Results from the National Survey of Ambulatory Surgery (NSAS) Karen A. Cullen, PhD, MPH
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1 Results from the National Survey of Ambulatory Surgery (NSAS) Karen A. Cullen, PhD, MPH National Center for Health Statistics Division of Health Care Statistics
2 Overview National Center for Health Statistics (NCHS) National Survey of Ambulatory Surgery (NSAS) Survey Design Data Overall Anesthesia Next Steps 2
3 Who we are: NCHS Department of Health and Human Services (DHHS) Centers for Disease Control and Prevention (CDC) National Center for Health Statistics (NCHS) NCHS is the Nation s s principal health statistics agency compile statistical information to guide actions and policies to improve the health of the population 3
4 NCHS Our health statistics allow us to: document the health status of the population monitor trends in health status and health care delivery support biomedical and health services research provide information to guide and evaluate health policy decisions and programs 4
5 Vital Statistics NCHS Major Surveys NHANES (National Health and Nutrition Examination Survey) NHIS (National Health Interview Survey) NHCS (National Health Care Surveys) 5
6 National Health Care Surveys Provider-based surveys which include: National Survey of Ambulatory Surgery (NSAS) National Hospital Discharge Survey (NHDS) National Hospital Ambulatory Medical Care Survey (NHAMCS) National Ambulatory Medical Care Survey (NAMCS) National Nursing Home Survey (NNHS) National Home & Hospice Care Survey (NHHCS) 6
7 National Health Care Surveys Obtaining information about the: facilities that supply health care, services rendered, and characteristics of the patients served Data are collected directly from the establishments and/or their records rather than from the patients 7
8 National Health Care Surveys National probability samples Voluntary Maintain confidentiality of providers and patients 8
9 NSAS National probability sample of freestanding and hospital-based ambulatory surgery centers and their patients Last conducted
10 Two stage probability design First stage: sample of facilities Freestanding ASCs Scope of the NSAS Hospital-based ASCs Second stage: sample of ambulatory surgical visits 10
11 Scope of the NSAS Surgical and nonsurgical procedures performed on an ambulatory (outpatient) basis General operating rooms Dedicated ambulatory surgery rooms Other specialized rooms such as endoscopy units and cardiac catheterization labs Pain block was included in the 2006 NSAS 11
12 Endorsements Federated Ambulatory Surgery Association (FASA) Society for Ambulatory Anesthesia (SAMBA) American Health Information Management Association (AHIMA) American Association of Ambulatory Surgery Centers (AAASC) American College of Surgeons (ACS) American Academy of Ophthalmology (AAO) 12
13 NSAS Participation Total of 696 facilities sampled Freestanding ASCs 472 sampled 295 participated 74% response rate Hospital-based ASCs 224 sampled 142 participated 75% response rate Sample of about records per month per facility Collected data on 52,233 visits 13
14 The US Census Bureau collected data Induction interview obtain data on practice or facility characteristics train staff Data Collection Preferred method was ASC/ hospital staff completing Medical Abstract forms 14
15 Medical Abstract Form 15
16 Patient characteristics Date of Birth / Age Sex Race Ethnicity ZIP Code Medical Abstract Form 16
17 Visit characteristics Expected source of payment Principal Other Sources Disposition Medical Abstract Form 17
18 Surgical characteristics Surgical times Type of anesthesia Anesthesia provider Diagnoses Procedures Medical Abstract Form Symptoms present during or after surgery 18
19 Medical Abstract Form Follow-up information Contact with patient within 24 hours 19
20 Coding Systems Used ICD-9-CM CM codes reported Up to 7 diagnoses coded Up to 6 procedures coded CPT-4 4 codes not used American Medical Association's CPT-4 4 codes are proprietary information Needed a coding system that we could release publicly 20
