Time-driven activity-based costing to model the utility of parallel induction redesign in high-turnover operating lists

Abstract

Background: Value-based healthcare is strongly advocated to reduce the spiralling rise in healthcare expenditure. Operating room efficiency is an important focus of value-based healthcare delivery due to high costs and associated hospital revenue derived from procedural streams of care. A parallel induction design, utilising induction rooms for anesthetising patients, may improve operating room efficiency and optimise revenue. We used time-driven activity-based costing (TDABC) to model personnel costs for a high-turnover operating list to assess value of parallel induction redesign. Methods: We prospectively captured activity data from high-turnover surgery allocated to induction of anesthes..