As sedation polices change and with the growth of procedures outside the traditional operating room grow, the anesthesia department is being asked to provide more coverage for the procedures. These requests are both by providers and by patients as well as hospital administration. In addition, hospital quality and safety officers continue to advocate for anesthesia services for these procedures. Our practice is an integrated employed physician practice where the expectation is to cover these procedures when requested while still balancing financial stability. Our challenge is these procedural areas lack the structure and guidelines of the operating room to maintain efficiency. In addition, each area has a different set of managers and physicians and each have their own way of doing “their” procedures.
Our issue is how is the best way to coordinate these areas to have a single set of guidelines and structure for quality, efficiency and patient safety. The goal would be to reduce variation in care and streamline booking to maximize use of the provided time to cover the needed procedures.