Ambulatory Surgical enters ay xceed Performance Of Hospitals For ertain Procedures
easuring five quality-base performance areas, an ambulatory surgical center out performed a standard hospital based surgical center in otolaryngic surgeries, according to new research in the December 2009 issue of OtolaryngologyHead and Neck Surgery
The cross-sectional study analyzed a total 486 cases at a pediatric ambulatory surgical center AS and a hospital-based facility HBF The cases comprised of the four most common pediatric surgical procedures at the AS compared to the HBF: ventilation tube insertion, dental rehabilitation, adenotonsillectomy, and ventilation tube insertionadenoidectomy Only outpatient procedures were included
The authors designed a series of quality performance measures based on the Institute of edicine’s multidimensional definition of quality The study aimed to develop a better understanding of how an AS might be a viable high-quality, low-cost organizational structure The quality measures included: safety, patient-centeredness, timeliness, efficiency, and equitability
Seventy-seven percent of AS cases finished within the scheduled time compared to 38 percent at the HBF, a difference of about 30 percent Total charges were 1223 percent less at the AS as well However, patient satisfaction was similar between facilities AS, n=64; HBF, n=35 For the studied sample size, the AS had no unexpected safety events, compared to nine events at the HBF
The authors point out that as the healthcare industry responds to public demand for higher quality with scarce resources, innovative delivery models that provide high-quality, low-cost care are increasingly needed ASs have been described as such a model by taking advantage of economies of scale and low-cost organizational structures The authors further note that although previous studies have shown the benefits of ASs in one quality measure or another, this study is the first to explore multiple dimensions of quality in one surgical area to give a more complete picture
The authors write “Intense competition, increasing quality standards and scarce resources have led many institutions to shift toward ‘service-line’ strategies, allowing facilities to concentrate on what they do best It makes sense, at least, for institutions to determine what types of organizational structure provide the best patient care” The results of this study suggest that government programs supporting ASs may be a wise use of resources and that investment in ASs is a way academic health centers can remain financially competitive
OtolaryngologyHead and Neck Surgery is the official scientific journal of the American Academy of OtolaryngologyHead and Neck Surgery Foundation AAO-HNSF The study’s authors are Jedidiah Grisel, D, and llis Arjmand, D, PhD
Source:
Jessica ikulski
American Academy of Otolaryngology — Head and Neck Surgery
source : www.medicalnewstoday.com
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Submited at Monday, December 14th, 2009 at 7:41 pm on ENT by Alina
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