Endoscopy units face numerous challenges because of rising demand, increased operational
costs, and declining reimbursement. These conditions have led to a critical need to
maximize the operational cost-efficiency of these units. Several key factors can affect
the cost-efficiency of an endoscopy unit, and the 4 key areas discussed in this article
are managing capital costs, efficient use of disposables, improving unit efficiency,
and creating a positive culture and establishing strong unit leadership. Areas on
which to focus to achieve the greatest results will vary based on specific unit characteristics,
but initial efforts should aim to improve operations by focusing on 1 to 2 key areas
that ideally have been identified by an internal needs assessment. Although such efforts
can be arduous and need to be sustained, they can result in significant benefits to
patients, endoscopy unit staff, and healthcare organizations.
Abbreviation:
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References
- Facility Guidelines Institute. Guidelines for design and construction of outpatient facilities. Major additions and revisions.(Available at:)https://www.fgiguidelines.org/wp-content/uploads/2018/01/FGI-Guildelines-Outpatient-2018_AddRev.pdfDate accessed: May 30, 2020
- International Health Facility Guidelines. Part B - Health facility briefing & design including functional planning units.(Available at:)http://healthfacilityguidelines.com/ViewPDF/ViewIndexPDF/iHFG_part_b_completeDate accessed: May 30, 2020
- A digital preprocedure instruction Program for outpatient colonoscopy.Telemed J E Health. 2020; 26: 468-476
- Preventing endoscopy clinic no-shows: prospective validation of a predictive overbooking model.Am J Gastroenterol. 2016; 111: 1267-1273
- Optimizing efficiency and operations at a California safety-net endoscopy center: a modeling and simulation approach.Gastrointest Endosc. 2014; 80: 762-773
- Endoscopy unit efficiency.Gastroenterol Hepatol. 2014; 10: 315-317
- Using efficiency analysis and targeted intervention to improve operational performance and achieve cost savings in the endoscopy center.Gastrointest Endosc. 2014; 79: 637-645
- Studying and incorporating efficiency into gastrointestinal endoscopy centers.Gastroenterol Res Pract. 2015; 2015: 764153
- Evaluation of interventional endoscopy unit efficiency metrics at a tertiary academic medical center.Endosc Int Open. 2016; 4: E143-E148
Article info
Publication history
Published online: June 12, 2020
Accepted:
June 2,
2020
Received:
January 1,
2020
Footnotes
DISCLOSURE: The following author disclosed financial relationships: V. R. Muthusamy: Consultant for Medtronic, Boston Scientific, Medivators, and Interpace Diagnostics; research support from Medtronic and Boston Scientific; speaker for Ethicon/Torax; stockholder in Capsovision.
Identification
Copyright
© 2020 by the American Society for Gastrointestinal Endoscopy