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Operating Room Cost Management

Hospital systems (small and large) have been freezing capital expenditures and reducing expenses as much as possible across the country. Priorities for OR administrators and decision makers have shifted to conserving cash in any way possible due to the effects of COVID19. Outpatient procedures were shut down altogether for months. Certain states have re-opened elective surgeries, yet some facilities still have restrictions on case volume. Needless to say, it’s been an unprecedented year for healthcare.

Ophthalmology has lost the most volume in 2020 than any other specialty, seeing an 81% volume drop compared to 2019 (according to eyewire.news).

Cataract Surgery in particular has dropped 97% in procedure volume. This is largely due to the restrictions that have been in effect for elective surgeries and COVID precautionary measures in place. In-office patient checkups are at an all time low due to the pandemic. Hardly anyone is going to see their healthcare provider unless it’s an emergency.

As new COVID19 infection rates drop, elective surgeries have started to reopen. The more restrictions are lifted, the more we can expect to see a backlog of elective surgeries begin to flood our ORs. In other words, we may be facing a potential surge in elective surgery across the country.

This creates a unique challenge we’ve never encountered before. On a large scale, hospitals and ASCs will see surges in elective surgery cases, while experiencing strict spending restrictions due to the previous months of record-low revenues. Even if the facility has capital to spend, ophthalmic cases might be the last specialty on the list to acquire new technology or receive any investment.

Outsourcing your cataract equipment is a solution you should be considering.

Surgical Direct offers a perfect partnership model for the current landscape.

1) Access new technology with no capital expense.

We deliver the equipment to your facility on the day of surgery; Phaco machines, microscopes, hand-pieces, lenses, case supplies, and backups.

2) Eliminate your ongoing maintenance costs.

We maintain and repair our equipment directly with the manufacturer, ensuring that our equipment is working safely and efficiently at all times.

3) Eliminate inventory management costs.

Our Mobile Cataract Services include case supply and lenses for each case. Eliminate the time/cost connected to ordering, reordering, stocking, and expiration losses of cataract supplies from your facility.

4) Increase your facility’s surgery day potential.

Increase your cataract days from 1 room to 2 (or even 3) rooms with no capital expense, allowing room for more cases and increased revenue.

This just scratches the surface.

Our goal is to be a service that reduces your overall expense and increases your efficiency in cataract surgery and your level of patient care.

Partnership is the way forward. Partner with us!

Have questions?

Click or call today to get a conversation in motion about Mobile Cataract Services with Surgical Direct.

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More about our Mobile Cataract Services

Are you using the right Ophthalmic Microscope?

Technology does make a difference.

Today’s Ophthalmic market offers outstanding options in regards to microscopes. Just like the phaco market, Microscopes have adapted new advanced technologies in the last 10 years that far outweigh the years before.

We’ve encountered many different personality types in our surgeons. Some prefer to use what’s comfortable to them, regardless of how old the microscope may be. Some prefer to incorporate the latest technology into their surgical process as soon as it hits the market. Truth is,  we work with some incredibly skilled surgeons! But regardless of skill level, we’ve come to an understanding that surgical microscopes and the technology onboard DO play a big role in the surgeon’s comfort level and success during surgery. And that’s really what it comes down to, the surgeon’s comfort. However, regardless of how comfortable a surgeon may be with old technology, we believe that the new technology available today can help the surgeon achieve better results if they are willing to give it a try.

Our continued hope is to be a resource of knowledge to you as you grow your cataract business. So, in this article, we want to discuss some of the benefits onboard newer microscope technology.

What benefits do new Ophthalmic Microscopes provide?

1) Red Reflex & Illumination

In case you are reading this and are unaware of what Red Reflex is, red reflex is an “illumination” of the anterior chamber achieved by bouncing light off of the retina back towards the front of the eye. This is achieved by using dual lights, strategically positions and directed. This creates a much brighter, clearer view of the cataract and the capsule. This technology has existed for years, but older technologies had a smaller “zone” where reflex was achieved. This meant that if the patient or microscope moved slightly, the surgeon would lose his enhanced view. Red Reflex has come a long way in the last 10 years. The Alcon LuxOR LX3 claims a 6x greater Red Reflex zone than other microscopes. The Zeiss Lumera family offers what they call “Stereo Coaxial Illumination” which they claim to be excellent reflex even on very mature cataracts. Leica’s M822 offers a similar coaxial “OttoFlex” reflex system, which offers a larger than normal reflex zone than previous Leica models. If none of the other benefits make a difference to you, we believe that greater reflex zones make a substantial difference in the cataract experience for the surgeon, and it’s worth a try!

2) Light Sources & Objective Lenses

Each brand of microscope will have slightly different setups of light source and objective lens placement. The LuxOR LX3 Illumin-i technology, for example, places the objective lens above the light source, claiming that this creates clearer illumination as the light does not pass through the objective lens like other models. The Leica M822 uses a dual illumination system that combines LED & Halogen light sources. Why does this matter? Every part of the microscope makes a difference in what the surgeon sees and experiences during the surgery. To the trained eye, these all make noticeable differences.

3) Integrated Technology 

Most new microscope models have integrated technology options on board that may be useful and helpful to the surgeon. Some of the models we’ve mentioned above have different options for integration. For example, some have the ability to link to enhanced visual overlay systems that give the surgeon technical overlay layouts in his ocular view. Most come with an option for video attachments, savable surgeon user settings, wireless Bluetooth foot pedals, auto-locking arms, and more.

You may be looking at the list of benefits and feel that most are non-essential for a skilled surgeon. Depending on the surgeon, that may be true. But the main thing to take into consideration is that the comfort level of the surgeon is paramount during the surgery. If the surgeon doesn’t have to struggle to keep the eye in focus or in red reflux, that will make the surgeon’s job easier. If their ocular view is clearer, crisper, and brighter without turning the light up to 10, the surgeon should be more comfortable during the operation. These factors can even benefit the most skilled surgeon, bringing more comfort and ease to the operation. Interested in a side-by-side comparison? Take a look at this article published by the Journal of Clinical Case Reports, comparing the newer Leica & Zeiss models side by side.

We feel all the benefits listed above should at least be looked at and considered. And here’s the best part…if you are interested in upgrading your cataract technology in the near future, Surgical Direct is able to help you upgrade without spending your Capital.

Surgical Direct Inc provides the latest cataract technology to your facility for $0 of capital investment. We provide tailored equipment and supply lists for the surgeon’s specific needs, including the desire to try new technology as it comes out. With Surgical Direct, you get a safer, more efficient cataract experience in your facility. Don’t believe us? Read through our testimonials to see what our customers are saying about our services.

Interested in learning more about what we offer? Visit our Mobile Cataract Services page to find out more about what we do. Have a more pressing question or need? Call us directly at 1-800-346-0544.