Hospital in Need of Consolidation


Three anesthesia groups were serving one system.

More is Not Always Better

Too many voices and people going in too many different directions can be detrimental and counterproductive. Three anesthesia groups were serving one system. That meant there was no single point for leadership and uniformity in management, decisions or implementation. This made staffing unwieldy and very costly with too much overtime. The hospital knew consolidating the groups into one would streamline staffing, ensure quality and patient safety and maybe even save on costs… but making a significant change would be tricky work. They started making phone calls for help, reaching out to a dozen companies.

Premier Anesthesia's Transition Plan

The system recognized Premier Anesthesia's expertise and its ability to recruit from the industry's best pool of anesthesia providers. A contract was awarded just before Thanksgiving, with a hard start date of January. The team got to work. The plan established a single anesthesia group practice with no service disruption or unpleasant political turmoil. A large number of existing providers - 92% - were retained and a team headed by a medical director with three associate directors was created. A quality program was developed and implemented, as well as a provider performance review program, to establish expectations and ensure standards remained high. One unique solution was a system-wide float pool of providers with credentials at all hospitals. The pool moves an average of 800 provider hours per month to easily adapt to fluctuations in hospital surgery volume.

Consolidated Services AND a $250,000 Reduction in Monthly Anesthesia Expenses

From the first quarter of 2011 to 2013, monthly costs went from $1.45 million to $1.2 million, a $250,000 reduction in monthly anesthesia expenses. With Premier Anesthesia's plan for consolidating and centralizing staffing, only a few locums were needed to set an efficient staffing plan in motion. Staff was moved around and floated to different facilities to accommodate surgical caseloads. Excess staffing was eliminated and overtime was greatly reduced.

Now, instead of trying to communicate with a variety of different voices, hospital leadership regularly meets with Premier Anesthesia. One voice speaks with an emphasis on efficiency and quality of service, and improvements that generate strong, positive results are implemented at all sites.

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