Outpatient Surgery Magazine

Heavy Duty - October 2016 - Subscribe to 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 87 of 126

Will your facility and surgeons be ready when it does? Patients already are. Eighty percent of cataract patients would prefer to have both their eyes done at once, according to a paper presented at a recent ASCRS meeting. But several barriers are blocking same-day bilateral cataracts from becoming commonplace. • Reimbursements. A study conducted by Rush Eye Associates in Amarillo, Texas, compared post-op outcomes and the economics of same-day bilateral cataract surgery and separate-day procedures (osmag.net/RsyCE6). The findings show patients who underwent same-day bilateral cataract surgery spent less time traveling for care, required fewer total care visits and recovered post-op vision faster. Facilities and physicians made less than they would have by operating on separate days, but treating both eyes at the same time saved health- care dollars. Surgeons don't always have to be left holding the short end of the stick, however. Each time a surgeon with the Colorado Permanente Medical Group performs same-day bilateral cataract surgery, he earns more for himself. How? Kaiser Permanente uses capitation payments, which are based on a fixed payment per person, rather than a pay- ment per service. The economics must improve for surgeons in pri- vate practice before same-day bilateral cataract surgery truly catches on, but the success of the Colorado Permanente group backs Medicare's interest in bundled payments and accountable care organi- zations, which are shifting the focus to more efficient and cost-effec- tive care. • Safety. I was the founding president of the International Society of Bilateral Cataract Surgeons (isbcs.org), which was launched in 2008 to let surgeons who perform same-day bilateral cataract surgery share their experiences and best practice ideas, and to provide physicians with 8 8 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • O C T O B E R 2 0 1 6

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