Group Management

Anesthesia Group Management and Strategies
(last updated 04/20/08)

2008

Dexter F, Epstein RH. Calculating institutional support that benefits both the anesthesia group and hospital. Anesthesia & Analgesia 106:544-553, 2008 [PDF]

Masursky D, Dexter F, O’Leary CE, Applegeet C, Nussmeier NA. Long-term forecasting of anesthesia workload in operating rooms from changes in a hospital’s local population can be inaccurate. Anesthesia & Analgesia 106:1223-1231, 2008 [PDF]

2007

Dexter F, Xiao Y, Dow AJ, Strader MM, Ho D, Wachtel RE. Coordination of appointments for anesthesia care outside of operating rooms using an enterprise-wide scheduling system. Anesthesia & Analgesia 105:1701-1710, 2007 [PDF]

Kheterpal S, Gupta R, Blum JM, Tremper KK, O'Reilly M, Kazanjian PE. Electronic reminders improve procedure documentation compliance and professional fee reimbursement. Anesthesia & Analgesia 104:592-597, 2007

O’Sullivan CT, Dexter F, Lubarsky DA, Vigoda MM. Evidence-based management assessment of return on investment from anesthesia information management systems. Journal of the American Association of Nurse Anesthetists 75:43-48, 2007

Paoletti X, Marty J. Consequences of running more operating theatres than anaesthetists to staff them: a stochastic simulation study. British Journal of Anaesthesia 98:462-469, 2007

Parker BM, Henderson JM, Vitagliano S, Nair BG, Petre J, Maurer WG, Roizen MF, Weber M, DeWitt L, Beedlow J, Fahey B, Calvert A, Ribar K, Gordon S. Six sigma methodology can be used to improve adherence for antibiotic prophylaxis in patients undergoing noncardiac surgery. Anesthesia & Analgesia 104:140-146, 2007

Spring SF, Sandberg WS, Anupama S, Walsh JL, Driscoll WD, Raines DE. Automated documentation error detection and notification improves anesthesia billing performance. Anesthesiology 106:157-163, 2007

Tremper KK, Shanks A, Morris M. Five-year follow-up on the work force and finances of United States anesthesiology training programs: 2000 to 2005. Anesthesia & Analgesia 104:1157-1170, 2007

Wachtel RE, Dexter EU, Dexter F. Application of a similarity index to state discharge abstract data to identify opportunities for growth of surgical and anesthesia practices. Anesthesia & Analgesia 104:863-868, 2007 [PDF]

2006

Dexter F, Macario A, Cowen DS. Staffing and case scheduling for anesthesia in geographically dispersed locations outside of operating rooms. Current Opinion in Anaesthesiology 19:453-458, 2006

Davis EA, Escobar A, Ehrenwerth J, Watrous GA, Fisch GS, Kain ZN, Barash PG. Resident teaching versus the operating room schedule: an independent observer-based study of 1558 cases. Anesthesia & Analgesia 103:932-937, 2006

Kanter G, Connelly NR, Fitzgerald J. A system and process redesign to improve perioperative antibiotic administration. Anesthesia & Analgesia 103:1517-1521, 2006

Reich DL, Kahn RA, Wax D, Palvia T, Galati M, Krol M. Development of a module for point-of-care charge capture and submission using an anesthesia information management system. Anesthesiology 105:179-186, 2006

Saadat H, Escobar A, Davis EA, Ehrenwerth J, Watrous G, Fisch GS, Kain ZN, Barash PG. Task analysis of the preincision period in a pediatric operating suite: an independent observer-based study of 656 cases. Anesthesia & Analgesia 103:928-931, 2006

Tremper KK, Shanks A, Morris M. Trends in the financial status of United States anesthesiology training programs: 2000 to 2004. Anesthesia & Analgesia 102:517-523, 2006

Vakkuri A, Niskanen M, Meretoja OA, Alahuhta S. Allocation of tasks between anesthesiologists and anesthesia nurses in Finland. Acta Anaesthesiologia Scandinavica 51:659-663, 2006

Vigoda MM, Gencorelli F, Lubarsky DA. Changing medical group behaviors: increasing the rate of documentation of quality assurance events using an anesthesia information system. Anesthesia & Analgesia 103:390-395, 2006

Vigoda MM, Lubarsky DA. The medicolegal importance of enhancing timeliness of documentation when using an anesthesia information system and the response to automated feedback in an academic practice. Anesthesia & Analgesia 103:131-136, 2006

