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Message from the President

RCM in ASCs

BY MARK WAINNER | JUNE-JULY 2025

Revenue cycle management (RCM) is one of the three most important components of the business side of an ASC; the other two are case volume and expense management. RCM is an essential and multifaceted process directly impacting an ASC’s financial health, operational efficiency and patient satisfaction.

Are You Ready for ASCA 2025?

BY MARK WAINNER | APRIL 2025

At the start of each new year, I look forward to attending the annual ASCA conference and expo. With the 2025 conference in Denver, Colorado, just around the corner, there is no shortage of enthusiasm for what promises to be an enriching and transformative experience.

Communication and Engagement in Surgery Centers

BY MARK WAINNER | FEBRUARY 2025

With their efficient, cost-effective and patient-centered care, ASCs have become a cornerstone of modern healthcare. The success of ASCs hinges not only on the quality of their medical services but also on how effectively they communicate and engage with patients, staff and the broader healthcare community.

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Combine Benchmarking and Cost Reporting to Improve Your Bottom Line

BY MARK WAINNER | NOVEMBER-DECEMBER 2024

In the rapidly evolving healthcare landscape, surgery centers must continuously strive to improve efficiency and control costs. To navigate these challenges successfully, ASCs can use benchmarking and cost reporting to measure performance, optimize operations and improve financial outcomes.

Could a Strategic Partnership Be in Your ASC’s Future?

BY MARK WAINNER | SEPTEMBER 2024

Most ASCs are already familiar with the kind of partnership formed when two or more companies or people do business together, contributing money, assets and skill sets. But has your ASC ever considered getting involved in a strategic partnership—a long-term association of multiple parties that form a mutually beneficial relationship aimed at achieving shared business goals?

Improve Patient Engagement, Improve Outcomes

BY MARK WAINNER | JUNE-JULY 2024

Patient engagement is key to a successful surgical experience. It is more than completing surveys. It begins with the first call a surgery center makes to schedule a patient for surgery and continues through the postop call.

March of Technology in ASCs

BY MANDY HAWKINS, RN, CASC, CAIP | APRIL 2024

Over the course of my career working in ASCs, it’s been hard not to marvel at the extraordinary advances in technology that have affected and improved everything from front office administration to the equipment and devices that make up the modern surgical suite.

Managing Inventory Effectively

BY MANDY HAWKINS, RN, CASC, CAIP | FEBRUARY 2024

Labor costs are a large piece of a surgery center’s overall spend, but supply costs take a big chunk as well. Without enough or the correct supplies, cases can be canceled or last longer than necessary, patients could be put at risk and physicians could be upset.

Infection Prevention in Your ASC

BY MANDY HAWKINS, RN, CASC, CAIP | NOVEMBER-DECEMBER 2023

Observations have shown that surgical site infections (SSI) rarely happen because of a single cause; multiple breaches cause SSIs. ASCs have an excellent track record in infection prevention, but it never hurts to revisit the issue.

Do You Have an Emergency Preparedness Plan?

BY MANDY HAWKINS, RN, CASC, CAIP | SEPTEMBER 2023

Summer is at an end and it is time to think about emergency preparedness in our centers. Establishing and maintaining a written “all-hazard” disaster preparedness plan for our centers, staff, patients and others in our facilities in the event of an emergency will help us provide a timely and coordinated response in case of an emergency.

Using New Technology Wisely

BY MANDY HAWKINS, RN, CASC, CAIP | JUNE-JULY 2023

Advancements in technology are transforming healthcare, but what exactly is healthcare technology and how is it affecting ASCs? The World Health Organization defines health technology as the application of organized knowledge and skills in the form of devices, medicines, vaccines, procedures and systems developed to solve a health problem and improve quality of lives.

Staffing Remains a Challenge

BY MANDY HAWKINS, RN, CASC, CAIP | APRIL 2023

We are off and running in 2023. ASCs continue to be the preferred site of care by physicians, payers and patients. Our volumes are back up; we are adding new service lines, yet we are still facing the same staffing challenges. Many healthcare workers are burned out, sick of the increased workload with no extra help.

ASCA Forms DEI Task Force

BY MANDY HAWKINS, RN, CASC, CAIP | FEBRUARY 2023

Last year, at our spring meeting, members of the ASCA Board of Directors approved a resolution to create a volunteer task force within ASCA to address issues related to diversity, equity and inclusion (DEI) in the ASC community. Since then, we have recruited 12 ASCA members who have volunteered to look at employment in the ASC industry, the diversity of our patient population and the ways in which we can improve our cultural competencies as healthcare providers.

Expect Growth, Keep Advocating

BY MANDY HAWKINS, RN, CASC, CAIP | JANUARY 2023

The industry forecast for ASCs can be described in one word: booming. Competition has led to collaboration and the migration of more complex procedures into the ambulatory setting. As hospitals and private equity firms consider new models in ambulatory surgery, they are now partnering with and acquiring ASCs, building ASCs and working with ASC management companies.

