Some Call it Award-Winning Service; We Call it Day-To-Day Operations.


Challenging times can call for creative measures and that can attract some attention.

Premier Anesthesia's Attention-Grabbing Results

At a facility in the south, the challenge was to boost productivity. The anesthesia practice was redesigned for a "one job, one focus" model, instead of everyone doing everything, which can be inefficient. The redesign included the development of a flow policy and procedure, as well as holding personnel highly accountable.

A CRNA team is responsible for the majority of the anesthesia services in the operating room. Anesthesiologists work behind the scenes on CRNA-led cases. They can complete a higher level evaluation when indicated, and / or consult with other providers and the patient when necessary. Doctors also perform the evaluative (on sicker patients) and prescriptive elements of the workflow. The efficient use of staff catapulted the hospital into the 75th percentile for productivity.

Awarded for Superior Performance

The Medical Group Management Association (MGMA) recognized Premier Anesthesia's work at this facility with an award for superior Performance and Practices of Successful Medical groups. The award looked at both productivity and keeping costs below average. CRNAs played a big role in that. They are used as flex employees. CRNAs are guaranteed at least 30 hours of work per week and can be flexed between two or three different facilities, depending on the situation.

Premier's CRNAs also featured prominently in receiving high marks in patient satisfaction: in the 90th percentile compared to the hospital's other physician practices. CRNAs perform the preoperative patient evaluation - a prudent decision, since they will be in the patient's room - as well as performing the anesthetic and waking the patient.

The patient often gets one person who makes them feel comfortable and secure. This means it's important to choose the best CRNAs to represent the hospital and Premier Anesthesia. A CRNA training program allows the facility to selectively consider the anesthetists. This pre-hire vetting process leads to increased stability and low turnover.

Premier's physician leader has longevity at the facility and has built long-term relationships with the hospital, so people know who to go to for help, changes or advice. That advice might be to change surgeon blocks or OR utilization, or even - like last year - to close an entire suite of ORs and move the cases to the main OR for effectiveness and efficiency.

To the MGMA, it was an award-winning performance. To Premier Anesthesia, it's the way we do business every day. We are always looking for opportunities to increase efficiency and productivity, while reducing costs, and making sure patients are well taken care of every step of the way.

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