Newspapers / InterCom (Durham, N.C.) / April 1, 1966, edition 1 / Page 7
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--"'"W The SCOR Board is often used as a point of consultation during the day. Above Mr. Joe Beaman, SCOR Board schedule officer, discusses the day’s sched ule with Margaret Watson, OR supervisor. OR SCOR board Design ed to Aid Scheduling (Continued from page 1) The name “SCOR” was se lected as an abbreviated form of the “Scheduling and Control of Operating Rooms.” In order to be able to esti mate as accurately as possible how much time was needed for various operations, charts were set up during the preliminary study which indicate how much time each operation will take from the time a patient is moved into the operating room until he is taken to the recovery room. Met With Approval Once outlined, the plan -\vas referred to an advisory com mittee of fourteen persons, who gave the final seal of approval to the idea and also approved putting the plan into operation. Serving on this committee were Miss Lelia Clark, Mr. Charles Frenzel, Mr. Boone, the two in dustrial engineers, and Drs. An derson (Sr.), Glenn, Goldner, Hudson, Odom, Parker, Sealy, Shingleton, and Stephen. The approved plan went into operation last April. Each Step Timed Today, the charts drawn up during the preliminary study are still used in estimating time needed to drape a patient, get doctors gowned and gloved, clean up the room, and set up for the next case. The items which vary with each operation could not be charted, however; and the time needed for these is cheeked out prior to the operation. The anesthesiologist responsible for sclieduling anesthesia personnel is also responsible for estinmting tlie anesthesia induction time, and the surgeon estimates the time needed for the operation from the first incision until the patient is taken to the recovery room. OVERHEARD ON THE WARDS One patient to the urology patient next to him being i)re- pared for an angiogram: “I knowed you was piped for w’ater, but I didn’t know you was wired for ’lectricity!” INTERCOM - 7 Reveals an Overload The SCOR Board is proving helpful in enabling a more effi cient statistical analj’sis of the use of the operating rooms. The schedule is set up so that certain rooms are allocated to different services on specific daj’s. There are some services which may have a greater need for the operating room facilities than others. When one service has an overload and another does not have a full load, it is quickly seen on the SCOR Board and the operations can be resched uled to suit both services. It is the responsibilty of the man in charge of the SCOR Board to bring the needs of different services, as they are re vealed on the board, to the at tention of the operating room supervisor and the anesthesi ology supervisor. Valuable to Surgeon “It certainly is a valuable study from the surgeon’s point of view,” said Dr. David C. Sabiston, Chairman of the De partment of Surgery. “It is of considerable help in planning, and it has given us data on the various aspects of utilization of the operating room that has been very helpful. ’ ’ During 19(i4 the nation’s 7,127 hospitals employed 1,887,000 persons. This places hospitals third among the na tion ’s largest employers. Medicare Plans Outlined in Brief There are two parts to Medi care ; both become effective July 1, 1966. Part A, Hospital In surance, is available to everyone 65 years and over. Part B, Medical Insurance, is optional, and those wishing coverage must sign up for it. The two parts are briefly ex plained below. (Note: Only those items which effect Duke Hospital are discussed.) HOSPITAL INSURANCE (PART A) This plan covers inpatient hos pital services for up to 90 days in each spell of illness and in cludes a semi-private room and all hospital services except those provided by a physician. The “spell of illness” starts the day you enter the hospital. Any time you are free of hospital care for 60 consecutive days and are re admitted a new ‘ ‘ spell of illness ’ ’ begins. Under this plan, the pa tient pays the first $40.00 for sevices covering the first 60 days plus $10.00 a day for the 61st through the 90th day. After the 90t]i day he pays the full fee. Also covered in this plan are outpatient diagnostic services. The patient pays the first $20.00 and 20% of the balance due for diagnostic tests given in each 20- day period. MEDICAL INSURANCE (PART B) Medical Insurance is provided upon application of the eligible person and his agreement to pay $3.00 per month (matched by an additional $3.00 from federal funds). The patient pays the first $50.00 per year plus 20% (government pays the remain ing 80%) of the cost of the fol lowing services: doctors’ ser vices; services and supplies that are incidental to doctors’ ser vices; diagnostic X-ray, labora tory and other diagnostic tests; X-rays, radium and radioactive isotope tlierapy; surgical dress ings, splints, casts; and artificial arms, legs, eyes, braces, and cer tain other prosthetic devices. APRIL 1966 Between 30 and 40 operations are performed daily in the fourteen operating room suites. Studies were conducted to find out how much time was needed for different operations from the time a patient was moved into the OR until he was taken to the recovery room.
InterCom (Durham, N.C.)
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April 1, 1966, edition 1
7
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