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9780750699112

Operating Room Management

by ; ; ; ; ;
  • ISBN13:

    9780750699112

  • ISBN10:

    0750699116

  • Format: Hardcover
  • Copyright: 1999-08-01
  • Publisher: Elsevier Science Health Science div
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List Price: $72.95

Summary

The operating room suite is a small business unit functioning within a parent organization (hospital or medical center). For this reason, it must be managed with effective business methods similar to those used in industry. Operating Room Management applies constructive business strategy to the operating room suite, dealing with issues including organizational structure, financial management, accounting principles, inventory control, operations management, and marketing. Detailing the elements necessary for the efficient functioning of the operating room, this book is designed to help anesthesiologists and managers who are actively engaged in day-to-day operating room management or who have broad administrative or fiscal responsibilities for the operating room suite.

Table of Contents

Foreword xiii
Paul G. Barash
Inez E. Tenzer
Preface: Why a Book on Operating Room Management? xv
Prologue: Terminology and Scenarios xvii
The Clinical Enterprise
1(8)
History
1(1)
Characteristics of the Operating Room Environment
2(1)
Trends in Surgery
3(3)
Mission of the Operating Rooms
6(2)
Summary
8(1)
Influence of Managed Care
9(12)
Reimbursement Methods
9(5)
Organizational Structures
14(1)
Integration: Vertical and Horizontal
15(2)
Competition for Patients
17(1)
Effects on the Operating Room Suite
18(2)
Ethics of Managed Care
20(1)
Strategic Management in a Competitive Environment
21(12)
Strategic Management
21(1)
Structural Analysis
22(2)
Sustainable Competitive Advantage
24(1)
Developing a Competitive Strategy
25(1)
Competitive Moves
26(1)
Business Plan
27(4)
Summary
31(2)
Analyzing Financial and Operational Performance
33(22)
Uses of Financial Information
34(1)
Users of Financial Information
34(1)
Financial Accounting versus Managerial (Cost) Accounting
35(1)
Financial Statements
35(4)
Financial Performance
39(3)
Operational Performance
42(4)
Summary
46(1)
Appendix 4-1. Community Health Care System: Analysis of Financial Statements and Performance Indicators
47(1)
Analysis of Financial Statements
47(1)
Analysis of Financial Performance Ratios
48(2)
Analysis of Operational Performance Ratios
50(1)
Influence of Operational Performance on Financial Performance
50(5)
Managerial (Cost) Accounting
55(20)
Cost Behavior
56(2)
Controllable Costs
58(1)
Future Costs
59(1)
Direct versus Indirect Costs
60(1)
Allocation of Indirect Costs to the Operating Room Suite
60(1)
Costing Methods for Patient Care Services
61(1)
Budgeting
62(1)
Special Cosiderations for Operating Room Managers
62(2)
Summary
64(11)
Appendix 5-1. Comparison of Methods for Allocating Indirect Costs
65(3)
Appendix 5-2. Comparison of Methods for Allocating Costs to Patient-Care Services
68(7)
Management Services
75(10)
Management and Leadership
75(4)
Operating Room Organizational Structures
79(3)
Operating Room Manager
82(2)
Summary
84(1)
Clinical Services
85(16)
Surgical Specialties
85(1)
Surgical Practice
86(1)
Organization of the Surgical Service
87(1)
Anesthesia Practice
88(2)
Organization of the Anesthesia Service
90(1)
University Medical Centers
90(1)
Nursing Service
90(6)
Other Clinical Services
96(2)
Other Professional Relationships
98(3)
Operations Management: The Operating Room Schedule
101(12)
Scheduling Considerations
101(1)
Allocation of Operating Room Time
102(3)
Ambulatory Surgery Scheduling
105(1)
