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    How Artificial Intelligence Scheduling For Surgeries Impacts Surgical Practices

    Justin Rockman | October 2, 2017

    Artificial Intelligence is playing an increasingly important role in digital health. Optimizing surgery scheduling is an area where AI can have a big impact. By slotting AI and machine learning algorithms into EHR and scheduling systems, practices will be able to improve patient safety and increase revenue while taking into account the constraints of all surgical elements. The potential of artificial intelligence scheduling for surgeries is just being realized and can yield incredible results.


    Why surgical scheduling systems need AI


    Getting the most out of block time is crucial for both practices and hospitals. A recent study shows that the average value of an OR room is $62 per minute. With each minute so valuable, a practice needs to ensure optimal usage.


    Surgimate describes the importance of an artificial intelligence scheduling system for surgeries to minimize OR expenses.

    At $62 per minute, use your OR time wisely


    Currently, medical facilities do not incorporate any machine learning scheduling optimization for surgeries. In fact, many of the systems used by hospitals and clinics were designed for in-office scheduling – and not surgical scheduling.


    While schedulers may be able to fill the surgeon’s block time for the day, they may not have taken into account other factors – a surgery taking longer than estimated, the complexity of the case, and so on. This can lead to surgeons working longer than their block time, thereby increasing risk to patients.


    Mayo Clinic turns to machine learning for scheduling optimization


    In 2012, the Mayo Institute reviewed their own spinal surgical scheduling in an effort to find a better way to structure their scheduling process. They found a great deal of inefficiency, and doctors working a significant overtime – both potentially harmful for patients and costing the clinic substantial amounts of money.


    Surgimate quotes the Mayo Clinic study that explores using an artificial intelligence scheduling system for surgeries.

    The Mayo Clinic – an early AI pioneer


    Using data mined from previous surgeries performed at the hospital, the Mayo Clinic began mapping out the time actually spent on each surgery. They took into account the patient’s profile, the doctor’s previous cases, and numerous other factors. The information was fed into an algorithm with several complex models that attempted to maximize surgeons block time while preventing overtime in the OR. A scheduler would then be shown, through a color-coded system, the optimum openings for a patient based on surgeries already scheduled that day.


    After rigorous testing and tweaking, the Mayo Clinic successfully deployed this scheduling algorithm. During the pilot program – which ran from June 2012 to July 2013) – the Clinic increased utilization for spine surgeries by 19% and reduced overtime by 10%. These numbers are significant for clinics as large as Mayo, but the results can be just as significant for smaller size practices.


    Surgimate quotes the Mayo Clinic study that uses data in artificial intelligence scheduling systems for surgeries.


    Slash down time with an AI scheduler


    One would assume that “maximizing block time” simply means cramming a surgeon’s schedule with back-to-back surgeries. What is less known, however, is that there’s plenty of downtime for a surgeon between surgeries. Technically,  a surgeon is not needed in the OR room when the patient is being prepped, or closed up.


    Using a surgical artificial intelligence scheduling calendar and machine learning can enable the scheduling system itself to work out the most efficient use of multiple OR rooms. It may find that based on the resources available, having back-to-back surgeries in the same OR room is the best schedule for a surgeon. Alternatively, it may also find that using a Knife to Skin based schedule will actually allow for over 100% use of the surgeon’s time.


    Surgimate explains how using an artificial intelligence scheduling system for surgeries can save time between surgeries.

    Reducing downtime between surgeries is key


    Practices look at various factors, such as:

    • patient’s’ health information (age, BMI, etc), 
    • technical aspects of a surgery including surgery length, and 
    • time it takes to clean up an OR room. 

    Using this information will be key for a practice to create a successful AI system that yields efficient results and reduces overtime.


    AI scheduler for pre-surgery care


    One potential flaw in manually building a surgery schedules is ensuring the correct pre-surgery care plan and clearances needed. This is often determined by the health team, and not the surgeon. Certain factors may not be accounted for and critical tests missed. This can end up delaying the surgery or have grave consequences for the patient.


    Surgimate explains how more data in artificial intelligence scheduling systems for surgeries helps provide better care.

    The richer the data provided, the more AI algorithms can do


    Using data fed from medical journals, EHR databases, and previous surgical procedures can help teach the system all the factors that must be considered. The artificial intelligence surgical scheduling system will analyze the patient’s health data to trigger alerts for the proper pre-surgery care plan and tests required. It would also alert the schedulers to any errors made by the staff.


    The right tool for the job


    Surgeons, like the rest of us, are creatures of habit, and will often use the same tools for the same surgery. While these may be educated decisions, they may be missing out on opportunities to use the best devices for their procedures. This can impact the efficiency and outcome of the surgery.


    Surgimate describes how using artificial intelligence scheduling systems for surgeries can help with surgical tool selection.

    AI can recommend the best surgical tools for the job at hand


    AI can step in and recommend the best equipment for the procedure in question. Similar to the planning stage, big data can be fed into the algorithm. It will be important that the system takes into account the patient’s age and medical record to be able to properly assess the impact different devices will have. It will also alert the scheduler to any equipment accidentally omitted.


    Upgrading surgical practices with AI schedulers 


    AI and machine learning have the potential to dramatically change how practices schedule their surgeries. It is important for managers to understand the factors relevant to maximizing their resources. By creating the right algorithm and applying proper use of machine learning, practices will be able to increase efficiency and deliver better patient care.


    Surgical practices that are looking to significantly increase their efficiency will greatly benefit from Surgimate’s leading care coordination software, featuring a surgical calendar and status tracker. Learn more about how Surgimate can advance your surgical practice.

    Surgimate staff and others recommend
    About the author: Justin is an industry expert in surgery scheduling & coordination. With over 15 years experience in digital health, he has accumulated a comprehensive knowledge and understanding of the intricacies involved in running a successful surgical practice. He has an in-depth knowledge of the workflow and technology issues faced by practices on a daily basis.
    Published on October 2, 2017. All rights reserved by the author.

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