A Model for Integrating Ambulatory Surgery Centers Into an Academic Health System Using a Novel Ambulatory Surgery Coordinating Council

for the Ambulatory Surgery Coordinating Council, Michael Zenilman

Research output: Contribution to journalArticle

Abstract

PROBLEM: An increasing volume of ambulatory surgeries has led to an increase in the number of ambulatory surgery centers (ASCs). Some academic health systems have aligned with ASCs to create a more integrated care delivery system. Yet, these centers are diverse in many areas, including specialty types, ownership models, management, physician employment, and regulatory oversight. Academic health systems then face challenges in integrating these ASCs into their organizations. APPROACH: Johns Hopkins Medicine created the Ambulatory Surgery Coordinating Council in 2014 to manage, standardize, and promote peer learning among its eight ASCs. The Armstrong Institute for Patient Safety and Quality provided support and a model for this organization through its quality management infrastructure. The physician-led council defined a mission and created goals to identify best practices, uniformly provide the highest-quality patient-centered care, and continuously improve patient outcomes and experience across ASCs. OUTCOMES: Council members built trust and agreed on a standardized patient safety and quality dashboard to report measures that include regulatory, care process, patient experience, and outcomes data. The council addressed unintentional outcomes and process variation across the system and agreed to standard approaches to optimize quality. Council members also developed a process for identifying future goals, standardizing care practices and electronic medical record documentation, and creating quality and safety policies. NEXT STEPS: The early success of the council supports the continuation of the Armstrong Institute model for physician-led quality management. Other academic health systems can learn from this model as they integrate ASCs into their complex organizations.

Original languageEnglish (US)
JournalAcademic Medicine
DOIs
StateAccepted/In press - Mar 1 2016

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Ambulatory Surgical Procedures
surgery
Health
health
quality management
physician
Organizations
Patient Safety
Physicians
Integrated Delivery of Health Care
Patient-Centered Care
Ownership
Electronic Health Records
Practice Guidelines
Documentation
best practice
documentation
Patient Care
experience
Medicine

ASJC Scopus subject areas

  • Medicine(all)
  • Education

Cite this

A Model for Integrating Ambulatory Surgery Centers Into an Academic Health System Using a Novel Ambulatory Surgery Coordinating Council. / for the Ambulatory Surgery Coordinating Council; Zenilman, Michael.

In: Academic Medicine, 01.03.2016.

Research output: Contribution to journalArticle

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