"The Study on Surgical Services for the United States": A Valid Prescription for American Surgery?

1977 ◽  
Vol 55 (4) ◽  
pp. 465 ◽  
Author(s):  
Edward F. X. Hughes ◽  
Eugene M. Lewit ◽  
Mark V. Pauly
Keyword(s):  
United States ◽  
The United States ◽  
Surgical Services

Physician reimbursement under Medicare

2002 ◽  
Vol 12 (4) ◽  
pp. 1-4 ◽  
Author(s):  
Alan M. Scarrow
Keyword(s):  
United States ◽  
The United States ◽  
Payment System ◽  
Reimbursement System ◽  
Physician Services ◽  
Physician Payment ◽  
Value System ◽  
Physician Reimbursement ◽  
Surgical Services ◽  
Relative Value

Payment for physician services in the United States is directly tied to the payment system implemented in the Medicare system. The use of a code to categorize medical and surgical services, as well as a relative value system to assess physician services and reimburse them accordingly, is now well established. In light of this, it is important for physicians to possess knowledge of how this coding and reimbursement system was established, how it is updated, what means are available to modify it, and how it is used in practice. The author addresses these issues, offering a primer for the neurosurgeon on the Medicare system as it relates to physician payment.

Trends in the Geospatial Distribution of Inpatient Adult Surgical Services across the United States

2019 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Adrian Diaz ◽  
Anna Schoenbrunner ◽  
Timothy M. Pawlik
Keyword(s):  
United States ◽  
The United States ◽  
Surgical Services

scholarly journals Francis Daniels Moore: One of the Brightest Minds in the Surgical Field

2015 ◽  
Vol 81 (2) ◽  
pp. 121-123
Author(s):  
Sara L. Low ◽  
Charles J. Yeo ◽  
Scott W. Cowan ◽  
Ashesh P. Shah
Keyword(s):  
United States ◽  
Medical Education ◽  
Kidney Transplant ◽  
The United States ◽  
Medical Professional ◽  
Surgical Services ◽  
Metabolic Physiology ◽  
Liver And Kidney ◽  
Surgical Field

Francis Daniels Moore was a pioneer ahead of his time who made numerous landmark contributions to the field of surgery, including the understanding of metabolic physiology during surgery, liver and kidney transplant, and the famous Study on Surgical Services of the United States (SOSSUS) report of 1975 that served for decades as a guideline for development of surgical residencies. He was the epitome of what a physician should be, a compassionate and dedicated surgeon, innovative scientist, and a medical professional dedicated to quality medical education across all specialties.

The Surgical Experience aboard USNS COMFORT (T-AH-20) during Operation Continuing Promise 2015

2018 ◽  
Vol 84 (8) ◽  
pp. 1307-1311 ◽  
Author(s):  
Laura M. Fluke ◽  
Ryan D. Restrepo ◽  
Howard I. Pryor ◽  
James E. Duncan ◽  
Kevan E. Mann
Keyword(s):  
United States ◽  
Plastic Surgery ◽  
Latin American ◽  
General Surgery ◽  
United States Navy ◽  
Pediatric Surgery ◽  
The United States ◽  
Humanitarian Assistance ◽  
Complication Rates ◽  
Surgical Services

In 2015, the United States Navy hospital ship (USNS) COMFORT, deployed to 11 Caribbean and Latin American countries over a six-month period to provide humanitarian civic assistance. Personnel from the United States Navy and multiple nongovernmental organizations collaborated to offer surgical and medical care. Data from past deployments aid in planning for future missions by prioritizing finite resources and maximizing care. The data analyzed included all patients evaluated and treated by the Directorate of Surgical Services of the USNS COMFORT between April and September 2015. Comparative and descriptive statistics were performed to analyze patient demographics, surgical subspecialty performing the procedures, types of general and pediatric surgical procedures performed, operative times, and complication rates. Of the 1256 surgical cases performed aboard USNS COMFORT during CP15, 24.8 per cent were general surgery cases, followed by 16 per cent ophthalmology, 10.6 per cent pediatric surgery, 10 per cent plastic surgery, and eight additional specialties with <10 per cent of the cases each. Total operative time was 1253 hours with a total room time of 1896.5 hours. The identified complication rate was 1.99 per cent across all specialties. The USNS COMFORT platform offers the unique capability to provide humanitarian surgical assistance. Reporting these data demonstrate that there is a need for humanitarian assistance and this can be provided safely through the Continuing Promise mission. Future deployments may target resources toward the surgical services with higher volumes, which were general surgery, ophthalmology, pediatric surgery, and plastic surgery.

Operation Access: A Proven Model for Providing Volunteer Surgical Services to the Uninsured in the United States

2009 ◽  
Vol 209 (6) ◽  
pp. 769-776 ◽  
Author(s):  
Sierra R. Matula ◽  
Jason Beers ◽  
Jennifer Errante ◽  
Douglas Grey ◽  
Paul B. Hofmann ◽  
...  
Keyword(s):  
United States ◽  
The United States ◽  
Surgical Services

Tonsillectomy and Adenoidectomy: Incidence and Mortality, 1968–1972

1979 ◽  
Vol 87 (2) ◽  
pp. 159-166 ◽  
Author(s):  
Loring W. Pratt ◽  
Ruth A. Gallagher
Keyword(s):  
United States ◽  
The United States ◽  
Mortality Rates ◽  
Morbidity And Mortality ◽  
Summary Report ◽  
American Hospital ◽  
American Hospital Association ◽  
Surgical Services ◽  
Incidence And Mortality

To determine the number of tonsillectomies and adenoidectomies (T-As) from 1968 to 1972 and their associated morbidity and mortality rates, a questionnaire was sent to all the hospitals listed in the Directory of the American Hospital Association (6,759). The data were analyzed and statistical projections were made. An analysis was also made of the summary report of the “Study on Surgical Services for the United States,” with regard to the incidence of T-A was also made. The results are presented in the following report.

The SOSSUS report and its impact on neurosurgery

1977 ◽  
Vol 46 (2) ◽  
pp. 135-144 ◽  
Author(s):  
George D. Zuidema
Keyword(s):  
United States ◽  
Growth Rate ◽  
Clinical Competence ◽  
Training Programs ◽  
The United States ◽  
Future Generations ◽  
Future Change ◽  
Critical Feature ◽  
Content Type ◽  
Surgical Services

✓ The recently completed report of the Study on Surgical Services for the United States (SOSSUS) reveals several features of interest to neurosurgeons. There are approximately 2000 individuals practicing neurosurgery in the United States at the present time. Three-fourths of them are board-certified, and about 100 residents complete their training each year. Neurosurgical training rates have been increasing at six to 10 times the growth rate for the nation's population. Despite moderate variation in regional geographic distribution of practicing neurosurgeons, there is no real evidence of underserved areas. Distribution is even in communities with a population of 75,000 and greater. A critical feature of practice is that of work loads. Diagnostic studies make up a large portion of neurosurgical work, and the SOSSUS Area Studies reveal that complex operations are relatively infrequent. This has serious implications regarding the maintenance of clinical competence, and in concentrating sufficient clinical experience to train future generations of neurosurgeons. It is important to realize that the number of neurosurgeons now in practice is sufficient to meet the nation's needs. Selective cutbacks in training programs by approximately 20% seem to be in order, in coordination with similar cuts in the other surgical specialties as well. This should be accompanied by a readjustment to a modest growth rate, approximately 1% per 5 years, in the ratio of neurosurgeons per 100,000 population. An accurate system of data collection is needed to provide the basis for future change in response to alterations in national needs.

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