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Perioperative Management Services


    Perioperative Services is the most resource intensive areas of a hospital. Successful management of Perioperative Services maximizes resource utilization (rooms, personnel, equipment), minimizes expenses, creates a positive relationship between patients, surgeons, perioperative staff and management and generates maximum revenues. The secret of success is to cost-effectively manage the myriad independent variables to best support the focus of the department, the surgical procedure.  We believe this philosophy is vital to successful management of this essential service.

    Our Perioperative Management Services offer healthcare institutions an array of programs focused on increasing room availability, reducing costs, enhancing resource utilization, and improving services to the patient and surgeon. Each engagement is carefully tailored to meet the needs of the specific healthcare institution. Our efforts are focused on providing our clients the maximum benefit from our consulting engagement.  PECA professionals are prepared to provide support in the following areas of Perioperative Management Services:


Surgical Practice Relationships

Does your perioperative services effectively meet the needs of the surgeons in your service area? Are you maximizing client satisfaction? Does your scheduling office maximize utilization? PECA staff can analyze utilization data and conduct confidential interviews with surgeons and their office staff to identify opportunities to increase the satisfaction of patients and surgeons with the perioperative services your facility offers. We can help identify reasons why utilization is not at an optimal level and help develop and implement service strategies that increase utilization and market share.

Operations Assessment Services

Is the Perioperative Services department operating effectively? Our experts will conduct an analysis of Perioperative Services operations. By utilizing a functional approach (i.e. scheduling, patient registration, pre-operative holding, suite management, etc.), we can develop a systems perspective of operations to identify strengths and weaknesses in your current operations. We will draft recommendations to improve noted weaknesses, assist in prioritizing strategies for improvement and develop an implementation plan. All recommendations will include a cost/benefit analysis.

Workflow and Processes Services

Is the design of the Perioperative Services maximizing resource utilization? Because of the service intensity, the design of the workflows and processes in Perioperative Services is critical. Our experts can review historical data and observe current workflows to identify redundancies and opportunities for cycle time (e.g., patient flow) improvement. Our experts will conduct an analysis of Perioperative Services operations.By utilizing a functional approach (i.e. scheduling, patient registration, pre-operative holding, suite management, etc.), we will develop process maps of the sequential steps to identify opportunities to maximize resource (suites, staff, etc.) utilization and improve cycle times. All recommendations will identify resources needed for accomplishment, approximate timelines, and cost/benefit analysis.

Information technology Assessment

Do you collect the necessary data to perform ongoing operational assessments and routinely evaluate the impact of policy and management decisions on efficiency? Utilization? Revenues? PECA staff can analyze existing and planned information technology systems and strategies to evaluate their ability to support effective policy and operational decisions. We can analyze and evaluate your case scheduling system and help identify opportunities for improving the process and maximizing utilization of scheduled capacity. We can help you evaluate the effectiveness of information dissemination within the organization and it’s impact on achieving departmental goals and institutional mission.

Supply Chain Re-engineering Services

Is your supply chain maximizing value? The need for the right product at the right time is most critical in Perioperative Services. Every time a product is handled, cost is added. Supply chain activities include a variety of inter-dependent processes. The PECA team will critically assess current practices relative to the supply chain and develop detailed process maps and cycle times of all critical materials processes. Utilizing our experiences with hundreds of health care facilities, we will re-engineer these process maps to enhance the efficiency and effectiveness of the service level provision in the supply chain. We will develop flow diagrams of the supply chain processes to identify unnecessary and/or redundant activities. We will conduct par capacity analyses to identify low utilization of current resources and will re-engineer the current processes to assure a proper balance is established between utilization of labor, inventory, and space resources. The outcome of these efforts will be reduced costs and enhanced service levels.

Product Line services

Are you effectively managing the cost of your product lines? We can provide a full assessment of specific Perioperative Service product lines (i.e. orthopedic implants, intraocular lenses, etc.) to assist clients in managing the cost of supply intensive areas. Our typical project involves defining consumption, identifying supplier market shares, development of a request for proposal, supplier evaluation, supplier negotiation, selection of suppliers, and contract development. Inherent in this process is the close working relationship with the medical staff to encourage change, identify opportunities, and establish negotiating leverage. We have been very successful in developing prime supplier relationships for major product lines resulting in cost reductions, more appropriate utilization of technology, developing measurable clinical outcomes, and operating efficiencies.

