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ating a complex supply chain .” SIA saw the potential to convert 4-OR multi-specialty facilities into 2-OR total joint-only centers of excellence capable of handling as many as 250 cases a month by utilizing space wisely , operating efficiently , and maximizing capability . “ We now have the capacity to efficiently manage a substantial case load within a 2-OR facility , all while maintaining high-quality patient care ,” says Lacey Dyer , Vice President of Clinical Operations for SIA .
The proof is in the pilot The first total joint-only ASC opened by SIA in Metro Atlanta is now proving to be a best practice for efficiency and innovation and poised to be replicated in facilities across the southeastern United States , to start .
The center grew out of a joint venture between one of the largest health systems in Georgia and a group of surgeons who were developing protocols for same-day discharge of patients after primary total joint replacement . Designed as part of a medical office building on the hospital ’ s campus , the center
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originally called for four ORs . However , after a deep dive into associated costs , the plan was finalized for two ORs and 10 care unit bays .
“ This proof of concept showcases the success that ’ s possible in a highly concentrated 2-OR model that ’ s focused on excellence and efficiency ,” Dyer says . “ Streamlining ASC operations and optimizing supply chain resources minimizes costs associated with preop and PACU bays , square footage , sterilization trays , equipment , and staffing requirements .”
SIA turned to long-time partner Medline to help identify and standardize the surgical kits and supplies needed for the new model . Working with anesthesia specialists , OR technicians ,
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The first 2-OR total joint-only center opened in 2018 and by 2023 , had completed more than 3,000 cases annually , added four new surgeons , developed a block schedule for afternoon cases to accommodate volume and maintain surgeon satisfaction , and earned a Press Ganey Human Experience Award . Other results include :
PACU length of stay : reduced to
109 minutes
from 141 minutes in four years
On-time starts :
100 % in first three years
Turnover time : reduced to
9 minutes
from 11 minutes in 2023
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and circulating nurses , Medline developed a preoperative kit and custom pack modules that would maximize utilization and reduce waste .
The challenge of scaling a total joint center model SIA has since opened a sister center and expects to finalize two more this year . A priority in operationalizing its growth strategy nationwide was ensuring the supply chain could support the kind of total joint center of excellence SIA envisioned .
In scaling the model , SIA is relying on Medline , its primary distributor of choice , for everything from capital procurement , to OR workflow and space utilization , to kitting and SCO capabilities , all of which
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help ensure maximum efficiency and cost savings . Beyond procurement and supply of disposable products , the list includes :
• Floor plan design
• Storage efficiency planning
• Capital equipment procurement
• Vendor alignment
• Contract alignment
• Pricing transparency
• Data transparency
“ SIA is collaborating with Medline to develop a strategy — from doors open to the first day of surgery ,” says Hunter Carter , Medline Account Manager for Ambulatory Surgery . “ If you have an established pathway for center activation and know how to expedite speed to market , that is a huge value-add .”
Reference 1 UnitedHealth Group . ( 2020 , December 10 ). New Research Highlights the Safety and Cost Savings Associated with Ambulatory Surgery Centers . Unitedhealthgroup . com . https :// www . unitedhealthgroup . com / newsroom / research-reports / posts / 2020-12-10-research-ambulatory-surgery-centers-490916 . html #:~: text = Findings % 20 from % 20new % 20UnitedHealth % 20 Group ,% 243 % 20billion % 20in % 20 annual % 20savings .
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