TY - CHAP M1 - Book, Section TI - Establishing and Maintaining a Quality Perioperative TEE Service A1 - Troianos, Christopher A. A1 - Noorda, Bryan P. A1 - Bar-Yosef, Shahar A1 - Schroeder, Rebecca A. A1 - Mark, Jonathan B. A2 - Mathew, Joseph P. A2 - Nicoara, Alina A2 - Ayoub, Chakib M. A2 - Swaminathan, Madhav PY - 2018 T2 - Clinical Manual and Review of Transesophageal Echocardiography, 3e AB - The establishment of perioperative transesophageal echocardiography (TEE) services requires clinicians with adequate clinical training, TEE machines and probes with appropriate software, a reporting and archiving process, and personnel who set up and maintain the equipment. Anesthesiology departments provide such services if there are a sufficient number of TEE-certified anesthesiologists in the hospital. The convenience of their continual presence in the operating room suite, combined with their understanding of operating room procedures and cardiac surgical needs, make anesthesiologists the logical choice to provide these services. Hospitals that lack anesthesiologists credentialed for perioperative TEE depend upon the clinical expertise of cardiologists who work in concert with the echocardiography laboratory. The department that provides the service is responsible for securing the necessary capital to purchase and maintain the equipment, archive the studies, generate a report, and maintain a continuous quality improvement (CQI) process for both the equipment and the clinicians providing the service. The service also benefits from having skilled technical personnel to maintain and operate equipment. Finally, clinicians should understand the unique billing and reimbursement processes associated with this distinct service, which differ from traditional anesthesiology billing and reimbursement process. Although many details pertinent to the service are institutionally dependent, this chapter provides general guidelines that may be implemented for most perioperative TEE services. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2021/05/10 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1171728588 ER -