2:00 pm - 5:00 pm
Florida Ballroom
Pre-Conference Workshops
Pre-conference Workshop: Business Case Formation: Surgical Service Line
Cindi Goddard, MPH, BSN, RN, Senior Managing Consultant, Health Care Performance Advisory Services,
BKD Kevin A. Rash, MPT, FACHE, Director, Health Care Performance Advisory Services,
BKD Eric Rogers, MAEd, RT, Director, Health Care Performance Advisory Services,
BKD In this hands-on workshop, participants will learn the steps needed to assess market analytics, including primary service area, service line volume, and market share. The speakers will share their experience in building assumptions for future volume to help attendees better understand payments expected, control cost, and utilize case/care management. Using claims data and a sample spreadsheet to evaluate market share, Rash, Goddard, and Rogers will guide participants in developing a business case designed to ensure a return on investment (ROI) from service line(s).
All attendees should bring a laptop or tablet with excel capacity to view and participate in the skill development portion of the workshop.
Learning Objectives:- Discuss importance of market analytics to assist in data-driven decisions for a business case ROI. State necessary key cost controls and mechanisms.
- Describe key stakeholders involved in contract payments. Establish why and how to add care/case management to surgical services.
- Identify key performance metrics of current financials to assist in forecasting financials. Determine their business case ROI.
Take-home tool:
Attendees will leave with a sample spreadsheet to assist with calculating ROI in their own facilities in addition to a market analytics checklist to identify market share.
2:00 pm - 5:00 pm
Key West
Pre-Conference Workshops
Pre-conference Workshop: The Big Four: Key Components to Optimizing Your Perioperative Business Savvy
Being a perioperative business leader requires you to blend innovation, new technology, and business elements into your day-to-day operations. Join Paul Rhodes, former OR Business Management Conference Chair, and Blake Stock to learn about the best practice of "functional integration"- achieve a thorough understanding of how expenses, utilization, operations, and revenue work together while developing skills to transform how you perform daily activities in your facility.
Take-home tool:
Attendees will receive a worksheet to help identify perioperative business competencies: ability to understand expenses based on supply chain integration and alignment; utilization components; three operational and cross-departmental ways to counter declining profit margins; and key elements for optimizing revenue from payer contract negotiations.
7:30 am - 8:00 am
Grand Ballroom
Networking
Continental Breakfast
Sponsored by:
8:00 am - 9:00 am
Global Ballroom
Keynotes
Opening Keynote: No Margin, No Mission: Maximizing Your Profit Margins with a Focused Approach
Creating the right portfolio of services entails prioritizing service line opportunities and developing a platform for service line strategies. There are specific ways to formulate growth initiatives, alter management, and measure structures efficiently. During his presentation, David Wildebrandt, MHA, will discuss the importance of understanding a service line strategy, how to define which markets you serve, and how to identify service line characteristics. You'll leave excited and motivated to return to your OR with new strategies for reconfiguring growth initiatives, management structures, and key performance indicators for successful execution.
Learning Objectives:- Discuss the importance of service line strategies.
- Identify ways in which traditional service line thinking must evolve from volume to value.
- Describe the essential components of a service line evaluation and how to prioritize opportunities.
9:00 am - 10:00 am
Florida Ballroom
Finance/Data & Analytics
Supply Documentation and the Operational Impacts: An Approach to Increase OR Supply Documentation
Moderator —
Mary Lou Jones, BSN, CSSM, Manager, Perioperative Business and Preadmission Testing,
Valleywise Health Bethany Daily, MHA, BA, Executive Director, Perioperative Services and Healthcare Systems Engineering,
Massachusetts General Hospital Sophie Elizabeth Prince, Financial Analyst, Perioperative Services,
Massachusetts General HospitalIncreased costs in disposable supplies and inaccurate cost-per-case reporting were major challenges in the perioperative department at Massachusetts General Hospital. With the Med/Surg General account representing 60% of disposable supply spend, the speakers needed to analyze what was driving that spend. They pinpointed disposable supplies they knew should be documented for every use and compared those to purchase history. By collaborating with nursing leadership, MGH came up with a plan to increase the accuracy of disposable supply documentation, which also increased transparency about product prices. As a result, Massachusetts General Hospital has been able to tie spend with case volume and usage, which has helped these leaders defend budget increases to support patient care.
Learning Objectives:- Describe disposable supply documentation challenges and the importance of tying spend increases to clinical practice.
- Identify ways to categorize similar products and compare purchased spend to documented spend.
- Discuss how to track improvements on the purchased to documentation ratio over time.
Sponsored by:
9:00 am - 10:00 am
Key West
Supply Management
Re-engineering 'Spaghetti' Supplies in the OR
Moderator —
Christina Gravalese, MSN, RN, NE-BC, CPAN, CAPA, Director, Perioperative Services,
Detroit Receiving Hospital and Harper University Hospital, Detroit Medical Center Maurice Francis-Wilson, MBA, BSN, RN, Vice President Surgical Services,
Inova Health - Mount Vernon Aimee M. Watson, MS, CMRP, Senior Manager, Healthcare Services,
St. Onge CompanyGaining trust between supply management staff and the OR is at the core of change management. The use of data analytics and supply reconfiguration can help improve staff productivity and replenishment paths, supply par management, and procurement frequencies. Leaders from Inova Health and St. Onge will share how they achieved increased visibility and accessibility in both the supply and OR staff by creating one primary location within each designated OR space (slot map). Join them as they shed light on the concept of "replenishment with purpose" and explain how, through consolidation, they were able to reduce inventory by $250,000 within 6 months.
Learning Objectives:- Identify supply consolidation opportunities.
- Discuss how to engage staff in new standard operating procedures.
- Describe how to improve the quality, frequency of delivery, and unit of issue from a central supply/core area.
Take-home tools:
Speakers will share a methodology for identifying candidates for consolidation and a standardized approach for the slotting map location identifier and replenishment methods. Attendees will be equipped with expiration management tools and key performance indicators.
