Safely Reopen Your Operating Room Using Epic

Ensure all backlogged cases have a COVID-specific cancellation code. Youll wish to evaluate the reliability of this information to determine whether cases were properly recognized sometimes of cancellation.

In this short article, we highlight three key obstacle locations health centers are tackling and determine techniques to resolve them within Epic.

Case prioritization and scheduling is possibly the biggest difficulty during the reopening procedure. Identifying crucial stakeholders and developing a prioritization procedure requires a multidisciplinary team and the correct tools for success. To enhance effectiveness, this ought to also be an iterative procedure.

As healthcare companies reopen and reschedule necessary surgeries, its essential that they keep their staff and the clients safe. Legendary provides numerous tools to assist companies establish techniques for surgical treatment preparation and prioritization. Contact Healthcare IT Leaders to find out more about how we can help your company take advantage of Epic for a reliable OR reopening.

Patient and staff security is a primary issue while reopening operating spaces (ORs). In addition to isolation and security precautions on the day of surgical treatment, quickly upgrading pre-surgery workflows to include COVID-19 and antibody screening can be challenging. Upgrading pre-operative planning tools can help make sure patients are effectively evaluated and provide information to guarantee correct adherence.

Use reporting tools to proactively reach out to patients through reports via patient-portal messages.
Think about whether to collect extra client metrics for future reporting on COVID-related results and infection numbers.

Here are a couple of recommendations for risk evaluation and pre-surgery screening.

Dan Stracco is a Senior Epic Consultant and previous Project Manager for Epic Systems. He is certified in Epic OpTime and Epic Anesthesia..

Next, identify and assess your method for prioritization. Key factors here consist of case skill, threat, revenue/margin, and case. Organizations using generalized requirements should think about a rule-based prioritization score such as MeNTS, from the University of Chicago Medicine and Biological Sciences. Use discrete questions in the Case Request and Scheduling forms, such as the impact of a hold-up on the patient, the schedule of alternative treatments, the prospective requirement for ICU bed, the potential for the procedure to be done at an ambulatory surgery center (ASC), and the treatments total concern.

Group cases based on the prioritization methods specified above. Use case length averages and turnover times, then compare cases to currently allotted block time.
Keep in mind that block usage will require to be constantly re-addressed to represent the continuously changing scenarios.

Whether your organization remains in the early stages of resuming or midway through rescheduling your stockpile of cases, examining challenging locations with an eye toward optimizing your system can help reduce the procedure.

Lastly, update case stockpile reports to consist of the prioritization aspects you determined. Develop who owns the prioritization process and what communication techniques ought to be used.

Case prioritization and scheduling is maybe the biggest difficulty throughout the reopening procedure. Key aspects here consist of case acuity, risk, revenue/margin, and case. Assess case stockpile against OR utilization and capability. Group cases based on the prioritization approaches specified above. Usage case length averages and turnover times, then compare cases to presently set aside block time.

Put this information to good use by designing reporting material when workflows are incorporated into your EMR. These reports can be used for advanced-planning in addition to retrospective information in a couple of various ways.

Think about upgrading pre-surgical screening workflows to consist of lower-risk choices such as e-visits and off-site screening.
Create Procedure Pass tasks for COVID-related protocols such as COVID-19 and antibody tests.
Develop a dashboard to track testing tasks for upcoming cases to get a high-level view of the conclusion rate for upcoming cases. Consist of metrics on order placed, finished, positive patients, results pending
Update Order Sets and consider developing a to alert the supplier to position the proper COVID-19 orders.

Integrate your prioritization levels into block utilization assessments to identify whether specific blocks should be momentarily changed to accommodate a backlog.
In addition, adjust automatic block release and manual block release requirements to enable more versatility in scheduling; this is chosen to breaking up block schedules to take full advantage of existing block use and maintain consistency.
Consider reallocating blocks in between your ASC and your health center OR to account for client skill and threat.

As hospitals continue to reschedule the backlog of optional surgical treatments cancelled due to COVID-19, guidelines and best practices continue to develop. Increasing urgency due to the cumulative result of hold-ups on patient health and hospital revenues has pushed health centers to rapidly implement new workflows using the very best details offered.