OR Management and Metrics: How It All Fits Together for the Healthcare System

  • Steven D. Boggs
  • Derek W. TanEmail author
  • Caleb L. Watkins
  • Mitchell H. Tsai
Systems-Level Quality Improvement
Part of the following topical collections:
  1. Systems-Level Quality Improvement


Increased healthcare costs and diminishing returns have prompted healthcare administrators to address budget allocations to alleviate institutional costs. Current economic constraints, such as limited Medicaid and Medicare insurance payments, limit our patients’ ability to receive urgent surgical interventions as well as access preventative diagnostic tools. Rather than downsizing the workforce, future sustainability must be derived upon effective cost structures supported by improved quality control measures and increased patient accessibility. Surgeries were performed during 29% of hospitalizations and comprised 48% of the $387 billion in healthcare expenditures in 2011. Further, surgical procedures managed to account for 40–70% of hospital revenues. Effective cost reduction begins at the source and in the case of hospital systems, the operating room (OR). Taking this into consideration, administrators evaluating future revenue streams should look to consider OR-based cost reduction measures as part of their first step approach. Improving OR efficiency through block time and staff optimization remain the premise of today’s existing literature on OR management strategies.


Operating room management Medicare Operating room efficiency Block time Staff optimization Cost analysis Reimbursement Investment Return Scheduling Sustainability Administration 


Compliance with Ethical Standards

Conflict of interest

Steven D. Boggs declares he has no conflict of interest. Derek W. Tan declares he has no conflict of interest. Caleb L. Watkins declares he has no conflict of interest. Mitchell H. Tsai declares he has no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.


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© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of AnesthesiologyUniversity of Tennessee Medical CenterMemphisUSA
  2. 2.University of Vermont Larner College of MedicineBurlingtonUSA
  3. 3.Department of AnesthesiologyUniversity of Vermont Larner College of MedicineBurlingtonUSA
  4. 4.Department of Orthopaedics and Rehabilitation (by courtesy)University of Vermont Larner College of MedicineBurlingtonUSA
  5. 5.Department of Surgery (by courtesy)University of Vermont Larner College of MedicineBurlingtonUSA

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