Same Day Surgery at the 121st General Hospital Seoul, South Korea.

摘要

The 121st General Hospital, Seoul, South Korea, is the only Army Medical Treatment Facility for all United States armed forces assigned to the Republic of Korea. The 121st currently lacks a same-day surgery program and likely has never had such a program. The purpose of this study is to analyze the variables and factors which have prevented the 121st General Hospital from implementing a same-day surgery (SDS) program, and determine if a SDS program is a feasible alternative to the current status quo. A study of surgical utilization for fiscal year (FY) 2004 was conducted. A comparison of inpatient surgeries performed at the 121st General Hospital in FY 2004 with the Centers for Medicare and Medicaid Services (CMS) most current list of approved ambulatory surgeries was completed. The results showed that 11% of the inpatient surgeries met ambulatory surgery criteria and amounted to a cost difference of $l,663,628. The results also showed that 28% of all FY 2004 surgeries lasted less than 24 hours meeting the criteria to be coded as outpatient surgeries.