Anesthesiology Program2017-01-20T18:03:58+00:00

Project Description

Anesthesiology Program Analysis and Development

Stipend Reconciliation and Contract Mediation and Development

Hospital administration recognizes that “Surgery” is the “Financial Engine Powering a Hospital” and that long term success in the surgical healthcare market will result from provision of efficient, client-centered operational programs and ongoing expense planning activity.

Anesthesiology Program: Vital Support Service to Numerous Hospital Programs & Perioperative Services

A hospital’s anesthesiology program is a paramount support service to a number of hospital programs; the anesthesia service is a vital component of perioperative services. Nationally anesthesiology program expenses challenge hospitals’ ability to maintain marketable, economically viable, full-service medical center level (surgical) programs. Today, turmoil exists in most anesthesiology programs due to financial and staffing challenges.

Nationally there is a shortage of at least 4,000 anesthesiologists and it is expected that the shortage will continue for at least the next three to five years. There are not sufficient CRNAs in practice to compensate for the physician shortage, and in fact there is also a sizeable shortage of CRNAs nationally.

Compounding the shortage of anesthesiology is the need to staff additional anesthesia sites at every institution as the need for anesthesiology services has grown well outside the traditional boundary of the OR suite. In addition, as specialized surgical suites and free-standing ASCs flourish on hospital campuses, the need to staff these OR sites increases the demand for anesthesiology services (FTEs) however, in most instances, anesthesiology utilization per site and average billed anesthesiology units per site are reduced or remain static as the need for additional providers increases.

Dealing With Anesthesiology Costs That Outpace Billing

In response to these supply and demand factors nationally, both anesthesiologists’ and CRNAs’ compensation and lifestyle demands are higher than at any time in recent history.

The national anesthesiology environment’s financial imbalance has resulted in situation where more and more hospitals are forced to subsidize their anesthesiology practices to enable their anesthesiology groups to recruit and retain well trained physicians and CRNAs. On average an anesthesiologists total compensation package expectation is in excess of $450,000 annually and CRNAs have average total compensation expectations in excess of $190,000 (MGMA Compensation and Production Survey – 2008). Inefficient OR and OB programs CAN and DO result in hospitals having to stipend their anesthesiology group at the level of millions of dollars annually.

Given the aforementioned issues and challenges, as well as a Hospital’s want to maintain a marketable and growth oriented perioperative services program, hospitals seeks assistance in performing an external review of its anesthesia services. Primary objectives of administration generally include a review of the existing anesthesiology program with focus on:

OR Efficiencies, LLC is a leader providing hospitals and anesthesia practices assistance in attaining wanted objectives. The team is nationally recognized as authorities in the field of anesthesiology stipend reconciliation, contract development and developing clear program expectations to support ongoing and focused program development. In collaboration with the Hospital and anesthesia group, the Consultant’s work focuses on identifying, quantifying, and potentially assisting with implementing operational improvements of the anesthesiology and OR programs that can result in minimized anesthesia stipends as well as identifying lost and new revenues and improving surgeon and anesthesiologist satisfaction.

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Other Services Offered By OR Efficiencies. . .

Client Testimonials

  • My hospitals department of anesthesiology was falling apart due to stresses of the operating room.

    My hospitals department of anesthesiology was falling apart due to stresses of the operating room.

    We lost a number of doctors and I feared losing my CRNAs because of our issues. Jerry personally assisted me to bring stability to the anesthesiology program and his team improved OR efficiencies and general operations so that now we're able to recruit and retain highly skilled anesthesia staff.
    CEO - major Mid-Atlantic healthcare system

  • The consulting team assisted our surgeons to realize that they must be part of developing solutions, not simply to expect administration to provide them a perfect world.

    The consulting team assisted our surgeons to realize that they must be part of developing solutions, not simply to expect administration to provide them a perfect world.

    Now our surgeons and anesthesiologists are actively engaged, police themselves and have a higher level of satisfaction with our ORs being much more efficient.
    Surgeon and OR Committee Chair - major Northeastern medical center

  • The hospital CEO and the dean made it my responsibility to fix the OR without holding any other parties accountable.

    The hospital CEO and the dean made it my responsibility to fix the OR without holding any other parties accountable.

    Our anesthesiology program was greatly in deficit due to the staffing costs associated with a terribly inefficient OR. I was losing faculty and could not recruit to our program due to the imbalance of work-load and compensation package. Jerry brought facts and education. He assisted in mediating our relationships and educated us on how to move forward. The assistance Jerry provided me and my program assisted me not only to improve our present situation and be successful in my position but also to move on in my own career.
    Department of Anesthesiology Chair - then serving at a mid-Atlantic University program having moved on to Department Chair at a prestigious Southwestern University.

  • I moved to another CEO position and didn’t realize the disrepair our OR program was in until after I started.

    I moved to another CEO position and didn’t realize the disrepair our OR program was in until after I started.

    I lost the contact information and spent hours tracking them down after nearly ten years. They were there for me and assisted me through another difficult situation.
    CEO - Northeastern community medical center

  • Jerry assisted me to bring stability to the anesthesiology program and his team improved OR efficiencies and general operations. . .

    Jerry assisted me to bring stability to the anesthesiology program and his team improved OR efficiencies and general operations. . .

    My hospitals department of anesthesiology was falling apart due to stresses of the operating room. We lost a number of doctors and I feared losing my CRNAs because of our issues. "Jerry assisted me to bring stability to the anesthesiology program and his team improved OR efficiencies and general operations so that now we're able to recruit and retain highly skilled anesthesia staff."
    CEO - major Mid-Atlantic healthcare system

  • Jerry Ippolito’s team assisted our surgeons to realize that they must be part of developing solutions,

    Jerry Ippolito’s team assisted our surgeons to realize that they must be part of developing solutions,

    not simply to expect administration to provide them a perfect world. Now our surgeons and anesthesiologists are actively engaged, police themselves and have a higher level of satisfaction with our ORs being much more efficient.
    Surgeon and OR Committee Chair - major Northeastern medical center

  • Jerry, the services and education you provided my department and administration proved to be invaluable in resolving differences and developing solutions.

    Jerry, the services and education you provided my department and administration proved to be invaluable in resolving differences and developing solutions.

    Before we started the engagement I thought my anesthesiology department was going to implode; you spread oil on troubled waters.
    Highly published Chair of Anesthesiology - Midwestern University Hospital System

  • Our surgeons wanted to develop their own ASC until Ippolito and his team showed us that a community hospital OR can be as efficient as a surgery center.

    Our surgeons wanted to develop their own ASC until Ippolito and his team showed us that a community hospital OR can be as efficient as a surgery center.

    Surgeon satisfaction improved and the surgeons continued to support the hospital.
    Chief Nursing Officer - rural Midwestern community hospital

  • Their team made me feel good and part of the solution. . .

    Their team made me feel good and part of the solution. . .

    and never threatened in my position. I learned a lot and value the experience. I feel like we're friends.
    Director of Surgical Services - major Northeastern medical center

  • “I’ve worked with Jerry Ippolito for over fifteen years. . .

    “I’ve worked with Jerry Ippolito for over fifteen years. . .

    Not only has he always been there to guide me through challenging situations, but he is a person of the highest integrity I've met in the business world.
    Exec VP Operations - major Midwestern medical center