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Ambulatory surgery center profitability, efficiency, and cost containment

  • Chapter
Handbook of Ambulatory Anesthesia

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Abstract

Ambulatory surgery and anesthesia should be:

  • Safe and effective

  • Friendly and compassionate

  • Profitable

Unless we are an ambulatory surgery center (ASC) owner, why should we care about the financial aspects of ASC management? Why not just give safe, effective, friendly, and compassionate care and not worry about ASC finances?

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References

  1. Archer TL, Mannis S, Macario A. Profit maximization for ambulatory surgery centers. In: Steele SM, Nielsen KC, Klein SM, eds. Ambulatory Anesthesia and Perioperative Analgesia. New York, NY:McGraw-Hill; 2005:123–133.

    Google Scholar 

  2. Dexter F, Coffin S, Tinker JH. Decreases in anesthesia-controlled time cannot permit one additional surgical operation to be reliably scheduled during the workday. Anesth Analg. 1995;81:1263–1268.

    Article  CAS  PubMed  Google Scholar 

  3. Macario A, Dexter F, Traub RD. Hospital profitability per hour of operating room time can vary among surgeons. Anesth Analg. 2001;93:669–675.

    Article  CAS  PubMed  Google Scholar 

  4. Lynk WJ, Longley CS. The effect of physician-owned surgicenters on hospital outpatient surgery. Health Aff. 2002;21:215–221.

    Article  Google Scholar 

  5. Udelsman R. The operating room: war results in casualties. Anesth Analg. 2003; 97:936–937.

    Article  PubMed  Google Scholar 

  6. Dexter F, Epstein RH, Abouleish AE, Whitten CW, Lubarsky DA. Impact of reducing turnover times on staffing costs. Anesth Analg. 2004;98:872.

    Article  PubMed  Google Scholar 

  7. Dexter F, Abouleish AE, Epstein RH, Whitten CW, Lubarsky DA. Use of operating room information system data to predict the impact of reducing turnover times on staffing costs. Anesth Analg. 2003;97:1119–1126.

    Article  PubMed  Google Scholar 

  8. Sandberg WS, Daily B, Egan M, et al. Deliberate perioperative systems design improves operating room throughput. Anesthesiology. 2005;103:406–418.

    Article  PubMed  Google Scholar 

  9. Dexter F, Macario A, Traub RD, Hopwood M, Lubarsky DA. An operating room scheduling strategy to maximize the use of operating room block time: computer simulation of patient scheduling and survey of patients’ preferences for surgical waiting time. Anesth Analg. 1999;89:7–20.

    Article  CAS  PubMed  Google Scholar 

  10. Strum DP, Vargas LG, May JH. Surgical subspecialty block utilization and capacity planning: a minimal cost analysis model. Anesthesiology. 1999;90:1176–1185.

    Article  CAS  PubMed  Google Scholar 

  11. Dexter F, Tinker JH. Analysis of strategies to decrease postanesthesia care unit costs. Anesthesiology. 1995;82:94–101.

    Article  CAS  PubMed  Google Scholar 

  12. Apfelbaum JL, Walawander CA, Grasela TH, et al. Eliminating intensive postoperative care in same-day surgery patients using short-acting anesthetics. Anesthesiology. 2002;97:66–74.

    Article  PubMed  Google Scholar 

  13. Song D, Chung F, Ronayne M, Ward B, Yogendran S, Sibbick C. Fast-tracking (bypassing the PACU) does not reduce nursing workload after ambulatory surgery. Br J Anaesth. 2004;93:768–774.

    Article  CAS  PubMed  Google Scholar 

  14. Jin F, Norris A, Chung F, Ganeshram T. Should adult patients drink fluids before discharge from ambulatory surgery? Anesth Analg. 1998;87:306–311.

    Article  CAS  PubMed  Google Scholar 

  15. Marshall SI, Chung F. Discharge criteria and complications after ambulatory surgery. Anesth Analg. 1999;88:508–517.

    Article  CAS  PubMed  Google Scholar 

  16. Archer T, Schmiesing C, Macario A. What is quality improvement in the preoperative period? Int Anesthesiol Clin. 2002;40:1–16.

    Article  PubMed  Google Scholar 

  17. Roizen MF. Preoperative evaluation. In: Miller RD, ed. Anesthesia. 6th ed. New York, NY: Churchill Livingstone; 2005:927–997.

    Google Scholar 

  18. Fleisher LA. Routine laboratory testing in the elderly: is it indicated? Anesth Analg. 2001;93:249–250.

    Article  CAS  PubMed  Google Scholar 

  19. Schein OD, Katz J, Bass EB, et al. The value of routine preoperative medical testing before cataract surgery. N Engl J Med. 2000;342:168–175.

    Article  CAS  PubMed  Google Scholar 

  20. Yuan H, Chung F, Wong D, Edward R. Current preoperative testing practices in ambulatory surgery are widely disparate: a survey of CAS members. Can J Anaesth. 2005;52:675–679.

    Article  PubMed  Google Scholar 

  21. Imasogie N, Wong DT, Luk K, Chung F. Elimination of routine testing in patients undergoing cataract surgery allows substantial savings in laboratory costs. A brief report. Can J Anaesth. 2003;50:246–248.

    Article  PubMed  Google Scholar 

  22. Kantor GS, Chung F. Anaesthesia drug cost, control and utilization in Canada. Can J Anaesth. 1996;43:9–16.

    Article  CAS  PubMed  Google Scholar 

  23. Tarazi EM, Philip BK. Friendliness of OR staff is top determinant of patient satisfaction with outpatient surgery. Am J Anesthesiol. 1998;25:154–157.

    CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Anesthesiology, University of Texas Health Science Center, San Antonio, TX, USA

    Tom Archer MD, MBA

  2. Sacramento, CA, USA

    Steve Mannis MD, MBA (Anesthesiologist)

  3. Department of Anesthesia, Stanford University Medical Center, Stanford, CA, USA

    Alex Macario MD, MBA (Professor of Anesthesia and Health Research and Policy)

Authors
  1. Tom Archer MD, MBA
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  2. Steve Mannis MD, MBA
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  3. Alex Macario MD, MBA
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Editor information

Editors and Affiliations

  1. Department of Anesthesiology, SUNY Downstate Medical Center, Brooklyn

    Rebecca S. Twersky MD, MPH (Professor and Vice Chair for Research, Medical Director) (Professor and Vice Chair for Research, Medical Director)

  2. Ambulatory Surgery Unit, Long Island College Hospital, Brooklyn, NY, 11203, USA

    Rebecca S. Twersky MD, MPH (Professor and Vice Chair for Research, Medical Director) (Professor and Vice Chair for Research, Medical Director)

  3. Harvard Medical School, USA

    Beverly K. Philip MD (Professor of Anaesthesia, Director) (Professor of Anaesthesia, Director)

  4. Day Surgery Unit, Brigham and Women’s Hospital, Boston, MA, 02115, USA

    Beverly K. Philip MD (Professor of Anaesthesia, Director) (Professor of Anaesthesia, Director)

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© 2008 Springer Science+Business Media, LLC

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Archer, T., Mannis, S., Macario, A. (2008). Ambulatory surgery center profitability, efficiency, and cost containment. In: Twersky, R.S., Philip, B.K. (eds) Handbook of Ambulatory Anesthesia. Springer, New York, NY. https://doi.org/10.1007/978-0-387-73329-6_15

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  • DOI: https://doi.org/10.1007/978-0-387-73329-6_15

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-73328-9

  • Online ISBN: 978-0-387-73329-6

  • eBook Packages: MedicineMedicine (R0)

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