gical Management Professionals, an ASC and surgical hospital manage- ment and development company in Sioux Falls, South Dakota, that man- ages High Pointe Surgery Center. “As more ASCs are performing joint replacements, we believe it is impor- tant to submit this data not only for our purposes of benchmarking and patient care improvement but also to support the physician practice’s efforts,” she says. “Our orthopedic partners use this data. It offers them the ability to review all of their joint replacements across all of their surgical settings. If we did not participate, they would only have data from some of their settings; thus, it would not be a comprehensive picture of their joint replacement practice.” The most important beneficiaries of

registry participation are patients, says Monica Aarthun, RN, High Pointe Sur- gery Center’s executive director. “Our overall goal is to continually improve the patient experience. By partnering with the orthopedic physicians utiliz- ing our facility and using the AJRR, we have useful data to assist us in improving this patient experience.”

Raising the ASC Profile Besides improving quality of care, belonging to a registry can bring pos- itive attention to an ASC, Marinkov- ich says, “It can often be interpreted as the facility caring about the safety of their patients and quality of care they provide. It also indicates that a facility is willing to put resources into ensuring quality.” Wilson views registry participation

as an opportunity to get on the radar of self-insured groups. “We believe they are looking for ‘centers of value.’ We define centers of value as the optimum combination of quality, as measured by outcomes; service, as measured by patient satisfaction; and price. We expect these groups to steer their cases to centers of value; for total joints, that will be an ASC. Of course, we hope our ASC is one of them.

If we are ever going to control health care costs in this country, we really need to direct care to the most efficient setting. A strong case can be made that ASCs match this description.”

—Thomas Wilson, Monterey Peninsula Surgery Center Albers says ASCs need data to help

support the claim that surgery cen- ters should be the preferred setting for ambulatory surgery and affect change in that regard. “We believe outpatient joint replacements offer patients a choice where they can receive their care, and we are providing this care in a high- quality, cost-effective manner. These AJRR results support our position from a quality standpoint and are necessary to provide transparency and demonstrate our commitment to that quality.” The sooner data captured in the

registry is shared with the pub- lic, the better, Wilson says. “We are strong believers in transparency. The

ASC industry has a much lower rate of complications, infection, emer- gency room visits and readmissions. We want consumers to have as much information as possible so they can make an informed decision about their health care choices. “We are confident that when this data is released, it will show that we have superior quality and higher patient satisfaction along with lower costs,” he continues. “If we are ever going to control health care costs in this country, we really need to direct care to the most efficient setting. A strong case can be made that ASCs match this description.”

Achieving Accreditation


Improving health care quality through accreditation.





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