scholarly journals Impact of the SARS-CoV-2 pandemic on turnover time and revenue in the endoscopy unit: single-center experience

2021 ◽  
Vol 09 (11) ◽  
pp. E1680-E1685
Author(s):  
Abdelhai Abdelqader ◽  
Avik Sarkar ◽  
Haroon Shahid ◽  
Amy Tyberg ◽  
Sohini Sameera ◽  
...  
Keyword(s):  
New York ◽  
Tertiary Care ◽  
Turnover Time ◽  
Financial Impact ◽  
Endoscopic Management ◽  
Single Center ◽  
Case Volume ◽  
Endoscopic Procedures ◽  
Endoscopy Unit ◽  
Turn Over

Abstract Background and study aims The SARS-CoV-2 pandemic heavily impacted the New York metro area causing most institutions to either reduce case volume or fully close remaining open units incorporated specific guidelines for procedures lockdown potentially leading to a greater turn-over time. We analyzed the quantitative and financial impact of this lost time on our tertiary care center’s endoscopy unit. Patients and methods This single-center, retrospective study included demographics, procedure details and turn-over times (TOT) from all endoscopic procedures between December 1, 2019 to June 30, 2020. Cases were categorized as pre-COVID-19 group from December 1, 2019 to March 15, 2020 and during COVID-19 (lockdown) group from March 16, 2020 to June 30, 2020. The financial impact was assessed using national averages for reimbursement of outpatient endoscopic procedures provided by Center for Medicare and Medicaid Services. Results A total of 3622 procedures were performed during the study period: 2297 in the pre-COVID-19 period, 1325 in the COVID-19 period, representing a 42.32 % decrease. In the COVID-19 lockdown group, there was a significant increase in TOT in both the general endoscopy cases (18.11 minutes, P = 0.000) and advanced endoscopy cases (17.7 minutes, P = 0.000). The 42.3 % decrease in volume equated to at least $1.6 million USD in lost revenue during the lockdown. Conclusions COVID-19 pandemic led to an increase in TOT with overall reduced procedure volume and a negative effect on revenue. Providing continued endoscopic management during a pandemic avoids delays in reopening the endoscopy unit and hampers the post-pandemic surge of delayed cases and its financial impact.

scholarly journals A148 EFFICIENCY IN THE ENDOSCOPY UNIT: CAN WE ‘TURN AROUND’ ROOM TURNOVER?

2020 ◽  
Vol 3 (Supplement_1) ◽  
pp. 11-12
Author(s):  
C M Tan ◽  
J Tinmouth ◽  
M Bernstein
Keyword(s):  
Flexible Sigmoidoscopy ◽  
Turnover Time ◽  
Inclusion Criteria ◽  
Endoscopic Procedures ◽  
Improve Efficiency ◽  
Endoscopy Unit ◽  
Important Variation ◽  
Funding Agencies ◽  
Standard Operating ◽  
And Training

Abstract Background Endoscopy units across Canada are being challenged to meet the growing demand for procedures despite limited resources, highlighting the need to optimize endoscopy unit efficiency. Earlier studies have found that non-procedural factors, such as room turnover, represent an ideal target to improve efficiency. Aims The objective of this research project was to identify practices that will improve efficiency for routine outpatient gastrointestinal (GI) procedures at Sunnybrook Health Sciences Centre (SHSC). There were 2 sub-aims: 1) to understand practices at Toronto hospitals that shorten room turnover time and 2) to describe the variation in room turnover time at SHSC. Methods Sub-aim #1: A survey of endoscopy units at five other Toronto hospitals was completed. Questions were designed to gain a better understanding of routine practices and any initiatives undertaken to improve room turnover efficiency. Sub-aim #2: Median room turnover time from April 2018 to March 2019, defined as ‘patient out’ to ‘patient in’, was reported in an anonymized fashion for the following categories: 1) by endoscopist, 2) by nurse, and 3) by unique endoscopist-nurse pair. Only data from routine outpatient endoscopic procedures (e.g. colonoscopy, gastroscopy, flexible sigmoidoscopy) were included. In order to evaluate turnover times by endoscopist-nurse pair, consecutive cases not performed by the same pair were excluded. Procedures affected by patient- and transportation-related delays were also excluded. Results Of the five centers surveyed, three allocated 5 minutes for turnover and two allocated 10 minutes. All centers reported tracking turnover time and four centers reported undertaking initiatives to decrease turnover time such as involving a flow team, hiring team attendants, and sharing performance data. Over the 12-month period, 2504 routine outpatient GI endoscopic procedures were performed at SHSC, with 803 cases meeting inclusion criteria. Median turnover time for the unit was 6 minutes, ranging from 5 to 9 minutes across endoscopists, 5 to 7 minutes across nurses, and 3 to 10 minutes across unique endoscopist-nurse pairs (Figure 1). Efficiency of endoscopist-nurse pairs did not correlate with the number of cases performed as a pair over the 12-month period. Conclusions Endoscopy room turnover times at SHSC are similar to those reported by other local centers, with important variation across endoscopists and nurses. The next phase of this study will involve directly observing each of the most and least efficient individuals and pairs and recording common practices. It is anticipated that these findings will enable us to identify efficient practices that should be incorporated into standard operating procedures and training for endoscopy room personnel. Funding Agencies None

scholarly journals ID: 3524374 IMPACT OF SARS-COV-2 PANDEMIC ON TURNOVER TIME AND REVENUE IN THE ENDOSCOPY UNIT: SINGLE CENTER EXPERIENCE

