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Home > Catalogue > Operating Room Leadership and Management
Operating Room Leadership and Management

Details

  • Page extent: 301 pages
  • Size: 246 x 189 mm
  • Weight: 0.76 kg

Library of Congress

  • Dewey number: 617.9/17
  • Dewey version: 23
  • LC Classification: RD63 .O62 2012
  • LC Subject headings:
    • Operating Rooms--organization & administration
    • Leadership
    • Practice Management

Library of Congress Record

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 (ISBN-13: 9781107017535)

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Operating Room Leadership and Management
Cambridge University Press
9781107017535 - Operating Room Leadership and Management - Edited by Alan D. Kaye, MD, PhD, Charles J. Fox III, MD and Richard D. Urman, MD, MBA
Frontmatter/Prelims

Operating Room Leadership and Management


Operating Room Leadership and Management

Edited by

Alan D. Kaye, MD, PhD

Professor and Chair
Department of Anesthesia
Louisiana State University
New Orleans, LA, USA

Charles J. Fox III, MD

Associate Professor of Anesthesiology
Vice Chair for Academics
Director, Perioperative Management Fellowship
Department of Anesthesiology
Tulane Hospital and Clinic
New Orleans, LA, USA

Richard D. Urman, MD, MBA

Assistant Professor of Anesthesia
Harvard Medical School
Director, Procedural Sedation Management and Safety
Co-Director, Center for Perioperative Management and Medical Informatics
Brigham and Women’s Hospital
Boston, MA, USA


CAMBRIDGE UNIVERSITY PRESS
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Cambridge University Press
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Published in the United States of America by Cambridge University Press, New York

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Information on this title: www.cambridge.org/9781107017535

© Cambridge University Press 2012

This publication is in copyright. Subject to statutory exception and to the provisions of relevant collective licensing agreements, no reproduction of any part may take place without the written permission of Cambridge University Press.

First published 2012
Printed in the United Kingdom at the University Press, Cambridge

A catalogue record for this publication is available from the British Library

Library of Congress Cataloguing in Publication data

Operating room leadership and management / edited by Alan D. Kaye, Charles J. Fox III, Richard D. Urman.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-1-107-01753-5 (hardback)
I. Kaye, Alan D. II. Fox, Charles J. (Charles James), 1961– III. Urman, Richard D.
[DNLM: 1. Operating Rooms–organization & administration. 2. Leadership. 3. Practice Management. WX 200]
617.9′17–dc23
2012016083

ISBN 978-1-107-01753-5 Hardback

Cambridge University Press has no responsibility for the persistence or accuracy of URLs for external or third-party internet websites referred to in this publication, and does not guarantee that any content on such websites is, or will remain, accurate or appropriate

Every effort has been made in preparing this book to provide accurate and up-to-date information which is in accord with accepted standards and practice at the time of publication. Although case histories are drawn from actual cases, every effort has been made to disguise the identities of the individuals involved. Nevertheless, the authors, editors and publishers can make no warranties that the information contained herein is totally free from error, not least because clinical standards are constantly changing through research and regulation. The authors, editors and publishers therefore disclaim all liability for direct or consequential damages resulting from the use of material contained in this book. Readers are strongly advised to pay careful attention to information provided by the manufacturer of any drugs or equipment that they plan to use.


I dedicate this book to my wife, Dr. Kim Kaye, my son, Aaron Joshua Kaye, my daughter, Rachel Jane Kaye, and my many colleagues at LSU School of Medicine and Tulane School of Medicine in New Orleans. I am honored to be a part of your lives.

ADK

I dedicate this book to my wife, Mary Beth, for her selfless devotion to our family and to our kids, Chris, Mary Elise, Patrick, Julia, Claire and Margaret who enrich our lives more than we ever imagined.

CJF

I dedicate this book to my wife, Dr. Zina Matlyuk-Urman, andour daughter, Abigail Rose; to my colleagues among physicians, nurses, and administrators at Harvard who supported my efforts in writing this book; and to all my mentors and trainees.

