Reducing Operating Room Cost: Comparing Attending and Surgical Trainee Perceptions About the Implementation of Supply Receipts - 22/11/21
, Bruce Hall, MD, PhD, MBA, FACS a, b, Andrew Pierce, MHSA c, Jessica Mody, MHA c, Rebecca M. Guth, MPH, RRT b, Jackie Martin, MD, MBA c, Jeffrey A. Blatnik, MD, FACS a, Shaina R. Eckhouse, MD, FACS a, cAbstract |
Background |
As operating room (OR) expenditures increase, faculty and surgical trainees will play a key role in curbing future costs. However, supply cost utilization varies widely among providers and, despite requirements for cost education during surgical training, little is known about trainees' comfort discussing these topics. To improve OR cost transparency, our institution began delivering real-time supply “receipts” to faculty and trainees after each surgical case. This study compares faculty and surgical trainees' perceptions about supply receipts and their effect on individual practice and cultural change.
Study Design |
Faculty and surgical trainees (residents and fellows) from all adult surgical specialties at a large academic center were emailed separate surveys.
Results |
A total of 120 faculty (30.0% response rate) and 119 trainees (35.7% response rate) completed the survey. Compared with trainees, faculty are more confident discussing OR costs (p < 0.001). Two-thirds of trainees report discussing OR costs with faculty as opposed to 77.0% of faculty who acknowledge having these conversations (p = 0.08). Both groups showed a strong commitment to reduce OR expenditures, with 87.3% of faculty and 90.0% of trainees expressing a responsibility to curb OR costs (p = 0.84). After 1 year of implementation, faculty continue to have high interest levels in supply receipts (82.4%) and many surgeons review them after each case (67.7%). In addition, 74.3% of faculty are now aware of how to lower OR costs and 52.5% have changed the OR supplies they use. Trainees, in particular, desire additional cost-reducing efforts at our institution (p < 0.001).
Conclusions |
Supply receipts have been well received and have led to meaningful cultural changes. However, trainees are less confident discussing these issues and desire a greater emphasis on OR cost in their curriculum.
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| Disclosure Information: Nothing to disclose. |
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| Disclosures outside the scope of this work: Dr Eckhouse is a paid consultant for Gore medical and is an examination consultant to the American Board of Surgery for the Metabolic and Bariatric Surgery Examination Focused Practice Designation. Dr Blatnik has an honorary speaking and teaching appointment with Bard International (BD) and Intuitive Surgical and provides research support for Ethicon and Cook Medical. Dr Hall is Consulting Director for the American College of Surgeons NSQIP. Other authors have nothing to disclose. |
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| Presented virtually at the American College of Surgeons 107th Annual Clinical Congress, Scientific Forum, October 2021. |
Vol 233 - N° 6
P. 710-721 - dicembre 2021 Ritorno al numero
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