The state of the ASC workforce: 10 notes

Labor costs continue to rise as ASCs compete with hospitals for staff. 

Here are 10 notes on the state of the ASC workforce:

1. A survey from OR Manager found that 2023 marked the first time a higher percentage of ASC leaders reported increased turnover among surgical techs (39%) compared to registered nurses (35%).

2. In 2023, 35% of OR Manager's ASC survey respondents reported RN turnover, compared to 15% in 2014 and a peak of 49% in 2021.

3. ASCs faced greater difficulty recruiting surgical techs than RNs in 2023 for the first time, with 69% reporting challenges recruiting techs compared to 68% for nurses.

4. ASC leader salary breakdown, according to OR Manager:

1. Less than $100,000: 23%
2. $100,000-$119,999: 32% (up from 23% year over year)
3. $120,000-$149,999: 28% (up from 22% year over year)
4. $150,000-plus: 17% (up from 6% from 2021)

5. The report noted that most director-level and administrator respondents earned between $100,000 and $150,000. About a quarter of nurse managers reported annual earnings between $120,000 and $149,000. Additionally, 12% of ASC leaders reported a total compensation package exceeding $200,000.

6. Here are ASC total staffing hours per case by region, according to VMG Health's "Multi-Specialty ASC Benchmarking Study" for 2022.

  • Northeast: 14.2
  • Midwest: 13.7
  • Pacific: 13.6
  • Mountain: 13.5
  • Atlantic: 13.3
  • South: 13.1

7. Here is the median number of full-time equivalent administrative staff at ASCs by region:

  • Atlantic: 8
  • South: 8
  • Midwest: 7
  • Mountain: 7
  • Northeast: 6
  • Pacific: 6

8. The number of full-time equivalent staff at ASCs by region:

  • Atlantic: 30
  • Midwest: 31
  • Mountain: 28
  • Northeast: 25
  • Pacific: 23
  • South: 34

9. The average number of full-time equivalent staff at ASCs by position:

  • Nurse staff: 15
  • Administrative staff: 9
  • Tech staff: 8

10. The median number of full-time equivalent nurses at ASCs by region:

  • Atlantic: 14
  • Midwest: 15
  • Mountain: 13
  • Northeast: 12
  • Pacific: 10
  • South: 15

 

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