GI Unit Leadership: Shaping a High-Performing Endoscopy Unit (On-Demand) | February 2026-08_Kaushal

08_Kaushal_Endo Unit Efficiency Concepts

Pdf Summary

The presentation "Demystifying Concepts in Endoscopy Unit Efficiency" by Neal Kaushal, MD, MBA, outlines key terminology and principles essential for optimizing endoscopy unit operations. The focus is on enhancing patient care quality while improving workflow efficiency and cost-effectiveness.<br /><br />Key concepts include timing metrics such as throughput (patient volume processed), throughput time (arrival to discharge), first case on-time start (FCOTS), turnover time between procedures, and true completion time (procedure start to patient exit), which captures delays’ ripple effects.<br /><br />Scheduling efficiency covers case volume, cancellation and no-show rates, and scheduling optimization to reduce downtime between cases. Procedure and workflow terms include procedure time, cecal intubation and withdrawal times in colonoscopy, recovery phases, and identification of bottlenecks limiting throughput.<br /><br />Staffing and resource management concepts highlight staffing ratios, skill mix optimization, float staff models for flexible coverage, cross-training, task delegation, and sedation turnaround efficiency to accelerate patient flow.<br /><br />Equipment and reprocessing focus on scope cleaning cycle time, automated endoscope reprocessor (AER) efficiency, scope-to-patient ratios ensuring instrument availability, and instrument turnover readiness.<br /><br />Performance and quality include key performance indicators (KPIs), benchmarking against industry standards, procedure yield, complication rates, guideline adherence, and continuous quality improvement (CQI) initiatives.<br /><br />Financial efficiency addresses cost per procedure, revenue cycle management to optimize billing, utilization rates of staff and equipment, overtime monitoring, and supply chain management to prevent shortages or excess inventory.<br /><br />Phantom Healthcare exemplifies applying Lean Process Improvement, supply chain analytics, and AI technologies to achieve high-volume, cost-efficient, quality GI care. The presentation offers a comprehensive framework for newcomers and experienced professionals to understand and enhance endoscopy unit efficiency.

Keywords

Endoscopy Unit Efficiency

Throughput Metrics

Scheduling Optimization

Workflow Bottlenecks

Staffing Ratios

Equipment Reprocessing

Key Performance Indicators

Financial Efficiency

Lean Process Improvement

AI in Healthcare