Surgical costs are very high, but most surgeons have little knowledge of their OR costs. The goal of OR SCORE is to determine whether a price transparency initiative can reduce costs.
We used EPIC data to create standardized “surgeon snapshots”, allowing each surgeon to visualize how they compare to their peers on 3 metrics (surgical preparation time, surgical time, surgical supply costs). From January through December 2015, all neurosurgery, orthopedic surgery, and ENT surgeons are receiving these monthly snapshots. In the first 6 months of our intervention, we have seen a 4.07% decrease in median surgical supply cost in the target departments (neurosurgery, ortho, ENT), as compared to a 8.86% increase in surgical supply cost in all other surgical departments.
To the best of our knowledge, there are no publications demonstrating cost reduction through a price transparency initiative directed at surgeons, and our work represents one of the first attempts to do this.
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We divide the average Judge score with the maximum score possible and add 1 to create a multiplier.1.8
We apply the Judge multiplier to the total number of crowd votes.10.7
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