COVER STORY
More Procedures Moving to the Outpatient Setting As a major trend this year, we will see volume shift to the ASC setting. According to an excellent presenta- tion by Amanda Olderog, senior direc- tor of orthopedics of Sg2 Health Care Intelligence, I recently had the plea- sure of hearing, over the next 10 years volume will continue to shift to the ASC setting, allowing the hospitals needed space to focus on high-acuity patients who require their expertise. Allow me to elaborate. From 2008 to 2014, inpatient discharge vol- ume declined 7 percent, according to Sg2, and robust procedure growth is anticipated across all ambulatory sites from 2018 to 2028. While ASCs covered 30 million of the US mar- ket procedure volume in 2018, in 2028, they will cover 37 million of the market volume and experience 25 percent growth. Will your ASC be ready to absorb
Quality is Key To ensure our ASCs continue to thrive, we need to keep being accommodating and flexible with our physicians and their scheduling needs, provide excel- lent patient satisfaction and prove the high-quality care we are giving our patients. ASCA Chief Executive Offi- cer Bill Prentice recently stated that we need to be innovative in the quality
space and more provocative on quality reporting, and I could not agree more. The ASC community needs to have the ability to compare “apples to apples” quality measures with the hospital out- patient department (HOPD) setting. We need to keep pushing to have the data to tell our compelling story to pre- serve and protect the industry we are so passionate about.
14 ASC FOCUS JANUARY 2019 |
ascfocus.org
this surge in volume? To prepare, ASCs will have to navigate and man- age a few difficult areas, such as phy- sician employment, the high cost of equipment and technology needed for certain procedures and state reg- ulations. Thankfully, pressure from payers and the current federal admin- istration’s push for lower-cost set- tings will help encourage procedures to move to the ASC setting. Sg2 predicts that by 2028, 85 per- cent of all procedures will be per- formed in the outpatient setting, and joint replacement and surgical spine procedures will top the outpatient growth. For example, 88 percent of spinal decompression/laminectomy procedures, 67 percent of cervical spi- nal fusion procedures and 53 percent of primary knee replacements will be performed in the outpatient setting, such as ASCs or HOPDs. Cardiovas- cular procedures also will see a con- tinued push to the outpatient setting, with more than 60 percent of the pro-
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