Logistics of building a laser practice for the treatment of hypertrophic burn scars.

摘要: Introduction Although lasers can improve burn scars, such treatment has not been adopted universally, due to operational challenges starting a practice and the perception that program is financially viable. We report logistics of building laser for hypertrophic scars. Methods analyzed clinical, operational, financial components our practice, focusing on using pulsed dye laser, fractional CO2 intense light. Cases were performed in an operating room, with anesthesia, after preauthorization. examined professional charges collections, case time, variable indirect expenses, breakeven volumes. Results Our grew as follows: 2008, 1 case; 2009, 44 cases; 2010, 169 2011, 415 cases. Overall collection rate was 32.1%. Expenses incurred by provider, per 8-hour session, included rental/lease ($2375), personnel salaries ($1900), physician overhead ($808), total cost $5083. Mean charge $1642 mean $527 case. Median time (procedure plus turnover) 40 minutes. In this model, volume 9.7 cases day; 49.7 Provider profit margin 10 day, or 83% capacity utilization, $187 day (income - expenses = $5270 $5083). Conclusions Despite high costs associated sustainable enterprise be achieved when provider accrued enough batch over entire day. Critical achieving preauthorization, controlling overhead, efficient throughput.