2005

Abouleish AE, Apfelbaum JL, Prough DS, Williams JP, Roskoph JA, Johnston WE, Whitten CW. The prevalence and characteristics of incentive plans for clinical productivity among academic anesthesiology programs. Anesthesia & Analgesia 100:493-501, 2005

Kuntz L, Vera A. Transfer pricing in hospitals and efficiency of physicians: the case of anesthesia services. Health Care Management Review 30:262-9, 2005

Lubarsky DA, Reves JG. Effect of subspecialty organization of an academic department of anesthesiology on faculty perceptions of the workplace. Journal of the American College of Surgeons 201:434-437, 2005

Miller RD, Cohen NH. The impact of productivity-based incentives on faculty salary-based compensation. Anesthesia & Analgesia 101:195-199, 2005

Schuster M, Gottschalk A, Berger J, Standl T. A retrospective comparison of costs for regional and general anesthesia techniques. Anesthesia & Analgesia 100:786-794, 2005

2004

Abenstein JP, Long KH, McGlinch BP, Dietz NM. Is physician anesthesia cost-effective?. Anesthesia & Analgesia 98:750-757, 2004

Abouleish AE, Prough DS, Whitten CW, Conlay LA. Increasing the value of time reduces the lost economic opportunity of caring for surgeries of longer-than-average times. Anesthesia & Analgesia 98:750-757, 2004

Brenn BR, Lawless ST. A simplified analysis to determine the impact of surgical procedure time on pediatric anesthesia productivity. Health Care Management Review 29:270-7, 2004

Eappen S, Flanagan H, Bhattacharyya N. Introduction of anesthesia resident trainees to the operating room does not lead to changes in anesthesia-controlled times for efficiency measures. Anesthesiology 101:1210-1214, 2004

Schuster M, Standl T, Wagner JA, Berger J, Reimann H, Am Esch JS. Effect of different cost drivers on cost per anesthesia minute in different anesthesia subspecialties. Anesthesiology. 101:1435-1443, 2004

St. Jacques PJ, Patel N, Higgins MS. Improving anesthesiologist performance through profiling and incentives. Journal of Clinical Anesthesia 16:523-528, 2004

Tremper KK, Shanks A, Sliwinski M, Barker SJ, Hines R, Tait AR. Faculty and finances of United States anesthesiology training programs: 2002-2003. Anesthesia & Analgesia 99:1185-1192, 2004

Wachtel RE, Dexter F. Differentiating among hospitals performing physiologically complex operative procedures in the elderly. Anesthesiology 100:1552-1561, 2004 [PDF]

2003

Abouleish AE, Prough DS, Barker SJ, Whitten CW, Uchida T, Apfelbaum JL. Organizational factors affect comparisons of the clinical productivity of academic anesthesiology departments. Anesthesia & Analgesia 96:802-812, 2003

Abouleish AE, Prough DS, Whitten CW, Zornow MH The effects of surgical case duration and type of surgery on hourly clinical productivity of anesthesiologists. Anesthesia & Analgesia 97:833-839, 2003

Abouleish AE, Dexter F, Epstein RH, Lubarsky DA, Whitten CW, Prough DS. Labor costs incurred by anesthesiology groups because of operating rooms not being allocated and cases not being scheduled to maximize operating room efficiency. Anesthesia & Analgesia 96:1109-1113, 2003 [PDF]

Dexter F, Wachtel RE, Yue JC. Use of discharge abstract databases to differentiate among pediatric hospitals’ operative procedures – Surgery in infants and young children in the State of Iowa. Anesthesiology 99:480-487, 2003 [PDF]

Fasting S, Gisvold SE. Statistical process control methods allow the analysis and improvement of anesthesia care. Candadian Journal of Anaesthesia 50:767-774, 2003

Freund PR, Posner KL. Sustained increases in productivity with maintenance of quality in an academic anesthesia practice. Anesthesia & Analgesia 96:1104-1108, 2003

Mongan PD, Van der Schuur LT, Damiano LA, Via DK. Developing meaningful metrics of clinical productivity for military treatment facility anesthesiology departments and operative services with maintenance of quality in an academic anesthesia practice. Military Medicine 168:880-884, 2003

Schubert A, Eckhout G Jr., Tremper K. An updated view of the national anesthesia personnel shortfall. Anesthesia & Analgesia 96:207-214, 2003

