Developing meaningful metrics of clinical productivity for military treatment facility anesthesiology departments and operative services

Comparing clinical productivity is important for strategic planning and the evaluation of resource allocation in any large organization. This process of benchmarking performance allows for the comparison of groups with similar characteristics. However, this process is often difficult when comparing...

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Bibliographic Details
Published in:	Military medicine Vol. 168; no. 11; pp. 880 - 884
Main Authors:	MONGAN, Paul D, VAN DER SCHUUR, Brian, DAMIANO, Louis A, VIA, Darin K
Format:	Journal Article
Language:	English
Published:	Bethesda, MD Association of Military Surgeons 01-11-2003 Oxford University Press
Subjects:	Analysis of Variance Anesthesia Anesthesiology Anesthesiology - economics Anesthesiology - organization & administration Benchmarks Biological and medical sciences Economic indicators Efficiency Efficiency, Organizational - economics Holidays & special occasions Humans Medical personnel Medical sciences Military Medicine - methods Miscellaneous Operating Rooms - economics Operating Rooms - organization & administration Personnel Staffing and Scheduling - economics Personnel Staffing and Scheduling - organization & administration Productivity Public health. Hygiene Public health. Hygiene-occupational medicine Strategic planning Surgical Procedures, Operative - economics United States United States Health system Human Productivity Allocation Performance requirement Benchmark calculation Surgery Resource Anesthesia Service Military
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Summary:	Comparing clinical productivity is important for strategic planning and the evaluation of resource allocation in any large organization. This process of benchmarking performance allows for the comparison of groups with similar characteristics. However, this process is often difficult when comparing the operative service productivity of large and small military treatment facilities because of the significant heterogeneity in mission focus and case complexity. However, in this article, we describe the application of a new method of benchmarking operative service productivity based on normalizing data for operating room sites, cases, and total American Society of Anesthesiologists units produced per hour. We demonstrate how these benchmarks allow for valid comparisons of operative service productivity among these military treatment facilities and how the data could be used in expanding or contracting operating locations. In addition, these benchmarks are compared with those derived from the use of this system in the civilian sector.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0026-4075 1930-613X
DOI:	10.1093/milmed/168.11.880