2018 AANS Annual Scientific Meeting-592. Cost Savings Associated with the Introduction of a Standardized Perioperative Protocol for Endoscopic Trans-Sphenoidal Pituitary Surgery: A Cost-Benefit Analysis

592. Cost Savings Associated with the Introduction of a Standardized Perioperative Protocol for Endoscopic Trans-Sphenoidal Pituitary Surgery: A Cost-Benefit Analysis

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Video Transcription

Video Summary

In this video, Sheena Weaver, from Vanderbilt University Medical Center, presents a cost-benefit analysis of implementing a standardized perioperative protocol for endoscopic transsphenoidal pituitary surgery. Before the protocol was implemented, a root cause analysis identified issues in the preoperative clinic, patient teaching, and discharge processes. Value stream mapping exercises were used to determine the current state and future state processes. After implementing the protocol, ICU resource utilization decreased to 13% and ICU length of stay dropped to less than one day. Mean hospital length of stay and the number of labs drawn per patient also decreased. The average cost savings per patient was over $4,400, with the biggest savings coming from not admitting patients to the ICU postoperatively. The study did not include data on CSF leak or diabetes insipidus rates.

Asset Caption

Sheena M. Weaver, M.D.

Keywords

cost-benefit analysis

perioperative protocol

endoscopic transsphenoidal pituitary surgery

ICU resource utilization

length of stay