China
Africa
Explore chapters and articles related to this topic
Observing the Process and Value Streams
Published in Mark Graban, John Toussaint, Lean Hospitals, 2018
Figure 4.1 shows a high-level value stream for a patient journey for outpatient surgery. Looking at the VSM, we see the information flows on top, showing what communication takes place among different people, departments, and information systems. The information flows, in this case, highlight the waste involved in three separate roles (registration, scheduling, and assessment), all contacting the patient, creating extra work for the hospital and confusion on the patient’s part. Patients who were interviewed in the course of this mapping complained that they received multiple voice mails and did not always realize they needed to call all three people back. This often led to a patient arriving for a scheduled procedure without having completed needed lab work or preauthorizations.
What are power systems?
Published in Samuel L. Hurt, Building Systems in Interior Design, 2017
For certain occupancies (911 call centers, some medical facilities (in-patient hospitals and outpatient surgery centers), security monitoring companies), it is necessary to have permanent on-site emergency power generation. Generators like this are available in a wide variety of sizes (from 2 kVA to 2,000 kVA), using gasoline (small units only), diesel fuel, natural gas, and propane. For uses where the generator is required, diesel fuel is usually preferred because the fuel is uninterruptible (if there is fuel in the tank—the tank has to be sized for a significant run-time (probably a few days) to make sure that there is time to re-fill the tank in an extended power outage). These units are available in two basic configurations: split package and unitary in an indoor or outdoor enclosure.
Contracting for Capitation and Bundled Service Arrangements
Published in Maria K. Todd, Physician Integration & Alignment, 2012
So, we were in the beginning of the discussion on case rates and episodes of care as they relate to contracted reimbursement methods. In order to establish a case rate, we first need to define an episode of care, where it begins, and where it ends. Some cases should never begin, and some cases never seem to end with managed care. Take, for example, an outpatient surgery set for case rate reimbursement where the patient is a hemophiliac and will require Factor K, a very high-cost biological. If no carve-out is stated for the Factor K, the case rate will likely be in the red before it has been scheduled by the surgical scheduler.
The Current State of Cervical Endoscopic Spine Surgery: an Updated Literature Review and Technical Considerations
Published in Expert Review of Medical Devices, 2020
The endoscopic surgery in the lumbar spine is now accepted as a practical alternative among spine societies. However, the development of endoscopic surgery for the degenerative cervical spine disease is relatively slower, and RCTs on this topic are relatively rare. Therefore, cervical endoscopic surgery is still regarded as an innovative procedure and an exclusive property of some specialists. First, the most peculiar difference is the way of approach. In the lumbar spine, posterolateral transforaminal and posterior interlaminar approaches are the most popular procedures. The procedures can be performed under local anesthesia and can be classified under outpatient surgery. In contrast, the cervical endoscopic approach can be conducted anterior or posterior cervical procedures for cervical lesions, frequently compressing the spinal cord. Therefore, the process under local anesthesia or outpatient surgery is not easy. Second, the target lesion is quite different. Endoscopic procedures for the lumbar spine mainly target the soft disc disease or hypertrophied ligamentous structures compressing the nerve roots. In contrast, cervical endoscopic surgery should treat the CDH or stenosis threaten the spinal cord as the central nervous system. Finally, the endoscopic access window for the cervical spine is relatively smaller than the lumbar spine. The lumbar foraminal or interlaminar window is usually large enough that the working sheath can be passed through the window into the pathology. In contrast, the cervical anterior or posterior surgical window is relatively small and limited for the working sheath passing.