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COVER STORY


is important. Make sure there is not a lot of noise. If I were to do it over, I’d put a wall between each preop area.” That said, “the tighter you can make the space between the OR, the pro- cedure room and the pre- and postop areas, the more efficient you are going to be,” she says.


In the OR, it is important to use hi-tech technology. “Buy the best and it will make your day go faster,” Scott says.


In addition, “build as large as


you can afford for expansion in the future,” she recommends. “Plan for growing your ASC. We are lucky we had space available behind us for expansion, but you might not be lucky with space always.”


The location of your practice is much more important than the loca- tion of your ASC, Marasco says. “In


general, my clients like to have their practices be visible and are will- ing to pay for a good site,” he says. “However, the reality of surgery is that it is 100 percent referral based. So, where your ASC is located is not nearly as important as where your practice is located. You can pay for


There are certain requirements for fire ratings, automatic sprinklers and building construction types and, therefore, not all existing buildings are suitable to house ASCs.”


—John Marasco Marasco & Associates Inc


a less expensive plot and forego the visibility from the freeway. That said, accessibility is very important. You don’t want your ASC to be hard to get to.” Last but not the least, involve


your state department of health from the get-go, Marasco advises. “We always sit down with the state health department from the beginning and keep them abreast of our plans, so that there aren’t any surprises at the end,” he says. “A surveyor might read requirements differently than you do, so circumventing them is a huge mistake.” Building an ASC takes a team


effort, Hurley says. “Make sure that you have experienced consultants and involve your staff in how the new center would look.”


ASC FOCUS SEPTEMBER 2019 | ascfocus.org


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