159 - Advancing OR Optimization - Implementation of "Super Charge" Role
Description: Yale New Haven Hospital (YNHH), York Street Campus represents a Level I multispecialty perioperative department with 50 operating rooms. There are four distinct pavilions representing individualized surgical specialties, with dedicated operating room and anesthesia staff, support staff, charge nurses and management teams for each unit. The four perioperative departments functioned independently in complete silos with surgical cases limited to defined locations and available timeframes. Staff maintained operational independence in each pavilion and provided limited availability to support outside units, accept urgent add-ons or facilitate assistance to accommodate case delays. In 2016 YNHH designed and implemented a new role; Operations Coordinator aka "Super Charge." The role was established to reduce the silo mindset embedded throughout the departments. There are two FTEs in this role, working Monday through Saturday 7am to 7pm. The Super Charge RN is responsible to efficiently manage surgical case add-ons into available time frames across all pavilions, facilitate all staff clinical expertise associated with surgical volumes across the departments, relocate cases within the departments to decrease delays and manage daily operational efficiencies for all surgical cases. Following the initial six months of implementation the department experienced a 10% decrease in overtime for OR, PACU and CRNA staff. Additional metrics monitored on a monthly basis represents; first am starts, turnover times, timely patient transport from nursing units and time placement of all surgical case add-ons.