Financial impact of hand surgery programs on academic medical centers

Plastic and Reconstructive Surgery

Volumn 119, Issue 2, 2007, Pages 627-635

  Hasan, Jafar S ^a,b   Chung, Kevin C ^a   Storey, Amy F ^a   Bolg, Mary L ^a   Taheri, Paul A ^a  

^a UNIVERSITY OF MICHIGAN MEDICAL SCHOOL   (United States)

^b Section of Orthopaedic Surgery   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ACCOUNTING; ARTICLE; CALCULATION; COST BENEFIT ANALYSIS; DATA ANALYSIS; ELECTROMYOGRAPHY; HAND SURGERY; HOSPITAL COST; HOSPITAL PATIENT; INCOME; MEDICAL EDUCATION; MEDICAL RECORD; OCCUPATIONAL THERAPY; OPERATING ROOM; PRIORITY JOURNAL; RADIOLOGY DEPARTMENT; SURGICAL TECHNIQUE; UNIVERSITY HOSPITAL;

ACADEMIC MEDICAL CENTERS; ANCILLARY SERVICES, HOSPITAL; COSTS AND COST ANALYSIS; FINANCIAL MANAGEMENT, HOSPITAL; HAND; HOSPITAL COSTS; HUMANS; INCOME; MICHIGAN; OPERATING ROOMS; SURGERY, PLASTIC;

EID: 33846434812     PISSN: 00321052     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.prs.0000246528.28652.11     Document Type: Article

References (37)

