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Coral Bay Hospital is a 250-bed, investor-owned hospital located in Islamorada, Florida, which is known as the “The Sport Fishing Capital of the World.” The hospital was founded in 1946 by Rob Winslow, a prominent Florida physician, on his return from service in World War II. Winslow relinquished control of the hospital in 1967 while it was still small and in a relatively quiet setting. However, in recent years, the Florida Keys have experienced a population explosion, which has fostered high economic growth as well as a continuing need for more healthcare services. Today, under a succession of excellent CEOs, the hospital is acknowledged to be one of the leading healthcare providers in the area.
The hospital’s management is currently evaluating a proposed ambulatory (outpatient) surgery center. (For more information on ambulatory surgery, see the Ambulatory Surgery Center Association website at www.ascassociation.org.) More than 80 percent of all outpatient surgery is performed by specialists in gastroenterology, gynecology, ophthalmology, otolaryngology, orthopedics, plastic surgery, and urology. Ambulatory surgery requires an average of about one-and-a-half hours to complete: minor procedures take about one hour or less, and major procedures typically take two or more hours. About 60 percent of the procedures are performed under general anesthesia, 30 per- cent under local anesthesia, and 10 percent under regional or spinal anesthesia. In general, operating rooms are built in pairs so that a patient can be prepped in one room while the surgeon is completing a procedure in the other room.
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