Ambulatory surgery and the hospital

Vaughan, R. W.; Aluise, John J.; McLaughlin, Curtis P.

doi:10.1097/00004010-199101630-00003

Cited by 9 publications

(4 citation statements)

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“…Research has documented the demand for and use of ambulatory-care services (Vaughan et al 1991), as well as the use of related capacity management strategies (Yang et al 1992). It has also been reported that ambulatory-care centers positively affect overall hospital and ambulatory-care center cost and market performance (Updaw 1987;Vaughan et al 1991). Overall, the research suggests that ambulatory-care centers are becoming more efficient and cost-effective than many hospitals in delivering similar types of health-care services.…”

Section: Demand Management Researchmentioning

confidence: 99%

“…It is worth noting that, at the time of the previous review, ambulatory care was a relatively new concept whereas, at the present time, these types of facilities have become an accepted and common means of health-care delivery, and one that is important to the management of capacity. Ambulatory surgery centers have become more cost-effective, consumer-oriented alternatives when compared with surgical procedures performed in traditional hospitals (Vaughan et al 1991). Ambulatorycare centers have also been reported to affect hospital operations positively by delivering comparable services at lower costs as well as allowing the entry into markets that may be prohibited by CON requirements otherwise (Updaw 1987).…”

Section: Demand Management Researchmentioning

confidence: 99%

“…Ambulatorycare centers have also been reported to affect hospital operations positively by delivering comparable services at lower costs as well as allowing the entry into markets that may be prohibited by CON requirements otherwise (Updaw 1987). Research has documented the demand for and use of ambulatory-care services (Vaughan et al 1991), as well as the use of related capacity management strategies (Yang et al 1992). It has also been reported that ambulatory-care centers positively affect overall hospital and ambulatory-care center cost and market performance (Updaw 1987;Vaughan et al 1991).…”

Section: Demand Management Researchmentioning

confidence: 99%

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A review and synthesis of demand management, capacity management and performance in health‐care services

Jack

Powers

2009

Int J Management Reviews

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Responses to demand uncertainty in the field of health-care services is a very timely research issue because of ongoing changes in demand patterns that are driven by demographics and recent changes in the delivery of these services. Despite its importance to researchers, the literature on demand management, capacity management and performance in health care has not been extensively reviewed. The present paper addresses this need by analyzing and synthesizing 463 articles published between 1986 and 2006. The key contributions of this work are the analysis and synthesis of research on demand management, capacity management and performance, along with an agenda to guide future research in this important area.

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Section: Demand Management Researchmentioning

confidence: 99%

Section: Demand Management Researchmentioning

confidence: 99%

Section: Demand Management Researchmentioning

confidence: 99%

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A review and synthesis of demand management, capacity management and performance in health‐care services

Jack

Powers

2009

Int J Management Reviews

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“…Smith-Daniels, Schweikhart, and Smith-Daniels [20] list three sources of variability that complicates the inpatient surgical suite scheduling: emergency admission, patient length of stay, and the coordination of patient service requirements such as surgical rooms, beds, and nursing care. Contrary to inpatient surgical suites, which are typically well-equipped to handle emergencies, trauma cases, and to provide scheduling flexibility, an ASC is designed to perform less complex and low-risk surgical procedures (Vaughan, Aluise, and McLaughlin [22]). Without emergency, trauma cases and postoperative complications found in inpatient operations, all ambulatory operations are elective surgeries, where patients are scheduled in advance.…”

Section: Introductionmentioning

confidence: 99%

Scheduling patients in an ambulatory surgical center

Hsu

Matta

Lee

2003

Naval Research Logistics

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This paper presents a deterministic approach to schedule patients in an ambulatory surgical center (ASC) such that the number of postanesthesia care unit nurses at the center is minimized. We formulate the patient scheduling problem as new variants of the no-wait, two-stage process shop scheduling problem and present computational complexity results for the new scheduling models. Also, we develop a tabu search-based heuristic algorithm to solve the patient scheduling problem. Our algorithm is shown to be very effective in finding near optimal schedules on a set of real data from a university hospital's ASC.

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Anaesthesia in Barbados

et al. 1997

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Anaesthesia in BarbadosPurpose: To describe the anaesthesia services in Barbados: to present the major challenges confronting the Anaesthesia Department of the government-owned Queen Elizabeth Hospital (QEH): and to describe the Department's approaches to optimise safety and cost-effectiveness of anaesthesia at QEH. Source of [rdotmation= Authors (KBS, HSLPI, RAH), who collectively provided more than 50 yr of anaesthesia at QEH; the Dean (ERW) of the University of West Indies Medical School (Barbados campus); archives of Barbados: and records of QEH. Principal fl.ndln~= The government of Barbados provides modem ,health care services to all of its citizens, primarily at QEH. Barbados, however, has tight financial constraints, infrastructural limitations, and a bureaucratic administration that predispose QEH's Anaesthesia Department to unexpected depletions of drugs and disposable supplies, sporadic shortages of personnel and functioning equipment, and occasional quality assurance problems.To deal with such problems, the Anaesthesia Department has implemented several pro-active measures: establishing an audit system to prevent depletion of imported drugs and supplies: training local personnel to maintain equipment: purchasing an oxygen concentrator to reduce oxygen costs: decreasing nitrous oxide use (expensive in Barbados): and initiating its own quality and safety standards. Condusiom Continuous delivery of high quality, cos-t-effective anaesthesia care requires thoughtful planning by administrators and judicious resource allocations. Health care administrators and clinical departments need to work together closely to establish a framework that enables departments to play a major role in determining how the institution's limited financial resources are best allocated to meet the departmental priorities.

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Ambulatory surgery and the hospital

Cited by 9 publications

References 0 publications

A review and synthesis of demand management, capacity management and performance in health‐care services

A review and synthesis of demand management, capacity management and performance in health‐care services

Scheduling patients in an ambulatory surgical center

Anaesthesia in Barbados

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