Michael Horan

By Alexandra Radu and Michael P. Horan

Access to care and patient satisfaction are primary objectives in most, if not all, surgical practices. With current healthcare reform and implementation of The Affordable Care Act of 2010, surgeons are more frequently being challenged by their administrative counterparts to improve clinical efficiency and quality of care while maintaining current profit margins. This chapter describes two non-traditional, innovative concepts that can be incorporated into full scope, oral and maxillofacial surgery practices in order to allow more efficient delivery of care while maintaining quality. The two programs outlined herein are shared medical appointments (SMAs) and virtual surgical appointments (VSAs). These programs, when implemented in a busy academic or group private practice, have the potential to allow for efficient delivery of care while simultaneously improving patient satisfaction.

Part of the book: A Textbook of Advanced Oral and Maxillofacial Surgery

By Paul Bermudez, Maximillian Beushausen and Michael P. Horan

Hemostasis is the process of cessation of blood loss. Alterations of the hemostatic pathways can result in a hypercoagulable or hypocoagulable state resulting in thrombosis or hemorrhage. Common defects in hemostasis and their management, specifically the hypocoagulable state, are discussed as these defects often result in increased perioperative blood loss, which can result in compromised patient outcomes.

Part of the book: A Textbook of Advanced Oral and Maxillofacial Surgery