9:00 am - 10:00 am
Amphitheater
Performance Improvement/Quality
Under Pressure! How to Reduce Perioperative Pressure Injuries
Moderator —
Dolores Reisert, MS, RN, CNOR, NE-BC, Senior Administrative Director ll,
Long Island Jewish Valley Stream Diane B. Kimsey, MSN, MHA, RN, CNOR, Clinical Educator,
Einstein Medical Center MontgomeryReducing pressure injuries is a goal in many healthcare organizations. Within a 2-year time frame, Einstein Medical Center Montgomery implemented a quality improvement project that led to a 100% reduction in surgically related pressure injuries. That statistic was sustained over the next 24 months and saved an estimated $174,000 in treatment costs. Join Diane Kimsey as she shares how these results were achieved through the work of a multidisciplinary team and the use of an evidence-based prevention protocol, communication about risks and injuries, staff education, compliance audits, root cause analysis, and wound team follow-up. She will also discuss the full bundle, implementation strategy, and keys to sustained compliance.
Take-home tool:
A PowerPoint presentation outlining the points of the pre-, intra-, and postop bundle will be distributed to attendees.
10:00 am - 10:30 am
Grand Ballroom
Networking
Morning Networking Break sponsored by HCA
Sponsored by:
10:30 am - 11:30 am
Florida Ballroom
Finance/Data & Analytics
Surgeons Seeking Savings: Tales of Transparency
Moderator —
Cory Guy, CPA, MBA,
Cleveland Clinic Carole Inlaw, MBA, BSN, RN, CNOR, Integrated Business Operations Manager for Perioperative Services,
John Muir Health Lisa Lambros, MSN, MBA, RN, Integrated Executive Director, Surgical Services,
John Muir Health Rosemarie Varner, RN, BSN, CNOR, Perioperative Nurse Consultant,
Empiric HealthSurgeons will seek the information necessary to decrease their individual cost per case when presented with data that ensures their outcomes will not be negatively affected. Using targeted data, transparency, and physician-led collaborations, John Muir Health has implemented practical solutions to reduce variation in care and ultimately make high-quality care more affordable. Join the leaders who implemented this change as they discuss how to provide supply cost transparency to surgeons, collaborate with supply chain staff, and use outcomes data to drive positive change, which will result in significant savings.
Take-home tool:
Attendees will receive a 10-step plan to initiate surgeon engagement, including resource card review, quick wins, and presentation tips to track savings.
Sponsored by:
10:30 am - 11:30 am
Key West
Performance Improvement/Quality
Show Me the Money: Incentivizing Productivity
Moderator —
Bethany Daily, MHA, BA, Executive Director, Perioperative Services and Healthcare Systems Engineering,
Massachusetts General Hospital Chris Bejil, MSN, RN, CENP, CNOR, CSSM, NE-BC, Director of Perioperative Services,
Midland Memorial HospitalAn incentive program that was used at Midland Memorial Hospital bettered teamwork and efficiency by improving first case on-time starts by 10%, decreasing turnover time from an average of 38 minutes to 17 minutes, and improving last-case out times from 1823 to below 1700 consistently. Just how did they do this? Attend this presentation to find out! Upon returning to you OR, you'll be equipped to implement your own performance improvement project to increase revenue via cost avoidance, and, despite the cost of the incentive, deliver a return on investment.
Learning Objectives:- Describe how an incentive program can positively affect OR productivity and revenue.
- Discuss the return on investment of an incentive program designed to improve teamwork and productivity in the OR.
- Explain how to implement an incentive program.
Take-home tools:
A sample return on investment statement and next steps for implementation will be shared with participants.
10:30 am - 11:30 am
Amphitheater
Leadership/Operations
Blow Up Your Block
Moderator —
Gail Avigne, MSN, RN, BA, CNOR, Principal Consultant,
Press Ganey Ashley Saenz, MHA, Business Manager,
Northwestern Medicine Matt Ruby, Business Operations Director, Surgical Services,
Northwestern MedicineMost block owners have held their time for years and are not aware of how well they do or do not use it. Variables may or may not be included when calculating block allocation, and even after intense scrutiny, it can be hard to change the block schedule. At Northwestern Memorial Hospital, they "blew up" their existing block schedule and started from scratch. Join leaders of Northwestern Memorial Hospital's perioperative suite as they discuss their process, its politically sensitive nature, and the nuts and bolts of OR block utilization, effective communication, and management.
Take-home tools:
Speakers will share the methodology for calculating and reassigning block time in addition to a process for reviewing the schedule and communicating with surgeons.
11:30 am - 12:15 pm
Global Ballroom
Keynotes
Keynote Luncheon: A 20/20 Vision of the Business Manager's Role
An increasing number of OR leaders are working with a business manager, according to the annual OR Manager Salary/Career Survey. New payment models, the rise in procedures being performed in outpatient settings, and advanced but costly technology make the business manager the strategic engine of the OR. Successful business management hinges on anticipating trends in surgical procedures and navigating complex financial data. In this luncheon address, Jeff Peters, CEO of Surgical Directions, will highlight the key attributes of successful business managers, sharing insights about the skills and strategies needed to ensure an efficient and competitive surgical services department.
Learning Objectives:- Understand how the role of the business manager is evolving.
- Anticipate the key trends impacting ORs today and in the near future.
- Discuss process and technology enhancements to meet challenges presented by these key trends.
Sponsored by:
12:15 pm - 12:45 pm
Grand Ballroom
Networking
Dessert with Exhibitors
12:45 pm - 1:45 pm
Florida Ballroom
Finance/Data & Analytics
Reap the Benefits of Creating Dedicated Length-of-Stay Rooms
Managing surgical throughput and optimizing the schedule can be challenging in an OR setting, particularly those with a lot of inpatient add-ons as well as urgent and trauma cases. As Sikora and Schwerin discuss the implementation and benefits of dedicating specific ORs on a daily basis to length-of-stay management, orthopedic trauma, and trauma surgical cases, you will learn how a multidisciplinary workgroup manages the block schedule.
Take-home tools:
Attendees will be equipped with strategies for a block redesign in addition to project management tools to ensure productivity at a committee level.
