Recommendation Analysis for an Ambulatory Surgical Center at Brooke Army Medical Center
Final rept. Jul 2004-Jul 2005
BROOKE ARMY MEDICAL CENTER FORT SAM HOUSTON TX
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At Brooke Army Medical Center BAMC, both ambulatory and inpatient surgeries are performed within the same operating rooms. This process has led to inefficiencies in surgery and turnover times, prompting the Medical Centers leadership to initiate action to optimize the ambulatory surgery process. An analysis conducted within BAMC showed that ambulatory surgery accounts for 55 of all surgeries performed. A trend is already evident in the private sector to speed up the transition from inpatient to ambulatory surgery. Many private sector facilities have begun to build freestanding ambulatory surgery centers. This study sought to answer the following question What is the most efficient method for BAMC to provide ambulatory surgery Variables factored into this analysis included ability to expand, displacement effect, financial return on investment, graduate medical education requirements, layout, location, most surgeries performed, and time to implement. A Process Action Team was developed and six courses of action were analyzed. The study ultimately provided a three-tier recommendation that spans a 10-year period.
- Economics and Cost Analysis
- Medicine and Medical Research
- Medical Facilities, Equipment and Supplies