Page 154 - Hospital Authority Convention 2017

Symposiums
HOSPITAL AUTHORITY CONVENTION 2017

S9.1 Healthcare Performance Measure 10:45 Convention Hall B

NHS Atlases of Variation – the Power of Variation
Cripps M
NHS RightCare, NHS England, UK
NHS Atlases of Variation were the first publication that shone a light on unwarranted variation in healthcare delivery in
England. Since the original publication, data and intelligence has been at the forefront of NHS RightCare’s successful
evolution of the concept and its work on both improving patient outcomes and delivering a sustainable national health
service. The Atlases and the detailed work that followed have highlighted many scaleable, replicable opportunities for
improvements in both care and value, of interest to international delegates keen to develop a similar approach based on
robust evidence.

S9.2 Healthcare Performance Measure 10:45 Convention Hall B

Measuring Operating Theatre Efficiency in the Hospital Authority
Lai PBS
Department of Surgery, Prince of Wales Hospital, Hong Kong

Operating theatre service plays an important role in the provision of surgical treatment for patients in modern healthcare.
Wednesday, 17 May Operating room (OR) efficiency is a measure of how well time and resources are used for their intended purposes and
Incremental improvements in operating theatre utilisation and efficiency can have major impacts on various stakeholders
and resource utilisation. In operating theatres, efficient case throughput requires optimal use of time which is dependent on
minimising wasted/unused time and maximising output with regards to inputs.

specific measurements are required to assess overall functioning of operating theatres. Specific measurements include:
(1) percentage of theatre utilisation; (2) start-time tardiness; (3) case cancellation rate; (4) turnover time; and (5) overrun and
underrun times. Since the performance may be affected by many factors, the operating team would have to analyse the
whole patient journey including pre-operative, intra-operative and post-operative management logistics.

OT metrics and key performance indicators (KPI) have been developed for data collecting, reporting and monitoring
purposes. KPIs are in general derived from the strategic goals of the organisation and KPIs should drive behaviour that is
consistent with the objectives and strategies of the organisation. The data will provide insights on areas that may require
clinical and operational improvements and such data-driven processes will translate into improved outcomes.
Starting from the first quarter of 2017, there are two new KPIs in use for elective operating sessions in the Hospital Authority: (1)
the utilisation rate of scheduled elective OT sessions; and (2) ratio of scheduled to expected elective OT sessions/hours. To
achieve our strategic aim of improving efficiency, we need collegiate collaboration between surgeons, anaesthetists and OT
nurses and also their understanding and buy-in of the KPIs.

152