Are orthopaedic providers willing to work overtime to address COVID-19-related patient backlogs and financial deficits?

Aims: COVID-19-related patient care delays have resulted in an unprecedented patient care backlog in the field of orthopaedics. The objective of this study is to examine orthopaedic provider preferences regarding the patient care backlog and financial recovery initiatives in response to the COVID-19...

Full description

Bibliographic Details
Main Authors: Zachary A. Montgomery, Nikhil R. Yedulla, Dylan Koolmees, Eric Battista, Theodore W. Parsons III, Charles S. Day
Format: Article
Language:English
Published: The British Editorial Society of Bone & Joint Surgery 2021-07-01
Series:Bone & Joint Open
Subjects:
Online Access:https://online.boneandjoint.org.uk/doi/epdf/10.1302/2633-1462.27.BJO-2021-0030.R1
_version_ 1818739159166091264
author Zachary A. Montgomery
Nikhil R. Yedulla
Dylan Koolmees
Eric Battista
Theodore W. Parsons III
Charles S. Day
author_facet Zachary A. Montgomery
Nikhil R. Yedulla
Dylan Koolmees
Eric Battista
Theodore W. Parsons III
Charles S. Day
author_sort Zachary A. Montgomery
collection DOAJ
description Aims: COVID-19-related patient care delays have resulted in an unprecedented patient care backlog in the field of orthopaedics. The objective of this study is to examine orthopaedic provider preferences regarding the patient care backlog and financial recovery initiatives in response to the COVID-19 pandemic. Methods: An orthopaedic research consortium at a multi-hospital tertiary care academic medical system developed a three-part survey examining provider perspectives on strategies to expand orthopaedic patient care and financial recovery. Section 1 asked for preferences regarding extending clinic hours, section 2 assessed surgeon opinions on expanding surgical opportunities, and section 3 questioned preferred strategies for departmental financial recovery. The survey was sent to the institution’s surgical and nonoperative orthopaedic providers. Results: In all, 73 of 75 operative (n = 55) and nonoperative (n = 18) providers responded to the survey. A total of 92% of orthopaedic providers (n = 67) were willing to extend clinic hours. Most providers preferred extending clinic schedule until 6pm on weekdays. When asked about extending surgical block hours, 96% of the surgeons (n = 53) were willing to extend operating room (OR) block times. Most surgeons preferred block times to be extended until 7pm (63.6%, n = 35). A majority of surgeons (53%, n = 29) believe that over 50% of their surgical cases could be performed at an ambulatory surgery centre (ASC). Of the strategies to address departmental financial deficits, 85% of providers (n = 72) were willing to work extra hours without a pay cut. Conclusion: Most orthopaedic providers are willing to help with patient care backlogs and revenue recovery by working extended hours instead of having their pay reduced. These findings provide insights that can be incorporated into COVID-19 recovery strategies. Level of Evidence: III
first_indexed 2024-12-18T01:20:24Z
format Article
id doaj.art-8224fcd8f3a24582ae30135e013d9526
institution Directory Open Access Journal
issn 2633-1462
language English
last_indexed 2024-12-18T01:20:24Z
publishDate 2021-07-01
publisher The British Editorial Society of Bone & Joint Surgery
record_format Article
series Bone & Joint Open
spelling doaj.art-8224fcd8f3a24582ae30135e013d95262022-12-21T21:25:51ZengThe British Editorial Society of Bone & Joint SurgeryBone & Joint Open2633-14622021-07-012756256810.1302/2633-1462.27.BJO-2021-0030.R1Are orthopaedic providers willing to work overtime to address COVID-19-related patient backlogs and financial deficits?Zachary A. Montgomery0Nikhil R. Yedulla1Dylan Koolmees2Eric Battista3Theodore W. Parsons III4Charles S. Day5Department of Orthopedic Surgery, Henry Ford Health Systems, Detroit, Michigan, USADepartment of Orthopedic Surgery, Henry Ford Health Systems, Detroit, Michigan, USADepartment of Orthopedic Surgery, Henry Ford Health Systems, Detroit, Michigan, USADepartment of Orthopedic Surgery, Henry Ford Health Systems, Detroit, Michigan, USADepartment of Orthopedic Surgery, Henry Ford Health Systems, Detroit, Michigan, USADepartment of Orthopedic