Understanding Costs of Care in the Operating Room

JAMA Surgery
Christopher P Childers, Melinda Maggard-Gibbons

Abstract

Increasing value requires improving quality or decreasing costs. In surgery, estimates for the cost of 1 minute of operating room (OR) time vary widely. No benchmark exists for the cost of OR time, nor has there been a comprehensive assessment of what contributes to OR cost. To calculate the cost of 1 minute of OR time, assess cost by setting and facility characteristics, and ascertain the proportion of costs that are direct and indirect. This cross-sectional and longitudinal analysis examined annual financial disclosure documents from all comparable short-term general and specialty care hospitals in California from fiscal year (FY) 2005 to FY2014 (N = 3044; FY2014, n = 302). The analysis focused on 2 revenue centers: (1) surgery and recovery and (2) ambulatory surgery. Mean cost of 1 minute of OR time, stratified by setting (inpatient vs ambulatory), teaching status, and hospital ownership. The proportion of cost attributable to indirect and direct expenses was identified; direct expenses were further divided into salary, benefits, supplies, and other direct expenses. In FY2014, a total of 175 of 302 facilities (57.9%) were not for profit, 78 (25.8%) were for profit, and 49 (16.2%) were government owned. Thirty facilities (9.9...Continue Reading

Associated Clinical Trials

Citations

Oct 17, 2018·The Laryngoscope·Daniel C SukatoStefan Mlot
Nov 16, 2018·International Forum of Allergy & Rhinology·Christopher R RoxburyRaj Sindwani
Dec 6, 2018·JAMA Surgery·Kristen L W WebsterElliott R Haut
Oct 10, 2018·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Daniel C SukatoEli A Gordin
Feb 27, 2019·JAMA : the Journal of the American Medical Association·Eric SunUNKNOWN Multicenter Perioperative Outcomes Group (MPOG)
Mar 22, 2019·Hand : Official Journal of the American Association for Hand Surgery·John D JenningsJoseph Thoder
Jun 6, 2019·Journal of Robotic Surgery·Bilal KaakiBenjamin Cleveland
Jun 11, 2019·Foot & Ankle Specialist·Shane D RothermelMichael C Aynardi
Apr 3, 2019·The Journal of Trauma and Acute Care Surgery·David D KeevenAndrew C Bernard
Jul 25, 2019·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Rajeev C SaxenaJohn D Lang
May 30, 2019·Surgical Endoscopy·Pim OomensJohannes Jeekel
Dec 11, 2019·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Pedrom C SioshansiEdward J Damrose
Nov 26, 2019·The Journal of Craniofacial Surgery·Benjamin B MassenburgRichard A Hopper
Jan 23, 2020·Journal of Endourology·Muhannad AlsyoufD Duane Baldwin
Jan 15, 2020·Journal of Robotic Surgery·Tara N CohenDaniel Shouhed
Sep 21, 2018·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·William Gillen, Brett Coldiron
Oct 24, 2019·JAMA Surgery·Seth D Goldstein
Apr 11, 2019·Obstetrics and Gynecology·Emma L BarberDaniel L Clarke-Pearson
Sep 26, 2019·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Fides R SchwartzKadiyala Ravindra
Feb 29, 2020·Hand : Official Journal of the American Association for Hand Surgery·Matthew C DeWolfLance G Warhold
Nov 6, 2018·Health Care Management Science·Michael FairleyMargaret L Brandeau
Mar 3, 2020·Annals of Plastic Surgery·Ledibabari M NgaageYvonne M Rasko
Nov 7, 2019·Journal of Orthopaedic Trauma·Alastair E MoodyPeter L Althausen
Jul 6, 2019·Academic Medicine : Journal of the Association of American Medical Colleges·Christopher P ChildersTeryl Nuckols
Feb 12, 2020·Medical Care·Christopher P ChildersDaniel E Abbott
Oct 22, 2019·The American Journal of Sports Medicine·Michael D RahlTravis J Menge
Jun 9, 2020·Ophthalmic Surgery, Lasers & Imaging Retina·Thomas A CiullaJustin H Townsend
Aug 13, 2020·The Annals of Otology, Rhinology, and Laryngology·Sophia ChenMilan R Amin
Feb 27, 2020·Annals of Plastic Surgery·Haripriya S AyyalaEdward S Lee
Jun 27, 2018·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Dimitrios XourafasJordan M Cloyd
Aug 12, 2018·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Christopher P ChildersMelinda Maggard-Gibbons
Sep 1, 2018·JAMA : the Journal of the American Medical Association·Christopher P Childers, Melinda Maggard-Gibbons

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