California's ambulatory surgery centers: a black box of care
- Collection:
- Health Policy and Services Research
- Series Title(s):
- California health care almanac (California HealthCare Foundation)
- Contributor(s):
- California HealthCare Foundation, issuing body.
- Publication:
- Oakland, CA : California Health Care Foundation, February 2018
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Ambulatory Care Facilities -- statistics & numerical data Surgicenters -- statistics & numerical data Operating Rooms -- statistics & numerical data Ambulatory Care Facilities -- economics Ambulatory Care Facilities -- trends Forecasting Insurance, Health -- statistics & numerical data Quality Indicators, Health Care State Government Surgical Procedures, Operative -- statistics & numerical data Surgicenters -- economics Surgicenters -- trends Humans California United States Centers for Medicare & Medicaid Services (U.S.)
- Genre(s):
- Technical Report
- Abstract:
- Many surgeries are performed in freestanding, or "same-day," ambulatory surgery centers (ASCs). The number of freestanding ASCs in California has increased dramatically over the past 11 years. However, due to a legal decision that removed reporting requirements for ASCs in the state, little is known about the volume of procedures, type of procedures, and financial operation of the vast majority of these facilities. This report looks at the most recent data on the supply, use, quality, and finances of freestanding ASCs in California, as well as trends from 2005 to 2016. KEY FINDINGS INCLUDE: (1) From 2005 to 2016, the number of Medicare-approved freestanding ASCs increased by 26%, from 626 to 791, while the number of operating rooms (ORs) in these facilities increased even more, from 1,311 to 1,905 (45%). In 2016, California had slightly fewer freestanding ASC ORs per 100,000 population than the average state. (2) Despite the decline in the number of facilities and surgeries reported to the Office of Statewide Planning and Development (OSHPD), the number of surgeries per facility remained relatively stable, around 2,500. (3) Among freestanding ASCs that reported data to OSHPD, private insurance was the dominant payer, representing 41% of ASC encounters while Medi-Cal covered one-third. (4) In 2017, the Centers for Medicare & Medicaid Services (CMS) started publicly reporting quality measures for ASCs. In the first set of measures reported, California performed similarly to the national average.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-ND license. (More information)
- Extent:
- 1 online resource (1 PDF file (18 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 101744372 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101744372