Does the Profitability of an Outpatient Surgery Influence Where it is Performed? A Look at Ambulatory Surgery Centers and Hospitals

2009 ◽  
Author(s):  
Michael Robert Plotzke ◽  
Charles Courtemanche
Keyword(s):  
Ambulatory Surgery ◽  
Outpatient Surgery ◽  
Ambulatory Surgery Centers

scholarly journals Ambulatory Surgery Centers and Their Intended Effects on Outpatient Surgery

2015 ◽  
Vol 50 (5) ◽  
pp. 1491-1507 ◽  
Author(s):  
Brent K. Hollenbeck ◽  
Rodney L. Dunn ◽  
Anne M. Suskind ◽  
Seth A. Strope ◽  
Yun Zhang ◽  
...  
Keyword(s):  
Ambulatory Surgery ◽  
Outpatient Surgery ◽  
Ambulatory Surgery Centers

432: The Association Between Stone Surgery Utilization and Surgeon Ownership of Ambulatory Surgery Centers

2007 ◽  
Vol 177 (4S) ◽  
pp. 144-145
Author(s):  
John M. Hollingsworth ◽  
Zaojun Ye ◽  
Sarah L. Krein ◽  
Alon Z. Weizer ◽  
Brent K. Hollenbeck
Keyword(s):  
Ambulatory Surgery ◽  
Ambulatory Surgery Centers

scholarly journals 144. Little evidence of same-day, oral antibiotic prescribing at ambulatory surgery centers

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S82-S83
Author(s):  
Laura M King ◽  
Lauri Hicks ◽  
Sarah Kabbani; Sharon Tsay ◽  
Katherine E Fleming-Dutra
Keyword(s):  
Surgical Procedures ◽  
Ambulatory Surgery ◽  
Antibiotic Use ◽  
Antibiotic Prescribing ◽  
Oral Antibiotic ◽  
Chi Square ◽  
Convenience Sample ◽  
Ambulatory Surgery Centers ◽  
National Public Health ◽  
Course Length

Abstract Background The objective of our study was to describe oral antibiotic prescriptions associated with procedures in ambulatory surgery centers (ASC) to evaluate if there are major national opportunities to improve antibiotic use in this setting. Methods We identified surgical procedures in ASCs and oral antibiotic prescriptions in the IBM® MarketScan® Commercial 2018 database, a large convenience sample of privately-insured individuals aged < 65 years. We excluded visits with same-day hospitalizations and those with infectious diagnoses that may warrant antibiotic treatment. We included only antibiotic prescriptions dispensed on the same day as an ASC visit. We calculated the number of visits and oral antibiotic prescriptions and the percent of visits with oral antibiotic prescriptions overall, and by patient age group (< 18 and 18–64 years), antibiotic class, and procedure type. We also calculated median antibiotic course length. Across-group comparisons were evaluated using chi-square tests. Results In 2018, 918,127 ASC visits with surgical procedure codes were captured, of which 37,032 (4.0%) were associated with same-day oral antibiotic prescriptions. The percent of visits with antibiotic prescriptions was significantly higher among children compared to adults (9.4% vs 3.8%; p< 0.01); however, adults accounted for 89% of prescriptions. Respiratory/nasal and urinary tract system procedures were most frequently associated with antibiotic prescriptions (Figure). Median course length was 5 (interquartile range 3–7) days. The most common antibiotic class was cephalosporins (49.6% of prescriptions), followed by penicillins (12.6%) and fluoroquinolones (10.9%). Figure. Percent of ambulatory surgery center visits with same-day antibiotic prescriptions by procedure category, IBM® MarketScan® Commercial Database, 2018 Conclusion Only 4% of ASC procedures were associated with same-day oral antibiotic prescriptions, suggesting antibiotics are not commonly prescribed in ASCs on the day of surgical procedures. Additionally, the observed 5-day median duration may suggest that some of these courses are intended for treatment rather than prophylaxis. Our estimates represent lower bounds for oral antibiotic prescriptions in this setting, as we only captured same-day prescriptions. However, our findings suggest that ASC facilities may not be high-impact targets for national, public health antibiotic stewardship efforts. Disclosures All Authors: No reported disclosures

Recent Trends in Medicare Utilization and Reimbursement for Orthopaedic Procedures Performed at Ambulatory Surgery Centers

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Cesar D. Lopez ◽  
Venkat Boddapati ◽  
Eric A. Schweppe ◽  
William N. Levine ◽  
Ronald A. Lehman ◽  
...  
Keyword(s):  
Ambulatory Surgery ◽  
Ambulatory Surgery Centers ◽  
Recent Trends

scholarly journals Incidence and Impact of Reported Infectious Endophthalmitis Events Following Cataract Surgery in Pennsylvania Ambulatory Surgery Centers

2019 ◽  
pp. 30-39
Author(s):  
Lynette Hathaway ◽  
Shawn Kepner ◽  
Rebecca Jones
Keyword(s):  
Cataract Surgery ◽  
Infection Prevention ◽  
Reporting System ◽  
Ambulatory Surgery ◽  
Evidence Based ◽  
Healthcare Staff ◽  
Ambulatory Surgery Centers ◽  
Safety Reporting ◽  
Eye Infection ◽  
Infectious Endophthalmitis

Infectious endophthalmitis is a severe eye infection that can occur following cataract surgery. In this study, we sought to explore post-cataract infectious endophthalmitis events reported by ambulatory surgery centers (ASCs) in Pennsylvania. We queried the Pennsylvania Patient Safety Reporting System (PA-PSRS) database for post-cataract endophthalmitis events that occurred between 2009 and 2018. In the 10 calendar years analyzed, we identified 174 reports of post-cataract endophthalmitis, with rates per 1000 cataract procedures ranging from 0.05 in 2009 to 0.19 in 2018. The vast majority of these events were classified as serious (93%; n = 162 of 174), reflecting harm to patients, with one resulting in enucleation (the need to remove the affected eye). Healthcare staff and all involved stakeholders should act now by identifying sources of potential perioperative contamination, adhering to evidence-based infection prevention practices, and prioritizing areas of opportunity for improvement.

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