Ambulatory Surgery

Ambulatory surgery, a novel concept only a few years ago, is now a major part of most surgeons' practice. The authors have reviewed the history, economics, and standards for an ambulatory surgical center as well as the common procedures performed.

The first 4 chapters are recommended for any surgeon or hospital administrator involved in the planning or supervision of an ambulatory surgical unit, whether freestanding or hospital based. The economic issues are well outlined and thoroughly discussed, as are the quality assurance and credentialing issues. The economics of medicine have been the driving force in the development of ambulatory centers along with the development of less invasive procedures (laparoscopic and arthroscopic procedures and improved anesthetic techniques). The economic issues are reviewed in detail and provide insight into the nonmedical aspects of the business. The chapter on determining the feasibility of an "ambulatory surgery center" covers issues such as caseload analysis and Medicare requirements for waiting lists.