Annual Conference

ASCA 2024

Maintain Sound Mental Health in the Workplace

Our own well-being and the well-being of all the employees in our surgery centers holds immense importance. Mental health in the workplace isn’t merely about the absence of illness; it encompasses emotional resilience, psychological well-being and the capacity to navigate daily challenges effectively.


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Cardiovascular in ASCs

Cardiology has become one of the fastest-growing ASC segments as demand for value-based care delivery and high-quality healthcare rises. Much like orthopedic and spine procedures shifting to a lower-cost setting, the addition of cardiology to Medicare’s ASC Covered Procedures List makes this service line an attractive transition to the ambulatory setting.


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Navigating Supply Chain Constraints

The healthcare supply chain can be complex. Most health systems employ large, robust teams that are focused on different functions within the supply chain to maximize value and minimize expense. For the ASC, not only do we battle a lot of the same complexities, but we have the added challenge of competing in the same market with a sliver of the resources.


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Build a Strong Culture in Your ASC

Over the years, ASCs have worked hard on developing a strong reputation for providing safe, quality and excellent care to our patients and the communities we serve. Our role, as leaders of our organizations, is to bring out the best in our teams and develop a culture that enhances that reputation into the future.


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ASCA 2023

Are You Survey Ready?

Preparing for any type of survey can be a difficult process. During my joint presentation with Jan Kleinhesselink, RN, “Preparing for AAAHC Accreditation,” at the ASCA 2023 Conference & Expo, May 17–20, in Louisville, Kentucky, we will discuss the mechanics of applying for your Accreditation Association for Ambulatory Health Care survey, what you can expect during the survey, and how to get ready for it.


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Benchmark to Improve Performance

ASCs have a solid reputation of providing high-quality, safe care at an affordable price. As a leader, you are responsible for assuring your patients receive the highest level of care possible.


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Build Relationships at Work to Grow Your Surgery Center

My husband and I met in high school but did not start dating until many years later. When we did start dating, as a young, independent, career-minded woman, I told him that I only needed him for three things: to get things that are up high—I am 5’2”— squish bugs and, eventually, one day grow a family.


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Perform ASC Valuations and Physician Transactions Successfully

Physicians are the lifeblood of any successful ASC, and according to ASCA, own some part or all of more than 90 percent of ASCs across the country. These physicians act as both the source of equity capital as well as the producers.


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Become an ASC Advocate in Your State

Getting involved in government affairs and advocating on behalf of your ASC can seem like a daunting task. After all, so much of your time and energy are already committed to keeping your facility running smoothly, and meeting and engaging with elected officials can seem intimidating.


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ASCA 2022

Who Signs on the Dotted Line?

When we are out doing surveys, we see that people do not have a clear understanding of the informed consent process. The process is more than just a form that needs to be signed before a procedure. It involves multiple steps.


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Pandemic Brings Uniquely Difficult Human Resources Concerns

At the ASCA 2022 Conference & Expo in Dallas Texas, April 27–30, my partner Flynne Dowdy and I will lead discussions related to employee discipline and termination, accommodation issues, and social media and telemedicine.


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Establish a Well-Rounded ASC

Having a thriving, non-problematic center that runs like a well-oiled machine sounds ideal, right? In reality, it isn’t realistic. In its place, a well-rounded ASC will provide benefits and opportunities to bring your center to the forefront of success.


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Deliver Personalized Patient Communication

The world of patient communication as we knew it two years ago, a year ago or even a month ago is probably gone forever. The realities of the COVID-19 pandemic juxtaposed against changing patient needs and preferences have required all of us to reimagine patient communication.


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ASCA 2020

Make the Most of Joint Ventures

With hospitals increasingly looking to participate in the ASC industry and physicians increasingly looking for a health system partner, a mutually beneficial hospital-physician joint venture relationship is more important for the ASC industry now than ever in the past.


