Ambulatory [VERIFIED]

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The National Hospital Ambulatory Medical Care Survey (NHAMCS) is designed to collect data on the utilization and provision of ambulatory care services in hospital emergency and outpatient departments and ambulatory surgery locations. Findings are based on a national sample of visits to the emergency departments, outpatient departments, and ambulatory surgery locations of noninstitutional general and short-stay hospitals.

Ambulatory

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This article describes a case-mix measure for application in ambulatory populations. The method is based primarily on categorization of diagnoses according to their likelihood of persistence. Fifty-one combinations (the ambulatory care groups or ACGs) result from applying multivariate techniques to maximize variance explained in use of services and ambulatory care charges. The method is tested in four different HMOs and a large Medicaid population. The percentage of the population in each of the 51 categories is similar across the HMOs; the Medicaid population has higher burdens of morbidity as measured by more numerous types of diagnoses. Mean visit rates for individuals within each of the 51 morbidity categories are generally similar across the five facilities, but these visit rates vary markedly from one category to another, even within groupings that are similar in the number of types of diagnoses within them. Visit rates for individuals who stay in the same ACG were similar from one year to the next. The ACG system is found useful in predicting both concurrent and subsequent ambulatory care use and charges as well as subsequent morbidity. It provides a way to specify case mix in enrolled populations for research as well as administration and reimbursement for ambulatory care.

Background: It is uncertain whether ambulatory blood-pressure measurements recorded for 24 hours in patients with treated hypertension predict cardiovascular events independently of blood-pressure measurements obtained in the physician's office and other cardiovascular risk factors.

Methods: We assessed the association between base-line ambulatory blood pressures in treated patients and subsequent cardiovascular events among 1963 patients with a median follow-up of 5 years (range, 1 to 66 months).

Results: We documented new cardiovascular events in 157 patients. In a Cox proportional-hazards model with adjustment for age, sex, smoking status, presence or absence of diabetes mellitus, serum cholesterol concentration, body-mass index, use or nonuse of lipid-lowering drugs, and presence or absence of a history of cardiovascular events, as well as blood pressure measured at the physician's office, higher mean values for 24-hour ambulatory systolic and diastolic blood pressure were independent risk factors for new cardiovascular events. The adjusted relative risk of cardiovascular events associated with a 1-SD increment in blood pressure was 1.34 (95 percent confidence interval, 1.11 to 1.62) for 24-hour ambulatory systolic blood pressure, 1.30 (95 percent confidence interval, 1.08 to 1.58) for ambulatory systolic blood pressure during the daytime, and 1.27 (95 percent confidence interval, 1.07 to 1.57) for ambulatory systolic blood pressure during the nighttime. For ambulatory diastolic blood pressure, the corresponding relative risks of cardiovascular events associated with a 1-SD increment were 1.21 (95 percent confidence interval, 1.01 to 1.46), 1.24 (95 percent confidence interval, 1.03 to 1.49), and 1.18 (95 percent confidence interval, 0.98 to 1.40).

Conclusions: In patients with treated hypertension, a higher ambulatory systolic or diastolic blood pressure predicts cardiovascular events even after adjustment for classic risk factors including office measurements of blood pressure.

The Affordable Care Act requires the Secretary of Health and Human Services to develop a plan to implement a value-based purchasing (VBP) program for payments under the Medicare program for ambulatory surgical centers (ASCs). The Secretary submits a report to Congress containing this plan.

Internet Citation: Toolkit To Improve Antibiotic Use in Ambulatory Care. Content last reviewed October 2022. Agency for Healthcare Research and Quality, Rockville, MD.

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As defined by Texas Health and Safety Code Section 243.002, an ambulatory surgical center is a facility that operates primarily to provide surgical services to patients who do not require overnight hospital care. ASCs are commonly referred to as "day surgery centers."

An ambulatory EEG is a test that records your brain activity while you're at home. The technologist will put small metal disks on your scalp. The disks will be connected with wires to a small computer you wear around your waist. It can be used to evaluate conditions like epilepsy or brain injuries.

