search.noResults

search.searching

note.createNoteMessage

search.noResults

search.searching

orderForm.title

orderForm.productCode
orderForm.description
orderForm.quantity
orderForm.itemPrice
orderForm.price
orderForm.totalPrice
orderForm.deliveryDetails.billingAddress
orderForm.deliveryDetails.deliveryAddress
orderForm.noItems
AS I SEE IT


Is there a procedure room to house the laser? Should the laser be in an alcove off the corridor? A smaller size laser footprint that is moveable might be a better option for a space- challenged surgery center, especially if it is a multispecialty ASC where there is not a dedicated “eye room.” At the Chesapeake Eye Surgery


Center in Annapolis, Maryland, we use the laser, which is in a separate proce- dure room, 67 percent of the time on average. We begin our day with sev- eral manual cases alternating between two operating rooms. We follow with incorporating the laser between each operating room (OR) case. This ensures minimal if any down time for the surgeon, which makes for a happy surgeon and a day that runs smoothly. Will the patient receive anesthesia


for the laser portion of the surgery? Most patients experience some pain or pressure during the procedure. In our center, we use sublingual Midazolam


Ophthalmologic surgery is a natural fit for ASCs. . . . If done correctly, the patient experience in an ASC far exceeds what most hospitals can provide and at approximately half of the cost.”


—Maria C. Scott, MD, OOSS


given at least 20–30 minutes before the procedure. The patient is monitored by the nurse during the laser portion of the procedure, which frees up the anesthe- siologist to interview the next patient. Before introducing new technolo- gies to the OR team, it is imperative to have thorough discussions with the surgeons, nurse administrators and managers of the center. Allowing extra time for new technology is criti-


cal to making the rollout successful. If a technology increases procedure time and cost, it must be balanced by reim- bursement and improvement to patient outcomes. It is imperative that leader- ship and management balance innova- tion with quality management. In our center, we have seen an


improvement in patient outcomes since incorporating FLACS. The improved outcomes increase our conversion and comfort with premium lenses, which translates to


better In the ophthalmic ASC, as in life, we


have found that it is wise to seek advice from those who have trod the path before us. To that end, our center has relied on the resources available through the Ophthalmic Outpatient Surgery Soci- ety (OOSS). OOSS exists to support the ophthalmic ASC with advocacy and educational and training resources, as well as benchmarking and data anal- ysis. OOSS University, the society’s digital repository, houses an extensive and growing collection of courses and webinars, monographs, research tools and studies, and legal and legislative updates. Through OOSS Talk, members and partners share expert advice. OOSS and ASCA have had a long and success- ful relationship, advocating on behalf of patients and working to support and improve the ASC industry.


As incoming OOSS president, I, along with the board and membership, look forward to growing our already strong relationship with ASCA. In turn, we invite ASCA members to explore OOSS, as we work together to support and improve the ASC industry for the benefit of our patients.


Maria C. Scott, MD, is the incoming OOSS president and medical director of the Chesapeake Eye Care & Laser Center and Chesapeake Eye Surgery Center in Annapolis, Maryland. Write her at mariacscott@yahoo.com.


12 ASC FOCUS MAY 2018 | www.ascfocus.org


results and an


improved bottom line. We believe the transition, although challenging, was worth it.


Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20  |  Page 21  |  Page 22  |  Page 23  |  Page 24  |  Page 25  |  Page 26  |  Page 27  |  Page 28  |  Page 29  |  Page 30  |  Page 31  |  Page 32  |  Page 33  |  Page 34  |  Page 35  |  Page 36  |  Page 37  |  Page 38  |  Page 39  |  Page 40  |  Page 41  |  Page 42  |  Page 43  |  Page 44  |  Page 45  |  Page 46