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Flashcards in Ambulatory Surgical Centers Deck (12):
1

Types of ASC's

1. The hospital operating room
• Inpatient basis
2. The hospital outpatient surgery department
• Outpatient and inside of the hospital facility
3. The freestanding ambulatory surgery center
• Outpatient and is completely separate facility

2

Two most common physician specialty categories

Internal Medicine - ends in ology
Surgery - ends in surgery

3

Two things that changed how surgeries are performed and date

- The development of the computer chip camera that permitted the visualization of organs, joints and body orifices without major incisions
- The development of the freestanding ambulatory surgery center by two anesthesiologists in Phoenix, AZ
- 1970

4

Most complicated part of hospitals to manage

OR's

5

Surgery Departments in order of where patient starts

Patient transportation - Pre-Op - Anesthesia - PACU (Post Anesthesia Care Unit) - OR - Transportation - Imaging -Central Sterile Supply - Pathology Lab

6

What do physicians value?

Respect
Autonomy
Control
Efficient
Quality Patient Care
Time

7

Why were ASC's created and some advantages?

1. Scheduling delays
2. Limited operating room availability
3. Department budgets
- made it 50% cheeper
4. Slow “turnover” (cleaning of operating rooms between surgical procedures)
5. Interruptions caused by emergency cases and policies and procedures of the hospitals
6. Lower nosocomial infection rates
- went from 4-5% to .4% in ASC's

8

Ownership of ASC's

61% Physicians
16% Hospital/Physician
11% Corporate/Physician

9

Hospital Licensure

- # of inpatient beds
- # of OR's
- Regular Outpatient (HOPD)
- Special Procedures
- Endoscopy and Pain Control

10

ASC Licensure

- # of OR's
- Outpatient
- Special Procedures
- Endoscopy and Pain Control
- Can only hold a patient for 23 hours or less
- Required to have a transfer agreement that is a licensed inpatient facility

11

Top performed surgery in ASC's and type of Dr. that does it

Phacoemulsification - Removal of Cataracts and Replacement with Intraocular Lenses
- Eyes
Ophthalmologist

12

Minimally Invasive Surgeries

1. Laparoscopy
- Minimally invasive surgery done in the abdomen
2. Arthroscopy
- Surgery done in the joints
3. Gall bladder removal is one of the most common minimal invasive surgeries