Snyder-Ramos SA, Bauer M, Martin E, Motsch J, Bottinger BW. Accessible price lists at the anaesthesiologists workplace enhance cost consciousness as a part of process and cost optimization. Der Anaesthesist 52:154-161, 2003

Tremper KK, Barker SJ, Gelman S, Reves JG, Saubermann AJ, Shanks AM, Greenfield ML, Anderson ST. A demographic, service, and financial survey of anesthesia training programs in the United States. Anesthesia & Analgesia 96:1432-1446, 2003

Wang FL, Lee LC, Lee SH, Wu SL, Wong CS. Performance evaluation of quality improvement team in an anesthesiology department. Acta Anaesthesiologica Sinica 41:13-19, 2003

2002

Abouleish AE, Prough DS, Whitten CW, Zornow MH, Lockhart A, Conlay LA, Abate JJ. Comparing clinical productivity of anesthesiology groups. Anesthesiology 97:608-615, 2002

Dexter F, Macario A, Penning DH, Chung P. Development of an appropriate list of surgical procedures of a specified maximum anesthetic complexity to be performed at a new ambulatory surgery facility. Anesthesia & Analgesia 95:78-82, 2002 [PDF]

Klein N, Weissman C. Evaluating intraoperative therapeutic and diagnostic interventions. Anesthesia & Analgesia 95:1373-1380, 2002

Treasure T, Valencia O, Sherlaw-Johnson C, Gallivan S. Surgical performance management. Health Care Management Science 5:243-248, 2002

Zbinden AM. Introducing a balanced scorecard management system in a university anesthesiology department. Anesthesia & Analgesia 95:1731-1738, 2002

2001

Abouleish AE, Prough DS, Zornow MH, Lockhart A, Abate JJ, Hughes J. Designing meaningful industry metrics for clinical productivity for anesthesiology departments. Anesthesia & Analgesia 93:309-312, 2001

Abouleish AE, Prough DS, Zornow MH, Hughes J, Whitten CW, Conlay LA, Abate JJ, Horn TE. The impact of longer-than-average anesthesia times on the billing of academic anesthesiology departments. Anesthesia & Analgesia 93:1537-1543, 2001

Barker SJ. Lord or vassal? Academic anesthesiology finances in 2000. Anesthesia & Analgesia 93:294-300, 2001

Dexter F, Thompson E. Relative value guide basic units in operating room scheduling to ensure compliance with anesthesia group policies for surgical procedures performed at each anesthetizing location. Journal of the American Association of Nurse Anesthetists 69:120-123, 2001

Feiner JR, Miller RD, Hickey RF. Productivity versus availability as a measure of faculty clinical responsibility. Anesthesia & Analgesia 93:313-318, 2001

Weinger MB. Drug wastage contributes significantly to the cost of routine anesthesia care. Journal of Clinical Anesthesia 13:491-497, 2001

2000

Abouleish AE, Zornow MH, Levy RS, Abate J, Prough DS. Measurement of individual clinical productivity in an academic anesthesiology department. Anesthesiology 93:1509-1516, 2000

Bell ED, Penning DH, Cousineau EF, White WD, Hartle AJ, Gilbert WC, Lubarsky DA. How much labor is in a labor epidural? Manpower cost and reimbursement for an obstetric analgesia service in a teaching institution. Anesthesiology 92:851-858, 2000

Cromwell J, Snyder K. Alternative cost-effective anesthesia care teams. Nursing Economics 18:185-193, 2000

Gillerman RG, Browning RA. Drug use inefficiency: a hidden source of wasted health care dollars. Anesthesia & Analgesia 91:921-924, 2000

Glance LG. The cost effectiveness of anesthesia workforce models: a simulation approach using decision-analysis modeling. Anesthesia & Analgesia 90:584-592, 2000

Jackson T, Myles PS, Part II: Total episode costs in a randomized, controlled trial of the effectiveness of four anesthetics. Anesthesia & Analgesia 91:1170-1175, 2000

Johnstone RE, Hosaflook C. Financial impact if payers use Medicare rates. Anesthesiology versus other specialties. Anesthesiology 93:852-857, 2000

Lubarsky DA, Reves JG. Using Medicare multiples results in disproportionate reimbursement for anesthesiologists compared to other physicians. Journal of Clinical Anesthesia 12:238-241, 2000

Macario A, Scibetta WC, Navarro J, Riley E. Analgesia for labor pain: a cost model. Anesthesiology 92:841-850, 2000

