The following is a collection of the most popular benchmarking statistics that appeared on Becker's ASC Review:
ASC facilities
VMG Health's 2018 Multi-Specialty ASC Benchmarking Study is based on an analysis of more than 275 licensed freestanding ASCs, covering more than 1.3 million cases.
Here is the median square footage per facility in each U.S. region:
1. All facilities: 14,805
2. Atlantic: 14,378
3. Midwest: 14,680
4. Mountain: 15,695
5. Northeast: 12,110
6. Pacific: 12,726
7. South: 16,076
Most ASCs are urban and for-profit, according to a Medicare Payment Advisory Commission analysis of 2017 CMS data. Here are statistics on the percent of urban, rural, for-profit, nonprofit or government-owned ASCs:
Urban
8. Open in 2010: 92 percent
9. Open in 2016: 92.9 percent
10. New in 2016: 94.4 percent
Rural
11. Open in 2010: 8
12. Open in 2016: 7
13. New in 2016: 5.6
For-profit
14. Open in 2010: 94
15. Open in 2016: 93.8
16. New in 2016: 92.3
Nonprofit
17. Open in 2010: 3.4
18. Open in 2016: 3.5
19. New in 2016: 6.3
Government
20. Open in 2010: 2.5
21. Open in 2016: 2.8
22. New in 2016: 1.4
Note: Totals may not equal 100 percent due to rounding.
Specialty procedures in ASCs:
Surgery centers with more than two specialties accounted for 30 percent of ASCs billing Medicare in 2016, and single-specialty gastroenterology centers accounted for 22 percent, according to The Medicare Payment Advisory Commission's March 2018 report to Congress.
The report defines a single-specialty ASC as one with more than 67 percent of its Medicare claims in one clinical specialty and a multispecialty ASC as one with more than 67 percent of its Medicare claims in more than one clinical specialty. The sum of multispecialty percentages doesn't equal 100 due to rounding. Here's a breakdown on the specialties that billed Medicare in 2016:
Gastroenterology
23. Number of ASCs: 1,025
24. Share of all ASCs: 22 percent
Gastroenterology and ophthalmology
25. Number of ASCs: 179
26. Share of all ASCs: 4 percent
Here are statistics on ASC case mix by specialty from VMG Health's Multi-Specialty ASC Intellimarker 2018:
27. Mean: 34 percent
28. 25th percentile: 20 percent
29. Median: 31 percent
30. 75th percentile: 45 percent
31. 90th percentile: 60 percent
Net revenue per case
32. $1,027
Ophthalmology
AAAHC's benchmarking study is based on clinical studies of YAG laser posterior capsulotomy surgeries between January 2018 and June 2018. The study included 25 organizations with a combined 15,788 YAG laser posterior capsulotomies surgeries per year.
33. Eighty-eight percent of patients wait less than one month after scheduling YAG laser surgery before undergoing the procedure.
34. All patients resume daily living within a week of undergoing YAG laser surgery.
35. Eighty-nine percent of patients reported improved vision after YAG laser surgery in an ASC.
36. Ninety-nine percent of patients say they're comfortable while undergoing YAG laser surgery in the ASC.
37. Ninety-eight percent are comfortable after discharge.
38. Ninety-nine percent of patients said they would recommend YAG laser surgery after undergoing the procedure in an ASC.
39. Median pre-procedure time is 47 minutes for YAG laser surgeries, with a range of 18 to 75 minutes.
40. Median procedure time for YAG laser surgeries in ASCs is two minutes with a range of one to 11 minutes.
41. Median discharge time for cataract surgeries is six minutes.
Here are statistics on ophthalmology case mix by specialty from VMG Health's Multi-Specialty ASC Intellimarker 2018:
42. Mean: 26 percent
43. 25th percentile: 11 percent
44. Median: 21 percent
45. 75th percentile: 37 percent
46. 90th percentile: 54 percent
Orthopedics
The percentage of inpatient procedures decreased while the percentage of outpatient and ASC procedures increased, according to a Leerink Partners survey conducted in June.
Leerink surveyed 47 hospital administrators on bundled payments to create the report. Here are the percentages of outpatient procedures performed in the past 12 months, and the increase expected in the next 12 months:
Hip
Past 12 months:
47. ASC: 7 percent
48. Outpatient: 17 percent
Next 12 months:
49. ASC: 7 percent
50. Outpatient: 19 percent
Knee
Past 12 months:
51. ASC: 12 percent
52. Outpatient: 25 percent
Next 12 months:
53. ASC: 13 percent
54. Outpatient: 26 percent
Spine
Past 12 months:
55. ASC: 10 percent
56. Outpatient: 20 percent
Next 12 months:
57. ASC: 11 percent
58. Outpatient: 20 percent
Working capital and case revenue
VMG Health's 2018 Multi-Specialty ASC Benchmarking Study broke down ASC working capital as percentage of net revenue by region. The study is based on 2016 and 2017 data collected from over 275 centers, encompassing a surgical case volume of over 1.3 million.
Here are the statistics on working capital revenue by region:
59. Atlantic: 13.8 percent
60. Midwest: 15.1 percent
61. Mountain: 13.9 percent
62. Northeast: 17.5 percent
63. Pacific: 14.5 percent
64. South: 12.8 percent
Here are statistics on net revenue per case:
65. Orthopedic surgery: $3,458
66. Gynecology: $2,933
67. Podiatry: $2,688
68. Urology: $2,483
69. Otolaryngology: $2,543
70. General surgery: $2,235
71. Plastic surgery: $2,010
72. Pain Management: $1,245
73. Ophthalmology: $1,221
74. Gastroenterology: $1,027
75. Oral surgery: $950