RDU


Contents

List of contributors
ix
Foreword
Larry H. Hollier
xii
Preface
Alan D. Kaye, Charles J. Fox III, and Richard D. Urman
xiii
Section 1 Leadership and strategy
1
1         Leadership principles
Christoph Egger and Alex Macario
1
2         The path to a successful operating room environment
Ross Musumeci, Alan D. Kaye, Charles J. Fox, and Richard D. Urman
15
3         Strategic planning
Michael R. Williams
25
4         Decision making: The art and the science
Michael R. Williams
32
Section 2 Economic considerations, efficiency, and design
39
5         Health care and economic realities
Robert Lynch
39
6         Influence of staffing and scheduling on operating room productivity
Franklin Dexter and Richard H. Epstein
46
7         Operations management and financial performance
Jeffery Anderson, Seth Christian, and Richard D. Urman
67
8         Reenginering operating room function
Nigel N. Robertson
77
9         Operating room design and construction: Technical considerations
Judy Dahle and Pat Patterson
95
10        Operating an ambulatory surgery center as a successful business
John J. Wellik
108
Section 3 Surgical and anesthesia practice management
121
11        Preoperative evaluation and management
Alicia G. Kalamas
121
12        A surgeon’s perspective: Perioperative standards, quality, and consents
Frank G. Opelka
132
13        Anesthesia practice management: Core principles
Sonya Pease and Barbara Harris
139
14        Anesthesia staffing models, productivity measurement, and incentive plans
Ashish Dabas, Dipty Mangla, Asa C. Lockhart, and George Mychaskiw II
151
15        Compensation for anesthesia services
Asa C. Lockhart
160
16        Basics of billing, coding, and compliance
Deborah Farmer and Devona Slater
168
17        Surgical coding
Bernadine Smith
183
18        Postanesthesia care unit management
Michael J. Yarborough, Henry Liu, and Sabrina Bent
186
19        Pain practice management
Steven D. Waldman
194
20        Office-based surgery practice
Seth Christian and Charles J. Fox
201
21        The future of perioperative medicine
Michael R. Hicks and Laurie Saletnik
216
Section 4 Safety, standards, and information technology
222
22        Nursing: Organizational structure, staffing, resource management, metrics, and infection control
Melissa Guidry and Lesley Bourlet
222
23        The Joint Commission, CMS, and other standards
Shermeen B. Vakharia and Zeev Kain
235
24        Safety, quality, and pay-for-performance
Richard P. Dutton and Frank Rosinia
244
25        Sedation: Clinical and safety considerations
Ann Bui and Richard D. Urman
253
26        Medical informatics in the perioperative period
Keith J. Ruskin
267
27        Simulation training to improve patient safety
Valeriy Kozmenko, Judy G. Johnson, Melvin Wyche, and Alan D. Kaye
274
Index
279

Contributors

Jeffrey Anderson, MD

Anesthesiology Resident, Department of Anesthesiology, Tulane University School of Medicine, New Orleans, LA, USA

Sabrina Bent, MD, MS

Director of Pediatric Anesthesiology, Department of Anesthesiology, Tulane University School of Medicine, New Orleans, LA, USA

Lesley Bourlet, RN, MSN, CNOR

Director Perioperative Services, Tulane-Lakeside Hospital, Metairie, LA, USA

Ann Bui, MD

Resident in Anesthesiology, Brigham and Women’s Hospital, Boston, MA, USA

Seth Christian, MD

Perioperative Management Fellow, Department of Anesthesiology, Tulane University School of Medicine, New Orleans, LA, USA

Ashish Dabas, MD

Resident in Anesthesiology, Drexel University School of Medicine, Philadelphia, PA, USA

Judy Dahle, MS, MSG, RN

Education Coordinator, OR Manager, Rockville, MD, USA

Franklin Dexter, MD, PhD

Department of Anesthesia, Carver College of Medicine, University of Iowa, Iowa City, IA, USA

Richard P. Dutton, MD, MBA

Executive Director, Anesthesia Quality Institute and Clinical Associate, University of Chicago, Department of Anesthesiology and Critical Care

Christoph Egger, MD, MBA

Hospital Chief Executive Officer, Klinik Beau-Site, Hirslanden Hospitals Bern, Bern, Switzerland; Consulting Assistant Professor, Stanford University School of Medicine, Stanford, CA, USA

Richard H. Epstein, MD, CPHIMS

Department of Anesthesiology, Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA, USA

Deborah Farmer, CPC, ACS-AN

Senior Compliance Auditor, Auditing for Compliance and Education (ACE), Inc., Overland Park, KS, USA

Charles J. Fox III, MD

Vice-Chairman and Clinical Associate Professor, Tulane Medical Center, Director, Perioperative Management Fellowship, Department of Anesthesiology, New Orleans, LA, USA

Melissa Guidry, RN, MPH, CNOR

Director Perioperative Services, Tulane Medical Center, New Orleans, LA, USA

Barbara Harris, RN, MHA

Vice President of Operational Excellence, TeamHealth Anesthesia, Knoxville, TN, USA

Michael R. Hicks, MD, MBA, MS, FACHE

President and Chairman, Pinnacle Anesthesia Consultants, PA; Chief Executive Officer, AnesthesiaCare, an EmCare Affiliate, Dallas, TX, USA

