OR Manager April 2022 - 3

Editorial
www.ormanager.com
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Vol. 38, No. 4 April 2022 * OR Manager (ISSN 8756-8047)
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ccording to the American Academy
of Orthopaedic Surgeons
(AAOS), the global ambulatory
surgery center (ASC) market is valued
at around $81 billion, as of 2020, and
it is projected to reach $120 billion by
2027. The ASC market in the US is estimated
at almost $22 billion, with intelligence
company Research and Markets
projecting it to increase to between $52
billion and $55 billion by 2025.
Spine procedures pose one of the
biggest growth opportunities for ASCs.
Minimally invasive technologies, shorter
recovery times, and more payers willing
to reimburse procedures done in the
outpatient setting are driving patients
and clinicians to seek spine services at
ASCs.
A
Current state, future projections
Here are some observations on the current
state of spine surgery, according to
Becker's ASC Review:
* over 190 ASCs out of some 3,500
orthopedic ASCs offer minimally invasive
spine surgery in the US
* common spine procedures in the
outpatient setting include anterior
cervical discectomy and fusion, artificial
disc replacement, transforaminal
lumbar interbody fusion, lumbar
discectomy and laminectomy
* investments in robotics and augmented
reality (AR) continue to increase
*
investing in data gathering technology
to assist with reimbursement
claims is another increasing trend.
AAOS recently referenced numbers
predicting that 88 percent of spinal decompressions
and laminectomies and
67 percent of cervical spinal fusions will
be performed in outpatient settings by
2028.
As for emerging technologies, three
out of nine surgeons who discussed
with Becker's which spine technology
they expect to take off in the next 5
years said that AR will be the biggest
investment with the most groundbreaking
advancements to come. The reason?
Because AR means less invasive
www.ormanager.com
procedures, more surgical precision,
less exposure to X-ray radiation, and
improvement in trainee accuracy.
" AR technology allows surgeons to
enhance what they see during a procedure
with real-time 3D guidance and
feedback based on a hologram-like reconstruction
of the body, " Daniel Yanni,
MD, from Hoag in Newport Beach, California,
told Becker's. " The AR overlays
include a wide variety of information,
from 3D reconstructions, source imaging
(CT, MRI, angiography) and any
other data source tailored to the surgeon's
preference and comfort. "
Outpatient spine procedures are projected
to become the " new normal, "
but migrating this service line into ASCs
calls for comprehensive planning. In the
article titled " Are spinal procedures the
wave of the future for ASCs? " (January
2022, pp. 28-31), OR Manager covered
the financial, practical, and technical
considerations for ASCs planning to
establish and/or increase their spine
services.
In this issue
Another service line that poses significant
growth opportunities for ASCs is
cardiovascular and peripheral vascular
services. Many advancements are being
made when it comes to safely migrating
cardiac procedures from the hospital to
the outpatient setting.
However, not all cardiac patients are
the right fit for outpatient services-
that consideration and safety concerns
are discussed in detail in a Q&A with
Deb Yoder, MHA, BSN, RN, CNOR, vice
president of clinical operations at Surgical
Management Professionals in Sioux
Falls, South Dakota, as well as with
safety and quality executives from Surgical
Care Affiliates, Deerfield, Illinois, in
this issue of OR Manager (pp. 28-30).
Shawn Sefton, MBA, BSN, RN, also
offers some food for thought when it
comes to optimizing ASC operations
and choosing the right technology to
help with data accuracy and returns (pp.
25-27).
Continued on page 5
OR Manager | April 2022
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OR Manager April 2022

Table of Contents for the Digital Edition of OR Manager April 2022

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