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What New Administrators Need to Know, Part 2 Come to ASCA 2015 to learn how to tackle the toughest challenges in your ASC BY ANN GEIER, RN, CASC


The responsibilities of an administrator keep increas- ing and getting more com- plicated as a result of health care reform and the chang-


ing industry. At ASCA 2014, I dis- cussed what new administrators need to know and created an e-book based on that presentation. I will take the top four issues that the administrators marked as the toughest part of their job from that e-book and drill down on those dur- ing my presentation “What New ASC Administrators Need to Know, Part 2” at ASCA 2015, May 13–16, at the Orlando World Center Marriott Resort & Convention Center in Orlando, Florida. One of those four issues that man-


agers struggle with is human resources. They need to be on top of regulations and legal parameters and have the tact to deal with employees who span mul- tiple generations. Dealing with people is the number one reason why people leave managerial positions. I will dis- cuss tips on hiring mistakes, methods for dealing with evaluations and disci- pline, and terminations. The second area that managers find difficult to handle is financial knowledge. During my ASCA 2015 presentation, I will discuss what administrators need to focus on, the knowledge they need, the significance of planning, what it costs to run a business and how to ensure that their ASC is paid enough to cover their costs. Many ASCs do not do case costing. I make case costing presentations at least twice a year and have 50–80 people attending each time. The talk is 80 minutes long, and it could be much longer. It is taught on a basic level, and it is always followed up with lots of questions from the attendees.


8 ASC FOCUS MARCH 2015


Dealing with people is the number one reason why people leave managerial positions.”


—Ann Geier, RN, CASC, SourceMedical Solutions Inc. The third issue I will talk about is


legal and regulatory requirements. I will discuss quality measures that need to be reported, how to stay on top of those measures, the International Sta- tistical Classification of Diseases and Related Health Problems 10th Revi- sion (ICD-10) and more. Regulations keep changing, and in some cases, just staying ahead of the reporting time- lines, data collection, etc., can devour an administrator’s time. The fourth issue is the importance of maximizing the use of information technology. The technology should be the administrator’s tool that will make life simpler. Often, that is not what I see when I travel to centers. Administrators come from varied


backgrounds and have to know both parts of the job: clinical and financial.


From my experience, it is easier to be a clinical person and learn the financial part than to be a financial person and learn the clinical part. It is particularly difficult being an administrator of an ASC that has a joint venture with a hos- pital because the hospital usually likes to keep control. They pull the admin- istrators to meetings all day long, and yet they want them to run the ASC as a freestanding ASC. My presentation will help administrators from all back- grounds and capabilities run their facility in the most efficient manner.


Ann Geier, RN, CASC, is the vice president of Clinical Informatics Surgery at SourceMedical Solutions Inc. headquartered in Wallingford, Connecticut. Write her at ann.geier@sourcemed.net.


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