Assessing Transformation of Optimizing Ambulatory Surgery Center Services with Telehealth

Background: As technology advances and the ability to provide adequate and convenient surgical procedures improves; the usage of telehealth resources in an Ambulatory Surgery Center setting are evermore capable. The current environment of Ambulatory Surgery Center’s provides a baseline of support to alleviate main operating volume and to absorb more of the outpatient procedures with support from technology and telehealth. Objective: To understand how the telehealth abilities can enhance the efficiency and scope of service of Ambulatory Surgery Centers. To explore if telehealth resources can be utilized to strengthen, improve, and combine tasks that delay progress in the current model. To examine if as telehealth infuses with modern medicine, do the abilities make manual tasks obsolete given the transparent capabilities of telehealth resources. Methods: Utilizing a Value System Map (VSM) model to examine the current state of an Ambulatory Surgery Center, highlights in process delays are discussed and substituted in a later, future state model. Through displaying current vs. future state, areas of improvement are highlighted that provide areas of improvement in an Ambulatory Surgery Center setting. Results: In highlighting workflows with Ambulatory Surgery Center procedures, telehealth substitutions of current manual processes show promising improved efficiency with proper technology. Conclusion: The utilization of telehealth in place of current Ambulatory Surgery Center processes has begun due to recent pandemic of COVID-19; in which support from telehealth capabilities have supported growth in the ASC setting for more comprehensive usages when used accordingly with corresponding telehealth resources

The James Webb Space Telescope Mission

Twenty-six years ago a small committee report, building on earlier studies, expounded a compelling and poetic vision for the future of astronomy, calling for an infrared-optimized space telescope with an aperture of at least $4m$. With the support of their governments in the US, Europe, and Canada, 20,000 people realized that vision as the $6.5m$ James Webb Space Telescope. A generation of astronomers will celebrate their accomplishments for the life of the mission, potentially as long as 20 years, and beyond. This report and the scientific discoveries that follow are extended thank-you notes to the 20,000 team members. The telescope is working perfectly, with much better image quality than expected. In this and accompanying papers, we give a brief history, describe the observatory, outline its objectives and current observing program, and discuss the inventions and people who made it possible. We cite detailed reports on the design and the measured performance on orbit.Comment: Accepted by PASP for the special issue on The James Webb Space Telescope Overview, 29 pages, 4 figure

The James Webb Space Telescope Mission

Twenty-six years ago a small committee report, building on earlier studies, expounded a compelling and poetic vision for the future of astronomy, calling for an infrared-optimized space telescope with an aperture of at least 4 m. With the support of their governments in the US, Europe, and Canada, 20,000 people realized that vision as the 6.5 m James Webb Space Telescope. A generation of astronomers will celebrate their accomplishments for the life of the mission, potentially as long as 20 yr, and beyond. This report and the scientific discoveries that follow are extended thank-you notes to the 20,000 team members. The telescope is working perfectly, with much better image quality than expected. In this and accompanying papers, we give a brief history, describe the observatory, outline its objectives and current observing program, and discuss the inventions and people who made it possible. We cite detailed reports on the design and the measured performance on orbit