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The Cost of Same-Day Surgical Case Cancellations

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Same-day surgical cancellations are costly to patients, surgeons and the hospital. Costs to consider include patient and surgeon satisfaction as well as loss of revenue, over and under utilization of staffing models and unrecoverable expenses. It makes sense that surgeons would choose to operate where they know they will find thorough and accurate preoperative assessments, on-time starts and well-organized O.R.s. That's why having an effective perioperative management and anesthesiology group is crucial.

As a leading full-service anesthesiology management services company, EmCare® Anesthesia Services uses innovative management strategies and Lean methodologies to boost O.R. efficiency and case throughput. The company’s success in reducing cancellations and delays in the surgery schedule, improving efficiency and increasing patient throughput is resulting in enhanced revenue, decreased operating expenses, better metrics and improved surgeon satisfaction.

DISCLAIMER: The following calculator is offered just an example of what your numbers may be. EmCare does not guarantee that these numbers are accurate and you should consult a professional before relying on them. Expenses will vary depending on the type of case and OR surgery schedule management. This calculator is not meant to contain all expenses potentially rendered by same day

 

Enter your hospital's data in the boxes below for an interesting look at what same-day surgical cancellations may be costing.

 
Lost Revenue 12
Enter your hospital's current number of monthly surgical cases scheduled  
Estimate your average percentage of same day cancellations*
Enter your average revenue per surgical case
Calculated potential revenue lost due to same day cancellations  

Monthly ($):

Yearly ($):

 
Supply Cost/Losses  
Percentage of wasted opened disposables for same day cancellations  
Enter your hospital's average cost of disposables
Percentage of unused, opened sterilized instruments for same day cancellations  
Enter your hospital's average cost of sterilizing, repackaging, and restocking reusables
Calculated supply/restocking losses for same-day cancellations

Monthly ($):

Yearly ($):

 
Labor Costs  
Determine wages paid for idle time. Consider the hourly labor costs for surgical services at your facility. Be sure to include the circulating nurse, techs, orderly, etc. to determine your total hourly expenditure for wages.    
Combined total wages per hour for all support staff during unexpected idle time for a cancelled case.  
Enter the estimated time measured in minutes. Consider all staff/crew idle time per cancelled case, time spent opening the cancelled case, wasted overtime and other miscellaneous lost wages paid.  
Calculated estimate of total cost of labor (wages lost) per month to same-day cancellations  

Monthly ($):

Yearly ($):

 
TOTAL LOSSES FROM COSTS ASSOCIATED WITH CASE CANCELLATIONS  

Monthly ($):

Yearly ($):

 
COMBINED LOSSES FROM COSTS AND LOSS OF REVENUE  

Monthly ($):

Yearly ($):

 


* To calculate your percentage, divide the average number of cases completed each month by the average number of cases scheduled each month, then subtract that number from 1. Feel free to enter different percentages to see how a reduction in the percentage of same day cancellations could impact revenue.


In addition, there are a number of losses that simply cannot be quantified. How does one measure patient dissatisfaction/family, and surgeon knowing their case was cancelled at the last moment? How does that dissatisfaction transfer into lost future opportunity and business? Were there any other added costs to overall staffing as a result of the case being originally booked and slotted that could have been avoided if the schedule was condensed? All these elements must be factored in when considering the importance of efficiency in the OR.

A good anesthesia and perioperative medicine team can provide services and expertise to help decrease costly cancellations and delays.

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