Abstract

Introduction In the struggling economic post covid era, there will be greater cost containment, efficiency, and quality pressures. How does novel technology to dynamically digitize and automate surgical processes, as an adjunct to existing static workflows, impact surgical supply costs in knee replacement surgeries compared to traditional non automated knee replacement surgeries? Materials/Methods A novel innovative patented technology (SIGHT Medical, Alexandria LA) was created to digitize surgical processes and interface with hospital data systems (EMR- EPIC and ERP- Lawson) within Ochsner health system. Medical Surgical supplies and billable medical supplies were captured by the OR staff using standard hospital EMR and materials management workflows. Outcome measures included costs of surgical supplies, length of stay and number of cases captured using the Ochsner Health system data analytics platform (Tableau, Seattle, WA). Results 1023 knee replacement surgeries were reviewed over 3 years by 3 surgeons at 3 different hospitals within the Ochsner Health system. There was an average of $479/surgery in medical surgical supply costs for automated surgeries and $557/surgery for traditional surgeries. There was an average of $2,444/surgery in billable medical supply costs for automated surgeries and $4,660/surgery for traditional surgeries. Discussion Deploying innovative technology to create a real time dynamic communication and transparency platform can create significant supply cost savings. An average of $78 in medical surgical supply cost savings and $2216 in billable medical supply cost savings can be achieved by automating many of the surgical workflows and processes.

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