2013 journal article
Endoscopy Unit Efficiency: Quality Redefined
Clinical Gastroenterology and Hepatology, 11(9), 1046–1049.e1.
This month’s contribution by Gellad et al concerns efficiency within an endoscopy unit. There are over 5400 Medicare certified ambulatory surgical centers (ASC) in the United States providing a distributed network of high quality, accessible centers for patients in need of outpatient endoscopic procedures. Most of these units are running efficiently with little room for waste (or they would not be able to survive in the current environment). Dr Gellad and colleagues have developed a process to analyze effi ciency by defining performance metrics based on standard Dona bedian analysis. Their article relates mostly to units performing a mix of procedures usually within a hospital unit. These units, unlike ASCs, deserve our scrutiny since many are operated at efficiency levels that provide “opportunities.”