2021 ◽  
Vol 93 (6) ◽  
pp. AB46-AB47
Author(s):  
Abdelhai Abdelqader ◽  
Avik Sarkar ◽  
Haroon M. Shahid ◽  
Amy Tyberg ◽  
Sohini Sameera ◽  
...  
Keyword(s):  
Turnover Time ◽  
Single Center ◽  
Endoscopy Unit ◽  
Single Center Experience

scholarly journals Response of an Obstetric Unit during the Coronavirus Disease of 2019 (COVID-19) Pandemic: Experiences from a Tertiary Care Center

2020 ◽  
Vol 10 (03) ◽  
pp. e281-e287
Author(s):  
Sangeeta Kumaraswami ◽  
Tana S. Pradhan ◽  
Sorana Vrabie-Wolf ◽  
Sadaf Lodhi ◽  
Geetha P. Rajendran ◽  
...  
Keyword(s):  
New York ◽  
Care Center ◽  
Tertiary Care ◽  
New York State ◽  
York State Department ◽  
Obstetrical Care ◽  
Expert Opinions ◽  
Department Of Health ◽  
Delivery Unit ◽  
Westchester County

Abstract Objective To describe our experiences in preparing our obstetric unit in Westchester County, New York, during the COVID-19 (coronavirus disease of 2019) pandemic. We focus on describing our timeline, continuously evolving actions, observations, and challenges. Methods With guidance from the New York State Department of Health (NYSDOH), our institutional epidemiologist, and key multidisciplinary faculty members, we evaluated emerging national data as well as expert opinions to identify issues and challenges to create action plans. Results We created and modified policies for our patients presenting for obstetrical care on the labor and delivery unit to accommodate their unique needs during this pandemic. Conclusion The COVID-19 pandemic has posed many unique challenges. Balancing communication, risks of infection to providers, patient autonomy and rights, and resources for testing and personal protective equipment were among the valuable lessons learnt. We have shared our experiences and described our observations and challenges in Westchester County, New York.

Abstract 718: The Impact of COVID-19 on breast oncology care practices during the pandemic in New York City: A single center retrospective study

2021 ◽  
Author(s):  
Danielle Seidman ◽  
Brittney S. Zimmerman ◽  
Lauren Margetich ◽  
Serena Tharakan ◽  
Natalie Berger ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Retrospective Study ◽  
York City ◽  
Single Center ◽  
Oncology Care ◽  
Care Practices ◽  
The Impact

Endoscopic Management of Duodenal Adenomas in Familial Adenomatous Polyposis—A Single-Center Experience

2011 ◽  
Vol 57 (3) ◽  
pp. 732-737 ◽  
Author(s):  
Sathya Jaganmohan ◽  
Patrick M. Lynch ◽  
Ramu P. Raju ◽  
William A. Ross ◽  
Jeffrey E. Lee ◽  
...  
Keyword(s):  
Familial Adenomatous Polyposis ◽  
Endoscopic Management ◽  
Adenomatous Polyposis ◽  
Single Center ◽  
Duodenal Adenomas ◽  
Single Center Experience

scholarly journals Financial Impact of Tertiary Care in an Academic Medical Center

2000 ◽  
Vol 231 (6) ◽  
pp. 860-868 ◽  
Author(s):  
Thomas S. Huber ◽  
Lori M. Carlton ◽  
Donna G. O’Hern ◽  
Nancy S. Hardt ◽  
C. Keith Ozaki ◽  
...  
Keyword(s):  
Medical Center ◽  
Academic Medical Center ◽  
Tertiary Care ◽  
Financial Impact ◽  
Academic Medical

scholarly journals Digital Recording and Documentation of Endoscopic Procedures: Do Patients and Doctors Think Alike?

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Nadav Willner ◽  
Maya Peled-Raz ◽  
Dan Shteinberg ◽  
Michal Shteinberg ◽  
Dean Keren ◽  
...  
Keyword(s):  
Endoscopic Procedure ◽  
Survey Study ◽  
Digital Recording ◽  
Background Factors ◽  
Endoscopic Procedures ◽  
Endoscopy Unit ◽  
Number Of Patients ◽  
Digital Documentation

Aims and Methods.Conducting a survey study of a large number of patients and gastroenterologists aimed at identifying relevant predictors of interest in digital recording and documentation (DRD) of endoscopic procedures. Outpatients presenting to the endoscopy unit at our institution for an endoscopy examination were anonymously surveyed, regarding their views and opinions of a possible recording of the procedure. A parallel survey for gastroenterologists was conducted.Results.417 patients and 62 gastroenterologists participated in two parallel surveys regarding DRD of endoscopic procedures. 66.4% of the patients expressed interest in digital documentation of their endoscopic procedure, with 90.5% of them requesting a copy. 43.6% of the physicians supported digital recording while 27.4% opposed it, with 48.4% opposing to making a copy of the recording available to the patient. No sociodemographic or background factors predicted patient’s interest in DRD. 66% of the physicians reported having recording facilities in their institutions, but only 43.6% of them stated performing recording. Having institutional guidelines for DRD was found to be the only significant predictor for routine recording.Conclusions.Our study exposes patients’ positive views of digital recording and documentation of endoscopic procedures. In contrast, physicians appear to be much more reluctant towards DRD and are centrally motivated by legal concerns when opposing DRD, as well as when supporting it.

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