How to Build ORs without Brick and Mortar: Extending into Procedural & Diagnostic Areas
December 14th, 2017
10:00am - 10:30am EST

Sarasota Memorial Hospital is one of America's largest public hospitals and level II trauma center. With 829 acute-care beds, 900 physicians and over 24,000 surgeries/month, the question arose: do we really need to build more ORs or make the ones we have more efficient? The focus of this session will be on culture change and what it takes to initiate, transform and sustain change.


  • % of First Cases On-Time/# of cases = 39% (benchmark is 88%)
  • OR Utilization = 48% (benchmark is 90%)
  • Average Turnover Time = 33 minutes (benchmark is 23 minutes)

By the end of this session, the attendees will be able to:

  • Identify techniques to optimize transport for inpatient surgeries
  • Create an inpatient surgery pre-check process
  • Educate surgeons on pre-op to wheels in progress
  • Eliminate die-hard manual processes
  • Use Clinical Workflow Suite™ to improve underperforming processes

Hope Stack

Charlotte Damato
Lean Six Sigma Coach

Charlotte Damato is a Lean/Six Sigma Quality Consultant. In 2006 Charlotte joined Sarasota Memorial Health Care System (SMHCS) in Sarasota, Florida as their Quality Coach. Prior to joining SMHCS she was an independent Quality Consultant. She works with the staff at Sarasota Memorial to reduce process waste, streamline patient flow, improve patient satisfaction and facilitates strategic initiatives. She is a Certified Lean/Six Sigma Black Belt and Certified Manager of Quality/Organizational Excellence.

In the past 25 years, she has facilitated quality workshops and coached thousands of Directors and Managers in healthcare and other industries across the United States to manage and improve their work processes. She has trained and mentored others to eliminate finger pointing and conjecture by using the power and value of data in meetings, conversations and in day to day operations.

A few noteworthy accomplishments:  

  • Designed and supported a system-wide capacity and throughput project at SMH that improved discharge times, reduced transport delays and increased bed capacity through technology, process redesign, restructure and rightsizing people.
  • Coached the SMHCS laboratory & Emergency Department (ED) Team to significantly reduce hemolysis by 93% in the ED (The National Benchmark) and ultimately improved turn-around time of blood specimen results for better, faster patient treatment.
  • Analyzed Trauma lab processes and facilitated solutions that reduced lab issues by 99% and reduced specimen result time by one third.

Charlotte has a Bachelors degree in Speech Communications and a Masters in Counseling from Appalachian State University in Boone, North Carolina. 

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