SHIFTING PROCEDURES FROM INPATIENT TO OUTPATIENT SITES

The Department of Orthopedic Surgery at the NYU Langone Orthopedic Hospital conducts thousands of procedures annually, ranging from adult reconstructive surgery to surgical oncology. The Department enlisted a Capstone team to assist in its aim to provide outstanding patient care and maximize financial performance, while adjusting to changes to the Centers for Medicare and Medicaid Services inpatient-only list. The team conducted on-site visits of various NYU Langone campuses and analyzed operating room utilization data and financial data. Using evidence-based guidelines and practices, the team identified procedures that can be moved from inpatient sites to ambulatory care sites to increase revenue and operating room utilization. In its final report, the team identifies high volume procedures that can be safely performed in outpatient settings where patients are discharged the same day as the procedure. In addition, the team considers the financial ramifications of moving procedures to outpatient settings, and the impact on quality and patient safety.