Sponsored by:
12:45 pm - 1:45 pm
Key West
Supply Management
Evolution or Revolution? Creating a Perioperative Expense Reduction Team
Moderator —
Cory Guy, CPA, MBA,
Cleveland Clinic Elizabeth P. Ninan, MBA, PA-C, Director, Perioperative Services,
University of Texas MD Anderson Cancer Center Abigail Caudle, MD, MS, Executive Medical Director of Perioperative Services, Breast Surgical Oncology,
University of Texas MD Anderson Cancer CenterLower reimbursement rates have spurred efforts to reduce healthcare costs, and hospitals increasingly are looking for ways to cut non-labor expense, especially in supplies. During this presentation, Ninan and Caudle will discuss the development of their perioperative expense reduction team, what they have coined the "PERT" team, and how a dedicated team like this can leverage stakeholders from many different areas to meet cost reduction goals.
Learning Objectives:- Discuss how to form a perioperative expense reduction team, including team structure, meeting cadence, metrics, and goal alignment.
- Describe ways to engage the sourcing contract team, materials team, and frontline procurement specialists.
- Develop procedures to ensure buy-in from physician leaders and the Value Analysis Team Committee.
Take-home tool:
The speakers will share a customizable metrics dashboard for your perioperative expense reduction team.
12:45 pm - 1:45 pm
Amphitheater
Leadership/Operations
Compass & Key: Planning for and Navigating Through Your Next OR Expansion
Moderator —
Mary Lou Jones, BSN, CSSM, Manager, Perioperative Business and Preadmission Testing,
Valleywise Health Allyson Silver, MPH, FACHE, Hospital Executive Director, Surgical Services,
Stony Brook Medicine Sharon Meinster, Executive Director for Facilities Planning,
Stony Brook MedicineAn expansion or redesign is an ideal way to reduce inefficiencies, improve staff and physician involvement, and become a surgical leader in your market. Planning for an OR expansion requires an analysis of where you are today, where your institution is growing, and how your surgical service lines can support that future state. Silver and Meinster will outline how the design phase encompasses technology, capital, and operational flow, and ways in which the operational plan, including the need for additional staff and expenses, will support the initiative and complete the proposal. Join the as they explain how to implement each of these steps in your next expansion, including examples, pitfalls, and lessons learned.
Take-home tools:
Attendees will be given planning tools to help identify the necessary stakeholders, analytics, and operational plan to meet their expansion goals.
1:45 pm - 2:00 pm
Grand Ballroom
Networking
Afternoon Coffee Break
2:00 pm - 3:00 pm
Florida Ballroom
Finance/Data & Analytics
The Art of Sharing: Maximizing Perioperative Equipment Utilization
US health systems spend $45 billion per year on surgical equipment that sits idle up to 90% of its useful life. At the same time, equipment must often be rented to handle last-minute cases or a surge in procedure volume. Kaiser Permanente (KP) leveraged the sharing economy to share expensive equipment across facilities, improving utilization while decreasing costs. Listen to Ronald Loo of Kaiser Permanente and Todd Rothenhaus of Cohealo as they depict just how they utilized sharing to lower overall rental volume by 64% and identify $19.6 million in savings.
Learning Objectives:- Discuss how to gain buy-in for adopting an equipment sharing model.
- Identify the internal resources needed for an equipment sharing pilot.
- Explain the return on investment model developed by KP for sharing equipment.
Take-home tools:
The speakers will supply attendees with an ROI model and a white paper on equipment for sharing and how to reduce the risk of breakage.
Sponsored by:
2:00 pm - 3:00 pm
Amphitheater
Leadership/Operations
Advancing OR Optimization: Implementation Supercharge
Moderator —
Cindy L. Kildgore, MSHA, BSN, RN, CNOR, Perioperative Services Director,
Vanderbilt University Medical Center Jane A. Wagner, MHA-INF, BSN, RN, CENP, Executive Director of Nursing, Perioperative Services,
Yale New Haven HealthAt Yale New Haven Hospital there are four distinct pavilions divided into separate cost centers with dedicated ORs, anesthesia and support staff, charge nurses, and management staff for each unit. In order to reduce the silo mindset created by this structure, a "Super Charge RN" role was created to manage surgical case add-ons across all pavilions and to ensure staff clinical expertise for surgical volumes across the departments. Attend this session to understand how to relocate cases across pavilions to decrease delays, increase efficiencies, and decrease overtime.
2:00 pm - 3:00 pm
Key West
Technology
Tech Tips for Innovating in Your Perioperative Suite
When it comes to finding technological solutions for OR problems, there can be language barriers because of the different backgrounds of business leaders and technology specialists. Wouldn't it be great if they could understand each other and build solutions that are easy to use, instead of looking at each other and saying they didn't understand a word of what was just said? It can take hours to forge a path through the technology mumbo jumbo. Learn alongside Jonathan Puncochar and your colleagues to identify the technology basics that apply to every discussion. You will leave prepared to find common ground for implementing the technology that best serves your patients and providers.
Take-home tools:
Examples of how OR lingo relates to the tech world will be provided, along with tips for initiating meaningful discussions between OR leaders and technology specialists.
3:00 pm - 5:00 pm
Global Ballroom
Networking
Build-a-Wheelchair® sponsored by GETINGE
Sponsored by:
3:00 pm - 5:00 pm
Grand Ballroom
Networking
Networking Event in the Exhibit Hall
5:00 pm - 6:30 pm
Main Pool & Rainforest
Networking
Welcome Reception Sponsored by Cohealo
Sponsored by:
7:30 am - 8:00 am
Grand Ballroom
Networking
Networking Breakfast
8:00 am - 9:00 am
Global Ballroom
Keynotes, Keynotes
Reaching New Partnership Heights with Clinician/Business Manager Collaboration
Renee Hildebrand, MSN, RN, CNOR, RNFA, Director of Perioperative Services,
Houston Methodist Hospital Nikhil Singal, MHA, Business Manager, Surgical Services,
Sutter Medical Center Sacramento The perioperative environment is a dynamic patient care setting that requires leaders to demonstrate skill sets that are clinical as well as operational and financial. In cases where you have a Nursing Director and Business Manager, it’s critical that each role is learning from the other to ensure success of the facility. Hildebrand and Singal know firsthand the value of this partnership and will share with you a unique perspective on the successful collaboration of clinical and business backgrounds and ways you can adapt this relationship into your perioperative suite.
