Outpatient Surgery Magazine

Special Outpatient Surgery Edition - OR Excellence Program Preview - June 2019

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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S having a few minutes off your wheels- out to wheels-in time is the easy part. You target the inefficiencies and streamline the process. The challenge is sus- taining faster room turnovers. To do that, you must do more than tweak who mops and who wipes. You must also address your organiza- tional culture. This means investing in human factors such as the initial buy-in of key team members and soliciting frequent feedback with positive reinforcement, says David Ninan, DO, medical director and chairman of the anesthesia department of Riverside University Health System in Moreno Valley, Calif. Riverside County Regional Medical Center was plagued by an average turnover time of 45 minutes for elective scheduled surgeries. As Dr. Ninan wrote in a 2017 report detailing how the OR leadership team at the 10-OR hospital sustained and achieved an average 22.7- minute turnover time, a change in culture was as important as a change in turnover technique. "Change can be challenging for an organization, partic- ularly one that has been operating in a stable environ- ment for a significant period. In cases where change has 2 2 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • J U N E 2 0 1 9 David Ninan, DO | Riverside University Health System, Moreno Valley, Calif. The Role of Organizational Culture in Turnaround Time • Medical director and chairman of the anesthe- sia department at Riverside University Health System, Moreno Valley, Calif. • Board of Governors member and current treasurer of the American Osteopathic College of Anesthesiologists. • Winner of the 2016 Riverside University Health System's Bertram H. Eckmann, MD, Emerging Leadership Award. Speaker Profile

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