UPMC Shadyside, Presbyterian, & East Hospitals
Pittsburgh, PA, USA
- The University of Pittsburgh Orthopaedic Department was founded in 1953 and treats both children and adults.
- Driven to lead the field in biological and technical advancements, education through residency and fellowship programs, and novel treatment modalities.
Operating room delays can be the source of financial distress, staff dissatisfaction, and waste. The loss of 1 minute of operating room time can cost up to $100 per minute or $6,000 an hour. Delayed first case start times and inefficient room turn over can cost an organization nearly $10M annually. Create a current state map of operational efficiency and patient experience using goShadow’s app and reporting platform to increase OR efficiency and understand the root causes of delayed first case starts. In just 2 days, goShadow collected data that led to one organization reducing first case delays and increasing efficiency by 20%, leading to a savings of tens of thousands of dollars.
Benefits of Shadowing
Document and Scale More Ideal Practices so That They can be Methodically Adapted and Scaled Across the Medical System
Quickly Map Patient Experience and Flow to Uncover the Root Cause of Delays in On-Time Starts
Use Qualitative and Quantitative Data to Engage Clinicians and Staff to Co-Design More Ideal Staff Workflows and Patient-Centered Resources to Create Operational Efficiency
In Real-Time, Identify Redundancies and Gaps in Coordination of Care and Tangible Solutions
Mapping patient and staff experience across organizational and departmental silos is challenging in traditional health care settings. Staff are given little time for process improvement or mapping care across these silos. Consequently, they are unaware of systematic waste and inefficiencies that lead to a system designed to achieve less-than-ideal patient and staff experiences. In two days in each of three organizations, goShadow’s process mapping and improvement specialists designed and implemented a replicable data collection template and trained staff on how to shadow the day of surgery experience from the patient’s perspective.
After walking the patient pathway and meeting with clinicians and internal improvement specialists, the goShadow team developed a strategy to break the ten to twelve hour long day of surgery experience into smaller segments to shadow: day of surgery arrival, preoperative holding area, operating room, post-anesthesia care unit (PACU), and then the inpatient unit if a patient is not going to be discharged the same day. After designing and implementing the data collection definition and template, changes can be made in real-time so that the collection and aggregation of data over time creates a longitudinal view of operational efficiency and experience side by side.
The goShadow solution
The team collected comprehensive qualitative and quantitative data that was used to reveal root-causes of operational inefficiencies, delays, and undesirable patient and staff experiences. In addition to the aggregate qualitative and quantitative analysis that the shadowing team provided, solutions were identified that required no additional resources. While the clinical teams anticipated the identification of a single culprit of first case delays and inefficient room turn over, the root cause analysis in each of the three organizations revealed that the aggregation of small operational and human inefficiencies, when compounded, amounted to gaps in care and experiences for patients and staff.
The goShadow Difference
Don’t rely on anecdotal information as to why delays occur. Use goShadow to engage your team and arm your organization with real-time data to strategize how to address inefficiencies and silos. Scale results quickly and co-design a more ideal pathway through shadowing templates and benchmark analysis.