Defending Our Facilities Against Data Breaches

BY MANDY HAWKINS, RN, CASC, CAIP | OCTOBER 2022

Since January this year, healthcare organizations across the country posted 337 breaches of protected health information (PHI) affecting 500 or more individuals. Consistent with previous time periods, the vast majority of the breaches—95 percent in the first half of 2022—were caused by unauthorized access or hacking.

Let’s Renew Our Commitment to Staff and Compliance

BY MANDY HAWKINS, RN, CASC | AUGUST 2022

Summer is in full swing and vacations are on everyone’s schedules. Meanwhile, ASCs are adjusting to updated guidance the Centers for Medicare & Medicaid Services (CMS) released recently and staffing continues to challenge us all.

Let’s Talk Safety

BY MICHAEL PATTERSON | MAY 2022

It is that time of year when the cold weather starts to ease a bit and we find ourselves outdoors and looking forward to summer. One thing to consider at this time is how to maintain the safety of family and friends while participating in our favorite outdoor activities. It also is a great time to review and update the patient safety protocols and procedures at our facilities.

Dallas Calling

BY MICHAEL PATTERSON | MARCH 2022

After two years of offering our annual conference virtually, all of us at ASCA are excited to be back in person next month for the ASCA 2022 Conference & Expo in Dallas, Texas, April 27–30.

Tackling 2022’s Challenges Head On

BY MICHAEL PATTERSON | JANUARY 2022

This is the time of year when we start to find out what the new year will look like, how our budgets will match expectations, what our volumes will be and all the other details that go with planning for the year. For those of you that thought the fiscal year 2021 budget process was going to be a challenge, welcome to 2022.

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COVID-19 Pandemic Drives Use of New Technology

BY MICHAEL PATTERSON | OCTOBER 2021

Telehealth use has increased to 38 times its pre-COVID-19 baseline, according to McKinsey & Company. A year ago, $250 billion of US healthcare spend was estimated to be shifted to virtual care; post COVID-19, telehealth could be a quarter-trillion-dollar industry.

Advocacy during a Pandemic

BY MICHAEL PATTERSON | AUGUST 2021

The COVID-19 global pandemic has certainly showed us that communication is key when working through opportunities and challenges alike. While several aspects of how we do business changed, the need to communicate with our legislators was ever present as we worked to meet the needs of our communities during this public health emergency.

Anesthesia and COVID-19

BY MICHAEL PATTERSON | MAY 2021

As millions of Americans get their COVID-19 vaccination, mortality rates connected to the virus have receded, but the infection rate continues to rise in many states. If you are operating on a patient who has recently recovered from the disease, do you know when it is safe for them to have anesthesia?

Manage Your PPE Supply Effectively during the Pandemic

BY MICHAEL PATTERSON | MARCH 2021

The COVID-19 pandemic has impacted the world in myriad ways. The healthcare supply chain was not an exception and experienced major disruptions this past year.

What Will 2021 Bring to the ASC Industry?

BY MICHAEL PATTERSON | JANUARY 2021

As excited as we are about leaving 2020 in our rearview mirror, we have most likely come to the realization that 2021 will hold its own set of challenges and opportunities.

Staying Safe and Keeping Patients Informed During a Pandemic

BY MICHAEL PATTERSON | OCTOBER 2020

As the world works out how to live with COVID-19, we, the healthcare providers and facilities, have an obligation to keep our patients informed, safe and educated.

Patient Care and the ASC Value Proposition

BY LARRY TAYLOR, CASC | AUGUST 2020

Exceptional patient care and safety have always been the top priorities for ASCs, and that has not changed since the COVID-19 pandemic was declared.

Role of ASCs in the Fight Against COVID-19

BY LARRY TAYLOR, CASC | MAY 2020

The COVID-19 battle rages on as the nation and its healthcare system struggle to get ahead of the pandemic.

ASCA 2020: Take a Deep Breath and Jump In

BY LARRY TAYLOR, CASC | MARCH 2020

ASCA 2020 is right around the corner, and I hope you are making plans to attend one of the finest ASC educational and networking events of the year.

Let’s Celebrate 50 Years of Clinical Excellence With More Success

BY LARRY TAYLOR, CASC | JANUARY 2020

Without excellence in clinical care, we will, over time, become extinct. Just being the lower-cost provider is useless without the best clinical outcomes. When we combine these two pillars of the industry—lower cost and clinical excellence—we create value for our stakeholders.

Use Marketing, Tell Your ASC's Story

BY LARRY TAYLOR, CASC | OCTOBER 2019

Summer is over and I see back-to-school product marketing all around. That makes me think about how rarely we see ads for surgery centers or specials in healthcare.

Ophthalmology Cases Give ASCs a Chance to Shine

BY LARRY TAYLOR, CASC | AUGUST 2019

Ophthalmic surgical procedures have been the mainstay of surgical practices in ASCs for many years. Since the likelihood of cataract procedures is tied to the aging process, a great majority of cases are covered by Medicare. By age 65, more than 90 percent of the US population will have a cataract surgery. Women have more cataracts than men, and it is projected that the number of people with cataracts will double to 50 million by 2030. That is a lot of people who will need great surgery centers and surgeons to provide this service. I will be one of them.

