TMS
Dox TMS - Theatre Management system
Dox TMS provides
- a comprehensive range of management information about the costs of theatre procedures and operations; by admission / episode, type of procedure, surgeon, DRG, and date range.
- inventory / consumables management that includes purchasing, management of consignment stock, tracking of serialised stock and prosthetics, multiple manufacturers and vendors per item, and much more
- costing that is broad or as narrow as required given that every direct and enterprise wide indirect associated in any way with a procedure can be apportioned to the procedure
- a hierarchical structure for preference cards
- non-intrusive processes in the clinical workflow
Hospital management using TMS will
- significantly reduce inventory costs with optimal stock levels sourced from the right vendor
- use timely information (typically as current as the previous day) , rich in depth and automatically drawn from all cost areas to
- negotiate with insurers using fact and better information than ever previously available
- understand where costs are excessive
- influence surgeons to consider alternatives using real data regarding their costs and outcomes in comparison to their peers
- undertake benchmark studies
- negotiate with insurers using fact and better information than ever previously available
- report to stakeholders at any time using comprehensive user-defined reports and up to date information
Costing elements
A small listing of the types of cost that can be automatically applied using a variety of methods to derive a truly comprehensive understanding of costs in your facility include
| Class | Cost Type | Example |
| Consumables | Direct / Variable | Theatre inventory items - sutures, gases, disposables, dressings, etc |
| Cycle life costs for theatre consumables - a 40x use laryngeal mask is allocated 1/40th of the purchase cost plus a CSSD charge for each of its 40 uses. | ||
| Indirect | Facility operating overheads - stationery, utilities, etc | |
| Capital Items | Direct / Variable | Amortisation of theatre related equipment (TMS uses annual expense and applies pro-rata to all qualifying procedures using either time or instances of use) - Operating Microscope, Surgical Instrument(s) |
| Cyclic costs of theatre related equipment (TMS applies the cost each time there is a qualifying procedure) - CSSD charges for a tray of instruments, microscope lamp life charge, etc | ||
| Indirect / Fixed | Amortisation of facility equipment, fittings etc (TMS uses annual expense and applies pro-rata to all qualifying procedures using either time or instances of use) - air conditioning, telephone system, etc | |
| Labour | Direct / Variable | Nursing staff (TMS allocates individuals against the procedure, a list, or multiple lists (e.g. recovery personnel) using its rotating roster management system (staff roles / duties are in the rostering system). |
| Indirect / Fixed | Administration / reception personnel labour costs, etc |
Management by Exception
TMS workflow requirements are truly minimal. Clinical staff in theatre or recovery need only indicate where the use of the item has not been what is typical for that combination of surgeon and procedure.
Dox TMS makes that easy because the setup of the preference card for that combination of surgeon and procedure specifies those few items in the preference card which may change and only those items are shown on the recording systems used in theatre. Refer to the section on Preference Cards for more information.
Comprehensive Reporting and Analysis
TMS provides a wealth of standard reports. All of those reports have been developed using Crystal Reports - modify them and add your own.
Because of the richness and extent of the data made available many of the reports automatically export their content to Pivot Tables in MS Excel 2007 so you can explore and drill down to investigate cause and effect scenarios.
More information is available in the section on TMS Reporting.
Inventory & Supply Chain Management
TMS provides extensive Inventory & Supply Chain management features including
- Alternative manufacturers and vendors for each inventory item
- Automated purchasing with optional fully electronic order handling with delivery advice and back order handling
- Management of serialised and batch controlled items
- Management of Consignment Stock with automatic replenishment
Refer to the TMS Inventory section for more information.
TMS Literature
Information is available on TMS in the form of Adobe Acrobat files here
Theatre Management
