enable increased theatre throughput and improved surgical

Enable increased theatre throughput and improved surgical performance from Opera OR management

NHS Fife is one of 14 Health Boards serving the community of NHS Scotland.

A national implementation of Opera in 2010 standardised theatre management across the majority of the country. For NHS Fife it has helped to increase theatre capacity and meet the increasing demands of an ageing population.

Real-time theatre information and scheduling has also helped boost trust in data and reduce cancellations. Greater visibility of what is happening in the next hour and week helps to maximise OR capacity.

Furthermore, accurate and detailed information on the length of procedures or amount of materials used can help to enhance the performance of surgical staff.

In summary:• 19theatresacross2sitesmonitoredinreal-time

• Approximately22%increaseintheatreefficiencyasmeasuredbytheatreutilisation

• Theatresnowplanningahead,notjustreportingonwhathasbeendone

• Fewerdatainputtingerrors–datapulledfromwaitinglists

• Accurateandtransparentdatadrivingimprovedperformance

• Clearvisibilityofoverrunningorearlyfinishingcasestopreventbottlenecks

• Predictiveschedulemanagementhelpspreventcancellations

• StandardisedtheatredataacrossparticipatingboardsinScotland

• Potentialtogainfinancialbenefitsfrommaterialsmanagement

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ImprovedORefficiencyhasbeenachievedfromtheinstallationofOperaatNHSFife.A22%increaseinefficiencymeansthatmoreproceduresarebeingundertakenandthatmorepatientsarebeingseenduringtheworkingday.

WithimprovedplanningandschedulingfromOpera,NHSFifehasbeenabletosuccessfullytackletheincreaseddemandonitstheatres.Thismeansthataneedtoincreasetheatrecapacitybyextendingweekdayorweekendhourshaslargelybeenavoided.

“Aspopulationsagethereisincreasingdemandontheatres.Everyyearoflifeexpectancyraisestheneedforsurgicalproceduresandthenatureofcomplexity.Oneofthechokepointsinmeetingthisdemandistheatrecapacity.

Ourtargetwastoincreasetheamountofstafftimeintheatrebyamodest10%-wegaineda22%increaseinefficiencybyusingOpera.”

Peter CurryConsultant Anaesthetist, Clinical Lead for NHS Fife and Clinical Lead for Theatres Procurement for NHS Scotland

NHS Fife has improved theatre efficiency from 67% to 89%

Transparency of accurate data helps to improve surgical performanceOperaisaschedulinganddataanalysissolutionforOperatingRoomslookingtomaximiseefficiency.ItnotonlycoverstheplanningofpreoperativeprocessesfromsurgeryrequestsandwaitingliststoschedulingthefinalORlist,butalsorecords,validatesandarchivesdataforstatisticalreporting.

“We’vedriventherecordingofinformationintoaliveenvironmentwithOperaasopposedtofillingoutpaperforms,”statesDrPeterCurry,ConsultantAnaesthetistatNHSFife.“Whenyourecordasithappens,fewerinputtingerrorsoccurandpeoplehavemoreconfidenceinthedata.”

Hecontinues,“Forexample,asurgeonmaysaythataherniaproceduretookapproximately1hour20minutes,butthismayonlybethetimetheystartandfinishtheprocedure.Theydonotanticipatethetimeittakestoanaesthetisethepatient,takethepatientbacktorecoveryandtocleanupbetweenprocedures.TheOperasystemcantellyouhowlongthingshavetakentohelpanticipatethefuture.”

“Importantlysurgeonsbelievethedata.Bytheirverynaturetheyaretopperformersaspiringtobethebest,soifyoutellsomeonebasedonrecordedinformationthattheyaretakinglongerthanothersincertainprocedures,theylooktoimproveutilisationperformance.”

Live overview of scheduling helps to reduce cancellations “Operahasallowedustoseewherelistsarefinishingearlyoroverrunningsothatwecanmovethingsaroundtopreventcancellations,”statesDrCurry.

Operaworksinreal-timegivingahelicopterviewonworkstationmonitorsofallactivitytakingplaceinoperatingtheatresacrossthehealthestablishment.Byhavingclearvisibilitytopre-emptbottlenecks,ORworkflowissmoother.

Financial benefits can be gained via materials management moduleOncethekeyutilisationbenefitsoftheatreshavebeenaddressedbyOpera,thematerialmanagementmoduleoffersthepotentialtodeliverfinancialreturns.Thiscanincludefreeingupcapitaltiedupinstock,reducingwasteandgainingsupplierdiscounts.

“Therearefinancialbenefitsofdoingmorewiththematerialsmanagementmoduleifyouhavetheresources,”concludesDrPeterCurry.“Bybeingabletoplanandanticipateneedsinmoredetailthereispotentialtoreducestockonshelves,notonlyfreeingupspaceinstoreroomsbutalsoreducingcapitaltiedup.Forexample,insteadof£3millionofstockonshelf,itcouldbereducedto£1million.Theremayalsobesmallfinancialgainsfromlowerdeliverycostsbyplacingorders7daysinadvanceratherthan48hours,pluslesswastefrommaterialsgoingoutofdateasneedsarebetteranticipated.”

“ The recording of information in a live environment means that fewer inputting errors occur and surgeons have more confidence in the data – this can help improve performance.”

Peter Curry Consultant Anaesthetist,

Clinical Lead for NHS Fife and Clinical Lead for Theatres Procurement for NHS Scotland

©2013GeneralElectricCompany–Allrightsreserved.

GeneralElectricCompanyreservestherighttomakechangesinspecificationsandfeaturesshownherein,ordiscontinuetheproductdescribedatanytimewithoutnoticeorobligation.Thisdoesnotconstitutearepresentationorwarrantyordocumentationregardingtheproductorservicefeatured.

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