The Perioperative Method for Healthcare - Profit through Reputation - Integrate clinical and commercial factors - Reduce risk, reduce cost and improve the patient and clinician experience

1. Dr Douglas Fahlbusch
MBBS, FANZCA, GAICD, GDM
Perioperative Healthcare Consulting - Profit through Reputation

2. Perioperative Consulting
Perioperative Established 2012
Investigate & Commercialise
Perioperative workflow
improvements
Unique:
Clinical insights with
Business process experts
Perioperative Consulting Est 2015
Connect and Support Healthcare
People
Profit through Reputation

3. Dr Douglas Fahlbusch
Founder
Specialist (Anaesthesia)
15yrs/ 15,000 cases
Business/ Director
training and experience
(MB,BS, FANZCA, GDM, MAICD)
Profit through Reputation

4. Why? Healthcare accessibility
Improve outcomes
Improve experience
Reduce cost
Requires Commercial
and Clinical capability
Profit through Reputation

5. Common Problems
Ageing population, Medical complexity
Funding pressures
‘Presentee’-ism - worse than absentee-ism
Difficulty finding quality middle management
Unrealistic expectations from visiting doctors
Profit through Reputation

6. Common Mistakes
Isolated clinical improvement -> can be ineffective
Isolated budgetary improvement -> can generate cost
elsewhere
Compliance as a burden -> missed opportunity for innovation
Pooled costs -> unable to diagnose and treat
Insufficient community building -> reduced referrals -> non-
contributory visiting personnel
Profit through Reputation

7. Healthcare Organisations
Complex, adaptive systems
Evolve over time
Unique culture, history,
processes
Best practice may not
‘transfer’
Profit through Reputation

8. How? Perioperative Method
Week:
1: Onsite needs assessment
2: Prioritised Supplier Recommendations
3-4: Mutually agreed implementation plan
6-50: Project Management
52: Impact Analysis
Profit through Reputation

9. Trusted Partners
Costing Software
Workflow Software
Software Integration
Procurement
Clinical Risk
Staff Risk Management
Training
Design
Profit through Reputation

10. Perioperative’s Outcomes
Reduce Cost:
time and materials per patient
readmissions
adverse events
Improved outcomes: Improve Compliance
Increase Reputation: Doctors, nurses, patients, staff
Engagement, Referrals
Profit through Reputation

11. Example
Hospital X
Profit through Reputation

12. Text
Hospital Flow
Incomplete - ignores external providers. Time and Place not differentiated
Source: Fowler — Craig — Fredendall — Damali. AORN JANUARY 2008, VOL 87, NO 1, p 195
Profit through Reputation

13. Problems
Incomplete access to patient information increases
risk of errors
Existing systems complicate data access and disrupt
workflows = frustration, risk
Mobility, configurability new expectations
Profit through Reputation

14. Text
Perioperative’s process
Detailed insight
Profit through Reputation

15. Process improvements
Must focus on:
1. Flow of information: avoid delays
2. Team-members: cross-check vs duplication
3. Processes: include variations, feedback
Must be credible
Profit through Reputation

16. Text
1. Information Flow
Interaction between clinician and hospital
Profit through Reputation

17. 2. Team Members
Functions/ roles well-defined.
Processes ill-defined
overlap, duplication, little cross-checking
Identify Key Players.
Reduce duplication, delay
Increase cross-checking, efficiency
Profit through Reputation

18. 3. Processes
Variations, failures, work-arounds
Interdependencies:
Time, Data
Internal and external functions
Routine feedback, reporting
‘Failures’ flagged for immediate intervention
Profit through Reputation

19. How? Perioperative Method
Week:
1: Onsite needs assessment
2: Prioritised Supplier Recommendations
3-4: Mutually agreed implementation plan
6-50: Project Management
52: Impact Analysis
Profit through Reputation

20. Ways to Work with Us
Appraisal:
Complimentary, in person
Project: as agreed
Consultancy: you do
Retainer: we do
Profit through Reputation

21. Profit Through Reputation
www.perioperative.com.au
drfahlbusch@perioperative.com.au
T: 08 7129 8212 M: 0427 719 046
ABN 43 583 291 322. Level 30 Westpac House, 91 King William Street, ADELAIDE