title: Financial Benefits of a Hepatopancreaticobiliary Program.
abstract: Financial implications of developing a hepatopancreaticobiliary (HPB) center have not been considered. We undertook this study to determine hospital income associated with a new HPB center and to gauge the opportunity cost associated with such a center. Operations included were based on the HPB fellowship curriculum and the six most commonly undertaken general surgery operations. The income with "core" HPB operations (n = 93) and the six most frequently undertaken general surgery operations (n = 583) at one hospital from June 2012 to June 2013 were determined. Patients were not screened based on the ability to pay. Data are reported as mean ± standard deviation. Per operation, hospital income with HPB operations and general surgery operations were $15,583.20 ± $45,909.41 and $5,162.22 ± $33,679.10 (P < 0.005), respectively. Accordingly, net incomes of $1,449,238.04 (n = 93) and $3,009,572.78 (n = 583) were observed. Although general surgery operations are ubiquitous, HPB centers are uncommonly pursued at most hospitals, in part due to the patient volumes necessary to meet the expertise required. A "core" HPB operation produces triple the net income of a general surgery operation. Accordingly, significant financial benefit is achievable with the development of an HPB center when adequate volume is realized.
authors.affiliation: Southeastern Center for Digestive Disorders and Pancreatic Cancer, Advanced Minimally Invasive and Robotic Surgery, Florida Hospital Tampa, Tampa, Florida, USA.
authors.forename: Alexander S
authors.initials: AS
authors.lastname: Rosemurgy
authors.forename: Carrie E
authors.initials: CE
authors.lastname: Ryan
authors.forename: Richard L
authors.initials: RL
authors.lastname: Klein
authors.forename: Thomas W
authors.initials: TW
authors.lastname: Wood
authors.forename: Franka
authors.initials: F
authors.lastname: Co
authors.forename: Sharona B
authors.initials: SB
authors.lastname: Ross
mesh_terms: D017081:Cholecystectomy, Laparoscopic / Q000191:economics* / Q000706:statistics & numerical data; D003362:Cost-Benefit Analysis; D016208:Databases, Factual; D004469:Economics, Hospital / Q000458:organization & administration*; D005260:Female; D000067571:Financial Statements; D005431:Florida; D006498:Hepatectomy / Q000191:economics* / Q000706:statistics & numerical data; D017721:Hospital Costs; D006757:Hospital Units / Q000458:organization & administration; D061847:Hospitals, High-Volume; D006801:Humans; D008297:Male; D016577:Pancreaticoduodenectomy / Q000191:economics* / Q000706:statistics & numerical data; D015397:Program Evaluation; D012189:Retrospective Studies