If a patient needs a procedure that is available at an ambulatory surgery center, the doctor and patient together can determine if the level of care is best suited to take place in an ambulatory surgery center or if it requires hospital admission.

Ambulatory surgery centers provide same-day, outpatient care, so there is no overnight stay. Procedures and treatments performed there may be more routine and for patients who do not require additional care. Costs at ambulatory surgery centers are often lower for several reasons, including the facility size and the types of care provided.

The facility employs a friendly and courteous staff highly trained in ambulatory surgery that combined, share a lengthy and solid experience level in order to provide you and your family a safe, and friendly surgery experience.

Ambulatory surgical centers are outpatient facilities that perform surgical procedures. In most cases, patients at ambulatory surgical centers are released within 24 hours. Medicare Part B (Medical Insurance) covers facility service fees related to approved surgical procedures you get in these centers.

After you meet the Part B deductible, you pay 20% of the Medicare-Approved Amount to both the ambulatory surgical center and the doctor(s) who treat you. You pay nothing for certain preventive services (like a screening colonoscopy) if your doctor or other health care provider accepts assignment. However, you may have to pay other costs associated with the preventive services. For example, if your doctor removes a polyp during a screening colonoscopy, you may have to pay 15% of the Medicare-approved amount. You also pay all facility service fees for non-covered procedures you get in ambulatory surgical centers.

An ambulatory surgery center (ASC) is a licensed facility not part of a hospital with the primary purpose of providing elective surgical care. The patient is admitted to and discharged from the facility within 24 hours.

A license issued by the Agency for Health Care Administration is required in order to operate an ambulatory surgical facility. It is unlawful for a person to use or advertise to the public, in any way or by any medium whatsoever, any facility as an "ambulatory surgical facility" unless such facility has first secured a license under the provisions of Chapter 395, Part I, Florida Statutes and Chapter 408, Part II, Florida Statutes. This licensure does not apply to veterinary facilities or to commercial business establishments using the word "hospital" as a part of a trade name if no treatment of human beings is performed on the premises of such establishments.

Graduates of the Inova Health System PGY2 Ambulatory Pharmacy Residency program will be empowered to treat and manage patients from complex chronic illnesses to routine ambulatory concerns. Emphasis is placed on the delivery of care for the entire patient, with graduates being well equipped to function as an integrated member of the interdisciplinary team. In addition, the resident will acquire the experiences necessary to exercise leadership in ambulatory pharmacy practice at a local and health-care system level and provide experiential and didactic education to a variety of healthcare professionals and those training to be healthcare professionals.

An ambulatory surgery center (ASC) is a health care facility that specializes in providing surgery, pain management and certain diagnostic (e.g., colonoscopy) services in an outpatient setting. In simple terms ambulatory surgery center procedures are more intensive than that done in the average doctors office but not so intensive as to require a hospital stay.

Any facility that meets the definition of an ambulatory outpatient surgical center found in Indiana Code 16-18-2-14 must be licensed by the Indiana Department of Health (IDOH) on an annual basis. The IDOH monitors the health care quality of ambulatory surgery centers through the licensure process. IDOH surveyors visit centers for licensure inspections.

In his interim role, Del Pizzo oversees all outpatient care at 74 clinics at 32 locations throughout Northern California. The role is responsible for providing clinical leadership to a rapidly growing ambulatory clinical enterprise that is part of a progressive integrated health system.

Despite the fact that the vast majority of health care takes place in the outpatient, or ambulatory care, setting, efforts to improve safety have mostly focused on the inpatient setting. However, a body of research dedicated to patient safety in ambulatory care has emerged over the past few years. These efforts have identified and characterized factors that influence safety in office practice, the types of errors commonly encountered in ambulatory care, and potential strategies for improving ambulatory safety.

Ensuring patient safety outside of the hospital setting poses unique challenges for both providers and patients. A recent article proposed a model for patient safety in chronic disease management, modified from the original Chronic Care Model. This model broadly encompasses three concepts that influence safety in ambulatory care: 006ab0faaa