Anesthesia Management Consulting engagements begin with our standard Anesthesia Services Evaluation. EHC will provide an assessment across all anesthetizing locations, evaluate your groups performance and identify opportunities to maximize anesthesia operational and financial efficiency.
Our comprehensive Anesthesia Services Evaluation includes:
- Financial Analysis and Pro Forma Development including detailed analysis of the request for subsidy support
- Anesthesia Utilization Analysis for all sites to include OR, OB and NORA
- Evaluate current anesthesia contracts and service requests
- Staffing Model Review to create innovative staffing models to fit specific facility needs and budget
- Assessment of current compensation and compensation methodology
- Review of processes which impact OR efficiency and throughput
- Comparing current anesthesia practices to national best practices and EHC’s anesthesia performance metrics and key indicators
- Evaluating anesthesia quality, safety and efficiency
- Conduct surgeon, nurse manager and administration satisfaction surveys
- Onsite Evaluation to include individual and small group meetings with key stakeholders (surgeons, proceduralists, OR nursing, hospital administration and anesthesia providers)
- Final report with recommendations based on findings and analysis
After our reports and recommendations are presented, EHC can create a tailored plan of action to act on any recommendations. Common next steps include:
Enhance Healthcare will use our internal staffing and analysis tools, and experience as clinical anesthesiologists and anesthesia practice managers to provide recommendations for a staffing model best suited to your practice. Items to be considered will be type of surgical subspecialties, patient acuity, geographic dispersion of sites, OR nursing and surgeon satisfaction and anesthesia call burden. Expert support of staffing requirements is often an important consideration in subsidy negotiations.
Having conducted anesthesia contract development and negotiations for both hospitals and anesthesia groups, EHC is uniquely positioned to support you in negotiations. Our consultants will assist you through all stages of anesthesia contract negotiations including developing appropriate anesthesia staffing levels, determining appropriate support and subsidy required to fulfill service standards, developing contractual anesthesia performance metrics, facilitating discussions between your group and the hospital, and reviewing term sheets and final service agreements.
If your group is considering transitioning to an anesthesia care team model, or expanding an existing one, Enhance will partner with you to evaluate the operational and financial implications of a transition. We will provide financial analysis and opinions of market-based compensation and benefits for Certified Registered Nurse Anesthetists or Anesthesia Assistants, educate the group on care team specific billing practices, and assist the group in managing all stages of the transition.
Anesthesia policies and procedures will be reviewed and revised to be consistent with the American Society of Anesthesiologists standards, and local requirements and expectations. Clinical, operational, quality, behavioral, and compliance policies are included in the review. Input from operating room leaders and anesthesia providers is also an integral part of this process. Documenting expected processes and protocols is an expectation of client facilities and in many cases is a requirement for regulatory agencies.
When Perioperative Improvement efforts are led by anesthesia groups, meaningful value is delivered to the group as well as to their hospital partners. EHC has extensive expertise and established protocols designed to implement perioperative improvement initiatives. Addressing processes throughout the OR Continuum, these projects can improve operating room efficiency, on time case starts, and reduce turnover time as well as drive patient outcomes including post-operative pain control, hospital length of stay and reduced readmissions. Depending on the needs and expectations of your facilities, the concepts of Enhanced Recovery After Surgery and the Perioperative Surgical Home may be incorporated into improvement initiatives, creating even deeper alignment with your surgeons, hospital and ASCs.