Departments

Departments

 

Message from the President

Apply the Pareto Principle at Your ASC

Networking with participants at ASCA’s annual meetings each year always reminds me of the incredible people who work in this industry. Their passion and dedication for those we serve is inspiring. Once we “sharpen our saw” with this great educational opportunity each year, we return to our centers and look for areas of improvement. We need to continuously search for these opportunities in our quest to provide outstanding care and service to all our customers—our patients, physicians and team members—because this is what sets us apart.


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Message from the CEO

ASCA Offers New Programs to its Members

Now that the annual meeting is behind us—and I hope all of you who were able to join us returned home with useful takeaways in the form of new ideas, information and connections—I want to share two new programs with you.


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As I See It

Presterilizing Versus Re-Sterilizing Implants and Instruments

Considerations for ASCs, insurers, surgeons and patients

While single-use equipment is not new in health care, the kinds of instruments and related devices going the route of “one and done” are changing.


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ASCA 2018

Applying Moneyball to Your ASC

Use meaningful KPIs to help drive your business forward

Going . . . going . . . gone! Everyone wants the homerun hitting hero on their team. And, for many years, professional baseball teams paid big money to sign up the likes of Barry Bonds, Hank Aaron, Alex Rodriguez and Sammy Sosa.


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Coding

Applying NFPA 99 to Your ASC

The Health Care Facilities Code identifies provisions for maintaining building systems

Health care facilities, including ASCs, contain many building systems and equipment that are unique compared to other occupancies. Those systems play a vital role in providing care to patients and are a key component in patient outcomes. Even those systems that are not unique to health care can have more importance in facilities that are occupied by the sick, weak or otherwise compromised (i.e., individuals who are sedated or under anesthesia). The continual upkeep of these systems and equipment is essential to providing safe patient care.


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Compliance

OSHA Updates Its Regulations

Learn how to implement the revised reporting requirements

In 2013, the Occupational Safety and Health Administration (OSHA) issued a proposed rule to improve the tracking of workplace injuries and illnesses through the electronic collection of establishment-specific injury and illness data. After receiving comments on the proposal, OSHA issued the final rule that became effective January 1, 2017 (Occupational Safety and Health Administration 29 CFR Part 1904).


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Regulations

OSHA Updates Its Regulations

Learn how to implement the revised reporting requirements

In 2013, the Occupational Safety and Health Administration (OSHA) issued a proposed rule to improve the tracking of workplace injuries and illnesses through the electronic collection of establishment-specific injury and illness data. After receiving comments on the proposal, OSHA issued the final rule that became effective January 1, 2017 (Occupational Safety and Health Administration 29 CFR Part 1904). For more information on the final rule, click here. Although ASCs are partially exempt from some of the requirements in that rule, they are subject to a requirement that prohibits employers from discouraging workers from reporting an injury or illness.


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Doing Business

Key Trends in ASC Valuations

Benchmark and use common valuation methodologies

Since Medicare approved payments to ASCs in 1982, the number of ASCs has grown substantially. Further, as the number of procedures that can be performed in an outpatient setting has grown, the utilization of outpatient surgery centers has increased in recent years from 50.5 percent of total surgeries in 1990 to 65.9 percent of total surgeries in 2014, according to VMG Health’s “Multispecialty ASC Study Intellimarker 2017.”


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Insurance

Trends in Medical Risk Transfer

Risks that are uninsurable or prohibitively expensive to insure might call for alternative risk transfer

In an ever-changing world, it is no secret that risks associated with ASCs also are evolving. Trends in medical risk transfer, however, are generally not related to ordinary risks but rather nontraditional—low frequency/high severity—risks. If these risks occur, they have the ability to bring a practice to a screeching halt. Examples of such risks include: loss or suspension of professional license, legislative and regulatory changes, cyber risk (breach of customer data and detrimental code) and related Health Insurance Portability and Accountability Act of 1996 (HIPAA) violations.


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Legislature

ASCA Advocates for Fair Implementation of Section 603

Congress passes site-neutral payment legislation

On November 2, 2015, congressional leaders and the Obama administration announced a bipartisan budget agreement that would fund the federal government for two years, raise the nation’s debt ceiling and stave off Medicare premium increases for beneficiaries. The final legislation, called the Bipartisan Budget Act of 2015, responded to a number approaching fiscal deadlines and leadership changes in the House that could have impacted the ability to strike such a deal.


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Technology

Rein in Surgical Case Coordination Inefficiencies

Cloud-based technology can help ASCs overcome fragmented case communication issues

Designed to be efficient, ASCs provide a more focused and specialized approach to surgeries without the costly overhead typical in a hospital environment. The result is high-quality care with better patient satisfaction. When it comes to surgical case coordination, however, the natural evolution of technology and communication has created a fragmented mess involving email, text messages, phone calls, white boards and word of mouth.


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Finances

Take Your ASC Revenue Cycle to the Next Level

Your employees are the most important tool to success

We all know every penny counts, but the rapidly changing rules surrounding ASC reimbursement can make revenue cycle management difficult. We can be ready for whatever changes come our way if we have the right tools, anticipate and adapt. When we think “tools,” we generally think software, hardware and medical equipment, but the most important tool for an ASC’s success is something else that is sometimes forgotten. More on that later. Below are a few tips to manage your revenue cycle successfully.


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Regulatory Review

ASC Quality Reporting Program Requirements for 2019

A look ahead

With the ASC Quality Reporting (ASCQR) Program web-based measure deadline of May 15, 2018, in the rearview mirror, it is time to look ahead to the data that will be reported for the Centers for Medicare & Medicaid Services (CMS) ASCQR Program in 2019 for 2020 payment determinations. It also is a good time to review some of the publicly available data on current measures to determine where ASCs can improve.


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Advocacy Spotlight

ASCs Care for Veterans

Long wait times for claims reimbursement, however, pose a problem

In 2014, the US Congress passed the Veterans’ Access to Care Through Choice Accountability and Transparency Act, commonly referred to as the Choice Act. Precipitated by several health care scandals within the US Department of Veterans Affairs (VA), this important legislation established the Veterans Choice Program (VCP), which increased veterans’ access to care providers outside of the VA. Since 2014, community care appointments have increased 61 percent overall, according to a 2016 VA report.


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ASCA News

Sign Up for ASCA’s Upcoming Webinars

ASCA will offer two webinars in June and July: “Infection Control Training Inside Your ASC” on Tuesday, June 12, and “Managing Conflict Effectively” on Tuesday, July 10. Both webinars will be held at 1:00 pm ET.


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Web Crawl

Attend Virtual Career Fair

All you need is an Internet connection to participate in ASCA’s Virtual Career Fair on Thursday, June 14.


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