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Horace A. Laffaye, MD

Arch Surg. 1989;124(5):601-603.

Abstract
• The purpose of this study was to quantify the savings accrued from shifting surgical cases from an inpatient to an outpatient setting. There was an increase in the total number of operations from 7952 in 1973 to 10250 in 1987. The percentage of ambulatory procedures showed a continuous increase from 17.9% to 56.3%. The 15-year experience accumulated at this institution now exceeds 43000 cases, with no mortality. The study closely examined hospital charges, not costs, for 2 months, which were then annualized. The calculated average savings per case was $2000 and 3.07 hospital days. The estimated savings for fiscal 1987 were $11.5 million and 17726 hospital days. Based on this experience, the operation of an in-hospital ambulatory surgical unit is recommended as a cost-saving, safe, and efficient method of performing many surgical procedures.

(Arch Surg. 1989;124:601-603)

Author Affiliations
From the Departments of Surgery, Yale University School of Medicine, New Haven, Conn, and Norwalk (Conn) Hospital.

Footnotes
Accepted for publication December 9, 1988.

Read before the 69th Annual Meeting of the New England Surgical Society, Montreal, Canada, September 16, 1988.

Reprint requests to Department of Surgery, Norwalk Hospital, Norwalk, CT 06856 (Dr Laffaye).

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