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Involve Employees in Problem Solving

As leaders in the ASC community, we are familiar with wearing multiple hats and fielding myriad problems every day. We continuously monitor for upcoming changes in the regulations and expectations placed upon us from the multitude of agencies that play a part in the work we do every day. Then, as the changes unfold, we scramble to formulate answers and responses to fulfill each requirement.


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Navigate Today’s Changing Employment Landscape Successfully

Say five years ago, your ASC went online or consulted with a human resources company or even hired an attorney and created an employee manual for your staff. That manual has provisions for drug testing, anti-harassment policies, arbitration provisions and benefits. Your ASC is feeling pretty safe.


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What Should Your QAPI Topic Be?

Every ASC must have an ongoing Quality Assessment and Performance Improvement (QAPI) program. The primary goals of this program are to continually and systematically plan, design, measure, assess and improve critical performance indicators and patient outcomes, and to prevent errors and injuries.


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ASCs to Experience Growth and Providers in Short Supply

The Sg2 Impact of Change (IoC) forecast, updated annually, uses proprietary impact factors to project 10-year patient demand across inpatient and outpatient services, allowing health system leaders to more accurately anticipate future opportunities and risks.


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ASCA 2019

Change Opioid Prescribing Habits at Your ASC

During the past several decades, the US has experienced increasing problems with opioid abuse. To counter the epidemic, we conducted a study to identify internal improvement processes throughout one of the largest orthopedic practices in the US and its affiliated ASCs to promote and drive change in opioid-prescribing patterns in their physicians.


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Considering Vascular Procedures in Your ASC?

If you are planning to add vascular procedures to your ASC, I recommend you attend my session “Should You Perform Vascular Procedures in Your ASC?” at the ASCA 2019 Conference & Expo, May 15–18, in Nashville, Tennessee.


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Secrets to Successful Equipment Buying

Are you considering taking on a new service line in your ASC? During my presentation, “Make Data-Driven Decisions: Use Breakeven Analysis Before You Invest” at the ASCA 2019 Conference & Expo, May 15–18, in Nashville, Tennessee, I will share insight on how to make the best decisions when purchasing or leasing new equipment for your facility.


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Help Patients Manage Pain Wisely

As a practicing anesthesiologist with 20-plus years of clinical experience in both the hospital and ASC practice environments, I have witnessed patient expectations changing dramatically. I have experienced the challenges associated with providing a relatively “pain free” patient care experience.


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Coaching for Performance

Setting expectations is the foundation for effective employee performance and a basic responsibility of every leader in our industry. After almost eight years of teaching clinical leaders the techniques of coaching, I am amazed to find that less than 10 percent of people in each class raise their hand when asked the question “Has your supervisor reviewed their expectations with you since you started in this role?”


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ASCA 2018

Applying Moneyball to Your ASC

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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Improve Your Managed Care Contracts

Managed care contracts determine how and if you get paid and have a direct impact on the financial viability of your ASC. In my presentation, “Negotiate Better Managed Care Contracts,” at ASCA 2018, April 11–14, in Boston, Massachusetts, I will describe the basic constructs of a managed care contract, how to formulate a contracting strategy and how to execute that strategy successfully.


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Avoid Endoscope-Related Infections

The ECRI Institute has listed endoscope reprocessing on its “Top 10 Health Technology Hazards” list for the last eight years, and endoscope-related infections have been in the news frequently during this time. According to William Rutala, director of the Statewide Program for Infection Control and Epidemiology at the University of North Carolina School of Medicine, “There are more outbreaks from the use of endoscopes than any other medical device due to the complexity of the instrument and microbial contamination.”


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Use TeamSTEPPS to Communicate Effectively

Team Strategies and Tools to Enhance Performance and Patient Safety (Team- STEPPS) is an evidence-based set of teamwork tools aimed at optimizing patient outcomes by improving communication and teamwork skills among health care professionals.


