A comparison of financial and operational efficiency between smart and traditional insufflation for laparoscopic surgery: A granular analysis
Objective: Smart insufflation (SI) techniques relying on valve and membrane-free insufflation are increasing in usage. Although considerable literature exists demonstrating the benefits of SI on procedural ease and patient outcomes, there remains a paucity describing the financial impact of these de...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
KeAi Communications Co., Ltd.
2023-09-01
|
| Series: | Laparoscopic, Endoscopic and Robotic Surgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468900923000439 |
| _version_ | 1827803575496998912 |
|---|---|
| author | Aazad Abbas Imran Saleh Graeme Hoit Gurjovan Sahi Sam Park Jihad Abouali Cari Whyne Jay Toor |
| author_facet | Aazad Abbas Imran Saleh Graeme Hoit Gurjovan Sahi Sam Park Jihad Abouali Cari Whyne Jay Toor |
| author_sort | Aazad Abbas |
| collection | DOAJ |
| description | Objective: Smart insufflation (SI) techniques relying on valve and membrane-free insufflation are increasing in usage. Although considerable literature exists demonstrating the benefits of SI on procedural ease and patient outcomes, there remains a paucity describing the financial impact of these devices. The purpose of this study was to determine the financial and efficiency impact of these devices on the operating room and inpatient wards of a hospital. Methods: A discrete event simulation model representing a typical mid-sized North American hospital comparing SI to traditional insufflation (TI) was generated. The National Surgical Quality Improvement database from 2015 to 2019 was used to populate the model with data supplemented from the literature. Outcomes included length of stay (LOS), duration of surgery (DOS), annual procedure volume, profit, return on investment (ROI), and gross profit margin (GPM). From the literature review, DOS savings were 10–32 minutes/case, while LOS savings were 0–3 days/case. Results: Implementation of an SI led to an increase in annual throughput of 42–346 (4.4%–36.6%) cases for all procedures and 38 to 297 (4.3%–33.3%) cases for complex procedures. LOS was found to be decreased by 175–614 (18.3%–64.2%) days for all procedures and 231 to 614 (35.6%–77.9%) cases for complex procedures with the implementation of an SI. Together, this resulted in an increase in net profit of $104,685 per annum. The ROI of SI over the TI device was >1000%, and the GPM for the TI was 90.0%, while the GPM for the SI was 71.7%. Conclusion: Despite the initial financial investment being greater, the implementation of SI offsets these expenses and yields significant financial benefits. Our study demonstrates the financial benefits of SI over TI and illustrates how granular operational and financial analyses of technologies are essential to aid in sound healthcare procurement decision making. |
| first_indexed | 2024-03-11T20:57:21Z |
| format | Article |
| id | doaj.art-0072e6127b974a4a964f3d026b802da3 |
| institution | Directory Open Access Journal |
| issn | 2468-9009 |
| language | English |
| last_indexed | 2024-03-11T20:57:21Z |
| publishDate | 2023-09-01 |
| publisher | KeAi Communications Co., Ltd. |
| record_format | Article |
| series | Laparoscopic, Endoscopic and Robotic Surgery |
| spelling | doaj.art-0072e6127b974a4a964f3d026b802da32023-09-30T04:55:22ZengKeAi Communications Co., Ltd.Laparoscopic, Endoscopic and Robotic Surgery2468-90092023-09-016397102A comparison of financial and operational efficiency between smart and traditional insufflation for laparoscopic surgery: A granular analysisAazad Abbas0Imran Saleh1Graeme Hoit2Gurjovan Sahi3Sam Park4Jihad Abouali5Cari Whyne6Jay Toor7Division of Orthopaedic Surgery, University of Toronto, 149 College Street Room 508-A, Toronto, ON, M5T 1P5, Canada; Orthopaedic Biomechanics Lab, Sunnybrook Research Institute, 2075 Bayview Avenue, Toronto, ON, Canada; Corresponding author: University of Toronto, 1 King's College Circle, Toronto, ON, M5S 1A8, Canada.Department of Mechanical and Industrial Engineering, University of Toronto, 5 King's College Road, Toronto, ON, M5S 3G8, CanadaDivision of Orthopaedic Surgery, University of Toronto, 149 College Street Room 508-A, Toronto, ON, M5T 1P5, CanadaFaculty of Medicine, University of Toronto, 1 King's College Circle, Toronto, ON, M5S 1A8, CanadaDivision of Orthopaedic Surgery, University of Toronto, 149 College Street Room 508-A, Toronto, ON, M5T 1P5, Canada; University of Toronto Orthopaedics Sports Medicine, Women's College Hospital, 76 Grenville St, Toronto, ON, CanadaDivision of Orthopaedic Surgery, University of Toronto, 149 College Street Room 508-A, Toronto, ON, M5T 1P5, Canada; Division of Orthopaedic Surgery, Michael Garron Hospital, 825 Coxwell Avenue, Toronto, ON, M4C 3E7, CanadaDivision of Orthopaedic Surgery, University of Toronto, 149 College Street Room 508-A, Toronto, ON, M5T 1P5, Canada; Orthopaedic Biomechanics Lab, Sunnybrook Research Institute, 2075 Bayview Avenue, Toronto, ON, Canada; Division of Orthopaedic Surgery, Sunnybrook Health Science Centre, 2075 Bayview Avenue, Toronto, ON, CanadaDepartment of Orthopaedic Surgery, University of Manitoba, 820 Sherbrook Street, Winnipeg, MB, CanadaObjective: Smart insufflation (SI) techniques relying on valve and membrane-free insufflation are increasing in usage. Although considerable literature exists demonstrating the benefits of SI on procedural ease and patient