Ambulatory Case Mix Funding Systems in Canada

1994 ◽  
Vol 7 (2) ◽  
pp. 21-28 ◽  
Author(s):  
Philip Jacobs ◽  
Judith R. Lave ◽  
Edward Hall ◽  
Charles Botz
Keyword(s):  
United States ◽  
Emergency Care ◽  
Outpatient Care ◽  
Ambulatory Surgery ◽  
The United States ◽  
Day Surgery ◽  
Case Mix ◽  
Outpatient Basis ◽  
Inpatient Case

The implementation of inpatient case mix funding in Alberta and Ontario does not allow for adequate incentives to shift resources to an outpatient basis, where appropriate, or to provide outpatient care efficiently. This paper explores the prospects and problems of further extending case mix tools into this area. The availability of tools to characterize output for day surgery, special clinics and emergency care is surveyed. We conclude that case mix funding is desirable and feasible for ambulatory surgery; however, it is questionable for emergency care and special clinics. However, developments in this area in the United States will continue, and this will likely maintain an interest in Canada.

Rural vs. urban inpatient case-mix differences in the United States

2005 ◽  
Vol 201 (3) ◽  
pp. S76 ◽  
Author(s):  
Michael Van Bibber ◽  
Randall Zuckerman ◽  
Samuel R.G. Finlayson
Keyword(s):  
United States ◽  
The United States ◽  
Case Mix ◽  
Inpatient Case

Opioid prescribing to preteen children undergoing ambulatory surgery in the United States

Surgery ◽  
2021 ◽  
Author(s):  
Randi S. Cartmill ◽  
Dou-Yan Yang ◽  
Benjamin J. Walker ◽  
Yasmin S. Bradfield ◽  
Tony L. Kille ◽  
...  
Keyword(s):  
United States ◽  
Ambulatory Surgery ◽  
The United States ◽  
Opioid Prescribing

Benchmarks for the Durations of Ambulatory Surgical Procedures in Otolaryngology

2011 ◽  
Vol 120 (11) ◽  
pp. 727-731 ◽  
Author(s):  
Neil Bhattacharyya
Keyword(s):  
United States ◽  
Operating Room ◽  
Surgical Procedures ◽  
Ambulatory Surgery ◽  
Secondary Analysis ◽  
The United States ◽  
Tube Placement ◽  
The Mean ◽  
Room Time ◽  
Ambulatory Procedures

Objectives: I undertook to determine benchmarks and variability for the surgical times associated with ambulatory otolaryngological procedures in the United States. Methods: I examined the 2006 release of the National Survey of Ambulatory Surgery and extracted all cases of otolaryngological surgery in which one, and only one, otolaryngological procedure was performed. The mean surgical times and operating room times were determined for each procedure that met reliability criteria for their estimates. A secondary analysis was computed for tonsillectomy and for tonsillectomy plus adenoidectomy according to a patient age of greater than 12 years. Results: An estimated 1.68 ± 0.23 million otolaryngological procedures were analyzed as solitary procedures, including 507,000 cases of myringotomy with ventilation tube placement, 136,000 cases of tonsillectomy, and 429,000 cases of tonsillectomy plus adenoidectomy. The mean (±SE) surgical times were 8.0 ± 0.5, 23.9 ± 1.8, and 20.3 ± 0.8 minutes, respectively. The total operating room times were 17.6 ± 0.9, 48.2 ± 2.0, and 40.7 ± 1.1 minutes, respectively. Septoplasty with turbinectomy was the most common rhinologic procedure performed (48,000 cases analyzed) and had surgical and operating room times of 49.6 ± 4.78 and 79.8 ± 5.8 minutes, respectively. The surgical times for tonsillectomy and tonsillectomy plus adenoidectomy did not differ significantly in magnitude according to standard age cutoffs, although the operating room time was slightly (11.7 minutes) longer for tonsillectomy in patients more than 12 years of age (p = 0.034). Conclusions: The surgical times for the performance of the most common otolaryngological ambulatory procedures are remarkably consistent in the United States. Given the volume and consistency of these surgical procedures, they are ideal candidates for studies of cost and efficiency.

No Peculiar Strictness Is Observed

2019 ◽  
pp. 19-50
Author(s):  
Wendy Gonaver
Keyword(s):  
United States ◽  
Cost Saving ◽  
Outpatient Care ◽  
Racial Segregation ◽  
The United States ◽  
History Of Psychiatry ◽  
Institutional Innovation ◽  
Patients Rights ◽  
Recent Scholarship ◽  
History Of

This chapter examines the life and writings of Superintendent John M Galt, and argues that the experience of heading an asylum in the United States South and the example of slaves hiring out prompted institutional innovation. Galt was the only American Superintendent to publicly endorse total non-restraint, reject racial segregation, and promote the cottage system of outpatient care. By showing that slavery provided the impetus for cost-saving initiatives that also maximized patients’ rights, this chapter connects the history of psychiatry with recent scholarship on slavery and modernity. Shunned by his peers in the Association of Medical Superintendents of American Institutions for the Insane, Galt tried to establish a transnational network with superintendents in Brazil and Russia, two societies that were also shaped by systems of coercive labor.

scholarly journals Access to High Pediatric-Readiness Emergency Care in the United States

2018 ◽  
Vol 194 ◽  
pp. 225-232.e1 ◽  
Author(s):  
Kristin N. Ray ◽  
Lenora M. Olson ◽  
Elizabeth A. Edgerton ◽  
Michael Ely ◽  
Marianne Gausche-Hill ◽  
...  
Keyword(s):  
United States ◽  
Emergency Care ◽  
The United States
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