Learning Objectives:- Implement a framework for strengthening the relationship between clinical and financial leaders in the OR.
- Develop a strategic plan to reduce costs without alienating your patients.
- Explain how your team can take traditional value analysis further in impact on surgical margin.
Take-home tools:
Hildebrand and Singal will provide you with a sample job description for the business manager role.
9:00 am - 10:00 am
Florida Ballroom
Finance/Data & Analytics
Do It Right the First Time--Exploring the Benefits of Eliminating Tray Errors
Moderator —
Christina Gravalese, MSN, RN, NE-BC, CPAN, CAPA, Director, Perioperative Services,
Detroit Receiving Hospital and Harper University Hospital, Detroit Medical Center Monica Young, DNP, MBA, RN, CNOR, NEA-BC, FACHE, Vice President Perioperative Services,
Thomas Jefferson University Hospital Stephen Kucinski, BA, Clinical informatic Specialist for Perioperative Services,
Thomas Jefferson University Hospital Stephanie R. Landmesser, MSN, RN, CNOR, CCNS, Clinical Nurse Specialist,
Thomas Jefferson University HospitalPreventable instrument tray errors cause unnecessary risk to an organization. Instrument tray errors can also contribute to OR room delays, case cancellation, and--when bio-burden is present--breakdown of the sterile field and wasted supplies. The average cost of processing one instrument tray is roughly $58, so it can be costly when a tray is not prepared correctly and cannot be used. During this session, the speakers will share how improving the process for surgical instrument preparation can reduce cost and how you can adopt this process for use in your OR.
Learning Objectives:- Describe how to use data analytics to trend instrument tray errors and associated costs.
- Identify how to apply LEAN Six Sigma principles to create a highly reliable department.
- Discuss lessons learned when instituting sustainable change.
Take-home tools:
Sterile processing story boards and a relational database will be shared with attendees through Microsoft Access.
Sponsored by:
9:00 am - 10:00 am
Key West
Supply Management
Fear Isn't Free: Reduce Waste and Save Through Physician Preference Card Standardization
Moderator —
Denise Waslo, MSN, RN, CNOR, CSSM, NE-BC, Director Of Perioperative Services,
Long Island Jewish Valley Stream Marc Lopez, MSHA, CMRP, Surgery Business Manager,
UMC Health System Cassidi Linnenkugel, MSN, BSN, RN, CNOR, Assistant Surgery Business Manager,
UMC Health SystemIn an effort to reduce expenses in their perioperative suite, Lopez and Linnenkugel took on standardization of physician preference cards. Join them as they share the process they used, first standardizing the laparoscopic appendectomy and laparoscopic cholecystectomy cards for their six acute care surgeons, which saved their OR $91,000 per year. Since implementation, they have expanded to four other general procedures and additional service lines. During this presentation, they will describe their process for standardizing physician preference cards, including what worked, what roadblocks were faced, and how they conquered fear of change in the OR.
Take-home tools:
Attendees will be provided a standard format for how to present case cost data and preference cards to surgeons. An example of how to determine which cases are ideal for standardized preference cards will also be shared.
9:00 am - 10:00 am
Amphitheater
Performance Improvement/Quality
A LEAN Approach to Eliminating Waste
Moderator —
Blake Stock, MBA, CPM, Senior Program Manager, Ambulatory Care Network,
Providence Health & Services Judith Seltzer, MS, BSN, RN, CNOR, Clinical Director, Surgical Services,
Mölnlycke Healthcare Perry Wein, RN, MS, CNOR, Director Perioperative Services,
Newport HospitalMany hospitals mistakenly focus on reducing the cost of supplies and labor without considering inefficiencies and associated collateral costs. As a proven model across industry, LEAN is an innovative strategy that helps continuously enhance processes to eliminate waste and achieve quality of care objectives, improve patient and worker safety, quicken delivery of medical services, and lower costs. Taking all of this into consideration, Seltzer will discuss how to evaluate OR practices and quality to identify waste generators and value-add opportunities through LEAN implementation.
Take-home tool:
The speaker will provide a step-by-step algorithm, with product specificity, that explains the initial steps for LEAN implementation and how to eliminate waste will be shared with participants.
10:00 am - 10:30 am
Grand Ballroom
Networking
Morning Networking Break sponsored by Dabir Surfaces
Sponsored by:
10:30 am - 11:30 am
Key West
Supply Management
Thinking Outside the Box to Efficiently Manage Supply Chain
Moderator —
Denise Waslo, MSN, RN, CNOR, CSSM, NE-BC, Director Of Perioperative Services,
Long Island Jewish Valley Stream Burdette Brown, BS, Director of Supply Chain Operations,
Northfield Hospital and ClinicsOpening minds to not only think outside the box, but get rid of the box altogether can create efficiencies in supply chain management. Using 2 bin/Kanban, along with RFID and RPA, eliminates time that has been needed for stocking and figuring out what has been used in a case--getting rid of what is a "have to" and moving to a "need to." People often focus so much on product cost; they forget about the costs that go into getting the product into the OR. Take home the tools necessary to reduce those costs in your perioperative suite and to offset the costs of the "must have" products physicians often demand.
Learning Objectives:- Discuss how to reduce human interaction in the supply chain process and improve accuracy.
- Identify how to better manage stocking times in an OR where no 2 days are alike.
10:30 am - 11:30 am
Florida Ballroom
Leadership/Operations
Gains Over Pains for Instrument Standardization
Moderator —
Matt Ruby, Business Operations Director, Surgical Services,
Northwestern Medicine Carol Pehotsky, DNP, RN, CPAN, ACNS-BC, NEA-BC, Associate Chief Nursing Officer, Surgical Services,
Cleveland Clinic Rebecca Urban, M.Ed, Project Manager,
Cleveland Clinic Mark Taylor, MD, FASE, Chairman of Enterprise Surgical Operations; Staff Anesthesiologist,
Cleveland ClinicHospitals nationwide have thousands of unique instrument trays that take up valuable real estate on their shelves. Trays are cluttered with rarely used instruments that are placed "just in case" they are needed. Such excess wastes time in terms of table setups and instrument reprocessing, and it has a domino impact on OR and sterile processing department budgets. Across our multiple locations in northeast Ohio, we process more than 50,000 instruments daily, and up to 50% of these instruments were going unused during surgical procedures. We developed a "team of teams" approach that led to one setup per procedure for an enterprise of more than 15 hospitals/ambulatory surgery centers. Join us to discover improved outcomes related to cost avoidance and efficiency.
