• Adamu Abdullahi, Timothy Dean Roberts, Charles P Daniel, Alise J Aucoin, Ellen E Ingram, Sarah C Corley, Elyse M Cornett, and Alan D Kaye.
• Department of Neurology, LSU Health Shreveport, 1501 Kings Highway, Shreveport, LA, 71103, USA. Electronic address: abdullahi.adamu03@lsuhs.edu.
• Best Pract Res Clin Anaesthesiol. 2022 Aug 1; 36 (2): 311-322.

AbstractA large portion of US healthcare is ambulatory. Strong leadership is vital for the safety and efficiency of perioperative patients in this setting. Good leaders communicate respectfully and openly and ensure effective systems in the delivery of high-level healthcare. In general, to promote patient safety and treatment efficacy, ambulatory care leaders must improve communication. Effective administration is unattainable without leadership and communication in an operating room. When considering outpatient perioperative therapy, it is equally crucial to consider medical costs. Given the unsustainable rate of healthcare spending growth, all attempts to improve our present systems are necessary. Ambulatory care facilities must utilize data regarding resource consumption to be financially viable related to escalating expenses. The present review describes perioperative and financial leadership in the ambulatory setting, effective systems, and relevant clinical strategies.Published by Elsevier Ltd.

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