21 Facility Questionnaire 21
22 Facility Questionnaire Facility information Accreditation, ownership After hours care Payer Mix Emergency capabilities Unscheduled cases Travel to the closest acute care hospital Life support Staff profile # medical staff Physician specialties Physician board certification Affiliation with teaching hospital Postoperative care Time in recovery Extended care 22
23 Quality control procedures Forms reviewed by Census supervisors before being keyed Rekey of forms Data Processing Rate of discrepancy <0.3% Edit checks performed by NCHS 23
24 Estimation from the Sample to the Nation Each sampled record will represent hundreds of other visits Components of the estimation procedure: Inflation by reciprocals of sampling selection probabilities Adjustment for non-response 24
25 Confidentiality Confidentiality protected by Title 42, USC, Section 242m(d) Identifying information may be stripped Unable to identify either the facility or the individual patient Disclosure Review Board approves release Users agree not to try to identify providers/facilities or individual patients or publish small cells This protocol was approved by the NCHS Institutional Review Board 25
26 Who uses NSAS data? Health professional associations State and federal policy makers Health services researchers Epidemiologists Hospitals and ASCs Universities and medical schools Broadcast & print media Medical supply companies 26
27 2006 NSAS Data 27
28 Preliminary Results- Not for Citation Number and rate of visits, 1996 vs Utilization measure Number of visits Visits to freestanding ASCs Visits to hospital-based ASCs Rate of visits per 1,000 population ,838,000 3,313,000 17,524, ,225,000 15,243,000 19,982, Rate to freestanding ASCs Rate to hospital-based ASCs Excludes ambulatory surgery patients admitted to hospitals as inpatients Source: CDC/NCHS, National Survey of Ambulatory Surgery (NSAS) 28
29 Percent distribution of procedures by settting,, 1996 Inpatient 40.4 million 56% Ambulatory* 31.5 million 44% Hospital-based 26.4 million Freestanding 5.1 million *Excludes ambulatory surgery patients admitted to hospitals as inpatients Sources: CDC/NCHS, National Survey of Ambulatory Surgery (NSAS) and National Hospital Discharge Survey (NHDS) 29
30 Percent distribution of procedures by settting,, 2006 Preliminary Results- Not for Citation Inpatient 46.0 million 44% Ambulatory* 57.8 million 56% Hospital-based 32.4 million Freestanding 25.4 million *Excludes ambulatory surgery patients admitted to hospitals as inpatients Sources: CDC/NCHS, National Survey of Ambulatory Surgery (NSAS) and National Hospital Discharge Survey (NHDS) 30
31 Rate of ambulatory procedures by age and sex, 2006 Preliminary Results- Not for Citation Rate per 1,000 population Male Female All ages Under Age in Years Source: CDC/NCHS, National Survey of Ambulatory Surgery (NSAS) 31
32 Most common ambulatory procedures, 1996 Cataract removal 2,367,000 Endoscopy of large intestine 1,913,000 Removal of skin lesion 877,000 Arthroscopy of knee 629,000 Repair of inguinal hernia 531,000 Myringotomy 524, ,000,000 4,000,000 6,000,000 8,000,000 Number of procedures Source: CDC/NCHS, National Survey of Ambulatory Surgery (NSAS) 32
33 Most common ambulatory procedures, 2006 Preliminary Results- Not for Citation Endoscopy of large intestine 5,907,000 Endoscopy of small intestine 3,544,000 Extraction of lens 3,136,000 Injection of agent into spinal canal 2,763,000 Insertion of prosthetic lens 2,639,000 Injection of therapeutic substance 1,681, ,000,000 4,000,000 6,000,000 8,000,000 Number of procedures Source: CDC/NCHS, National Survey of Ambulatory Surgery (NSAS) 33
34 Procedures performed by setting and body system, 2006 Preliminary Results- Not for Citation Nose, mouth, pharynx 298,000 3,264,000 Inpatient Nervous 1,115,000 4,192,000 Ambulatory Breast & skin 1,598,000 4,338,000 Eye 76,000 7,542,000 Musculoskeletal 4,254,000 8,593,000 Digestive 5,571,000 14,938, ,000,000 8,000,000 12,000,000 16,000,000 Number of procedures Sources: CDC/NCHS, National Survey of Ambulatory Surgery (NSAS) and National Hospital Discharge Survey (NHDS) 34
