Dawn Q. McLane, RN, MSA, CASC, CNOR, chief development officer of Nikitis Resource Group, discusses three significant mistakes made by owners when establishing a new ASC.
1. Overbuilding is still an area where the owners must be diligent to assure that they truly know what their realistic volume and case mix will be and therefore the size and footprint/layout of the center to support that volume, but not leave 1-2 operating rooms not in use. If you build it … they do not always come.
2. Take the time to assess realistically the procedures and the volume of those procedures that will be brought to the center. There are some cases that will not be able to come to the center due a number of reasons, including: a site of service differential for the physician when he performs the case in an office instead of an ASC; the patient may prefer the hospital or another site of service; the patient may have co-morbid conditions that make the patient a better candidate for the hospital than an ASC; and the payor may not pay enough for a particular procedure to be financially feasible in the ASC setting.
3. Explore opportunities for purchasing equipment, but beware: Make sure you are buying equipment that brings a warranty with it. Utilizing a purchasing organization, like HELP Equipment, or taking advantage of buying opportunities offered by a GPO can save a lot of money while assuring quality equipment. There are a number of good used and remanufacturing companies that offer equipment with warranties and who will stand behind their sales.
Learn more about Nikitis Resource Group.
Read more insight from Dawn McLane on de novo ASCs:
- Due Diligence, Expert Guidance Required for De Novo ASCs
- Factors Contributing to De Novo ASC Decline
1. Overbuilding is still an area where the owners must be diligent to assure that they truly know what their realistic volume and case mix will be and therefore the size and footprint/layout of the center to support that volume, but not leave 1-2 operating rooms not in use. If you build it … they do not always come.
2. Take the time to assess realistically the procedures and the volume of those procedures that will be brought to the center. There are some cases that will not be able to come to the center due a number of reasons, including: a site of service differential for the physician when he performs the case in an office instead of an ASC; the patient may prefer the hospital or another site of service; the patient may have co-morbid conditions that make the patient a better candidate for the hospital than an ASC; and the payor may not pay enough for a particular procedure to be financially feasible in the ASC setting.
3. Explore opportunities for purchasing equipment, but beware: Make sure you are buying equipment that brings a warranty with it. Utilizing a purchasing organization, like HELP Equipment, or taking advantage of buying opportunities offered by a GPO can save a lot of money while assuring quality equipment. There are a number of good used and remanufacturing companies that offer equipment with warranties and who will stand behind their sales.
Learn more about Nikitis Resource Group.
Read more insight from Dawn McLane on de novo ASCs:
- Due Diligence, Expert Guidance Required for De Novo ASCs
- Factors Contributing to De Novo ASC Decline