The healthcare system in Spain is considered efficient. However, like many other countries in Europe and elsewhere, the Spanish healthcare system confronts continued pressures to provide high-quality universal care in the face of ever increasing costs and competing uses for financial resources. These pressures have prompted the enactment of several reforms and greater focus on efficiency and competition.
Accelero was recently contacted to assess the orthopedic program at a predominant hospital in Spain. The hospital is one of two large public hospital in a mid-sized city in Northwest Spain, and was looking to improve the care and throughput of their orthopedic program. Of particular concern was the wait time for orthopedic procedures. In some instances a patient could wait as long as one year from the time they were first evaluated in the clinic until the surgery was performed.
The assessment identified significant inconsistencies on the day of surgery. The first surgery of the day would enter the OR anywhere from 8:36AM to 8:51AM, making the remaining schedule unpredictable, at best. Inefficient practices in the OR were also lengthening procedure times and limiting the number of surgeries possible each day. The culmination of these issues limited the full utilization of orthopedic resources, resulting in an average daily surgical volume of three patients per operating theater per day.
Through observation, stakeholder interviews and data comparison, Accelero was able to identify and quantify the issues to provide a clear plan for improvement. Central to the plan was to establish a process for first case starts and room turnover, that would free up enough time for the hospital to add one more surgery per operating theatre in the same or less time. Click here to download the case study.