scholarly journals Drastic Increase in Hospital Labor Costs During the COVID-19 Pandemic Leads to Sustained Financial Loss for an Academic Vascular Surgery Division

2022 ◽  
Vol 75 (1) ◽  
pp. e17-e18
Author(s):  
Clayton J. Brinster ◽  
G. Thomas Escousse ◽  
Philip A. Rivera ◽  
Hernan Bazan ◽  
Ross Parkerson ◽  
...  
Keyword(s):  
Vascular Surgery ◽  
Financial Loss ◽  
Labor Costs ◽  
Drastic Increase ◽  
Academic Vascular Surgery

Morphological Study of the Valvular Distribution in the Long Saphenous Vein

1994 ◽  
Vol 9 (2) ◽  
pp. 59-62 ◽  
Author(s):  
F. Ortega ◽  
L. Sarmiento ◽  
B. Mompeo ◽  
A. Centol ◽  
A. Nicolaides ◽  
...  
Keyword(s):  
Vascular Surgery ◽  
Saphenous Vein ◽  
Lower Limb ◽  
Morphological Study ◽  
Venous Disease ◽  
Gran Canaria ◽  
Anatomical Dissection ◽  
Long Saphenous Vein ◽  
Below The Knee ◽  
Academic Vascular Surgery

Objective: To measure the distribution of valves in the long saphenous vein. Design: Morphological study of the intervalvular distance of the long saphenous vein. Setting: Department of Morfología, Facultad de Ciencias de la Salud (Universidad de Las Palmas de Gran Canaria, Spain) and Academic Vascular Surgery Unit, St Mary's Hospital, London, UK. Material: Twenty lower extremities from adult cadavers with no evidence of lower limb venous disease. Methods: Anatomical dissection of the long saphenous vein, with accurate measurement of valve distribution. Results: There were on average 8.7 valves in the long saphenous vein, with 6.3 above the knee and 2.4 below the knee. Conclusion: Contrary to classical anatomical texts on this subject there are more valves in the long saphenous vein in the thigh than in the calf.

Women Representation in Academic Vascular Surgery: Leadership, Education, and Research

2021 ◽  
Vol 74 (3) ◽  
pp. e75-e76
Author(s):  
Christina L. Cui ◽  
Maryam A. Khan ◽  
Claire B. Janssen ◽  
Rebecca A. Marmor ◽  
Julie A. Freischlag ◽  
...  
Keyword(s):  
Vascular Surgery ◽  
Leadership Education ◽  
Academic Vascular Surgery

scholarly journals Utilization of Lean Project Management Principles and Health Informatics to Improve Perioperative Efficiency in an Academic Vascular Surgery Practice

2021 ◽  
Vol 74 (3) ◽  
pp. e281-e282
Author(s):  
Quy Tat ◽  
Ryan Gupta ◽  
Jaime O'Brien ◽  
Maxwell Shaw ◽  
Daniella De la Cruz ◽  
...  
Keyword(s):  
Project Management ◽  
Vascular Surgery ◽  
Health Informatics ◽  
Academic Vascular Surgery

scholarly journals Financial Implications of COVID-19 on a Tertiary Academic Vascular Surgery Practice

2021 ◽  
Author(s):  
Zachary B. Fang ◽  
Jessica P. Simons ◽  
Dejah R. Judelson ◽  
Edward J. Arous ◽  
Douglas W. Jones ◽  
...  
Keyword(s):  
Vascular Surgery ◽  
Academic Vascular Surgery

scholarly journals Utilization of Health Informatics to Improve Perioperative Efficiency in an Academic Vascular Surgery Practice

2021 ◽  
Vol 233 (5) ◽  
pp. e94-e95
Author(s):  
Ryan Gupta ◽  
Quy Tat ◽  
Jaime O'Brien ◽  
Maxwell Shaw ◽  
Rachel McPherson ◽  
...  
Keyword(s):  
Vascular Surgery ◽  
Health Informatics ◽  
Academic Vascular Surgery

scholarly journals Forensic Analysis of Spin-off and Downstream Revenue in an Academic Vascular Surgery Practice at a Tertiary Care Medical Center

2021 ◽  
Vol 74 (3) ◽  
pp. e306
Author(s):  
Devon Corrigan ◽  
Phillip Batista ◽  
Katherine McMackin ◽  
Bruce Tjaden ◽  
Jeffrey Carpenter ◽  
...  
Keyword(s):  
Vascular Surgery ◽  
Medical Center ◽  
Tertiary Care ◽  
Forensic Analysis ◽  
Tertiary Care Medical Center ◽  
Academic Vascular Surgery

