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Evaluating the Efficiency of Hospitals’ Perioperative Services Using DEA
Book chapter

Evaluating the Efficiency of Hospitals’ Perioperative Services Using DEA

Liam O’Neill and Franklin Dexter
Operations Research and Health Care, pp.147-168
International Series in Operations Research & Management Science, vol 70, Springer US
2005
DOI: 10.1007/1-4020-8066-2_6

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Abstract

Elective surgery typically generates 40 percent or more of a hospital’s total revenue, and individual surgeons almost always have a net positive contribution margin. Perioperative services include surgical operations, preoperative care of patients, and post-operative care. This chapter presents a method to identify best practices among hospitals’ perioperative services using Data Envelopment Analysis (DEA). This analysis included 44,033 procedures performed by 3,502 surgeons at 53 non-metropolitan Pennsylvania hospitals. Eight procedures, each performed by one surgical specialty, were selected. For each hospital, DEA 1) identifies untapped markets for surgery; 2) identifies relatively high and low procedure volumes among specialties; and 3) suggests a strategy for increasing surgical volume for inefficient hospitals. Findings may be used by managers of perioperative services to aid in resource allocation decisions, such as hiring and recruitment among different surgical specialties.
Operations Research/Decision Theory Economics/Management Science General Practice / Family Medicine Production/Logistics Public Finance & Economics Health Informatics Public Health/Gesundheitswesen

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