Variation in ambulatory surgery utilization in Michigan

Sheetz, Kyle H.; Corona, Lauren E.; Cramm, Shannon L.; Haddad, A. Hasanzadeh; Kolar, Lindsey; Kozminski, Dave; Miller, Ashley L.; Mualla, Rula; Underwood, Patrick W.; Waits, Seth A.; Krapohl, Greta L.; Campbell, Darrell A.; Englesbe, Michael J.

doi:10.1016/j.jss.2014.02.045

Cited by 6 publications

(3 citation statements)

References 23 publications

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“…Increased ASC utilization has been described across a wide range of surgical subspecialties, including ophthalmology, general surgery, and orthopedic surgery. 20 Within otolaryngology, existing literature suggests that many procedures, including endoscopic sinus surgery, direct laryngoscopy, and pediatric tonsillectomy, may be safely performed in the ambulatory setting. [21][22][23] However, no prior study has characterized the specific site of service (ie, ASC vs HOPD) at which otolaryngologic procedures are provided on an outpatient basis and the resulting financial implications.…”

Section: Discussionmentioning

confidence: 99%

“…Increased ASC utilization has been described across a wide range of surgical subspecialties, including ophthalmology, general surgery, and orthopedic surgery 20 . Within otolaryngology, existing literature suggests that many procedures, including endoscopic sinus surgery, direct laryngoscopy, and pediatric tonsillectomy, may be safely performed in the ambulatory setting 21–23 .…”

Section: Discussionmentioning

confidence: 99%

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Trends in Ambulatory Surgery Center Utilization for Otolaryngologic Procedures among Medicare Beneficiaries, 2010‐2017

Kondamuri

Miller

Rathi

et al. 2020

Otolaryngol.--head neck surg.

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Objective Surgical care is increasingly shifting to freestanding ambulatory surgical centers (ASCs). The extent to which otolaryngologists use ASCs has implications for patient safety and health care spending. This study characterizes trends in utilization and resultant financial implications for common otolaryngologic procedures performed at ASC and hospital outpatient departments (HOPDs). Study Design Retrospective cross-sectional analysis. Setting ASCs, HOPDs. Subjects and Methods Subjects included Medicare beneficiaries undergoing outpatient otolaryngologic procedures between 2010 and 2017. Procedures included the 20 highest-volume procedures performed by otolaryngologists at ASCs in 2017. Main outcomes included absolute and relative percentage difference in the proportion of procedures furnished at ASCs and HOPDs and estimated Medicare cost savings resulting from increased ASC utilization between 2011 and 2017. Results The proportion of outpatient otolaryngologic procedures performed at ASCs increased by 1.8% (relative difference: 10.0%; mean annual relative increase: 1.60%), and the proportion located at HOPDs decreased by 6.0% (relative difference: –11.8%; mean annual relative decrease: –1.6%) between 2010 and 2017. Rhinoplasty accounted for the largest absolute increase in ASC utilization over the study period (absolute [relative] 8.9% [33.5%]). Increased ASC utilization resulted in an estimated $7.1 million in cost savings to Medicare between 2011 and 2017. Conclusion Otolaryngologists shifted outpatient surgical care from HOPDs to ASCs between 2010 and 2017, with resultant reductions in Medicare expenditures. Further research is necessary to examine the impact of this shift on patient safety.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Trends in Ambulatory Surgery Center Utilization for Otolaryngologic Procedures among Medicare Beneficiaries, 2010‐2017

Kondamuri

Miller

Rathi

et al. 2020

Otolaryngol.--head neck surg.

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“…Patients that fail maximal medical therapy for chronic rhinosinusitis (CRS) typically undergo endoscopic sinus surgery (ESS), and ESS has been shown to significantly improve quality of life . However, as with many other surgical therapies, there is considerable variation in the rates of sinus surgery, likely due to the fact that there are no absolute guidelines regarding indications for ESS and that we currently do not know who will benefit from ESS. With approximately 250,000 sinus procedures annually in the United States alone, studying the reasons underlying this variation is valuable and may have a large public health impact.…”

Section: Introductionmentioning

confidence: 99%

Patient and surgeon factors explain variation in the frequency of frontal sinus surgery

Soneru

Pinto

2018

The Laryngoscope

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Variability in elective day-surgery rates between Belgian hospitals - Analyses of administrative data explained by surgical experts

Leroy

Camberlin

Lefèvre

et al. 2017

International Journal of Surgery

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If a further expansion of day surgery is envisaged in Belgium the factors that contribute to the current variability in day-surgery rates between hospitals should be addressed. In addition, a feedback system in which hospitals and health care providers have the figures on their percentage of procedures carried out in day surgery compared to other hospitals and care providers (benchmarking) and the monitoring of a number of quality indicators (e.g. unplanned readmission, unplanned inpatient stay, emergency department visit) should be installed.

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Variation in ambulatory surgery utilization in Michigan

Cited by 6 publications

References 23 publications

Trends in Ambulatory Surgery Center Utilization for Otolaryngologic Procedures among Medicare Beneficiaries, 2010‐2017

Trends in Ambulatory Surgery Center Utilization for Otolaryngologic Procedures among Medicare Beneficiaries, 2010‐2017

Patient and surgeon factors explain variation in the frequency of frontal sinus surgery

Variability in elective day-surgery rates between Belgian hospitals - Analyses of administrative data explained by surgical experts

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