Impact on physician workload and revenue following the creation of a specialty vein clinic within an academic vascular practice

2007 ◽  
Vol 22 (4) ◽  
pp. 164-170 ◽  
Author(s):  
M A Passman ◽  
J B Dattilo ◽  
R J Guzman ◽  
T C Naslund
Keyword(s):  
Vascular Surgery ◽  
Rapid Expansion ◽  
Time Period ◽  
Relative Value ◽  
Increasing Trend ◽  
Procedure Volume ◽  
Time Periods ◽  
The Impact ◽  
Academic Vascular Surgery ◽  
Physician Workload

Objective: To evaluate the impact of creating a new specialty vein clinic within an academic-based vascular practice on clinical volume, physician workload and financial parameters. Methods: All patients evaluated and treated for varicose vein related problems within an academic vascular surgery practice were identified from institutional billing databases. Data were stratified according to the time period prior to establishing a vein clinic (PRE-VC) (1999–2001) and after creation of a vein clinic (POST-VC) (2002–2004). Clinical volume, physician workload and financial parameters were evaluated. Comparisons were made between vein (VEIN) and overall vascular (VASC) practice trends. Results: Comparison of clinical volume, physician workload and financial parameters in both the clinic and operative settings showed larger and more rapid expansion of the VEIN practice than VASC practice between PRE-VC and POST-VC time periods (VEIN vs. VASC growth, respectively: new patient clinic volume +162 vs. +18%; clinic relative value units (RVUs) +131 vs. +1%, clinic revenue +201 vs. +44%; procedure volume +348 vs. +19%; procedure RVUs +129 vs. +11%; procedure revenue +93 vs. +10%). Comparing the beginning of PRE-VC to the end of POST-VC time periods, an increasing trend was also present for the percentage of VEIN practice accounting for the total VASC practice (%VEIN PRE-VC to POST-VC, respectively: new patient clinic volume 11.6–30.2%; clinic RVUs 3.2–48.2%; clinic revenue 17.6–31.2%; procedure volume 3.1–14.3%; procedure RVUs 2.8–9.8%; procedure revenue 3.3–11.7%). Conclusion: Establishing a specialty vein clinic within an academic vascular practice can lead to a rapid expansion of clinical volume with associated increase in physician workload and reimbursement at a rate greater than that for the overall vascular practice.

scholarly journals The Financial and Operational Effects of COVID-19 on Ohio’s Long-Term Care Residential Settings

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 962-962
Author(s):  
Katherine Kennedy ◽  
Robert Applebaum ◽  
Kathryn Brod
Keyword(s):  
Online Survey ◽  
Long Term Care ◽  
Nursing Facilities ◽  
Financial Loss ◽  
Labor Costs ◽  
Term Care ◽  
Agency Staff ◽  
Skilled Nursing ◽  
Care Facilities

Abstract The COVID-19 pandemic has had a drastic impact on Ohio’s long-term care facilities. Yet, months into the crisis, the financial ramifications and workforce shortage were unknown. In partnership with the Scripps Gerontology Center at Miami University, LeadingAge Ohio and the Ohio Health Care Association developed an online survey that was launched in July 2021. Response rates were 46.4% for skilled nursing facilities (SNFs; N=446) and 35.8% for residential care facilities (RCFs; N=287). Core questions compared the first quarters of 2020 and 2021. Declines in operating revenues (-11.7% SNFs; -10% RCFs) and rising labor costs per patient day (17.9% SNFs; 16.1% RCFs) contributed to most providers experiencing a financial loss in the most recent month (78% SNFs; 66% RCFs). The increased documented use of agency staff is an important finding of this work; 62% of SNFs and 34% of RCFs spent money on agency staff. Despite increases in starting wages, the labor crisis remains severe. As of July 2021, SNFs had an average of 19.51 open positions, of which 9.82 were for state-tested nurse aides and 5.65 were for nurses. RCFs had an average of 8.83 open positions, of which 4.24 were for resident care assistants and 1.89 were for nurses. The challenges faced by the long-term care industry have rightly focused on the deleterious impacts of COVID on residents and staff. But these data also suggest that the financial impacts on the industry are serious and will likely shape access and provision of care in the future.

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