Recommendation Analysis for an Ambulatory Surgical Center at Brooke Army Medical Center

Abstract

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 Center's 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.

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Document Details

Document Type
Technical Report
Publication Date
Jun 10, 2005
Accession Number
ADA443962

Entities

People

  • Kimberlee A. Aiello

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Anesthesia
  • Business Administration
  • Delivery Of Health Care
  • General Surgery
  • Health Services
  • Medical Personnel
  • Military Medicine
  • Patient Care
  • Therapy

Fields of Study

  • Medicine

Readers

  • Economics
  • Medical or Health Care Field.
  • Systems Analysis and Design