Orthopaedic Procedures in the ASC Setting

BY LARRY TAYLOR, CASC | MAY 2019

It doesn’t matter if you spell it orthopaedics or orthopedics, this specialty is very important to the ASC industry. As Baby Boomers, we have worn out our hyaline cartilage, torn our rotator cuffs and, in general, have worn out.

Role of Technology in Your ASC

BY LARRY TAYLOR, CASC | MARCH 2019

Use of technology has been increasing in surgery centers for many years. As we continue to meet the needs of surgeons and patients in the future, will technology be your friend or foe?

Health Care Consumerism: Are You Ready?

BY LARRY TAYLOR, CASC | JANUARY 2019

Whether you are working with a single independent consumer or a representative from a workplace sponsored plan, today’s consumers are seeking decreased cost, increased quality and an improved experience in their health care encounters. How well are you prepared to meet their demands?

Collect Data, Use it to Educate Policymakers

BY LARRY TAYLOR, CASC | OCTOBER 2018

Data is changing the face of the world. To continuously improve, a business needs to collect data, analyze it and make changes based on that analysis. This process is critical for all businesses, but especially, the business of health care. Data collected over years helps a business influence its competitive advantage and sustainability.

Maintaining Our Foothold on Excellence

BY LARRY TAYLOR, CASC | AUGUST 2018

Greetings. As you might already know, I was elected president of ASCA’s Board of Directors this past April. As president, I look forward to using this space to discuss some of the important issues confronting ASCs and helping to define our practices and policies and the care we deliver to our patients.

Apply the Pareto Principle at Your ASC

BY REBECCA CRAIG, RN, CASC | MAY 2018

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.

Emphasize the Importance of Early CRC Screening

BY REBECCA CRAIG, RN, CASC | MARCH 2018

In its latest recommendations in June 2017, the US Multi-Society Task Force (MSTF) on Colorectal Cancer (CRC) Screening confirmed that people at average risk should be screened beginning at age 50. The task force— made up of representatives from the American College of Gastroenterology, the American Gastroenterological Association, and the American Society for Gastrointestinal Endoscopy—recommended colonoscopy and fecal immunochemical testing (FIT) as the “first tier” screening tests for this group.

Staying on Our Toes

BY REBECCA CRAIG, RN, CASC | JANUARY 2018

New Year’s greetings.

“The old order changeth, yielding place to new,” and along with the new, come changes. The ASC industry is known for its ability to be nimble and adapt quickly to the ever-changing health care landscape. This flexibility keeps us at the top of our game to ensure we continue to provide high-quality, cost-effective health care to our customers. We have no room in our industry for complacency or status quo. I encourage all of us to continuously be seeking improvements in our everyday activities and processes.

Look to ASCA, Talk to ASCA to Get the Services You Need

BY REBECCA CRAIG, RN, CASC | OCTOBER 2017

ASCA rolled out a new program this year that gives the association’s facility members and ASCs across the country easy access to several important resources they can use to meet regulatory requirements, cut costs, educate staff and continue to deliver top-quality patient care.

How MACRA, MIPS Affect Your Physician Services

BY REBECCA CRAIG, RN, CASC | AUGUST 2017

In the last few months, some of you might have received a letter from the Centers for Medicare & Medicaid Services (CMS) talking about Medicare’s new Quality Payment Program. This program is part of a large-scale shift in the way Medicare pays physicians and other clinicians since Congress passed the Medicare Access and CHIP Reauthorization Act (MACRA) in 2015.

ASC Payment Reform Deserves Bipartisan Support

BY REBECCA CRAIG, RN, CASC | MAY 2017

Late last year, Congress adopted two important measures that ASCA and ASCs had been supporting for some time (see Digital Debut). While we appreciate the congressional support that those provisions received, the work ASCs need to do on Capitol Hill is far from over.

CRCS Saves Lives and You Can Help

BY REBECCA CRAIG, RN, CASC | MARCH 2017

The evidence is clear: effective colorectal cancer screening (CRCS) prevents colon cancer and lowers the risk of death due to CRC. For more on this topic, listen to Richard Wender, MD, at www.ascassociation.org/wender.

ASCA’s Annual Meeting this Year? You Need to Be There

BY REBECCA CRAIG, RN, CASC | JANUARY 2017

Have you made your travel arrangements? ASCA 2017 is May 3–6 at the Gaylord National Resort & Convention Center, just minutes from Washington, DC. With more than 60 educational sessions, an exhibit hall filled with state-of-the-art, time- and money-saving solutions for your ASC and a one-of-a-kind opportunity to join your colleagues in visiting Capitol Hill to advocate for policies that protect and support your ASC, this meeting is one you just can’t miss.

Register Now for ASCA’s Three Winter Seminars

BY REBECCA CRAIG, RN, CASC | OCTOBER 2016

Start your New Year right by participating in one of three new seminars that ASCA is offering in San Antonio, Texas, this January. Developed to address critical operational areas in your facility that ASC managers and staff routinely tell us keep them up at night, these three programs will give you the essential information you need to make sure that your ASC is in compliance, on solid financial ground and on track for future success.

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