Advancing Acute Care Surgery

Stony Brook University Hospital coordinated efforts with its emergency department and ambulatory surgery center to establish the exigent general surgery (XGS) service. This service not only streamlines the care of patients with acute abdominal conditions but also provides timely diagnosis and treatment for other acute illnesses. With the help of more staffing, space and expanded hours through the collaboration of clinical and administrative management, this service reduces the time of surgery and length of stay and promotes earlier surgical intervention by eliminating wait time during admissions.

Stony Brook University Hospital coordinated efforts with its emergency department and ambulatory surgery center to establish the exigent general surgery (XGS) service. This service not only streamlines the care of patients with acute abdominal conditions but also provides timely diagnosis and treatment for other acute illnesses. With the help of more staffing, space and expanded hours through the collaboration of clinical and administrative management, this service reduces the time of surgery and length of stay and promotes earlier surgical intervention by eliminating wait time during admissions.

This case study is part of the HANYS Triple Aim series highlighting how New York hospitals are improving health, enhancing quality and reducing costs. Hospitals, nursing homes and home care agencies across New York state are pursuing the Triple Aim. In spite of fiscal constraints, HANYS members are embracing the challenge of transforming health care and are implementing new and innovative approaches to delivery.