Operating Room Schedule
106(1)
Preoperative Evaluation
107(1)
Day of Surgery
108(5)
Materials Management
113(20)
Preference and Procedure Cards
115(9)
Managing Materials
124(3)
Purchasing
127(1)
Instruments
128(2)
Equipment
130(1)
Anesthesia Supplies and Equipment
131(1)
Performance Standards
131(2)
Information Management: Evidence-Based Operating Room Management
133(18)
Information Systems Design
133(1)
Medical Information System
134(1)
Operating Room Information System
134(2)
Operating Room Database
136(1)
Data Entry
137(1)
Report Generation
137(2)
Operating Room Utilization Analysis
139(5)
Operating Room Cost Analysis
144(1)
Miscellaneous Reports from the Operating Room Database
145(1)
Operating Room Database for Billing
146(1)
Procedure Codes
146(1)
Data Integrity
147(1)
Data Confidentiality and Security
147(1)
Operating Room Scheduling
148(1)
The Operating Room Schedule As an Electronic Report
149(1)
Scheduling Work Hours of Personnel
149(1)
Scheduling Patient Flow: Preoperative Use of the Facility
150(1)
Standards, Quality, and Consent
151(24)
Standards
151(1)
Operating Room Safety and Occupational Health
151(2)
Joint Commission on Accreditation of Healthcare Organizations
153(2)
Medical Device Tracking
155(1)
Quality Improvement
156(1)
Identifying Opportunities for Self-Improvement in the System
157(1)
Informed Consent
158(5)
Appendix 11-1. Sample Evacuation Plan
163(1)
Fire Evacuation Plan: Operating Room Suite
163(7)
Appendix 11-2. Continuous Quality Improvement: An Example
165(4)
Appendix 11-3. Sample Form: Refusal of Treatment or Procedure
169(1)
Appendix 11-4. Ethical Guidelines for Anesthesia Care: Do Not Resuscitate
170(1)
Ethical Guidelines for the Anesthesia Care of Patients with Do-Not-Resuscitate Orders or Other Directives That Limit Treatment
170(2)
Appendix 11-5. Ethical Guidelines for Nursing Care: Do Not Resuscitate
172(1)
Perioperative Care of Patients with Do-Not-Resuscitate Orders
172(3)
Design and Construction
175(18)
Planning Team
175(2)
Planning and Design Process
177(3)
Operating Room Suite
180(2)
Individual Operating Rooms
182(4)
Substerile Areas
186(1)
Size of the Postanesthesia Care Unit
186(1)
Cross-Functional Use of Space
186(1)
Physical Relationships with Other Components of the Medical Center
186(1)
Renovation versus New Construction
187(1)
Flexibility (at a Cost)
187(1)
Building Codes and Certificate of Need
187(1)
Special Considerations in the Design of Ambulatory Surgery Units and Freestanding Ambulatory Surgical Centers
187(1)
Design of Operating Room Communication Systems
188(5)
Appendix 1. Procedural Times Glossary 193(4)
Procedural Times Glossary©
193(4)
Appendix 2. Standards-Setting Organizations 197(6)
Accreditation Association for Ambulatory Health Care (AAAHC)
197(1)
American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF)
197(1)
American Society of Anesthesiologists (ASA)
197(1)
Association for the Advancement of Medical Instrumentation (AAMI)
198(1)
Association of periOperative Registered Nurses (AORN)
198(1)
ECRI
198(1)
U.S. Food and Drug Administration (FDA)
199(1)
Health Level Seven (HL7)
199(1)
Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
200(1)
National Committee for Quality Assurance (NCQA)
200(1)
National Fire Protection Association (NFPA)
200(1)
Occupational Safety & Health Administration (OSHA)
200(3)
Appendix 3. Table of Contents: Life Safety Code® 203(2)
Appendix 4. Table of Contents: National Electrical Code® 205(2)
Appendix 5. Table of Contents: Standard for Health Care Facilities (NFPA 99) 207(4)
Appendix 6. Table of Contents: Standards, Recommended Practices, and Guidelines 211(4)
Index 215

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