Skip to main content
Mobile
  • Finance, Accounting & Economics
  • Global Business Management
  • Management, Leadership & Organisation
  • Marketing & Sales
  • Strategy
  • Technology & Operations
HS Talks HS Talks
Subjects  
Search
  • Notifications
    Notifications

    No current notifications.

  • User
    Welcome Guest
    You have Limited Access The Business & Management Collection
    Login
    Get Assistance
    Login
    Forgot your password?
    Login via your organisation
    Login via Organisation
    Get Assistance
Finance, Accounting & Economics
Global Business Management
Management, Leadership & Organisation
Marketing & Sales
Strategy
Technology & Operations
Practice paper

Achieving hospital/physician alignment and standardised care for emergency surgery: The new model for acute care surgery

Leon J. Owens
Management in Healthcare: A Peer-Reviewed Journal, 1 (1), 59-68 (2016)
https://doi.org/10.69554/XCFD1557

Abstract

Hospitals today must find ways to build hospital/physician alignment throughout the facility in order to achieve the goal of quality care, standardised according to best practices. The pressures of pay for performance, accountable care and population health management demand that hospitals optimise their clinical services and efficiency in every service line. The area of emergency surgery is no exception. A hospital that is able to improve patient outcomes, reduce complications and effectively manage length of stay for its emergency surgeries is better positioned to capture more of its patient demographic. The hospital's most at-risk patient group receives standardised care according to best practices and practice management guidelines 24/7, ensuring high-quality care and better performance outcomes for the hospital. At the same time, continuous quality improvement initiatives touch multiple hospital departments, raising the bar on performance throughout the facility. As a result of this quest for improvement, a new model for acute care surgery has been developed, consisting of the application of the clinical standards that have been so successful in upgrading trauma care, applied to other acute care surgery settings; surgical hospitalists organised into teams of surgeons based in the hospital 24/7; expansion of these surgery teams to cover trauma, orthopaedics and acute care surgeries; development of site-specific best practices standards; and collaboration with all departments in the hospital to raise the bar on performance and efficiency. Recent research shows the results that these new programmes are achieving in hospitals ranging from the academic medical centre to the community hospital. Metrics document improved patient outcomes, reductions in complications, reduced length of stay, appropriate Case Mix Index due to better documentation and decreased cost per case. Better coordination of care and communication with patients and families from these programmes also positively influences patient satisfaction. There are now 18 fully accredited American Association for the Surgery of Trauma fellowship programmes focusing on the acute care surgery track, a major step forwards to formalise the specialty of acute care surgery in the profession of medicine. This paper examines the challenges to achieving standardised care for emergency surgeries, describes the new model, examines the research on its results and outlines how these results will impact the overall hospital performance.

Keywords: acute care surgery; trauma care; surgical hospitalist; surgicalist; ED call coverage

The full article is available to subscribers to the journal.

Already a subscriber? Login or review other options.

Citation

Owens, Leon J. (2016, May 1). Achieving hospital/physician alignment and standardised care for emergency surgery: The new model for acute care surgery. In the Management in Healthcare: A Peer-Reviewed Journal, Volume 1, Issue 1. https://doi.org/10.69554/XCFD1557.

Options

  • Download PDF
  • Share this page
    Share This Article
    Messaging
    • Outlook
    • Gmail
    • Yahoo!
    • WhatsApp
    Social
    • Facebook
    • X
    • LinkedIn
    • VKontakte
    Permalink
cover image, Management in Healthcare: A Peer-Reviewed Journal
Management in Healthcare: A Peer-Reviewed Journal
Volume 1 / Issue 1
© Henry Stewart
Publications LLP

The Business & Management Collection

  • ISSN: 2059-7177
  • Contact Us
  • Request Free Trial
  • Recommend to Your Librarian
  • Subscription Information
  • Match Content
  • Share This Collection
  • Embed Options
  • View Quick Start Guide
  • Accessibility

Categories

  • Finance, Accounting & Economics
  • Global Business Management
  • Management, Leadership & Organisation
  • Marketing & Sales
  • Strategy
  • Technology & Operations

Librarian Information

  • General Information
  • MARC Records
  • Discovery Services
  • Onsite & Offsite Access
  • Federated (Shibboleth) Access
  • Usage Statistics
  • Promotional Materials
  • Testimonials

About Us

  • About HSTalks
  • Editors
  • Contact Information
  • About the Journals

HSTalks Home

Follow Us On:

HS Talks
  • Site Requirements
  • Copyright & Permissions
  • Terms
  • Privacy
  • Sitemap
© Copyright Henry Stewart Talks Ltd

Personal Account Required

To use this function, you need to be signed in with a personal account.

If you already have a personal account, please login here.

Otherwise you may sign up now for a personal account.

HS Talks

Cookies and Privacy

We use cookies, and similar tools, to improve the way this site functions, to track browsing patterns and enable marketing. For more information read our cookie policy and privacy policy.

Cookie Settings

How Cookies Are Used

Cookies are of the following types:

  • Essential to make the site function.
  • Used to analyse and improve visitor experience.

For more information see our Cookie Policy.

Some types of cookies can be disabled by you but doing so may adversely affect functionality. Please see below:

(always on)

If you block these cookies or set alerts in your browser parts of the website will not work.

Cookies that provide enhanced functionality and personalisation. If not allowed functionality may be impaired.

Cookies that count and track visits and on website activity enabling us to organise the website to optimise the experience of users. They may be blocked without immediate adverse effect.