Maintenance of hemodialysis vascular access is increasingly performed on an outpatient basis by physicians trained in interventional techniques. The adoption of guidelines by national reputable organizations will help identify patients eligible for such outpatient treatments and help optimize the safety and efficacy of their procedures in the outpatient setting.

OBJECTIVE To compare clinical and economic outcomes (hospital costs) in women undergoing laparoscopic hysterectomy performed with and without robotic assistance in inpatient and outpatient settings. METHODS Using the Premier hospital database, we identified women >18 years of age with a record of minimally invasive hysterectomy performed in 2007 to 2008. Univariable and multivariable analyses...

Peripheral artery disease (PAD) represents a high volume, high-cost burden on the healthcare system. The Centers for Medicare and Medicaid Services has developed Bundled Payments Care Improvement-Advanced program, in which single payment is provided all services to be administered postsurgical 90-day episode of care. Factors associated with 30- reinterventions after PAD interventions would repr...

Involuntary Outpatient Commitment, also referred to as Assisted Outpatient Treatment or Community Treatment Orders, are controversial civil court procedures whereby judges may order non-adherent mentally ill individuals to comply with treatment. This presentation will summarize the data and controversy about these procedures and put them in the context of the larger debate about the use of coer...

Hospitals employ an increasing number of physicians and bill for a growing share of outpatient procedures, part of a vertical integration trend. Exploiting a change in the methodology used by Medicare to calibrate payments for medical procedures, we find this trend is at least partially driven by payer reimbursement rules. Our estimates suggest that the change in Medicare’s methodology explains...

Objective: To identify pediatric caregivers' reactions in outpatient surgery settings. Methods: A quantitative descriptive/exploratory survey-based study involving application of a semi-structured questionnaire to 62 caregivers in two hospitals. Results: Most caregivers (88.7%) were mothers who submitted to preoperative fasting with their children. Nervousness, anxiety and concern were the ...

The California Department of Industrial Relations asked RAND to examine the feasibility and appropriateness of including procedures that are typically performed only in an inpatient setting on the workers' compensation Official Medical Fee Schedule for ambulatory surgical center facility fees. The authors used interviews, literature review, and data analysis to assemble information on the requi...

Postoperative pain control from pediatric surgical procedures is a great challenge to overcome due to family and children anxiety. Discomfort of the outpatient operation sometimes become more important task than operation itself because of unfamiliar and anxious parents and child. That is why proper pain control will be a very comfortable condition and less emotionally disturbing experience for...