The COVID-19 pandemic and the mandated cessation of surgical procedures for a substantial portion of the 2020 year placed tremendous strain, both clinically and financially, on the health-care system in the United States. As a surgical specialty that accounts for nearly a quarter of all hospital net income, the revenue recovery of orthopaedic service lines (OSLs) is of particular importance to the financial recovery of their broader health-care institutions. In this American Orthopaedic Association (AOA) symposium report, the OSL leaders from 4 major academic medical institutions explain and reflect on their approaches to address their revenue deficits. Cost-reduction strategies, such as tightening budgets, adopting remote-work models, and limiting costs of human capital, were vital to stabilizing departmental finances at the onset of the pandemic, while strategies that focused on expanding surgical volume, such as those that improve efficiency in clinical and surgical settings, were important in growing revenue once elective procedures resumed. Institutional policy, payer administrative procedures, and the overall context of an ongoing public health crisis all placed limitations on recovery efforts, but engaging relevant stakeholders and working with available resources helped OSLs overcome these limitations. Due to clear strategic actions that were taken to address their deficits, each OSL represented in this AOA symposium saw substantial improvement in its year-end financial performance compared with its financial status at the end of the period of mandatory cessation of elective surgical cases.

COVID-19 大流行和在 2020 年的大部分时间里强制停止外科手术给美国的医疗保健系统带来了巨大的临床和经济压力。作为占所有医院净收入近四分之一的外科专业，骨科服务线 (OSL) 的收入恢复对其更广泛的医疗机构的财务恢复尤为重要。在本次美国骨科协会 (AOA) 研讨会报告中，来自 4 家主要学术医疗机构的 OSL 领导人解释并反思了他们解决收入赤字的方法。成本削减策略，例如紧缩预算、采用远程工作模式和限制人力资本成本，对于在大流行开始时稳定部门财务至关重要，而专注于扩大手术量的策略，例如提高临床和手术环境效率的策略，对于恢复择期手术后增加收入很重要。机构政策、付款人管理程序以及持续公共卫生危机的总体背景都对恢复工作造成了限制，但让相关利益相关者参与并利用可用资源帮助 OSL 克服了这些限制。由于采取了明确的战略行动来解决他们的赤字，与强制停止择期手术病例期结束时的财务状况相比，参加本次 AOA 研讨会的每个 OSL 的年终财务业绩都有显着改善。例如那些提高临床和外科手术效率的技术，对于恢复选择性手术后增加收入很重要。机构政策、付款人管理程序以及持续公共卫生危机的总体背景都对恢复工作造成了限制，但让相关利益相关者参与并利用可用资源帮助 OSL 克服了这些限制。由于采取了明确的战略行动来解决他们的赤字，与强制停止择期手术病例期结束时的财务状况相比，参加本次 AOA 研讨会的每个 OSL 的年终财务业绩都有显着改善。例如那些提高临床和外科手术效率的技术，对于恢复选择性手术后增加收入很重要。机构政策、付款人管理程序以及持续公共卫生危机的总体背景都对恢复工作造成了限制，但让相关利益相关者参与并利用可用资源帮助 OSL 克服了这些限制。由于采取了明确的战略行动来解决他们的赤字，与强制停止择期手术病例期结束时的财务状况相比，参加本次 AOA 研讨会的每个 OSL 的年终财务业绩都有显着改善。付款人管理程序以及持续公共卫生危机的总体背景都对恢复工作造成了限制，但让相关利益相关者参与并利用可用资源帮助 OSL 克服了这些限制。由于采取了明确的战略行动来解决他们的赤字，与强制停止择期手术病例期结束时的财务状况相比，参加本次 AOA 研讨会的每个 OSL 的年终财务业绩都有显着改善。付款人管理程序以及持续公共卫生危机的总体背景都对恢复工作造成了限制，但让相关利益相关者参与并利用可用资源帮助 OSL 克服了这些限制。由于采取了明确的战略行动来解决他们的赤字，与强制停止择期手术病例期结束时的财务状况相比，参加本次 AOA 研讨会的每个 OSL 的年终财务业绩都有显着改善。