Impact of Satellite Practices on Academic Ophthalmology Departments

Abstract

In the past 20 years, many academic ophthalmology departments have been expanding by opening satellite offices, located at variable distances from the departmental hub. Many satellite practices are situated in the suburbs, 1 in contrast to the more central or urban location of most academic medical centers. The published literature on community or satellite practices in academic medicine is scant and most commonly describes affiliations with community hospitals and private practices. 2-6 A recent small study of satellite practices affiliated with six large academic Keywords ► satellite practices ► satellite clinics ► academic medical centers ► academic medicine ► community practices ► ophthalmology ► academic ophthalmology ► multi-office locations AbstractBackground A recent small study described how "satellite" clinics (off-site and strategically situated) associated with six academic ophthalmology departments provided expansion opportunities, and also created unique challenges. Objectives The aim of this study was to gather a wider viewpoint by surveying chairpersons about their opinions of satellite practices, and how these relate to their departmental mission. Research Design Online survey. Subjects Chairperson members of the Association of University Professors of Ophthalmology. Results More than 60% of respondents had satellite practices affiliated with their departments. Most departments had two to five satellite practices; 33% had satellites that were located further than 50 miles away from the main hospital. On average, satellites accounted for 25 to 30% of total patient visits for the department. Departments whose satellites accounted for 50% or more of total patient visits to the department were those with the largest clinical volumes (>100,000 annual patient visits). Comprehensive ophthalmology was the most common service offered at satellites. All Chairs believed satellite practices had at least maintained, if not improved, their departments' reputation. Seventy percent were concerned about perceived competition with referring community doctors. Research endeavors and trainee education were not considered to be priorities of satellite practices. Conclusion Overall, chairpersons in the United States believed that satellite practices had strengthened their departments. The geographical expansion of departments, particularly with comprehensive ophthalmology (inclusive of optometric services), has implications for relations with the referral base in the surrounding communities. Thoughtful management of these practices, with attention paid to both meeting financial goals as well as fulfilling the academic mission, is necessary to ensure that the advantages outweigh the drawbacks.

Clinical Experience of an American Academic Ophthalmology Department During the COVID-19 Pandemic

“…Visits to satellites have grown over the years. 14 , 15 In fiscal year 2019, satellites accounted for 60% of the department's 300 000 outpatient visits.…”

“…The Wilmer Eye Institute, Department of Ophthalmology, Johns Hopkins University School of Medicine, has its base at the main university hospital (The Johns Hopkins Hospital) in the city of Baltimore, Maryland, and has 8 suburban satellite offices, some 50 miles away from the city. Visits to satellites have grown over the years 14,15. In fiscal year 2019, satellites accounted for 60% of the department's 300 000 outpatient visits.…”

The distribution of subspecialties in ophthalmology group practices in an era of change group practices in an era of change

“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14] Expansion, mergers, consolidation of services, and the formation of satellite offices are some of these adaptations. [15][16][17] Optimizing resource allocation is more vital than ever.…”