An acute care surgery service generates a positive contribution margin in an appropriately staffed hospital

Journal of the American College of Surgeons

Volumn 216, Issue 2, 2013, Pages 298-301

  Procter, Levi ^a   Bernard, Andrew C ^a   Korosec, Ryan L ^b   Chipko, Paula L ^b   Kearney Jr , Paul A ^a   Zwischenberger, Joseph B ^a  

^a UNIVERSITY OF KENTUCKY   (United States)

^b UNIVERSITY OF KENTUCKY   (United States)

Author keywords

ACS; acute care surgery; case mix index; CM; CMI; contribution margin; EGS; emergent general surgery

Indexed keywords

ACUTE CARE SURGERY; ARTICLE; ELECTIVE SURGERY; EMERGENCY CARE; EMERGENCY HEALTH SERVICE; EMERGENCY SURGERY; GENERAL SURGERY; HEALTH CARE COST; HOSPITAL PERSONNEL; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; PRIORITY JOURNAL; RETROSPECTIVE STUDY; UNITED STATES;

COSTS AND COST ANALYSIS; CRITICAL CARE; DIAGNOSIS-RELATED GROUPS; EMERGENCY SERVICE, HOSPITAL; EMERGENCY TREATMENT; HUMANS; KENTUCKY; LENGTH OF STAY; MODELS, ORGANIZATIONAL; RETROSPECTIVE STUDIES; SPECIALTIES, SURGICAL; TRAUMA CENTERS;

EID: 84872283973     PISSN: 10727515     EISSN: 18791190     Source Type: Journal    
DOI: 10.1016/j.jamcollsurg.2012.09.020     Document Type: Article

References (12)

1. J. Maa, J.T. Carter, and J.E. Gosnell The surgical hospitalist: a new model for emergency surgical care J Am Coll Surg 205 2007 704 711
2. J.D. Richardson Workforce and lifestyle issues in general surgery training and practice Arch Surg 137 2002 515 520
3. J.P. Garner, D. Prytherch, and A. Senapati Sub-specialization in general surgery: the problem of providing a safe emergency general surgical service Colorectal Dis 8 2006 273 277
4. S. Cohn The impending severe shortage of trauma/critical care surgeons in the USA World J Surg 34 2010 2355 2358
5. R.C. Britt, C. Bouchard, L.J. Weireter, and L.D. Britt Impact of acute care surgery on biliary disease J Am Coll Surg 210 2010 595 599 599-601
6. R.C. Britt, L.J. Weireter, and L.D. Britt Initial implementation of an acute care surgery model: implications for timeliness of care J Am Coll Surg 209 2009 421 424
7. A.S. Earley, J.P. Pryor, and P.K. Kim An acute care surgery model improves outcomes in patients with appendicitis Ann Surg 244 2006 498 504
8. O.L. Gunter, O.D. Guillamondegui, A.K. May, and J.J. Diaz Outcome of necrotizing skin and soft tissue infections Surg Infect (Larchmt) 9 2008 443 450
9. J.J. Diaz, P.R. Norris, B.R. Collier, and W.P. Riordan Jr. Improving Outcomes in Patients Requiring an Emergency Colectomy: The Acute Care Surgery Model 2009 Vanderbilt University Medical Center Nashville, TN
10. US General Accounting Office (GAO). Medical malpractice: implications of rising premiums on access to health care. GAO-03-836. 2003. Available at: www.gao.gov/cgi-bin/getrpt?GAO-03-836. Accessed September 8, 2010.
11. E. Salsberg, and A. Grover Physician workforce shortages: implications and issues for academic health centers and policymakers Acad Med 81 2006 782 787
12. M.T. Austin, J.J. Diaz Jr., and I.D. Feurer Creating an emergency general surgery service enhances the productivity of trauma surgeons, general surgeons and the hospital J Trauma 58 2005 906 910