1999

Cromwell J. Barriers to achieving a cost-effective workforce mix: lessons from anesthesiology. Journal of Health Politics, Policy & Law. 24(6):1331-1361, 1999

Franzini L, Berry JM. A cost-construction model to assess the total cost of an anesthesiology residency program. Anesthesiology 90:257-268, 1999

Overdyk FJ, Harvey SC, Baldwin D, Rust P, Multani M, Marcell J. Individualized outcome feedback produces voluntary antiemetic prescribing practice changes. Journal of Clinical Anesthesia 11:17-23, 1999

Posner KL, Freund PR. Trends in quality of anesthesia care associated with changing staffing patterns, productivity, and concurrency of case supervision in a teaching hospital. Anesthesiology 91:839-847, 1999

Schlunzen L, Simonsen MS, Spangsberg NL, Carlsson P. Cost consciousness among anaesthetic staff. Acta Anaesthesiologica Scandinavica 43:202-205, 1999

Tyler DC, Orr RJ. A method to evaluate drug costs as compared to time costs in the operating room. Description and two examples. American Journal of Anesthesiology 26; 14-20, 1999

1998

Dexter F, Lubarsky DA, Gilbert BC, Thompson C. A method to compare costs of drugs and supplies among anesthesia providers: a simple statistical method to reduce variations in cost due to variations in casemix. Anesthesiology 88:1350-1356, 1998 [PDF]

Dexter F, Macario A, Dexter EU. Computer simulation of changes in nursing productivity from early tracheal extubation of coronary artery bypass graft patients. Journal of Clinical Anesthesia 10:593-598, 1998

Dexter F, Penning DH, Lubarsky DA, DeLong E, Sanderson I, Gilbert BC, Bell E, Reves JG. Use of an automated anesthesia information system to determine reference limits for vital signs during cesarean section. Journal of Clinical Monitoring & Computing 14:491-498, 1998

Pisetsky MA, Lubarsky DA, Capehart BP, Lineberger CK, Reves JG. Valuing the work performed by anesthesiology residents and the financial impact on teaching hospitals in the United States of a reduced anesthesia residency program size. Anesthesia & Analgesia 87:245-254, 1998

Williams BA, Starling SL, Bircher NG, Wilks DH, Watkins WD. Optimization of anesthesia staffing using simulation modeling. American Journal of Anesthesiology 25:113-120, 1998

1997

Dexter F, Coffin S, Woodward J. Performance of anesthesia machines’ devices that are not part of the Food and Drug Administration’s daily checkout. Journal of Clinical Monitoring 13:171-179, 1997

Freund PR, Bowdle TA, Posner KL, Kharasch ED, Burkhart VD. Cost-effective reduction of neuromuscular blocking drug expenditures. Anesthesiology 87:1044-1049, 1997

Lubarsky DA, Glass PSA, Ginsberg B, Dear GDL, Dentz ME, Gan TJ, Sanderson IC, Mythen MG, Dufore S, Pressley CC, Gilbert WC, White WD, Alexander ML, Coleman RL, Rogers M, Reves JG for the SWiPE group. The successful implementation of pharmaceutical practice guidelines: analysis of associated outcomes and costs savings. Anesthesiology 86:1145-1160, 1997

Macario A, Vitez TS, Dunn B, McDonald T, Brown B. Hospital costs and severity of illness in three types of elective surgery. Anesthesiology. 86:92-100, 1997

1996

Cohen MM, Rose DK, Yee DA. Changing anesthesiologists practice patterns- can it be done. Anesthesiology 85:260-269, 1996

Dexter F. Application of cost-utility and quality-adjusted life years analyses to monitored anesthesia care for sedation only. Journal of Clinical Anesthesia 8:286-288, 1996

1995

Dexter F, Tinker JH. The cost efficacy of hypothetically eliminating adverse anesthetic outcomes from high, but neither low nor moderate, risk surgical operations. Anesthesia & Analgesia 81:939-944, 1995

1994

Horrow JC, Rosenberg H. Price stickers do not alter drug usage. Canadian Journal of Anaesthesia 41:1047-1052, 1994

1993

Pontone S, Finkel S, Desmonts JM, De Pouvourville G. Is the Relative Complexity Index beta an accurate indicator of the cost of anesthesia? Annales Francaises D Anesthesie et de Reamination 12:539-543, 1993

1990

Revicki DA, Orkin FK, Luce BR, McMenamin P, Weschler JM. Physician payment reform: anesthesiology as a case study. Anesthesiology 73:760-769, 1990