Judy G. Johnson, MD

Assistant Professor, Residency Program Director, Department of Anesthesiology, Louisiana State University Health Sciences Center, New Orleans, LA, USA

Zeev Kain, MD, MBA, MA (Hon)

Professor, Anesthesiology & Pediatrics & Psychiatry, Chair, Department of Anesthesiology & Perioperative Care, and Associate Dean of Clinical Operations, School of Medicine, University of California, Irvine, CA, USA

Alicia G. Kalamas, MD

Medical Director, Preoperative Clinic and Associate Clinical Professor, Department of Anesthesia and Perioperative Care, University of California, San Francisco, CA, USA

Alan D. Kaye, MD, PhD

Professor and Chairman, Department of Anesthesiology and Professor, Department of Pharmacology, LSU School of Medicine, New Orleans, LA, USA

Valeriy Kozmenko, MD

Department of Anesthesiology, LSU School of Medicine, New Orleans, LA, USA

Henry Liu, MD

Director of Cardiac Anesthesia, Department of Anesthesiology, Tulane University School of Medicine, New Orleans, LA, USA

Asa C. Lockhart, MD, MBA

Principal, Golden Caduceus Consultants; Course Director, Certificate in Business Administration for the American Society of Anesthesiologists; East Texas Medical Center, Texas Spine and Joint Hospital, Tyler, TX, USA

Robert Lynch, MD

Chief Executive Officer, Tulane Medical Center, New Orleans, LA, USA

Alex Macario, MD, MBA

Professor of Anesthesia and of Health Research & Policy and Program Director, Anesthesia Residency, Department of Anesthesia, Stanford University School of Medicine, Stanford, CA, USA

Dipty Mangla, MD

Resident in Anesthesiology, Drexel University School of Medicine, Philadelphia, PA, USA

Ross Musumeci, MD, MBA

Anaesthesia Associates of MA, Assistant Professor of Anesthesia, Boston University School of Medicine, Boston, MA, USA

George Mychaskiw II, DO, FAAP, FACOP

Professor and Chair, Department of Anesthesiology, University of Central Florida College of Medicine/Florida State University College of Medicine, Nemours Children’s Hospital, FL, USA

Frank G. Opelka, MD, FACS

LSU School of Medicine, New Orleans, LA, USA

Pat Patterson

Editor, OR Manager Newsletter, Rockville, MD, USA

Sonya Pease, MD

Chief Medical Officer, TeamHealth Anesthesia, Knoxville, TN, USA

Nigel N. Robertson, MB, ChB, FANZCA

Staff Specialist Anesthesiologist, Auckland City Hospital, Auckland, New Zealand

Frank Rosinia, MD

Chairman, Department of Anesthesiology, Tulane University School of Medicine, New Orleans, LA, USA

Keith J. Ruskin, MD

Professor of Anesthesiology and Neurosurgery, Yale University School of Medicine, New Haven, CT, USA

Laurie Saletnik, RN, DNP

Director of Nursing for Perioperative Services, Johns Hopkins Hospital, Baltimore, MD, USA

Devona Slater, CHC, CMCP

President and Senior Compliance Auditor, Auditing for Compliance and Education (ACE), Inc., Overland Park, KS, USA

Bernadine Smith, CPC, RCC, PCS

Director of Coding and Regulatory Issues, Auditing and Consulting, ACS Physician Practice Management Company, Metairie, LA, USA

Richard D. Urman, MD, MBA

Assistant Professor of Anesthesia, Harvard Medical School and Director, Procedural Sedation Management and Safety, Co-Director, Center for Perioperative Management and Medical Informatics, Brigham and Women’s Hospital, Boston, MA, USA

Shermeen B. Vakharia, MD

Clinical Professor, Department of Anesthesiology and Perioperative Care, Vice Chair for Quality and Patient Safety, School of Medicine, University of California, Irvine, CA, USA

Steven D. Waldman, MD, JD

Clinical Professor Of Anesthesiology, University of Missouri At Kansas City School of Medicine, Leawood, KS, USA

John J. Wellik, CPA, MBA

Senior Vice President, Chief Administrative Officer, United Surgical Partners International, Inc., Addison, TX, USA

Michael R. Williams, DO, MD, MBA

Chief Executive Officer, Hill Country Memorial, Fredericksburg, TX, USA; Executive Vice President, AnesthesiaCare, an EmCare Affiliate, Dallas, TX, USA

Melville Wyche III, MD

Director of Simulation and Assistant Professor, Department of Anesthesia, LSU School of Medicine, New Orleans, LA, USA

Michael J. Yarborough, MD

Director PostAnesthesia Care Unit, Department of Anesthesiology, Tulane University School of Medicine, New Orleans, LA, USA




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