgical time 26 days before the date of surgery,” he says. “This means that if Dr. Smith normally works on a Tuesday, 26 days before that Tuesday, if he doesn’t use it, we’ll pass that time on to others. That’s important. Before the instrument, our average release time was twice as long. Or four days. as you cannot prepare anyone to fill the gap in two days. ‘

Dawson says the best place is 14 days.

“But the nice part about the tool and our mobile release date is that it’s now in the 20’s. That’s great. The farther away, the better.”

Scott Mace is an assistant writer at HealthLeaders.

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