Outpatient Surgery Magazine

The Great Prepping Debate - December 2012 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Page 100 of 159

OSE_1212_part2_Layout 1 12/5/12 9:52 AM Page 101 E N T to the outpatient setting, and sicker patients are presenting, having put off treatment longer due to higher deductibles and co-pays. But profitability goes down as cases get bigger. They require more (and more specialized) supplies, take longer in the OR and result in less predictable PACU stays. It's not like doing tonsillectomies, ear tubes and sinus reductions, which you can turn over quickly and time practically to the minute. Carefully monitor case costs and times, and determine whether Medicare, Medicaid or another payor makes cases viable for your center. Further, you must determine if bigger cases are safe. When the surgeon wants to do a combination of sinus, uvula and tonsil work, you must consider the patient's disease states and ASA status before green-lighting. We have very careful parameters set up for what's acceptable in the ASC, but it can be helpful to remind surgeons and their offices that cases that don't fit the criteria may be split into 2 procedures if you're to host them. Stack the schedule 2 To keep procedures and turnover flowing in the surgery suite and to strategically ease the burden on PACU staff, we stack like procedures. We do all ear tube procedures in a row, and those are organized by age. Same goes for tonsillectomy and adenoidectomy. That way, beds will rotate quickly enough to keep up, and patients recovering from sinus surgery won't hold up the works. D E C E M B E R 2012 | O U T PAT I E N T S U R G E R Y M A G A Z I N E O N L I N E 1 0 1

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