Growth of Ambulatory Surgical Centers, Surgery Volume, and Savings to Medicare

2013 ◽  
Vol 108 (1) ◽  
pp. 10-15 ◽  
Author(s):  
Lane Koenig ◽  
Qian Gu
Keyword(s):  
Ambulatory Surgical Centers

A Qualitative Study of the Barriers and Benefits to Resident Education in Ambulatory Surgical Centers

2021 ◽  
Author(s):  
Andrew D. Zale ◽  
Christopher I. Song ◽  
Ashley Zhou ◽  
Jonathan Lai ◽  
Minyoung Jang ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Resident Education ◽  
Ambulatory Surgical Centers

scholarly journals Ambulatory Surgical Centers: Improving Quality of Operative Spine Care?

2020 ◽  
Vol 10 (1_suppl) ◽  
pp. 29S-35S ◽  
Author(s):  
Christopher D. Witiw ◽  
Jefferson R. Wilson ◽  
Michael G. Fehlings ◽  
Vincent C. Traynelis
Keyword(s):  
Health Care Providers ◽  
Spine Surgery ◽  
Cost Optimization ◽  
Safety Data ◽  
Case Series ◽  
Surgical Care ◽  
Narrative Review ◽  
Care Providers ◽  
Ambulatory Surgical Centers

Study Design: Narrative review with commentary. Objective: Present healthcare reform focuses on cost-optimization and quality improvement. Spine surgery has garnered particular attention; owing to its costly nature. Ambulatory Surgical Centers (ASC) present a potential avenue for expenditure reduction. While the economic advantage of ASCs is being defined, cost saving should not come at the expense of quality or safety. Methods: This narrative review focuses on current definitions, regulations, and recent medical literature pertinent to spinal surgery in the ASC setting. Results: The past decade witnessed a substantial rise in the proportion of certain spinal surgeries performed at ASCs. This setting is attractive from the payer perspective as remuneration rates are generally less than for equivalent hospital-based procedures. Opportunity for physician ownership and increased surgeon productivity afforded by more specialized centers make ASCs attractive from the provider perspective as well. These factors serve as extrinsic motivators which may optimize and improve quality of surgical care. Much data supports the safety of spine surgery in the ASC setting. However, health care providers and policy makers must recognize that current regulations regarding safety and quality are less than comprehensive and the data is predominately from selected case-series or comparative cohorts with inherent biases, along with ambiguities in the definition of “outpatient.” Conclusions: ASCs hold promise for providing safe and efficient surgical management of spinal conditions; however, as more procedures shift from the hospital to the ASC rigorous quality and safety data collection is needed to define patient appropriateness and track variability in quality-related outcomes.

scholarly journals Factors associated with the use of cognitive aids in operating room crises: a cross-sectional study of US hospitals and ambulatory surgical centers

2018 ◽  
Vol 13 (1) ◽  
Author(s):  
Shehnaz Alidina ◽  
Sara N. Goldhaber-Fiebert ◽  
Alexander A. Hannenberg ◽  
David L. Hepner ◽  
Sara J. Singer ◽  
...  
Keyword(s):  
Operating Room ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Cognitive Aids ◽  
Ambulatory Surgical Centers

Outpatient Cholecystectomy at Hospitals Versus Freestanding Ambulatory Surgical Centers

2008 ◽  
Vol 206 (2) ◽  
pp. 301-305 ◽  
Author(s):  
Ian M. Paquette ◽  
Douglas Smink ◽  
Samuel R.G. Finlayson
Keyword(s):  
Ambulatory Surgical Centers

Ambulatory Surgical Centers

2017 ◽  
Vol 25 (1) ◽  
pp. 12-22 ◽  
Author(s):  
Charles A. Goldfarb ◽  
Anchal Bansal ◽  
Robert H. Brophy
Keyword(s):  
Ambulatory Surgical Centers

Ambulatory surgical centers

JAMA ◽  
1985 ◽  
Vol 253 (3) ◽  
pp. 342b-343 ◽  
Author(s):  
S. V. Stephenson
Keyword(s):  
Ambulatory Surgical Centers
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