Departments

Departments

 

Message from the President

Maintaining Our Foothold on Excellence

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.


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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

Managing the Disruptive Physician

Deal with the problem and address behaviors as they occur/h4>

I have spent the last 28 years working alongside physicians who are, primarily, surgeons. As you can imagine, this experience has provided me with quite a few anecdotes about physician behavior.


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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

Citation Trends in Emergency Preparedness

New CMS requirements list 22 E-tags on which ASCs can be cited

Medicare-certified ASCs have been required to have a disaster preparedness plan since 2009. As noted in State Operations Manual Appendix L—Guidance for Surveyors: Ambulatory Surgical Centers, the intent was for an ASC to “have in place a disaster preparedness plan to care for patients, staff and other individuals who are on the ASC’s premises when a major disruptive event occurs.”


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Advocacy Spotlight

Advocating for Transparency in Health Care

ASCA works with legislators for patient access to health care data

Access to health care information has come under increased scrutiny in the US Congress, and momentum for better transparency is building. In February, a bipartisan group of senators requested information from health care stakeholders regarding cost of care and price transparency.


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ASCA News

Celebrate National ASC Month

For more than a decade, ASCs have used National ASC Week as an opportunity to promote awareness of ASCs by inviting elected officials, the media and members of their community to open houses and facility tours.


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Web Crawl

Q2 Benchmarking Reports Available August 15

The data collection period for the second quarter (Q2) of ASCA’s 2018 Clinical & Operational Benchmarking Survey closes July 31.


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