COVER STORY
cedures being done in the outpatient setting by 2028. Women’s health pro- cedures, such as hysteroscopy, endo- metrial ablation, pelvic floor proce- dures and lumpectomy/mastectomy will move almost entirely to outpa- tient settings by 2028. To support the numbers above, I will end with two case studies, both of which have undergone massive year-over-year outpatient volume growth in all settings in the past five years. The first is UnityPoint Health in Trinity and Bettendorf, Iowa. The health system’s ASC experi- enced 178 percent growth; its hos- pital experienced 41 percent growth; and the total program experienced 69 percent growth between 2013 and 2017. Over the next decade, Sg2 forecasts nationally an 84 per- cent growth in primary hip and knee replacement volumes.
The second case study is that
of the ASC joint venture between Atrium Health in Charlotte, North Carolina, and Carolina Neurosur- gery & Spine Associates with offices in North and South Carolinas. The joint venture provides a three-site approach—a combination of its inpatient, HOPD and ASC—to allow for flexibility and cost efficiency through site of care appropriateness by patient, which is attractive to pay- ers and employers.
In Conclusion
As the Baby Boomers continue to age, we can expect to see rapid and expansive growth in the demand for outpatient surgical care. Sg2 forecast the growth digits for us, but the ques- tion is, are ASCs ready to accommo- date this shift in procedures to our setting? Having strategic planning discussions now and annually in your ASC is imperative. Reviewing your current OR and procedure room utili- zation and planning for future growth will ensure that you are ready.
SLIDES BY SG2 HEALTH CARE INTELLIGENCE
Sg2 predicts that by 2028, 85 percent of all procedures will be performed in the outpatient setting, and joint replacement and surgical spine procedures will top the outpatient growth.”
— Rebecca Craig, RN, CASC Harmony Surgery Center and Peak Surgical Management
A few points to consider when looking at the additional volume and growth: ask the physicians their cur- rent and future plans for recruiting new partners. Do the new partners specialize in new procedures/tech- niques that would require new equip- ment/technology? Are the procedures your ASC’s surgeons expect to per- form on the Medicare ASC list and, if so, are they reimbursed adequately there? Have you kept your facility up to date, relevant and attractive to new physicians? How are your local competitors doing? Are they thriving or struggling? Is there an opportu- nity to combine forces? Do you have a succession plan in place for retir- ing physicians? Are the local hos- pitals at capacity or are they over-
building ORs in the community? Each year the strategies might shift, and we have to be actively assess- ing. The shift of volume to the out- patient setting will continue, and we need to be ready, so we don’t miss the opportunity. Our time is now, and to make
sure our voice is heard, being involved in ASCA is truly more important than ever.
Rebecca Craig, RN, CASC, ASCA Board member, is the immediate past presi- dent of ASCA Board of Directors and chief executive officer of Harmony Sur- gery Center and Peak Surgical Manage- ment in Fort Collins, Colorado. Write her at
Rebecca.Craig@
uchealth.org.
ASC FOCUS JANUARY 2019 |
ascfocus.org 15
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
