McGovern K J
Milton S. Hershey Medical Center, Hershey, PA, USA.
J Cardiovasc Manag. 1998 Sep-Oct;9(5):19-22.
The VAD independent living program has clearly demonstrated that a traditional inpatient population can be successfully moved to an outpatient setting. Such a move can result in significant cost savings for the institution while increasing patient satisfaction. By moving the assist device patients to an outpatient facility, we improved the overall operational efficiency of the Medical Center and the MIMCU. Because of the overwhelming success of this project, the Medical Center's administration has become receptive to the benefits of exploring alternative outpatient care delivery systems. Faced with increased demands to decrease operational expenses cardiovascular managers must restructure service line programs and explore opportunities to move traditional inpatient care delivery systems to outpatient settings.
心室辅助装置（VAD）独立生活项目已清楚表明，传统住院患者群体能够成功转移至门诊环境。这样的转移可为机构大幅节省成本，同时提高患者满意度。通过将使用辅助装置的患者转移至门诊设施，我们提高了医疗中心和医学重症监护病房（MIMCU）的整体运营效率。由于该项目取得了巨大成功，医疗中心管理层已开始接受探索替代性门诊护理提供系统的益处。面对降低运营成本的需求不断增加的情况，心血管管理人员必须重组服务线项目，并探索将传统住院护理提供系统转移至门诊环境的机会。
