Evaluate current and future microscope needs to develop a three-year plan for purchase, upgrade or trade-in of operating room microscopes. Offer recommendations and a financial plan for the three-year strategic plan covering the following issues:

1. Complete an inventory of current equipment, including age, purchase price, users, repair history, and current replacement value.
2. Develop a list of all accounts of users involved in use, repair, or purchase of this equipment.
3. Evaluate current use practices and offer suggestions for microscopic equipment efficiencies. (i.e. What are we doing at present?)
4. Explore use of flexible models (movable and not ceiling mounted) for purchase. (i.e. What do we need of these two options?)
5. Develop criteria and recommendations on which of the current microscopes should be replaced and on what time frame. (i.e. When do we need to replace which microscopes?)
6. Develop criteria and recommend which current microscopes should be upgraded and recommend a schedule to complete the upgrades. (i.e. Which microscopes should we upgrade?)
7. Gather information on trade-in values and offer recommendations including a schedule to complete the plan. (i.e. Can we trade in certain models?)
8. Specifically identify all dollars that can be saved and removed from specific budgeted accounts.

1. All microscopes in the OR’s have been inventoried and information has been updated into a current database.
2. The account used for repair or purchase is the Main Operating Room Nursing or ASC Nursing Budget.
3. Current practices dictate specific models are required to be used by surgical service. Current models are correct for user needs.
4. Fixed ceiling mounted scopes are preferred by ophthalmology. Flexible models meet the needs of all other services.
5. It is recommended that the microscopes labeled X,Y, and Z be replaced over the next three years, beginning with replacement of Y the worst of the three. Microscope J all needs replacement within three years.
6. Video equipment should be added as upgrades. See Attachment I.
7. New quotes are available. See attachment II.
8. Not Applicable. There are gained efficiencies in the operating room schedule and improved microscopic inventories as well as a more efficient use of capital funds.

The major barrier for this process was meeting to discuss comment goals and opportunities. This final project however is the accumulation of months of data collection and efforts by all departments to supply information via email or otherwise.

The team is recommending a three-year capital replacement plan for all microscopes in the operating rooms and ASC. The recommendations express the desire to use current scopes A and B for value as a trade-in in acquiring new microscope for otolaryngology. Microscopes X,Y, or Z should be used until they no longer function properly. We are also recommending that any area outside of the OR or ASC budgeted area should cover the cost of use for microscopes transported to their area. Dr. Richard Smith will present the plan to the JPMG for final approval.

Not Applicable. The value of this team lies in the plan for replacement of Microscopes, which can fit into a three-year capital investment plan. There are gained efficiencies in the Operating Room schedule and improved microscopic inventories as well as a more efficient use of capital funds.