Facility cost analysis in outpatient plastic surgery: Implications for the academic health center

Plastic and Reconstructive Surgery

Volumn 121, Issue 4, 2008, Pages 1479-1488

  Pacella, Salvatore J ^a   Comstock, Matthew C ^a   Kuzon Jr , William M ^a  

^a UNIVERSITY OF MICHIGAN HEALTH SYSTEM   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ACCOUNTING; AMBULATORY SURGERY; ARTHROPLASTY; ARTHROSCOPY; ARTICLE; AUTHOR; BREAST REDUCTION; CALCULATION; COMPARATIVE STUDY; COST; COST BENEFIT ANALYSIS; DATA BASE; ECONOMICS; ESTHETIC SURGERY; FACE INJURY; HAND; HEALTH CARE; HEALTH CENTER; HEALTH MAINTENANCE ORGANIZATION; HOSPITAL; MEDICAID; MEDICARE; OUTPATIENT; PLASTIC SURGERY; PRIORITY JOURNAL; SCAR; STATISTICAL SIGNIFICANCE; TIME; UNITED STATES; UNIVERSITY; UNIVERSITY HOSPITAL; HEALTH CARE FACILITY;

ACADEMIC MEDICAL CENTERS; AMBULATORY SURGICAL PROCEDURES; COSTS AND COST ANALYSIS; HEALTH FACILITIES; MICHIGAN; RECONSTRUCTIVE SURGICAL PROCEDURES;

EID: 42949087986     PISSN: 00321052     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.prs.0000304589.68531.5b     Document Type: Article

References (32)

1. Konetzka, R. T., Zhu, J., and Volpp, K. G. Did recent changes in Medicare reimbursement hit teaching hospitals harder? Acad. Med. 80: 1069, 2005.
2. Aaron, H. J. The plight of academic medical centers. Brookings Inst. Policy Brief 59: 1, 2000.
3. Taheri, P. A., Butz, D. A., Dechert, R., and Greenfield, L. J. How DRGs hurt academic health systems. J. Am. Coll. Surg. 193: 1, 2001.
4. Taheri, P. A., Butz, D. A., and Greenfield, L. J.. Paying a premium: How patient complexity affects costs and profit margins. Ann. Surg. 229: 807, 1999.
5. Dexter, F., Macario, A., and Lubarsky, D. A. The impact on revenue of increasing patient volume at surgical suites with relatively high OR utilization. Anesth. Analg. 92: 1215, 2001.
6. Watchel, R. E., Dexter, F., and Lubarsky, D. A. Financial implications of a hospital's specialization in rare physiologically complex surgical procedures. Anesthesiology 103: 161, 2005.
7. Centers for Medicare and Medicaid Services (web site). Ambulatory Surgery Centers (ASC) Center. Available at: http://www.cms.hhs.gov/center/asc.asp. Accessed July 10, 2006.
8. Rohrich, R. J., and Larson, D. L. The future of plastic surgery in academic medical centers: Making the case for autonomous departments of plastic surgery. Plast. Reconstr. Surg. 100: 761, 1997.
9. Miller, S. H. Competitive forces and academic plastic surgery. Plast. Reconstr. Surg. 101: 1389, 1998.
10. Ruberg, R. L. Can academic plastic surgery survive? Ann. Plast. Surg. 52: 239, 2004.
11. Krieger, L. M., and Lee, G. K. The economics of plastic surgery practices: Trends in income, procedure mix, and volume. Plast. Reconstr. Surg. 114: 192, 2004.
12. Alam, M. Cosmetic surgery as a revenue engine for academic dermatology. Arch. Dermatol. 136: 1096, 2000.
13. Ta, K. T., Persing, J. A., Chauncey, H., Jr., Bradley, H., and Miller, S. H. Effects of managed care on teaching, research, and clinical practice in academic plastic surgery. Ann. Plast. Surg. 48: 348, 2002.
14. Pearl, R. M. An economic analysis of health care reform and its implications for plastic surgery: A five-year perspective. Plast. Reconstr. Surg. 111: 483, 2003.
15. Krieger, L. M. Cosmetic surgery in times of recession: Macroeconomics for plastic surgeons. Plast. Reconstr. Surg. 110: 1347, 2002.
16. Krieger, L. M. Discount cosmetic surgery: Industry trends and strategies for success. Plast. Reconstr. Surg. 110: 614, 2002.
17. Serletti, J. M., and Moran, S. M. Free versus the pedicled TRAM flap: A cost comparison and outcome analysis. Plast. Reconstr. Surg. 100: 1418, 1997.
18. 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, 2000.
19. Spear, S. L., Mardini, S., and Ganz, J. C. Resource cost comparison of implant-based breast reconstruction versus TRAM flap breast reconstruction. Plast. Reconstr. Surg. 112: 101, 2003.
20. Taheri, P. A., Butz, D. A., Watts, C. M., et al. Trauma services: A profit center? J. Am. Coll. Surg. 188: 349, 1999.
21. Cooper, R. The rise of activity-based costing - Part one: What is an activity-based cost system? J. Cost Manage. 2: 45, 1988.
22. Taheri, P. A., Butz, D. A., and Greenfield, L. J. Physician impact on the total cost of care. Ann. Surg. 231: 432, 2000.
23. Pindyck, R. S., and Rubenfeld, D. L. Profit maximization and competitive supply. In Microeconomics, 5th Ed. Upper Saddle River, N.J.: Prentice-Hall, 2001. Pp. 251-283.
24. Rosenberg, B. L., Comstock, M. C., Butz, D. A., et al. Endovascular abdominal aortic aneurysm repair is more profitable than open repair based on contribution margin per day. Surgery 137: 285, 2005.
25. Macario, A., Dexter, F., and Traub, R. D. Hospital profitability per hour of OR time can vary among surgeons. Anesth. Analg. 93: 669, 2001.
26. Taheri, P. A., Butz, D. A, and Greenfield, L. J. Academic health systems management: The rationale behind capitated contracts. Ann. Surg. 231: 849, 2000.
27. Dexter, F., Macario, A., and Lubarsky, D. A. The impact on revenue of increasing patient volume at surgical suites with relatively high OR utilization. Anesth. Analg. 92: 1215, 2001.
28. Strum, D. P., Vargas, L. G., May, J. H., et al. Surgical subspecialty block utilization and capacity planning: A minimal cost analysis model. Anesthesiology 90: 1176, 1999.
29. Strum, D. P., Sampson, A. R., May, J. H., et al. Surgeon and type of anesthesia predict variability in surgical procedure times. Anesthesiology 92: 1454, 2000.
30. Dexter, F., and Traub, R. D. How to schedule elective surgical cases into specific ORs to maximize the efficiency of use of OR time. Anesth. Analg. 94: 933, 2002.
31. Medicare and state health care programs: Fraud and abuse; clarification of the initial OIG safe harbor provisions and establishment of additional safe harbor provisions under the anti-kickback statute. Office of Inspector General (OIG), HHS. Final rule. Fed. Regist. 64: 63518, 1999.
32. Pacella, S. J., Comstock, M., and Kuzon, W. M., Jr. Certificate-of-need regulation in outpatient surgery and specialty care: Implications for plastic surgeons. Plast. Reconstr. Surg. 116: 1103, 2005.