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Physician Assistants Improve Efficiency and Decrease Costs in Outpatient Oral and Maxillofacial Surgery.

Cory M Resnick1, Kimberly M Daniels2, Susan J Flath-Sporn3

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This summary is machine-generated.

Integrating physician assistants (PAs) into oral and maxillofacial surgery reduced procedure costs by $75.08 per patient without increasing complication rates. This allows oral surgeons more time for patient care, boosting practice efficiency.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Health Services Research

Background:

  • Outpatient oral and maxillofacial surgery practices face challenges in optimizing efficiency and cost-effectiveness.
  • The integration of advanced practice providers, such as physician assistants (PAs), is being explored to enhance surgical workflows.

Purpose of the Study:

  • To evaluate the impact of integrating physician assistants (PAs) into the procedural workflow of outpatient oral and maxillofacial surgery.
  • To assess changes in procedure time, cost, and complication rates following PA integration.

Main Methods:

  • A prospective cohort study was conducted at Boston Children's Hospital involving the removal of four impacted third molars under sedation.
  • Patients were divided into groups with and without PA involvement.
  • Process mapping, time analysis, and time-driven activity-based costing were employed to compare outcomes.

Main Results:

  • No significant difference in total process time was observed between groups.
  • Average total procedure cost decreased by $75.08 with PA integration (P < .001).
  • Oral and maxillofacial surgeon direct involvement time decreased by 19.2 minutes (P < .001), with no increase in postoperative complications.

Conclusions:

  • Integrating PAs into outpatient oral and maxillofacial surgery significantly reduces procedural costs while maintaining complication rates.
  • Increased surgeon availability post-PA integration can enhance patient throughput and revenue potential.