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Bringing Cardiac Cases into ASCs

Interest in performing cardiac procedures in the outpatient setting is growing, and the Heart and Rhythm Institute of Trinity is at the forefront of the movement. Although the Centers for Medicare and Medicaid Services (CMS) does not yet reimburse ASCs for these procedures, many managed care companies do. With an increasing number of outpatient centers providing cardiac procedures, growing awareness of the cost savings and the positive experiences that patients report, the chances of cardiac procedures being performed in ASCs is rising.


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ASCA 2017

Considering a Social Media Policy?

Does your ASC have a social media policy? Or does your center want a social media policy but not know where to begin? If you answered “yes” to either of those questions, you need to attend my presentation, “Social Media Issues from an HR Perspective,” at ASCA 2017, May 3–6, in Washington, DC.


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Normothermia Data Collection Begins in 2018

ASCs will need to start collecting data to report the ASC-13: Normothermia Outcome measure as part of their quality measure reporting in 2018. The Centers for Medicare & Medicaid Services (CMS) adopted the measure as a part of its final 2017 ASC Payment Rule released in November 2016.


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Reduce Supply Costs in Your Independent ASC

In many independent and small ASCs, in an effort to keep staffing costs low, members of the ASC team with clinical backgrounds are tasked with managing supply orders and inventory. An experienced, dedicated materials manager is never hired. With a lack of materials management experience, however, clinical staff members put in charge of materials can be challenged with developing and using effective purchasing processes. The result can easily be wasted money and time.


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Essentials of a Successful Clinical Benchmarking Program

Clinical benchmarking can seem daunting at first glance, and yet, it can serve as a very effective tool in driving clinical excellence in health care organizations. I will discuss how to design and implement a successful clinical benchmarking program in the ASC setting at ASCA 2017, May 3–5, in Washington, DC.


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Generation Gap

As our work force becomes increasingly diverse, it is important to keep in mind that most of us tend to treat others in the way we like to be treated—essentially applying The Golden Rule. This approach, however, might be outdated and not the most productive way to conduct business in a multi-generational work environment. In my presentation “Communicating in a Multi-Generational Workforce,” at ASCA 2017, May 3–6, in Washington, DC, I will discuss a total of four generations— the Silent Generation, Baby Boomers, Generation X and Millennials— and answer the question, “What makes each of us tick?”


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ASCA 2016

Nurses Providing Sedation in the ASC

RNs in the ASC setting are being asked to provide moderate or “conscious” sedation when anesthesia practitioners, such as anesthesiologists (MDA), certified registered nurse anesthetists (CRNA) or anesthesiologist assistants (AA), are not available. Lack of availability might be due to a regional shortage, a patient request to avoid the expense, the refusal of an insurance provider to cover anesthesia services or other reasons specific to an ASC’s practices.


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Violence in the ASC Setting

Hospital emergency rooms deal with potentially violent,aggressive patients and family members almost daily. In the ASC setting, we are not well-prepared to handle this type of an event. Our ASC experienced a random act of violence, and I will discuss workplace violence in the ASC setting at ASCA 2016, May 19–22, in Dallas, Texas.


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Creating a High-Performance Workplace

Recent Deloitte research shows that culture, engagement and employee retention are now the top talent challenges facing business leaders. Why has “culture” become the mantra for business leaders? Unemployment rates are at an all-time low, leading prospective talent to be selective when considering employment opportunities.


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Protect Your Data

Cyber breaches and hacks happen to even the most secured sites. Last summer, a security breach at the Office of Personnel Management affected the personal data of an estimated 18 million federal employees. Are you doing everything that you could to keep your ASC’s data secured?


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Protect Your ASC from DME Law Suits

Dispensing durable medical equipment (DME) and devices post-operatively has placed ASCs in the crosshairs of legal claims. During my session “Legal Liability and Protective Measures Regarding Product Defects/Failures” at ASCA 2016 in Dallas, Texas, May 19–22, I will identify scenarios frequently giving rise to potential liability and explore realworld solutions to minimize your liability. I also will provide tools, techniques and strategies to reduce risk.


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