Learning Objectives:- Identify why it’s important to standardize instrument trays.
- Describe the analytics and operational changes needed to standardize instrument trays.
- Discuss the challenges, barriers, and best practices to overcome stakeholder resistance.
Take-home tool:
Our take home tool will outline a roadmap of best practices for sites to standardize their trays.
10:30 am - 11:30 am
Amphitheater
Technology
Value to the MAX: Improving Your Service Contracts
Moderator —
Mike Pfannes, Regional Sales Director,
GETINGE Ramakrishna P. Parchuri, MS, Clinical Engineer-Systems Lead,
Massachusetts General Hospital Brian McLaughlin, MS, MBA, CCE, Perioperative Clinical Engineering Manager,
Massachusetts General Hospital"Would you like the protection plan with your purchase?" From toasters to tomography, service contracts come in as many flavors as the devices they cover. Their value to the healthcare organization can be equally varied. Determining that value takes into consideration many variables beyond cost, such as risk of downtime, noncovered expenses, and service alternatives. Join team members from Perioperative Clinical Engineering at Massachusetts General Hospital as they discuss how they manage $4.5 million annually in equipment service contracts using various tools and techniques to maximize value and meet customer expectations.
Learning Objectives:- Identify different types of service coverage, benefits and risks of each, and how to select options with greatest value.
- Discuss the use of historical data to negotiate high-value contracts.
- Understand the spectrum of resources available for supporting clinical equipment.
Take-home tool:
Attendees will receive a tool for analyzing level of coverage of service contracts, alternatives for equipment support, and key things to look for in contract terms and conditions.
11:30 am - 12:15 pm
Global Ballroom
Keynotes
Keynote Luncheon & Award Presentation: Ingredients for Success in Outpatient Total Joint and Spine Procedures
Judith Pins, MBA, BSN, RN, President,
Pfiedler Education Terry Avitable, MSN, RN, CNOR, Director of Sales and Marketing,
Pfiedler Education An increasing number of total joint and spine surgical procedures are being performed on an outpatient basis. Ambulatory total joint arthroplasty (TJA) and spinal procedures have demonstrated greater patient satisfaction and lower overall procedure costs. What are the key ingredients for ongoing success with these procedures? Join veteran nurse leaders Judy Pins, MBA, BSN, RN, and Terry Avitable, MSN, RN, CNOR, as they explore the factors influencing the movement of these procedures to the ambulatory setting, patient selection criteria, and strategies for building a successful ambulatory perioperative team.Learning Objectives:- Describe factors contributing to the migration of total joint and spine surgical procedures from inpatient to ambulatory settings.
- Discuss patient selection criteria to identify appropriate candidates for outpatient total joint and spine surgical procedures.
- Identify strategies for building the a high-functioning perioperative team to care for total joint and spine patients in the ambulatory setting.
Sponsored by:
12:15 pm - 12:45 pm
Grand Ballroom
Networking
Dessert with Exhibitors
12:45 pm - 1:45 pm
Florida Ballroom
Finance/Data & Analytics
Big Things Start Small: How Profitable Service Lines Flourish in a Community Hospital
Rozanna Penney, CRNA, MSNA, Vice President, Perioperative Services and Chief CRNA,
Heywood Healthcare Shane Doherty, Perioperative Services Materials Manager, Manager of Contract Procurement,
Heywood Healthcare Community hospitals present unique challenges for perioperative leaders charged with developing, growing, and sustaining profitable service lines. For example, limited analytical resources can hamper the ability to make informed, data-driven decisions; limited purchasing power can curtail the ability to force cost-cutting concessions from vendors; and the small number of ORs and available staff can constrain growth strategies. Nonetheless, growth and profitability in the community setting can be achieved. In this session, you will learn how a small community hospital increased case volume by 33% increase while simultaneously reducing materials expenses by 6% and nursing overtime expenses by 7%.
Take-home tool:
The speakers will provide a list of data metrics necessary for financial and operational modeling of service lines as well as cost-saving initiatives and clinician engagement strategies.
Sponsored by:
12:45 pm - 1:45 pm
Key West
Supply Management
Sustainable Gains Follow Meaningful Change in Supply Management Mindset
Expectations for providing high-quality care despite reimbursement reductions require perioperative services leaders to think differently about their systems and make meaningful changes to meet demands but also allow flexibility. A broader, more holistic approach to a clinically integrated supply chain, as opposed to a symptomatic, siloed method that only focuses on immediate needs, is imperative to your organization's success. Join Lynn Sandoval and Thomas Redding as they present real-world case studies to illustrate how thoughtful, integrated change can lead to sustainable gains.
Learning Objectives:- Identify key obstacles to change and approaches to overcome them.
- Discuss lessons learned through the process.
- Describe the impact of a holistic approach on cost, quality, and outcome.
Take-home tools:
The presenters will share case studies to illustrate lessons learned and how attendees can successfully drive meaningful change in their organizations.
12:45 pm - 1:45 pm
Amphitheater
Performance Improvement/Quality
A New Vision of Sterilization: How a Different Pathway Can Conquer Resistant Pathogens
Moderator —
Mary Lou Jones, BSN, CSSM, Manager, Perioperative Business and Preadmission Testing,
Valleywise Health Susan Klacik, BS, CRCST, CIS, SHL, ACE, FCS, Clinical Educator,
International Association of Healthcare Central Services Materiel Management (IAHCSMM)Research has shown that some pathogens are resistant to high-level disinfection (HLD). Additionally, processing semi-critical devices in HLD has resulted in infectious outbreaks. As such, an alternative means of microbial destruction is needed. Some industry leaders recommend transitioning semi-critical items from HLD to sterilization when possible. Shifting to a greater level of quality typically comes with a high cost, but this advancement may not come with a high price tag and may reduce labor time. During her presentation, Susan Klacik, BS, CRCST, CIS, SHL, ACE, FCS, will discuss how transitioning from HLD to sterilization will improve patient care.
