Impact of a laser service line for burn scar on a dedicated burn OR's flow and productivity

Tarik D. Madni, John E. Hoopman, Xingchen Li, Jonathan B. Imran, Audra T. Clark, Holly B. Cunningham, Steven Wolf, Jeffrey M. Kenkel, Herb A. Phelan

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Our group began performing erbium-YAG 2940 wavelength fractional resurfacing of burn scar in our burn center's dedicated burn operating room (OR) in January 2016. The impact of these procedures on the performance of a mature, dedicated burn OR is unknown. All burn OR cases performed between January 1, 2015 and December 31, 2015 served as a pre-laser (PRE-LSR) historical control. A postintervention cohort of laser-only cases (LSR) performed between January 1, 2016 and August 17, 2016 was then identified. PRE-LSR and LSR cases were retrospectively reviewed for OR component times, and work relative value units (wRVU) billed. A total of 628 burn OR cases were done in 2015 (PRE-LSR), while 488 burn OR cases were done between January 1 and August 17, 2016. Of these 488, 59 cases were LSR (12.1%). Calculated on a monthly basis, significantly more cases were done per day in the LSR era (2.2 ± 0.4 cases/d) than PRE-LSR (1.6 ± 2.0 cases/d; P < .0001). The LSR group was significantly shorter than the PRE-LSR group for all OR component times (induction, prep, and procedure all P < .0001; transport out, P = .01; room turnover, P = .004). Aggregate OR component time was 79.2 ± 33.4 minutes for LSR and 157.5 ± 65.0 minutes for PRE-LSR (P < .0001). LSR yielded 6.9 ± 3.2 wRVU/h, while PRE-LSR generated 12.2 ± 8.9 wRVU/h (P < .0001). Despite significantly shorter OR component times and more cases being done per day, laser treatment of burn scar using a single 17108 Current Procedural Terminology code cuts wRVUs generated per hour in a mature burn OR roughly in half.

Original languageEnglish (US)
Pages (from-to)811-814
Number of pages4
JournalJournal of Burn Care and Research
Volume39
Issue number5
DOIs
StatePublished - Jan 1 2018
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Emergency Medicine
  • Rehabilitation

Fingerprint Dive into the research topics of 'Impact of a laser service line for burn scar on a dedicated burn OR's flow and productivity'. Together they form a unique fingerprint.

  • Cite this

    Madni, T. D., Hoopman, J. E., Li, X., Imran, J. B., Clark, A. T., Cunningham, H. B., Wolf, S., Kenkel, J. M., & Phelan, H. A. (2018). Impact of a laser service line for burn scar on a dedicated burn OR's flow and productivity. Journal of Burn Care and Research, 39(5), 811-814. https://doi.org/10.1093/jbcr/irx056