outcomes, there remains a paucity describing the financial impact of these devices. The purpose of this study was to determine the financial and efficiency impact of these devices on the operating room and inpatient wards of a hospital. Methods: A discrete event simulation model representing a typical mid-sized North American hospital comparing SI to traditional insufflation (TI) was generated. The National Surgical Quality Improvement database from 2015 to 2019 was used to populate the model with data supplemented from the literature. Outcomes included length of stay (LOS), duration of surgery (DOS), annual procedure volume, profit, return on investment (ROI), and gross profit margin (GPM). From the literature review, DOS savings were 10–32 minutes/case, while LOS savings were 0–3 days/case. Results: Implementation of an SI led to an increase in annual throughput of 42–346 (4.4%–36.6%) cases for all procedures and 38 to 297 (4.3%–33.3%) cases for complex procedures. LOS was found to be decreased by 175–614 (18.3%–64.2%) days for all procedures and 231 to 614 (35.6%–77.9%) cases for complex procedures with the implementation of an SI. Together, this resulted in an increase in net profit of $104,685 per annum. The ROI of SI over the TI device was >1000%, and the GPM for the TI was 90.0%, while the GPM for the SI was 71.7%. Conclusion: Despite the initial financial investment being greater, the implementation of SI offsets these expenses and yields significant financial benefits. Our study demonstrates the financial benefits of SI over TI and illustrates how granular operational and financial analyses of technologies are essential to aid in sound healthcare procurement decision making.http://www.sciencedirect.com/science/article/pii/S2468900923000439InsufflationAirsealSurgical efficiencyFinancial impact |
| spellingShingle | Aazad Abbas Imran Saleh Graeme Hoit Gurjovan Sahi Sam Park Jihad Abouali Cari Whyne Jay Toor A comparison of financial and operational efficiency between smart and traditional insufflation for laparoscopic surgery: A granular analysis Laparoscopic, Endoscopic and Robotic Surgery Insufflation Airseal Surgical efficiency Financial impact |
| title | A comparison of financial and operational efficiency between smart and traditional insufflation for laparoscopic surgery: A granular analysis |
| title_full | A comparison of financial and operational efficiency between smart and traditional insufflation for laparoscopic surgery: A granular analysis |
| title_fullStr | A comparison of financial and operational efficiency between smart and traditional insufflation for laparoscopic surgery: A granular analysis |
| title_full_unstemmed | A comparison of financial and operational efficiency between smart and traditional insufflation for laparoscopic surgery: A granular analysis |
| title_short | A comparison of financial and operational efficiency between smart and traditional insufflation for laparoscopic surgery: A granular analysis |
| title_sort | comparison of financial and operational efficiency between smart and traditional insufflation for laparoscopic surgery a granular analysis |
| topic | Insufflation Airseal Surgical efficiency Financial impact |
| url | http://www.sciencedirect.com/science/article/pii/S2468900923000439 |
| work_keys_str_mv | AT aazadabbas acomparisonoffinancialandoperationalefficiencybetweensmartandtraditionalinsufflationforlaparoscopicsurgeryagranularanalysis AT imransaleh acomparisonoffinancialandoperationalefficiencybetweensmartandtraditionalinsufflationforlaparoscopicsurgeryagranularanalysis AT graemehoit acomparisonoffinancialandoperationalefficiencybetweensmartandtraditionalinsufflationforlaparoscopicsurgeryagranularanalysis AT gurjovansahi acomparisonoffinancialandoperationalefficiencybetweensmartandtraditionalinsufflationforlaparoscopicsurgeryagranularanalysis AT sampark acomparisonoffinancialandoperationalefficiencybetweensmartandtraditionalinsufflationforlaparoscopicsurgeryagranularanalysis AT jihadabouali acomparisonoffinancialandoperationalefficiencybetweensmartandtraditionalinsufflationforlaparoscopicsurgeryagranularanalysis AT cariwhyne acomparisonoffinancialandoperationalefficiencybetweensmartandtraditionalinsufflationforlaparoscopicsurgeryagranularanalysis AT jaytoor acomparisonoffinancialandoperationalefficiencybetweensmartandtraditionalinsufflationforlaparoscopicsurgeryagranularanalysis AT aazadabbas comparisonoffinancialandoperationalefficiencybetweensmartandtraditionalinsufflationforlaparoscopicsurgeryagranularanalysis AT imransaleh comparisonoffinancialandoperationalefficiencybetweensmartandtraditionalinsufflationforlaparoscopicsurgeryagranularanalysis AT graemehoit comparisonoffinancialandoperationalefficiencybetweensmartandtraditionalinsufflationforlaparoscopicsurgeryagranularanalysis AT gurjovansahi comparisonoffinancialandoperationalefficiencybetweensmartandtraditionalinsufflationforlaparoscopicsurgeryagranularanalysis AT sampark comparisonoffinancialandoperationalefficiencybetweensmartandtraditionalinsufflationforlaparoscopicsurgeryagranularanalysis AT jihadabouali comparisonoffinancialandoperationalefficiencybetweensmartandtraditionalinsufflationforlaparoscopicsurgeryagranularanalysis AT cariwhyne comparisonoffinancialandoperationalefficiencybetweensmartandtraditionalinsufflationforlaparoscopicsurgeryagranularanalysis AT jaytoor comparisonoffinancialandoperationalefficiencybetweensmartandtraditionalinsufflationforlaparoscopicsurgeryagranularanalysis |