Take-home tool:
Klacik will share a checklist to help determine if a semi-critical medical device can transition to sterilization.
2:00 pm - 3:00 pm
Florida Ballroom
Finance/Data & Analytics
Power and Perils of Data Analytics
Moderator —
Bethany Daily, MHA, BA, Executive Director, Perioperative Services and Healthcare Systems Engineering,
Massachusetts General Hospital Vikram Tiwari, PhD, Associate Professor of Anesthesiology and Biomedical Informatics, Director of Surgical Analytics,
Vanderbilt University Medical CenterDoes having more data and information help make better decisions? Data on case volumes, utilization, turnover, surgical yield, cancellation rates, delay reasons, and scheduling inaccuracy are now instantly available in most organizations. However, decision makers are often unable to use these reports to identify areas for improvement. The second level of analysis that is needed for informed decision making is either unmet or produces analytical results that are unverifiable and therefore unusable. This presentation, using real-life examples, will highlight the value as well as pitfalls of analytics.
Learning Objectives:- Discuss common misinterpretations when making decisions based on averages, and how to avoid those mistakes.
- Describe the power of visual analytics.
- Identify the value of control charts and managing by exception.
Take-home tool:
Tiwari will provide attendees a customizable MS-Excel template that calculates the optimal hours of staffing for ORs at different facilities.
Sponsored by:
2:00 pm - 3:00 pm
Key West
Performance Improvement/Quality
Keeping Up with Perioperative Change: Understanding and Evaluating Evolving Safety and Quality Indicators
Moderator —
Gail Avigne, MSN, RN, BA, CNOR, Principal Consultant,
Press Ganey Adam Higman, MS, DHA, FACHE, Partner, Strategic Consulting Services,
Press Ganey Julie Classen, MSN, RN, Manager, Clinical Advisory Services,
Press GaneyIncreasing regulatory requirements and organizational pressure to improve performance within surgical and interventional services make surgical quality reporting more important than ever before. Growth in ambulatory volume and patient comorbidities, along with a drive toward zero harm, have increased attention on quality reporting and actionability for healthcare organizations nationwide. Classen and Higman will provide strategies for improving your organization's quality measures and diagnostics, including ensuring their relevance to operational and financial goals.
Learning Objectives:- Discuss trends in organizational and regulatory surgical quality measure reporting.
- Describe criteria for developing the best surgical quality dashboard.
- Identify tactics for demonstrating the impact of quality measures on financial and operational performance.
Take-home tools:
Speakers will share sample quality dashboards from other healthcare clients and a decision tree for determining appropriate metrics.
2:00 pm - 3:00 pm
Amphitheater
Leadership/Operations
Value-Based Education for Clinicians
Moderator —
Denise Waslo, MSN, RN, CNOR, CSSM, NE-BC, Director Of Perioperative Services,
Long Island Jewish Valley Stream Claire R. Everson, RN, CNOR, CCAP, Education Coordinator,
GAIEveryone in perioperative services--leaders, supply chain managers, business office staff, and clinical staff--needs to understand value-based purchasing. Many find the concept confusing because they struggle with the notion that healthcare is a business. Effective mentoring can help bridge gaps in understanding, and new ways of presenting information to staff can facilitate learning. During this presentation, these educational approaches will be discussed along with the many resources available to you.
Take-home tools:
Everson will share a list of online resources for leadership and staff to use as part of their review and a sample presentation using PechaKucha.
3:00 pm - 3:30 pm
Grand Ballroom
Networking
Afternoon Networking Break
3:30 pm - 4:30 pm
Florida Ballroom
Finance/Data & Analytics
How Nimble Is Your Staffing Model?
Moderator —
Matt Ruby, Business Operations Director, Surgical Services,
Northwestern Medicine Frances J. Strauss, MSN, MBA, MHA, RN, CNOR, NE-BC, Clinical Director,
Penn Medicine--Pennsylvania Hospital Megan E. Sanders, BS, Business Manager,
Penn Medicine--Pennsylvania HospitalStaffing to a block duration can be inefficient. Uncontrolled variables such as increased case complexity and unexpected staff absences can cause chaos. Leaders from Penn Medicine--Pennsylvania Hospital used data analytics to measure the efficiency of matching staffing against an optimized OR schedule, which allowed them to predict staffing hours to case hours and determine a productivity score. By matching staff to case demand, they realized a 6.4% labor savings and improved productivity. Learn how you can do the same at your facility!
Learning Objectives:- Identify a standardized way to calculate predicted against actual staffing hours to case hours in determining a productivity score.
- Discuss the process of using the productivity score to match staff to case demand for the elective schedule.
Take-home tool:
Speakers will share a personalized tool including inputs of call out, PTO, case hours, and room utilization and a process for OR leadership to compare predicted against actual staffing needs to identify gaps.
Sponsored by:
3:30 pm - 4:30 pm
Key West
Performance Improvement/Quality
Family Plan Optimization Block
Moderator —
Dolores Reisert, MS, RN, CNOR, NE-BC, Senior Administrative Director ll,
Long Island Jewish Valley Stream Elizabeth J. Casey, MSN, RN, CNOR, Vice President of Surgical Services,
Baystate Medical Center Mike Albert, MD, Director of Surgery, Surgical Services,
Baystate Medical Center Cathy Little, Supervisor of Surgical Scheduling, Surgical Services,
Baystate Medical CenterThe Baystate Medical Center had poorly utilized blocks and realized something needed to be done. As such, they redesigned their processes by using "family" block innovative concepts, which increased utilization by 22% within 3 months of implementation. Join these leaders as they discuss their move from an antiquated block system to this new design, and learn how you can adopt a similar model.
Learning Objectives:- Describe the importance of block schedule redesign and horizontal movement of full-time equivalents.
- Discuss how innovative influence can improve OR utilization using tiered scheduling resources.
- Identify expectations for outcomes and potential barriers to adopting the new model.
Take-home tools:
A sample block schedule template and sample dashboard template to assist with outcome measurements will be shared. The speakers will also provide attendees with talking points to use in presenting the “family” block redesign concept to surgical and senior leadership. Take home FAQ examples to prepare and anticipate questions asked and concerns anticipated during redesign.
