Bonus system helps reduce costs, boost satisfaction

January 2008
Same-Day Surgery;Jan2008, Vol. 32 Issue 1, p8
Academic Journal
Surgery Center at Pelham, in Greer, SC, has successfully reduced costs and maintained high levels of patient and staff satisfaction with the help of a bonus system and other steps. Their cost per case (medical supplies, implants, and drugs) reached $159 in July 2007, and that cost has averaged $227 for 2007, at press time. • The criteria for the bonus system are inventory below $205,000 (to receive full 20% of bonus), net revenue per case of $1,500 or above (25%), patient satisfaction above 98% (25%), physician satisfaction above 98% (20%), and 13 or fewer full-time equivalents (FTEs) per case (10%). • An OR tech, hired to be the material manager, negotiates with vendors and helps educate staff and physicians on costs. • Standardization, custom packs, perpetual inventory (orders go out three times per week), and consignment help reduce costs. Tracking length of stay/turnover time and using a minimal number of staff also contribute.


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