Surgery, Henry Ford Health Systems, Detroit, Michigan, USAAims: COVID-19-related patient care delays have resulted in an unprecedented patient care backlog in the field of orthopaedics. The objective of this study is to examine orthopaedic provider preferences regarding the patient care backlog and financial recovery initiatives in response to the COVID-19 pandemic. Methods: An orthopaedic research consortium at a multi-hospital tertiary care academic medical system developed a three-part survey examining provider perspectives on strategies to expand orthopaedic patient care and financial recovery. Section 1 asked for preferences regarding extending clinic hours, section 2 assessed surgeon opinions on expanding surgical opportunities, and section 3 questioned preferred strategies for departmental financial recovery. The survey was sent to the institution’s surgical and nonoperative orthopaedic providers. Results: In all, 73 of 75 operative (n = 55) and nonoperative (n = 18) providers responded to the survey. A total of 92% of orthopaedic providers (n = 67) were willing to extend clinic hours. Most providers preferred extending clinic schedule until 6pm on weekdays. When asked about extending surgical block hours, 96% of the surgeons (n = 53) were willing to extend operating room (OR) block times. Most surgeons preferred block times to be extended until 7pm (63.6%, n = 35). A majority of surgeons (53%, n = 29) believe that over 50% of their surgical cases could be performed at an ambulatory surgery centre (ASC). Of the strategies to address departmental financial deficits, 85% of providers (n = 72) were willing to work extra hours without a pay cut. Conclusion: Most orthopaedic providers are willing to help with patient care backlogs and revenue recovery by working extended hours instead of having their pay reduced. These findings provide insights that can be incorporated into COVID-19 recovery strategies. Level of Evidence: IIIhttps://online.boneandjoint.org.uk/doi/epdf/10.1302/2633-1462.27.BJO-2021-0030.R1financial recoveryor cancellationspatient backlogdeficit strategycovid-19 pandemicorthopaedic service line
spellingShingle Zachary A. Montgomery
Nikhil R. Yedulla
Dylan Koolmees
Eric Battista
Theodore W. Parsons III
Charles S. Day
Are orthopaedic providers willing to work overtime to address COVID-19-related patient backlogs and financial deficits?
Bone & Joint Open
financial recovery
or cancellations
patient backlog
deficit strategy
covid-19 pandemic
orthopaedic service line
title Are orthopaedic providers willing to work overtime to address COVID-19-related patient backlogs and financial deficits?
title_full Are orthopaedic providers willing to work overtime to address COVID-19-related patient backlogs and financial deficits?
title_fullStr Are orthopaedic providers willing to work overtime to address COVID-19-related patient backlogs and financial deficits?
title_full_unstemmed Are orthopaedic providers willing to work overtime to address COVID-19-related patient backlogs and financial deficits?
title_short Are orthopaedic providers willing to work overtime to address COVID-19-related patient backlogs and financial deficits?
title_sort are orthopaedic providers willing to work overtime to address covid 19 related patient backlogs and financial deficits
topic financial recovery
or cancellations
patient backlog
deficit strategy
covid-19 pandemic
orthopaedic service line
url https://online.boneandjoint.org.uk/doi/epdf/10.1302/2633-1462.27.BJO-2021-0030.R1
work_keys_str_mv AT zacharyamontgomery areorthopaedicproviderswillingtoworkovertimetoaddresscovid19relatedpatientbacklogsandfinancialdeficits
AT nikhilryedulla areorthopaedicproviderswillingtoworkovertimetoaddresscovid19relatedpatientbacklogsandfinancialdeficits
AT dylankoolmees areorthopaedicproviderswillingtoworkovertimetoaddresscovid19relatedpatientbacklogsandfinancialdeficits
AT ericbattista areorthopaedicproviderswillingtoworkovertimetoaddresscovid19relatedpatientbacklogsandfinancialdeficits
AT theodorewparsonsiii areorthopaedicproviderswillingtoworkovertimetoaddresscovid19relatedpatientbacklogsandfinancialdeficits
AT charlessday areorthopaedicproviderswillingtoworkovertimetoaddresscovid19relatedpatientbacklogsandfinancialdeficits