5/23/2013. History. Physician Owned ASC - 4 OR. ASC > HOPD Transition Evergreen Surgery Center, LLC
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1 ASC > HOPD Transition Evergreen Surgery Center, LLC Presented by: Neil Johnson, RN, COO Kenneth Faw, MD, Director (Bersen, 2008) History 1983 Physician Owned ASC - 4 OR 1
2 History Physician Owned ASC - 4 OR Hospital Owned ASC - 4 OR History Physician Owned ASC - 4 OR Hospital Owned ASC - 4 OR Hospital/Physician JV - 51/49, 9 OR Floor Plan 2
3 History Physician Owned ASC - 4 OR Hospital Owned ASC - 4 OR Hospital/Physician JV - 51/49, 9 OR Hospital Owned HOPD 3
4 Dual Loyalties- Orthopedics/Plastics Dual Loyalties- Orthopedics/Plastics Competing ASCs Dual Loyalties- Orthopedics/Plastics Competing ASCs Passive Investors (Anesthesia, Plastics) 4
5 Dual Loyalties- Orthopedics/Plastics Competing ASCs Passive Investors (Anesthesia, Plastics) Aging Owner Physicians Dual Loyalties- Orthopedics/Plastics Competing ASCs Passive Investors (Anesthesia, Plastics) Aging Owner Physicians Few Young Physicians with Investment Capital Dual Loyalties- Orthopedics/Plastics Competing ASCs Passive Investors (Anesthesia, Plastics) Aging Owner Physicians Few Young Physicians with Investment Capital Increasing Physician Employment 5
6 Dual Loyalties- Orthopedics/Plastics Competing ASCs Passive Investors (Anesthesia, Plastics) Aging Owner Physicians Few Young Physicians with Investment Capital Increasing Physician Employment OR demand at the hospital A few service line stories: Orthopedics A few service line stories: Orthopedics Bariatrics 6
7 A few service line stories: Orthopedics Bariatrics Ophthalmology A few service line stories: Orthopedics Bariatrics Ophthalmology Urology A few service line stories: Orthopedics Bariatrics Ophthalmology Urology Pain 7
8 A few service line stories: Orthopedics Bariatrics Ophthalmology Urology Pain Plastics A few service line stories: Orthopedics Bariatrics Ophthalmology Urology Pain Plastics Gynecology A Comparison 2002 Specialty Report 1 st Half of 2012 Podiatry 8% Plastics 2% Pain 3% Urology 2% ENT 25% Plastics 2% All Others 0% Podiatry 5% ENT 7% General* 3% Gynecology 10% Hand 3% Orthopedics 25% General 8% Pain 41% Ophthalmology 17% Gynecology 27% Orthopedics 12% 8
9 80 FTE's Per Case
10 Union vs. Non-Union Staff Union vs. Non-Union Staff ASC Culture 10
11 Union vs. Non-Union Staff ASC Culture Certificate of Need Union vs. Non-Union Staff ASC Culture Certificate of Need Contracts Union vs. Non-Union Staff ASC Culture Certificate of Need Contracts Billing 11
12 Union vs. Non-Union Staff ASC Culture Certificate of Need Contracts Billing Pricing Union vs. Non-Union Staff ASC Culture Certificate of Need Contracts Billing Pricing Insurance Migration to High Deductible Transition Workgroups Point B Management Consulting 12
13 Transition Workgroups Point B Management Consulting Finance and Revenue Billing System and Revenue Cycle Pricing and Reimbursement Information Technology Materials Management/Purchasing Clinical Operations Regulatory/Compliance/Legal/Credentialing Communications Surgical Services Leadership Final Thoughts Deductibles, Out-of-Pocket Costs Triggered Joint Commission and Dept. of Health Reviews (even though had just completed surveys) IT Considerations Open Discussion 13
14 References Bersen, J. (2008, July 31). [Web log message]. Retrieved from 14
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