Increasing Department of Surgery Productivity: A Study on the Effects of Adding an Ambulatory Surgery Room to Tripler Army Medical Center

Abstract

In the summer of 2005 the Army Surgeon General challenged medical treatment facilities (MTFs) to increase productivity in terms of relative value units (RVUs). Tripler Army Medical Center submitted 12 initiatives, one of which was the implementation of an ambulatory surgery room within the Department of Surgery. This study examined the structure and processes used to develop this room, and the outcomes of the initiative. Problems contracting for staff to operate the room and scheduling methodology resulted in an inefficient process. Analysis of variance was used to examine differences between the ambulatory surgery room and other rooms for RVU production. 1257 cases during the months of December 2005 and January 2006 were used in the analysis. Results showed there was a statistical significance between the rooms, F (13,573) = 3.70, p<.000. A post-hoc test revealed the room showing significance was not the ambulatory surgery room. Based on the results it is recommended the hospital look for proven ways to improve productivity before obligating money toward high risk initiatives.

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Document Details

Document Type
Technical Report
Publication Date
May 15, 2006
Accession Number
ADA473557

Entities

People

  • Aristotle A. Vaseliades

Organizations

  • Tripler Army Medical Center

Tags

DTIC Thesaurus Topics

  • Analysis Of Variance
  • Contracts
  • Delivery Of Health Care
  • Department Of Defense
  • Governments
  • Health Care
  • Health Services
  • Hospitals
  • Information Science
  • Information Systems
  • Medical Personnel
  • Military Medicine
  • Personnel Management
  • Public Health
  • Statistics
  • Therapy
  • United States

Fields of Study

  • Medicine

Readers

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