3:30 pm - 4:30 pm
Amphitheater
Leadership/Operations
A Success Story: Joint Bundles
Moderator —
Cindy L. Kildgore, MSHA, BSN, RN, CNOR, Perioperative Services Director,
Vanderbilt University Medical Center Kathleen Gillespie, MBA, RN, NE-BC, Assistant Vice President, Orthopedic Service Line,
Virtua Health Christine Gordon, MBA, BS, Director of Reimbursement,
Virtua HealthVirtua Health has been participating in the Centers for Medicare & Medicaid's voluntary bundled payment program since April 2015. Through physician gain sharing, care redesign, and management of post-acute services, more than $20 million has been saved and clinical outcomes have improved. Case studies will be shared during this session to demonstrate individual processes, scenarios, and lessons learned that can be implemented upon return to your facility.
Learning Objectives:- Describe the physician gain sharing model.
- Discuss a multidisciplinary approach to care redesign.
- Identify strategies to coordinate care and reduce costs in the post-acute setting.
Take-home tool:
Attendees will receive copies of the session slides, which will include tools used by the speakers.
4:45 pm - 5:45 pm
Florida Ballroom
Finance/Data & Analytics
Quality, Safety, Patient Experience: Essential Components of a Business Toolkit
Moderator —
Matt Ruby, MHA, Business Operations Director, Surgical Services,
Northwestern Medicine Blake Stock, MBA, CPM, Senior Program Manager, Ambulatory Care Network,
Providence Health & ServicesPerioperative business managers wear many hats, with responsibilities that include budgets, staffing, procurement, scheduling, expanding patient access, and data analytics management. Business managers should also carry in their toolbox a foundational understanding of safety, clinical quality, and patient experience because these components have a major impact on perioperative business success. The speaker will offer a framework and strategy for managing safety, quality, and patient experience as well as how these business facets can impact the bottom line.
Learning Objectives:- Identify the fundamentals of quality program management.
- Discuss how a culture of safety can contribute to your bottom line.
- Describe the core analytics needed for every safety, quality and patient experience program.
Take-home tools:
A listing of core measurements (analytics) and definitions needed to manage safety, quality, patient experience, and employee engagement for your operating room.
Sponsored by:
4:45 pm - 5:45 pm
Key West
Supply Management
Loan Star: A "How To" Guide
Moderator —
Mary Lou Jones, BSN, CSSM, Manager, Perioperative Business and Preadmission Testing,
Valleywise Health Meaghan Gray, BS, Director, Sterile Processing,
Massachusetts General Hospital Ryan Brumit, MBA, Program Manager, Pre-Procedure Systems,
Massachusetts General HospitalMassachusetts General Hospital strives to improve the timeliness and accuracy of its loaner request-to-fulfillment process. By channeling existing loaner instrument requests to a proactive vendor inventory management system, OR leaders there are able to track accountability, regulate the loaner sets that are delivered, and streamline communication. Join Meaghan Gray and Ryan Brumit as they discuss implementation of their loaner instrument program and the improvement initiatives that have made their process and assets work for them.
Learning Objectives:- Discuss how to map current-state processes to identify gaps in workflow and data.
- Describe how to connect multiple systems and drive information to stakeholders.
- Discuss ways to bolster accountability for all touch-points in the loaner request-to-fulfillment process.
4:45 pm - 5:45 pm
Amphitheater
Performance Improvement/Quality
Use of A3 Methodology Improves Performance
A structured problem-solving approach called A3 Methodology was used to improve performance in a presurgical testing department. To make this happen, a patient-friendly scheduling system for providers was developed to increase staffing efficiency and productivity as well as enhance the patient experience. By doing this, patient wait times were reduced by 50%, and both operational production and staffing efficiency increased in a practice that has 20,000+ yearly visits. Hear their success story as they discuss a step-by-step approach for using the A3 Methodology to meet your departmental and organizational goals.
Take-home tool:
Leaders from Northwell Health will share a copy of the A3 Methodology tool that attendees can adapt for use in their own facilities.
6:30 pm - 7:30 pm
Movement Studio
Networking
Evening Activity: Gentle Yoga
Join yoga instructor Jessica for the popular "Gentle Yoga" course. During the hour-long session you will experience a variety of floor-based yoga postures, gentle meditation and relaxed breathing exercises. Great for all levels! A special discount of $12/person has been arranged for ORBMC attendees. Payment will be processed upon check-in at the Spa Front Desk.
*please arrive 15 minutes early
7:30 am - 9:00 am
Global Ballroom
Keynotes
Breakfast Keynote: Increasing OR Access, Accountability, and Transparency at Duke University Health Care System
Even with the best block allocation in place, demand for OR time fluctuates. Historically, there has been no proactive creation of more open time, no visibility or notification of available time, and no ability to electronically request such time. This leaves a significant amount of unused block time, with some blocks abandoned while new surgeons struggle to find the block time they need. Leaders at Duke University Health System have successfully leveraged electronic health record (EHR) data to improve OR access through mobile and web technologies. Join Melissa Pressley, BS, management engineer at Duke University Health System, and Ashley Walsh, MHA, director, client services for LeanTaaS, to learn how surgeon-centric metrics and reporting have increased accountability, and helped surgeons better understand the "why" behind OR metrics.
Learning Objectives:- Discuss how Duke University Health increased OR access during standard business hours for both new and existing surgeons using data from their EHR.
- Describe the effect of surgeon-centric utilization metrics on accountability and OR capacity management.
- Discuss how adding visibility helped Duke surgeons better understand the “why” behind OR metrics.
Sponsored by:
9:00 am - 10:00 am
Florida Ballroom
Finance/Data & Analytics
DATA, DATA, DATA--So What?
Moderator —
J. Michael Jones, FACHE, Vice President, Healthcare Solutions,
IronSafe/Trellance Rebecca Klungreseter, MSQSM, MAEd, BSN, RN, CNOR, CPAN, CAPA, NEA-BC, Executive Perioperative Consultant/Interim Director,
Southeastern HealthCommon targets for increased efficiency include improvements in block utilization, scheduling, first case on-time starts, turnaround times, and preference card accuracy. However, collecting data points does not necessarily translate to using them effectively to change processes. Leaders must be able to identify the purpose of the data points, what information they provide, and what else might be needed that isn't currently being collected. The leaders of this presentation will share how to do that while interpreting data. Join them as they examine data collection methods and how to develop dashboards with the data that are most necessary for process change.
