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10 Years Later: Lessons Learned from an Academic Multidisciplinary Cosmetic Center

BACKGROUND: In 2006, a Centers for Medicare and Medicaid Services-accredited multidisciplinary academic ambulatory surgery center was established with the goal of delivering high-quality, efficient reconstructive, and cosmetic services in an academic setting. We review our decade-long experience sin...

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Autores principales: Chen, Jenny T., Nayar, Harry S., Rao, Venkat K
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5640337/
https://www.ncbi.nlm.nih.gov/pubmed/29062640
http://dx.doi.org/10.1097/GOX.0000000000001459
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author Chen, Jenny T.
Nayar, Harry S.
Rao, Venkat K
author_facet Chen, Jenny T.
Nayar, Harry S.
Rao, Venkat K
author_sort Chen, Jenny T.
collection PubMed
description BACKGROUND: In 2006, a Centers for Medicare and Medicaid Services-accredited multidisciplinary academic ambulatory surgery center was established with the goal of delivering high-quality, efficient reconstructive, and cosmetic services in an academic setting. We review our decade-long experience since its establishment. METHODS: Clinical and financial data from 2006 to 2016 are reviewed. All cosmetic procedures, including both minimally invasive and operative cases, are included. Data are compared to nationally published reports. RESULTS: Nearly 3,500 cosmetic surgeries and 10,000 minimally invasive procedures were performed. Compared with national averages, surgical volume in abdominoplasty is high, whereas rhinoplasty and breast augmentation is low. Regarding trend data, breast augmentation volume has decreased by 25%, whereas minimally invasive procedural volume continues to grow and is comparable with national reports. Similarly, where surgical revenue remains steady, minimally invasive revenue has increased significantly. The majority of surgical cases (70%) are reconstructive in nature and insurance-based. Payer mix is 71% private insurance, 18% Medicare and Medicaid, and 11% self-pay. Despite year-over-year revenue increases, net profit in 2015 was $6,120. Rent and anesthesia costs exceed national averages, and employee salary and wages are the highest expenditure. CONCLUSION: Although the creation of our academic cosmetic ambulatory surgery center has greatly increased the overall volume of cosmetic surgery performed at the University of Wisconsin, the majority of surgical volume and revenue is reconstructive. As is seen nationwide, minimally invasive cosmetic procedures represent our most rapidly expanding revenue stream.
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spelling pubmed-56403372017-10-23 10 Years Later: Lessons Learned from an Academic Multidisciplinary Cosmetic Center Chen, Jenny T. Nayar, Harry S. Rao, Venkat K Plast Reconstr Surg Glob Open Special Topic BACKGROUND: In 2006, a Centers for Medicare and Medicaid Services-accredited multidisciplinary academic ambulatory surgery center was established with the goal of delivering high-quality, efficient reconstructive, and cosmetic services in an academic setting. We review our decade-long experience since its establishment. METHODS: Clinical and financial data from 2006 to 2016 are reviewed. All cosmetic procedures, including both minimally invasive and operative cases, are included. Data are compared to nationally published reports. RESULTS: Nearly 3,500 cosmetic surgeries and 10,000 minimally invasive procedures were performed. Compared with national averages, surgical volume in abdominoplasty is high, whereas rhinoplasty and breast augmentation is low. Regarding trend data, breast augmentation volume has decreased by 25%, whereas minimally invasive procedural volume continues to grow and is comparable with national reports. Similarly, where surgical revenue remains steady, minimally invasive revenue has increased significantly. The majority of surgical cases (70%) are reconstructive in nature and insurance-based. Payer mix is 71% private insurance, 18% Medicare and Medicaid, and 11% self-pay. Despite year-over-year revenue increases, net profit in 2015 was $6,120. Rent and anesthesia costs exceed national averages, and employee salary and wages are the highest expenditure. CONCLUSION: Although the creation of our academic cosmetic ambulatory surgery center has greatly increased the overall volume of cosmetic surgery performed at the University of Wisconsin, the majority of surgical volume and revenue is reconstructive. As is seen nationwide, minimally invasive cosmetic procedures represent our most rapidly expanding revenue stream. Wolters Kluwer Health 2017-09-21 /pmc/articles/PMC5640337/ /pubmed/29062640 http://dx.doi.org/10.1097/GOX.0000000000001459 Text en Copyright © 2017 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Special Topic
Chen, Jenny T.
Nayar, Harry S.
Rao, Venkat K
10 Years Later: Lessons Learned from an Academic Multidisciplinary Cosmetic Center
title 10 Years Later: Lessons Learned from an Academic Multidisciplinary Cosmetic Center
title_full 10 Years Later: Lessons Learned from an Academic Multidisciplinary Cosmetic Center
title_fullStr 10 Years Later: Lessons Learned from an Academic Multidisciplinary Cosmetic Center
title_full_unstemmed 10 Years Later: Lessons Learned from an Academic Multidisciplinary Cosmetic Center
title_short 10 Years Later: Lessons Learned from an Academic Multidisciplinary Cosmetic Center
title_sort 10 years later: lessons learned from an academic multidisciplinary cosmetic center
topic Special Topic
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5640337/
https://www.ncbi.nlm.nih.gov/pubmed/29062640
http://dx.doi.org/10.1097/GOX.0000000000001459
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