Inventory Management Services

Do you have the right amount of inventory? Perioperative Services often has the largest amount, and slowest moving, inventory in the organization. Inventory represents a buffer between supply and demand. Accurate data can forecast the need and availability of products to shrink this buffer. We can help reduce inventories! Using statistical analysis, we will measure inventory throughput by commodity and by location, develop strategies for reduction and establish monitoring systems to ensure inventory levels remain low. We can also serve as an agent to negotiate with vendors to return excess inventories for credit.

Product Selection/Utilization Services

Are you choosing and using products and services effectively? Perioperative Services offer an ideal opportunity to reduce non-salary expenditures due to the resource intensity of services. Effective reduction of product costs often involves a detailed analysis of product introduction, standardization, value analysis, and consumption. We can develop purchasing profiles, assess product usage, and determine price trends. By identifying product redundancies, we can help to effect lower costs through standardization of products and/or practices.

Compliance Services

Are you in compliance with the variety of standards developed by accrediting and regulatory organizations? Standards developed by the Joint Commission for Accreditation of Healthcare Organizations mandate that all position descriptions be criteria-based. In addition, OSHA, state and local agencies, and other organizations have developed regulatory guidelines with mandatory compliance requirements. PECA can assist in developing criteria-based position descriptions that provide prescriptive and proscriptive expectations. We can provide a review of your Perioperative Services to determine the degree of compliance in your current operations and documentation, thereby facilitating preparation for JCAHO and other accrediting and regulatory organizations.

Performance Measurement Services

How does your Perioperative Service measure up? With the variety of processes involved, the absence of overall standards of performance measurement, and the lack of uniformity in the roles and responsibilities of Perioperative Services in otherwise similar institutions, evaluating the effectiveness of the materials management function can be frustrating. PECA professionals can assist in the development of a series of meaningful parameters of performance to provide ongoing assessment of the strengths and weaknesses of the operation.

Sterile Processing Services

Is your sterile processing function working effectively? The sterile processing function is critical to Perioperative Services’ success. PECA professionals, with experience in infection control, quality assurance, and sterilization practices, can provide an assessment of the sterile processing function. This analysis includes the study of layout (product and workflows), practices and procedures, replenishment systems, regulatory compliance, centralization of services, and service levels. We can also analyze the effectiveness of current policies and procedures and develop/implement case cart systems.

Resource Allocation Services

Are you staffed appropriately? Using our database of hundreds of client healthcare facilities, we can analyze staffing levels and skill mix in Perioperative Services. We can evaluate service provision, define work standards, and assist clients to develop and implement productivity systems and standards for Perioperative Services to assure prudent labor resource utilization. Most importantly, we can re-engineer the entire process cycle to assure maximum resource utilization while maintaining and/or enhancing service quality.

Market Assessment and Planning Services

Do you know where you want Perioperative Services to go? We can assist in the developing market assessments and financial projections for Perioperative Services for acute inpatient, hospital-based ambulatory, or freestanding ambulatory surgery centers. We have worked with medical centers, physicians, and private parties to develop market assessments and financial projections for future business activities. We will also conduct “sensitivity” (e.g., what if) analyses to provide a variety of financial projection estimates and tailor our work, as needed, for financing purposes.

Organizational Services

Are you considering major changes in Perioperative Services? If you want to reorganize the Perioperative Management Services within your organization we can assist you! We can provide a variety of process and structural models with advantages and disadvantages of each model. We can help you to select the model most appropriate for your situation and develop plans for implementation. This process converts the developed concepts into a detailed plan to achieve enhancements in service levels and reduced costs. By working closely with your staff, we will develop a logical sequence for reorganization and restructure of the Surgical Department. The strategic plan will include a detailed plan of implementation as well as identification of resource requirements (e.g. space, information, staff, capital, etc.) and a cost/benefit analysis.

Implementation Services

Do you have the resources to implement the initiatives that you plan? Our professionals can provide ongoing assistance to the Perioperative Services to train and educate staff and/or provide implementation assistance on an interim or ongoing basis. Our expertise in change management can help you translate conceptual design to performance reality.

Interim Management Services

Do you have a Vacancy in management? PECA staff can provide management assistance to support short term and/or long term objectives for Perioperative Services. Our experienced staff will function as the manager of the Perioperative Services and provide day-to-day guidance as well as implement systems to produce immediate and ongoing bottom line savings.Our on-site managers can provide transitional management (used to implement specific interventions), replacement management (used to bridge the gap between permanent managers) or management mentoring (combining Transitional and Replacement Management with active mentoring). Regardless of the management function, our managers will demonstrate a team approach, open communication, conflict resolution, problem solving, and staff development.