U.S. Department of Health and Human Services
Indian Health Service: The Federal Health Program for American Indians and Alaska Natives
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Planning, Evaluation & Research

RRM Category: AMBULATORY CLINIC

RRM Module: Ambulatory Surgery

Overview:
The RRM Ambulatory Surgery staffing module estimates the requirements for general surgeons to provide all general surgery services other than inpatient surgery, OB/GYN surgery and delivery services. The driver for the allocation of staff in this module is the number of general surgery cases. The minimum workload for Surgery and Anesthesiology is 200 cases. The ambulatory surgery cases should be counted as part of the general surgery cases for staffing. Nursing services for surgery are covered in the Inpatient Nursing modules. The hospital RRM module does not provide these FTE s. They need to be approved and added as deviations.

Services Description:
The Ambulatory Surgery Clinic provides surgical services on an out patient basis.

Staffing Criteria:
Ambulatory Surgery staff of 1.50 FTEs for an ambulatory facility with at least 200 general ambulatory surgery cases annually, plus 1.00 FTE Ambulatory Surgery staff for every 190 ambulatory surgery cases above 200.

STAFFING FORMULAE

Driving Variables:
Ambulatory Surgery Cases

Personnel Categories:
General Surgeon

FIXED STAFFING LEVELS

Personal Category FTEs per Driving Variables Min. Max.
General Surgeon 1.5   Gen'l. Surgery Cases 200  

Plus, VARIABLE STAFFING LEVELS:

Personal Category FTEs per Driving Variables Min. Max.
General Surgeon 1.0 200 Gen'l. Surgery Cases 200 n/a


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