35 Preliminary Results- Not for Citation Characteristics of ambulatory surgery patients by facility type, 2006 Characteristic Age (years) Female (%) Race/Ethnicity (%) Not stated Freestanding Hospital-based Source: CDC/NCHS, National Survey of Ambulatory Surgery (NSAS) 35
36 Preliminary Results- Not for Citation Characteristics of ambulatory surgery patients by facility type, 2006 Characteristic Disposition (%) Routine Observation status Recovery care facility Inpatient admission Surgery cancelled Other Not stated Freestanding 95.4 <1 <1 <1 < Hospital-based <1 1.4 < Source: CDC/NCHS, National Survey of Ambulatory Surgery (NSAS) 36
37 Types of anesthesia provider by Freestanding ASC location, 2006 Preliminary Results- Not for Citation Hospital-based 9% 14% 14% 40% 18% 35% 20% 17% 16% 17% Anesthesiologist CRNA Surgeon/ other physician Multiple providers Unknown Source: CDC/NCHS, National Survey of Ambulatory Surgery (NSAS) 37
38 Preliminary Results- Not for Citation 40 Type of anesthesia by ASC location, Percent Topical/ local IV MAC Regional General Multiple types Other/ Not stated Overall Freestanding Hospital-based Source: CDC/NCHS, National Survey of Ambulatory Surgery (NSAS) 38
39 Calculation of surgical times, 2006 Surgical time= Time surgery ended Time surgery began OR time= Time out of OR Time in OR Post Op time= Time out of PO care Time in PO care Total time= Time out of PO care Time in OR 39
40 Procedure Classes AHRQ s Procedure Class grouper ICD-9-CM CM procedures are grouped into one of 4 broad categories Minor Diagnostic Minor Therapeutic Major Diagnostic Major Therapeutic Source: AHRQ, 40
41 Procedure Classes Minor Diagnostic - Non-operating operating room procedures that are diagnostic e.g., CT scan of head Minor Therapeutic - Non-operating operating room procedures that are therapeutic e.g., Irrigate ventricular shunt Source: AHRQ, 41
42 Procedure Classes Major Diagnostic Operating room procedures that are diagnostic e.g., Open brain biopsy Major Therapeutic Operating room procedures that are therapeutic e.g., Aorta-renal renal bypass Source: AHRQ, 42
43 Preliminary Results- Not for Citation Average surgical times, 2006 Surgical Time (min) OR Time (min) Post Op Time (min) Total Time (min) Overall Minor Diagnostic Minor Therapeutic Major Diagnostic Major Therapeutic Source: CDC/NCHS, National Survey of Ambulatory Surgery (NSAS) 43
44 Symptoms present during or after surgery, 2006 Any symptom listed in the medical record during or after surgery Symptoms occurred infrequently (4.15%) Nausea Hypertension Vomiting Bleeding Preliminary Results- Not for Citation Source: CDC/NCHS, National Survey of Ambulatory Surgery (NSAS) 44
45 Presence of symptoms by type of anesthesia, 2006 Preliminary Results- Not for Citation IV Type of anesthesia General Regional Multiple types Topical/ local Other/ not specified MAC Percent that experienced symptoms 6.0% 4.3% 3.9% 3.8% 2.5% 2.6% 2.3% Source: CDC/NCHS, National Survey of Ambulatory Surgery (NSAS) 45
46 Preliminary Results- Not for Citation Follow up with patients Follow up within 24 hours after surgery 55% yes 15% no 30% unknown Patient was reached 40% yes 14% no 28% unknown, 19% missing Source: CDC/NCHS, National Survey of Ambulatory Surgery (NSAS) 46
47 Plans for the future
48 Publications Data released to the public on the web via de- identified public use data file (July/August) Reports and publications using NSAS data National Health Statistics Reports NCHS Series 13 Report on inpatient and ambulatory procedures Articles for peer-reviewed reviewed journals 48
49 Re-fielding the NSAS Incorporate the NSAS into the National Hospital Ambulatory Medical Care Survey (NHAMCS) Recognize the importance of collecting this data more frequently Hospitals Emergency departments Outpatient departments Hospital-based ASCs Freestanding ASCs 49
50 For more information on NSAS Check out our website: Data released in July/August Contact me: Karen Cullen (301)
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