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

12 ASC FOCUS MAY 2018 |

results and an

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

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