The Procedural Times Glossary: A Roadmap to Improving Efficiency Tracking in Interventional Radiology

Final ID:

1081 

Type:

Original Scientific Research-Oral or Poster 

Authors:

T Wong1, M Johnson1, A Bhave1, J McConnell1, M Tsai1

Institutions:

1University of Vermont Medical Center, Burlington, VT

First Author:

Timothy Wong, Bachelor of Science  
University of Vermont Medical Center
Burlington, VT

Co-Author(s):

Mark Johnson  
University of Vermont Medical Center
Burlington, VT
Anant D. Bhave, MD  
University of Vermont Medical Center
Burlington, VT
John McConnell, BA MA  
University of Vermont Medical Center
Burlington, VT
Mitchell H Tsai, MD, MMM  
University of Vermont Medical Center
Burlington, VT

Presenting Author:

Timothy Wong, Bachelor of Science  
University of Vermont Medical Center
Burlington, VT

Purpose:

This study aims to analyze procedure workflow documentation from the Interventional Radiology (IR) service at the University of Vermont Medical Center (UVMMC) to assess the extent procedural information is tracked.

Materials:

Procedure documentation from the Interventional Radiology service at UVMMC was analyzed. By utilizing the UVMMC IR Whiteboard (South Burlington, VT) and Epic (La Crosse, WI), cases with and without anesthesia were pulled for comparison. Using the definitions from the Association of Anesthesia Clinical Directors Procedural Times Glossary (AACD PTG), a database tracking the differences between the two different workflows were analyzed. All data were maintained on Microsoft Excel (Redmond, WA).

Results:

The AACD Procedural Times Glossary defines thirty procedural times for analyzing efficiency. The Interventional Radiology cases with anesthesia involvement maps three of the PTG definitions. In contrast, those cases without anesthesia only map two of the PTG definitions.

Conclusions:

The AACD PTG [1],[2] provides an operational management framework for data collection and analysis of workflow efficiency. IR documentation contains very few of the items that are typically logged in other non-operating room anesthesia (NORA) services at the UVMMC. For example, the Electrophysiology Suite workflow maps thirteen of the PTG definitions (data available). Dexter et al. demonstrated that there were significant inaccuracies in estimating anesthesia time for diagnostic radiology and IR procedures. Further, their analysis found that the relative cost of an hour of over-utilized time was about four times more costly than staff time during normal working hours [3]. This data suggests that efficiency tracking in radiology can be effective towards reducing costs generated by inefficient work flows. Future directions should examine the operational and financial impact of better data tracking for IR with the goal of applying benchmarks like the AACD PTG to IR clinical workflows. The AACD PTG can serve as a road map to efficiency tracking to IR settings and future studies should offer insight into the applicability of OR management metrics outside of the operating room.

Abstract Categories:

Practice Management

Keywords:

Efficiency
Practice management
Procedural times glossary