The MVT
®
Challenge: Choose Your Own Solution
Below are the 25 improvement ideas that were tested.
Click on the option you think is best for each idea (either status quo or the proposed change). Then we will show you the effect of your solution on cost and throughput.
Factor
Status Quo
Change
OR Board
No
Yes
Time Holding calls for patients
30 minutes before
60 minutes before
Verify Procedures with Surgeons each A.M.
No
Yes
ER add-on surgical patients transferred location
Floor
Holding
Holding nurse notifies circulator of pending patient issues
No
Yes
Highlight "Hold" items on pick list
No
Yes
Revise Ordering Process
Daily
Twice Weekly
Surgeon debrief with OR Staff after each case
No
Yes
Tray set-up for blocks and spinals
Anesthesia Sets Up
Holding Nurse Sets Up
Surgeon sees next patient in holding before seeing family of previous patient
Previous Family First
Next Patient First
Reduce on hand stock of low usage items
No
Yes
Pull X-Ray films sooner for add-on cases
2 hours before
When added on
Emphasis on Turnover
No
Yes
Dedicated Turnover Team
No
Yes
Encourage RN to keep room tidy during case
No
Yes
One OR dedicated to emergency
No
Yes
Call Back Times for Add-on Cases
No
Yes
Pre-admissions form
Current
Streamlined
Holding room / Floor communications
Adhoc
Standard List
Block Scheduling
by Service
by Surgeon
Transport to PACU
Circulator
PACU Nurse
Cosmetic upgrades to physician lounge
No
Yes
Incentive for quick turnover
None
$10 Gift Card
Have 3 Outpatients in-house ready to fill in empty slots
No
Yes
Separate office for scheduling
At Control Desk
Separate Office