Issues Pertaining to Gastroenterology in a Multispecialty Surgery Center

1
Issues Pertaining to Gastroenterology in a
Multi-specialty Surgery Center

• MARK UHL, MD
• Gastroenterologist
• Gallatin,TN

2
Sedation Moderate/conscious Sedation vs.
Monitored Anesthesia

• Extra cost incurred for monitored anesthesia
• MAC usually better tolerated
• Many patients on several medications
• Which is safer?

3
Increased Volume While Maintaining Quality Care

• Open endoscopy
• Rotating rooms
• Computerized reports
• Access to hospital computer system

4
Open Endoscopy

• Age limit
• Anticoagulation
• Co-morbidities

5
GI vs. Other Specialties

• Higher volume to compensate for declining
  reimbursement
• Benefit form higher reimbursement of surgical
  procedures