orm_june-2024 - 11

Ambulatory Surgery Centers
standard item files, room templates,
workflow checklists, and surgical and
preoperative packs that can help simplify
and build efficient ASC routines.
Many of these standard tools can be
customized to an ASC's specific needs.
Budgeting for the front and back
of the house
With CMS approving more ASC procedures,
new facilities should be flexible
enough in design, equipment, and
space to accommodate an ever evolving
and diverse array of procedures and a
growing case load.
However, budgeting for the regular
operation of an ASC as long as two
years prior to opening can be complicated.
In addition to accounting for market
forces such as relevant payor policies
and reimbursement rates, a budget
must account for everything from stateof-the-art
technology to supplies like
tongue blades and even the furniture in
patient reception areas.
For new ASCs, common budgeting
pitfalls to avoid include:
* Underestimating time needed to realize
operating cash flow
* Overlooking post-purchase costs
such as shipping, delivery, set-up
and regular maintenance
* Not factoring inflation into future expenses
*
Not including new procedures or increases
in procedure volumes in revenue
estimates
* Excluding expenses beyond capital
equipment in requests for lines of
credit
* Not consolidating spending with
fewer suppliers to leverage volume
for best pricing.
Deploying automation,
technology
Outfitting a new ASC requires attention
to more than just medical equipment.
Operational and clinical solutions for
challenges related to staffing, scheduling,
cybersecurity, and more drive efwww.ormanager.com
ficiency
and quality improvements that
are essential to growth.
For example, a periodic automatic
replenishment system can identify optimal
minimum and maximum inventory
levels for specific supplies. Weighted
bins for high-volume items and electronic
shelf
labels-micro e-paper
displays that attach to the edge of a
shelf-can provide real-time inventory
updates and alerts. In addition to saving
time by reducing the need for manual
inventory management, such systems
can help reduce inventory shortouts
and plan for supply disruptions.
Fortune Business
Insights projects
the US ambulatory
surgery market to
grow from $46.62
billion in 2023 to
$75.20 billion by
2030-a compound
annual growth rate
of 7.1%.
On the clinical side, more ASCs are
considering electronic, cloud-based preference
cards to improve processes.
Widely used in larger, more technologically
advanced hospital systems,
e-preference cards allow for tracking
and updating surgeon preference cards
based on actual supply use in surgical
procedures. Compared to manual
preference card systems, e-preference
cards can reduce waste, human error
and unnecessary time spent finding and
returning supplies.
Anticipating workforce needs
Amid clinical staff shortages across the
continuum of care, new ASCs should
promote perks that attract and engage
future team members. Examples might
include predictable, weekend-free work
schedules or the availability of educational
opportunities, such as cross-training
and chances to pursue continuing
education credits. Clinicians also tend
to see more time with patients and accessibility
to leadership as key advantages
of ASC settings.
ASCs are helping to revolutionize
medicine by lowering costs and providing
safe, convenient, and affordable patient
care for less complex procedures.
However, preparing for future growth
requires near-surgical precision in all aspects
of planning. The right amount of
space, a comprehensive budget, standardized
processes, the latest technology,
and a pipeline for new talent are all
essential considerations. ORM
-Brendan Dooley is senior
vice president, ambulatory
surgery centers, at Medline.
With 19 years of experience
serving the healthcare industry,
he leads a team of 100+ specialists
who help ASCs assess, plan, and implement
quality patient care from admission
to discharge. Dooley is a graduate of
Baylor University Hankamer School of
Business.
References
Ambulatory Surgery Center Association.
Ascassociation.org. Accessed
May 2024.
Muoio D. CMS outlines 2.8% pay
increase for outpatient facilities,
ASCs in 2024 proposed rule. Fierce
Healthcare. July 13, 2023.
Newitt P. State-by-state breakdown of
2023's 116 new ASCs. Becker's
ASC Review. December 12, 2023.
US Ambulatory Surgical Centers
Market Size, Share & COVID-19
Impact Analysis. Fortune Business
Insights. April 8, 2024.
OR Manager | June 2024
11
https://www.Ascassociation.org https://www.fiercehealthcare.com/providers/cms-outlines-28-pay-increases-outpatient-facilities-ascs-2024-proposed-rule https://www.beckersasc.com/new-asc-development/state-by-state-breakdown-of-2023s-116-new-ascs.html https://www.fortunebusinessinsights.com/u-s-ambulatory-surgical-centers-market-106323 http://www.ormanager.com

orm_june-2024

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