1. Satiani, B. Business knowledge in surgeons. Am. J. Surg. 188: 13, 2004.
2. Lusco, V. C., Martinez, S. A., and Polk, H. C. Program directors agree that residents should be formally trained in business and practice management. Am. J. Surg. 189: 11, 2005.
3. Souba, W. W. How competitive forces shape strategy in academic surgery. Surgery 125: 616, 1999.
4. Kroll, S. S., Evans, G. R., Goldberg, D., et al. A comparison of resource costs for head and neck reconstruction with free and pectoralis major flaps. Plast. Reconstr. Surg. 99: 1282, 1997.
5. Dorsey, J. H., Holtz, P. M., Griffiths, R. I., et al. Costs and charges associated with three alternative techniques of hysterectomy. N. Engl. J. Med. 335: 476, 1996.
6. Hlatky, M. A., Rogers, W. J., Johnstone, I., et al. Medical care costs and quality of life after randomization to coronary angioplasty or coronary bypass surgery. N. Engl. J. Med. 336: 92, 1997.
7. Khoo, A., Kroll, S. S., Reece, G. P., et al. A comparison of resource costs of immediate and delayed breast reconstruction. Plast. Reconstr. Surg. 101: 964, 1998.
8. Papaloizos, M. Y., Christen, T., Nagy, L., et al. Minimally invasive fixation versus conservative treatment of undisplaced scaphoid fractures: A cost-effectiveness study. J. Hand Surg. (Br.) 29: 116, 2004.
9. Philipson, B. M., Bokey, E. L., Moore, J. W., et al. Cost of open versus laparoscopically assisted right hemicolectomy for cancer. World J. Surg. 21: 214, 1997.
10. Saw, N. L., Jones, S., Shepstone, L., et al. Early outcome and cost-effectiveness of endoscopic versus open carpel tunnel release: A randomized prospective trial. J. Hand Surg. (Br.) 28: 444, 2003.
11. Serletti, J. M., and Moran, S. L. Free versus pedicled TRAM flap: A cost comparison and outcome analysis. Plast. Reconstr. Surg. 100: 1418, 1997.
12. Bittner, J. G., Kang, R., and Stern, P. J. Management of flexor tendon sheath ganglions: A cost analysis. J. Hand Surg. (Am.) 27: 586, 2002.
13. Haga, Y., Wada, Y., Takeuchi, H., et al. Estimation of surgical costs using a prediction scoring system. Arch. Surg. 137: 481, 2002.
14. Macario, A., Horne, M., Goodman, S., et al. The effect of a perioperative clinical pathway for knee replacement surgery on hospital costs. Anesth. Analg. 86: 978, 1998.
15. Zehr, K. J., Dawson, P. B., Yang, S. C., et al. Standardized clinical care pathways for major thoracic cases reduce hospital costs. Ann. Thorac. Surg. 66: 914, 1998.
16. Kezirian, E. J., and Yueh, B. Introduction to cost analysis in facial plastic surgery. Facial Plast. Surg. 18: 95, 2002.
17. Rosberg, H. E., Carlsson, K. S., Hojgard, S., et al. Injury to the human median and ulnar nerves in the forearm: Analysis of cost for treatment and rehabilitation of 69 patients in Southern Sweden. J. Hand Surg. (Br.) 30: 35, 2005.
18. Macario, A., Vitez, T. S., Dunn, B., et al. Where are the costs in perioperative care? Analysis of hospital costs and charges for inpatient surgical care. Anesthesiology 83: 1138, 1995.
19. Orkin, F. K. Moving toward value-based anesthesia care. J. Clin. Anesth. 5: 91, 1993.
20. Gabram, S. G., Mendola, R. A., Rozenfeld, J., et al. Why activity-based accounting works (health care costing systems). Physician Exec. 23: 31, 1997.
21. Grandlich, C. Using activity-based costing in surgery. A.O.R.N. J. 79: 189, 2004.
22. Federal Aviation Administration (Office of Information Technology). Activity based costing. In Business Process Improvement (Re-engineering): Handbook of Standards and Guidelines, Chapter 5. Available at: www.faa.gov/ait/bpi/handbook/chap5.htm. Accessed April 6, 2005.
23. Baker, J. J., and Boyd, G. F. Activity-based costing in the operating room at Valley View Hospital. J. Health Care Finance 24: 1, 1997.
24. Cohen, M. D., Hawes, D. R., Hutchins, G. D., et al. Activity-based cost analysis: A method of analyzing the financial and operating performance of academic radiology departments. Radiology 215: 708, 2000.
25. Ridderstolpe, L., Johansson, A., Skau, T., et al. Clinical process analysis and activity-based costing at a heart center. J. Med. Syst. 26: 309, 2002.
26. Berlin, M. D., Faber, B. P., Berlin, L. M., et al. RVU costing applications. Healthc. Financ. Manage. 51: 73, 1997.
27. Ganzel, T. M., and Royalty, L. Determining the real bottom line and true cost of surgical practice using relative value units. Am. J. Surg. 176: 230, 1998.
28. West, T. D., Balas, A., and West, D. A. Contrasting RCC, RVU, and ABC for managed care decisions. Healthc. Financ. Manage. 50: 54, 1996.
29. Chan, Y. L. Improving hospital cost accounting with activity-based costing. Health Care Manage. Rev. 18: 71, 1993.
30. Taheri, P. A., Butz, D. A., and Greenfield, L. G. Paying a premium: How patient complexity affects costs and profit margins. Ann. Surg. 229: 807, 1999.
31. Kuo, P. C., Douglas, A. R., Oleski, D., et al. Determining benchmarks for evaluation and management coding in an academic division of general surgery. J. Am. Coll. Surg. 199: 124, 2004.
32. Dexter, F., Macario, A., and Cerone, S. M. Hospital profitability for a surgeon's common procedures predicts the surgeon's overall profitability for the hospital. J. Clin. Anesth. 10: 457, 1998.
33. Van Steenbergen, W., Van Aken, L., Volders, W., et al. Cost analysis of ERCP in a university hospital. Gastrointest. Endosc. 53: 152, 2001.
34. Jackson, R. L. The business of surgery: Managing the OR as a profit center requires more than just IT-it requires a profit-making mindset, too. Health. Manag. Technol. July: 20, 2002.
35. Dexter, F., Blake, J. T., Penning, D. H., et al. Calculating a potential increase in hospital margin for elective surgery by changing operating room time allocations or increasing nursing staffing to permit completion of more cases: A case study. Anesth. Analg. 94: 138, 2002.
36. Lineaweaver, W. C., Hui, K., Krave, K., et al. Economics of microsurgical cases and routine cases in a medical center. Plast. Reconstr. Surg. 105: 46, 1998.
37. Winter, A. Comparing the mix of patients in various outpatient surgery settings. Health Aff. 22: 68, 2003.