Reducing Operating Room Costs Through Real-Time Cost Information Feedback: A Pilot Study

Tabib, Christian; Bahler, Clinton D.; Hardacker, Thomas; Ball, Kevin M.; Sundaram, Chandru P.

doi:10.1089/end.2014.0858

Cited by 38 publications

(21 citation statements)

References 3 publications

(2 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Banka et al found that HCAHPS scores improved as a result of real‐time feedback given to residents, but the study was not randomized, utilized a pre‐post design that resulted in there being differences between the patients studied before and after the intervention, and did not provide patient‐specific data to the residents. Tabib et al found that operating costs decreased 17% after instituting real‐time feedback to providers about these costs. Reeves et al conducted a cluster randomized trial of a patient feedback survey that was designed to improve nursing care, but the results were reviewed by the nurses several months after patients had been discharged.…”

Section: Discussionmentioning

confidence: 99%

Real‐time patient experience surveys of hospitalized medical patients

Indovina¹,

Keniston²,

Reid³

et al. 2016

Journal of Hospital Medicine

View full text Add to dashboard Cite

BACKGROUND Real‐time feedback about patients' perceptions of the quality of the care they are receiving could provide physicians the opportunity to address concerns and improve these perceptions as they occur, but physicians rarely if ever receive feedback from patients in real time. OBJECTIVE To evaluate if real‐time patient feedback to physicians improves patient experience. DESIGN Prospective, randomized, quality‐improvement initiative. SETTING University‐affiliated, public safety net hospital. PARTICIPANTS Patients and hospitalist physicians on general internal medicine units. INTERVENTION Real‐time daily patient feedback to providers along with provider coaching and revisits of patients not reporting optimal satisfaction with their care. MEASUREMENTS Patient experience scores on 3 provider‐specific questions from daily surveys on all patients and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores and percentiles on randomly selected patients. RESULTS Changes in HCAHPS percentile ranks were substantial (communication from doctors: 60th percentile versus 39th, courtesy and respect of doctors: 88th percentile versus 23rd, doctors listening carefully to patients: 95th percentile versus 57th, and overall hospital rating: 87th percentile versus 6th (P = 0.02 for overall differences in percentiles), but we found no statistically significant difference in the top box proportions for the daily surveys or the HCAHPS survey. The median [interquartile range] top box score for the overall hospital rating question on the HCAHPS survey was higher in the intervention group than in the control group (10 [9, 10] vs 9 [8, 10], P = 0.04). CONCLUSIONS Real‐time feedback, followed by coaching and patient revisits, seem to improve patient experience. Journal of Hospital Medicine 2016;11:251–256. © 2016 Society of Hospital Medicine

show abstract

Section: Discussionmentioning

confidence: 99%

Real‐time patient experience surveys of hospitalized medical patients

Indovina¹,

Keniston²,

Reid³

et al. 2016

Journal of Hospital Medicine

View full text Add to dashboard Cite

show abstract

“…Operating time is a valuable factor in health care economics, ranges approximately from 750 to 2200 dollars per hour operating time in USA & Europe [ 19 – 23 ]. In addition, less operating time may accomplish increased surgical efficiency, volume of performed cases, and reduction of patient’s waiting list, especially in high volume setting centres [ 19 – 22 ]. Our results showed that there is a statistically significant difference between operating time for endoscopic DCR using the drill compared with kerrison punch.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Dacryocystorhinostomy (DCR): a comparative study between powered and non-powered technique

Herzallah

Al-Zuraiqi

Bawazeer

et al. 2015

J of Otolaryngol - Head & Neck Surg

View full text Add to dashboard Cite

BackgroundDacrocystorhinostomy (DCR) is an operation used to treat nasolacrimal duct obstruction. Essentially there are two approaches: external and endoscopic. Several modalities are used in endoscopic DCR; all aiming to improve success rate, reduce complications, and shorten operative time. Both kerrison punch and drill are widely used in endoscopic DCR with non-conclusive knowledge about differences in operative details as well as on the outcome. The aim of this study is to compare between powered (drill) and non-powered (kerrison punch) DCR to clarify the superiority of one over the other.MethodsA retrospective chart review of 59 patients who underwent endoscopic DCR procedure at our institution from June 2013 until July 2014 (34 kerrison punch and 32 powered drill). Operative details, surgical outcome and complications were compared between both groups.ResultsA total of 66 endoscopic DCRs were performed on 59 patients. Procedure success rate among kerrison punch group was 87.88 % vs. 90.9 % in powered drill group (p = 0.827), while complications for both groups were statistical not significant (p = 0.91). The mean operating time among kerrison punch group was significantly lower than in powered drill group (75 min vs. 125 min, p = 0.0001).ConclusionKerrison punch showed significant reduction in operating time when compared to powered drill for endoscopic DCR. No statistically significant difference was found between both groups regarding procedures’ success rate and complication.

show abstract

“…Dashboards also serve to increase surgeon awareness of their costs and have demonstrated cost improvements since rollout. For example, Tabib et al also looked to improve efficacy of healthcare spending by reducing operating room costs with real-time, surgeon-specific feedback on procedure expenses [ 43 ]. In this study, urologists successfully reduced operating room cost using immediate feedback and cost comparisons.…”

Section: Resultsmentioning

confidence: 99%

“…Individuals' performances were identifiable amongst colleagues, and this transparency enabled collaboration in identifying areas for cost reduction and implementing appropriate changes. Tabib concluded that the transparency in their methods successfully altered surgeon behavior but noted that further studies are necessary to show equivalence in patient outcomes [ 43 ].…”

Section: Resultsmentioning

confidence: 99%

The Effect of Feedback on Surgeon Performance: A Narrative Review

Rankin

Brand

Wiznia

2020

Advances in Orthopedics

View full text Add to dashboard Cite

Surgeons play a critical role in the healthcare community and provide a service that can tremendously impact patients’ livelihood. However, there are relatively few means for monitoring surgeons’ performance quality and seeking improvement. Surgeon-level data provide an important metric for quality improvement and future training. A narrative review was conducted to analyze the utility of providing surgeons direct feedback on their individual performance. The articles selected identified means of collecting surgeon-specific data, suggested ways to report this information, identified pertinent gaps in the field, and concluded the results of giving feedback to surgeons. There is a relative sparsity of data pertaining to the effect of providing surgeons with information regarding their individual performance. However, the literature available does suggest that providing surgeons with individualized feedback can help make meaningful improvements in the quality of practice and can be done in a way that is safe for the surgeons’ reputation.

show abstract

Reducing Operating Room Costs Through Real-Time Cost Information Feedback: A Pilot Study

Cited by 38 publications

References 3 publications

Real‐time patient experience surveys of hospitalized medical patients

Real‐time patient experience surveys of hospitalized medical patients

Endoscopic Dacryocystorhinostomy (DCR): a comparative study between powered and non-powered technique

The Effect of Feedback on Surgeon Performance: A Narrative Review

Contact Info

Product

Resources

About