A Study to Determine the Feasibility of Establishing a Same-Day Surgery Program at General Leonard Wood Army Community Hospital, Fort Leonard Wood, Missouri
Final rept. Jul 1988-Jul 1989
ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRATION
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A study was conducted to determine the feasibility of establishing a same-day surgery program at General Leonard Wood Army Community Hospital GLWACH. Following a literature review, personnel at the OTSG and HSC were contacted and information gathered from them concerning the establishment and operation of a same-day surgery program. Other Army facilities possessing same- day surgery programs were contacted to determine concepts for establishing a program. Additionally, difficulties experienced by existing same-day surgery programs were ascertained. A demand forecast, utilizing the exponential smoothing method, was completed which indicated that the current and the projected surgical volume at GLWACH are sufficient to justify the establishment of a same-day surgery unit. The assessment of potential same-day surgery candidates attraction to the same-day surgery concept was accomplished. When solicited for comments regarding their willingness to convert types of operative procedures currently done as inpatient cases to same-day surgery cases, the surgeons almost unanimously said they would be willing. A brief analysis was conducted of the funding implication of the implementation of a same-day surgery program under the present resource allocation system, MCCUs. Lastly, an analysis of the funding implications of a same-day surgery program on the top 30 surgical procedures performed at GLWACH under the forthcoming DOD DRG-based resource allocation system was performed. Based upon conclusions, GLWACH should plan for the implementation of a same-day surgery program.
- Economics and Cost Analysis
- Medicine and Medical Research