Book chapter
The economics of operating room anesthesia practice
Anesthesiology
McGraw Hill, 3e
2017
Abstract
This chapter focuses on the determinants of anesthesia labor productivity and costs in operating rooms. It is intended to help physicians apply evidence-based management as they plan staffing for their facilities (hospitals, day surgery centers, etc). Both productivity and the cost of providing operating room (OR) anesthesia care are inextricably linked to the choices of how many ORs to open at the start of the day and how to schedule cases into those locations.
The decisions of this chapter are of considerable importance to hospitals because anesthesia group productivity is linked to the difference between the gross revenue (reimbursement) received by the hospital for surgery and the associated variable costs (eg, supplies, implants). Net revenue is used to pay for the substantial fixed costs such as the electronic medical record systems and operating and maintenance expenses of the physical plant. At hospitals where anesthesia providers are salaried employees, low productivity results in the need to hire more providers than otherwise necessary, resulting in greater costs. At hospitals where anesthesia providers receive direct compensation from insurers for their professional fees, low productivity often results in the need for the hospital to provide institutional support to the anesthesia group.
Details
- Title: Subtitle
- The economics of operating room anesthesia practice
- Creators
- Franklin Dexter - University of Iowa, AnesthesiaRichard H Epstein - University of Miami Health System
- Contributors
- David E Longnecker (Editor)Sean C Mackey (Editor) - Stanford UniversityMark F Newman (Editor)Warren S Sandberg (Editor)Warren M Zapol (Editor)
- Resource Type
- Book chapter
- Publication Details
- Anesthesiology
- Edition
- 3e
- Publisher
- McGraw Hill; New York
- Language
- English
- Date published
- 2017
- Academic Unit
- Anesthesia; Health Management and Policy
- Record Identifier
- 9984363857302771
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