Learning Objectives:- Identify methods of collecting data.
- Discuss potential hazards of collecting information without value.
- Describe how to develop a dashboard with decision data points that are most valuable to an organization.
Take-home tools:
A spreadsheet template will be shared with attendees to assist them in evaluating block and OR utilization. Participants will also gain access to dashboard examples with instructions for design and development.
Sponsored by:
9:00 am - 10:00 am
Key West
Performance Improvement/Quality
Turnover? And I Don't Mean Pastry!
Moderator —
Mary Lou Jones, BSN, CSSM, Manager, Perioperative Business and Preadmission Testing,
Valleywise Health Rosemarie Roesler, MSN, RN, CNOR, CSSM, Senior RN Manager,
Banner Health Medical Group Susan A. Johnson, MSN-NL, RN, NEA-BC, RN Director,
Banner Health Medical GroupIn 2017, Rosemarie Roesler and Susan Johnson of Banner Health placed performance indicators for orthopedic turnover times. By doing this, their leadership team was able to highlight the goal of improved orthopedic turnover and efficiencies among all specialties in the service line. They found that engaging the team in perfecting turnover time quickly became a fun competition for the teams to see who could do it faster, better, and more safely. During this presentation, the speakers will discuss the skill set needed to remove barriers and change the "business as usual" perception of many surgeons and anesthesiologists.
Take-home tools:
Roesler and Johnson will share their PowerPoint presentation with attendees, along with examples of competition boards.
9:00 am - 10:00 am
Amphitheater
Leadership/Operations
Building Effective Teams With Style
Gerry Ibay, Vice Chair and Assistant Professor, MHA Program Director,
University of Oklahoma Health Sciences Center Tammy McGowen, Perioperative Clinical Nurse Specialist,
Children's Hospital at OU Medicine Relationships in the OR can be strained, and many healthcare organizations could stand to improve collaboration. A primary cause of relationship tension is that different behavioral styles among team members tend to produce conflicting priorities and expectations, often leading to frustration, hostility, and burnout. Years of research have shown that people are one of four Social Styles, each with preferred ways of acting, thinking, making decisions, and relating to others. This presentation will explore these differences and demonstrate how leaders armed with this insight can better understand how to unite people with different decision making and control needs.
Learning objectives
Understand the four Social Styles and how to design Style-based teams.
Develop enhanced hiring practices to select Style-specific talent.
Develop enhanced onboarding practices to nurture interprofessional effectiveness.
Take-home tool
Each participant will take home a working model of how to identify Social Style behaviors, guidelines for how to hire for specific Styles, and recommendations to continually develop effective interprofessional relations based on Style.
10:15 am - 11:15 am
Florida Ballroom
Finance/Data & Analytics
Decode the Mystery of Block Scheduling: Align Block Time to Financial Performance
Moderator —
Dolores Reisert, MS, RN, CNOR, NE-BC, Senior Administrative Director ll,
Long Island Jewish Valley Stream Jessica M. Goldbeck, MHA, Director, Perioperative Business Operations,
Northwell HealthBlock time traditionally has been allocated based on legacy "ownership," historical case volume, and utilization metrics. These metrics are often reviewed quarterly or semi-annually, but what if they were examined more often? Jessica Goldbeck, MHA, will discuss a framework for reviewing block utilization monthly and a tool she used to align block allocation with budgeted volume expectation. She will also share a methodology for right sizing blocks as well as how block performance relates to utilization, mission, and margin. You'll leave this session prepared to create synergies between your block committee and clinical, service line, and financial leaders.
Take-home tools:
Attendees will bring the following tools back to their OR: scorecard templates for utilization information, a framework to integrate the block committee with finance and service line leadership, and a block allocation algorithm.
Sponsored by:
10:15 am - 11:15 am
Key West
Supply Management
Cost Control: Understanding the Hidden Cost of Implants
Moderator —
Denise Waslo, MSN, RN, CNOR, CSSM, NE-BC, Director Of Perioperative Services,
Long Island Jewish Valley Stream Girard Senn, MS, RN, Director,
Pinnacle Healthcare ConsultingRising supply chain costs and perpetual new implants make it hard to control costs. At the same time, new reimbursement models are putting pressure on hospitals to reduce expenses for high-volume, high-cost procedures in such areas as cardiology, orthopedics, and neurosurgery. Many healthcare leaders do not manage physician preference items (PPIs) effectively because the team lacks the time, staffing, or knowledge to oversee the hundreds of PPIs under its purview. During this session, Senn will reveal loopholes that can lead to price increases and offer cost control strategies for you to implement in your perioperative suite.
Learning Objectives:- Explain the critical terms and conditions needed in purchase agreements to minimize pricing loopholes.
- Describe the advantages and disadvantages of using an implant formulary to manage product price and utilization.
- Discuss ways to manage pricing and expense.
Take-home tool:
Attendees will leave with a checklist outlining the critical business terms and strategies to consider when managing procedure margins.
10:15 am - 11:15 am
Amphitheater
Performance Improvement/Quality
Sterilizing in a Semi!
How do you handle sterilization in the wake of a natural disaster, immediate jeopardy findings, or some other emergency? Leaders at Ohio State University Wexner Medical Center have turned to a mobile sterilization system for support in such instances. From this presentation, leaders in the OR, central sterile, supply chain, and administration will gain an understanding of what it takes to successfully operate sterilization in constrained environments and how to develop a seamless process that works within those constraints.
Learning Objectives:- Discuss the cost and time associated with obtaining a mobile sterilization unit.
- Describe how to capacity plan for sterilization based on equipment and staffing.
- Describe the facility planning requirements associated with staging a mobile sterilization unit.
A capacity planning tool for moving sterilization to a smaller facility or mobile unit. The tool can also be used to calculate the impact on overall sterilization capacity during maintenance periods and other planned outages.