Tag: Ashley Walsh

Three Ways That Health Systems Can Leverage AI To Reduce Pressure of Patient Surges In The Operating Room

Ashley Walsh

By Ashley Walsh, vice president of client services, iQueue for OR, LeanTaaS.

After a two-month decline, COVID-19 is rising again, in the form of the Omicron BA.2 subvariant.S. On top of managing perpetual variants, health systems will continue navigating the ongoing staffing shortages that have been exacerbated by pandemic-related case surges.

These escalating shortages of clinical staff cause massive challenges for health systems, including fluctuations in surgical case volumes and ongoing backlogs of deferred procedures – a vicious cycle that can be costly to health systems.

Health systems often turn to hiring or spending more to mitigate the strain of staffing shortages, but that is not always the best answer as demand and capacity will inevitably fluctuate. AI-powered technology can help bridge the fundamental gaps between supply and demand in health systems. Here are three ways AI-based technology can improve efficiencies and combat critical resource challenges heightened by COVID-19 patient surges.

  1. Optimize Scheduling and Communication 

One of the biggest challenges health systems face during patient surges is scheduling inefficiencies. Health systems are often forced to temporarily close some of their surgical sites, then manage them as they re-open at different paces with specific location-based criteria for rescheduling cases. Clinic schedulers struggle to keep up with changes through back and forth calls, emails, booking forms, or fax messages. Instead of relying on outdated and inefficient communications, health systems can implement centralized AI-based scheduling tools.

Baptist Health Jacksonville, for example, successfully utilized an electronic case scheduling tool during a COVID-19 surge. In July 2021, the system had to shut down elective surgeries at three hospitals and two ASCs for nearly two months, and all non-critical surgical procedures requiring a bed needed to be rescheduled. To keep up with ongoing demand and changes in scheduling and regulations they used an automated scheduling platform that allowed in-app communication, streamlining the process across the entire health system. Instead of spending time with circular calls and emails, Baptist Health was able to quickly respond to scheduling changes, reduce errors and alleviate stress on an already overburdened staff.

  1. Enhance Workflows with Backlog Visibility 

As mentioned, there have been a significant number of surgeries needing to be rescheduled from patient surges, leading to a growing backlog of cases. As hospitals struggle to match their limited OR staff and resources with this built-up demand, these staff and clinic schedulers are further limited and burdened by inefficient workflows. This leads to poor use of available OR time and space and higher costs for the health system overall.

A solution is to provide accessible backlog transparency. Backlog management solutions offer complete visibility into the surgeon’s backlog so that staff and schedulers can execute recovery strategies appropriately, including by shifting volume, extending hours, and building effective block schedules. By supporting their personnel in adjusting and reallocating resources quickly, health systems can improve workflows, maximize OR time and reduce extra work for staff.

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COVID Waves and The Flu: Building Agility Into Operating Room Capacity

By Ashley Walsh, senior director of client services, LeanTaaS.

Ashley Walsh

Elective surgeries were hit hard during the initial onset of the COVID-19 pandemic. In fact, 70% of elective surgeries in the country were put on hold to free up staff and resources to care for those infected with the virus. While putting elective surgeries on hold was a necessary precaution as most facilities navigated the uncertainty, patients with scheduled procedures had their care disrupted.

Now, as multiple waves continue to afflict the country and as we head into the flu season, hospitals have been actively seeking ways to build agility into their operating room capacity and better handle the elective case fluctuations.

Operating rooms are the economic backbone of a hospital, frequently generating 50% or more revenue for the institution. In fact, a single block of operating room time can generate $50K to $100K or more in net revenue per day, so when it comes to allocating time, every minute is sacred. Despite the unknowns, hospitals that are able to manage optimal surgical capacity despite the volume reductions followed by an influx of backlogged elective cases by having access to the right information and by adapting strategies that make the strongest impact. Let’s dive in.

Get ahead of seasonal and potential patient volume fluctuations

As a first step, providers should ensure that surgical case information is available that illustrates how many elective surgeries had to be pushed or rescheduled as well as how they have historically done during the flu season. The combination of this information will help predict the upcoming winter.

Although there are online tools available to pull these insights, it’s also important to lean on the skills of data science teams to help analyze this vital information. Here are a few important data points providers should have on file to make informed decisions during these uncertain times:

Calculate actual surgical capacity

Once you have the project stats on hand, the next step is to consider potential constraints in terms of staffing and available beds in order to calculate true surgical capacity. While doing so, it’s important to consider potential options and workarounds that may be available to expand capacity, whether that be opening up additional operating rooms, staying open for longer hours, having weekend hours and/or even redirecting some procedures to other types of rooms, when possible.

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