The Centers for Medicare and Medicaid Services (CMS) develops conditions of participation (CoPs) and Conditions for Coverage (CfCs) that healthcare organizations must meet in order to participate in Medicare and Medicaid programs. Payers, including government payers, require facility certification or accreditation for reimbursement. “Reimbursement is the critical piece,” says Becky…

According to the 2022 OR Manager Salary/Career Survey, many ambulatory surgery centers (ASCs) are facing a critical shortage of surgical technologists (STs). The percentage of leaders reporting an increase in the number of ST open positions jumped from 22% in 2020 and 28% in 2021 to 42% in 2022, and…

Many healthcare professionals are aware of single-use device reprocessing and its benefits. According to the Association of Medical Device Reprocessors, the savings generated by such programs can strengthen a facility’s financial sustainability and help provide a path for more responsible environmental stewardship. Sometimes, ambulatory surgery centers (ASCs) may experience situations…

Navigating contracts with anesthesia when anesthesiology services are suffering from workforce shortages and high costs is often tricky and complex. The biggest mistake ambulatory surgery centers (ASCs) make is that they do not know what they want when entering a contract negotiation with an anesthesia provider. As a result, ASCs…

Today’s chat is with Cynthia Hess, MSN, RN, FNP-C, RT(R)(CT)(ARRT), Director of Nursing, Northeast Missouri Ambulatory Surgery Center, Hannibal, MO. Q: What is something that went right at your facility and/or that you are thankful for this year? What I’m thankful for, hands down, is my staff. They take such…

After writing my latest article on surgical robots (Operationalizing a robotics program for evenings, weekends, pp 13–15, 19) for this issue of OR Manager, I reminisced on how the surgical robot has evolved and how my interest in surgical robots began.   Reminiscing about robots It all began with the…

The St Elizabeth Healthcare organization in northern Kentucky has eight facilities, including two surgery centers. The flagship hospital on the Edgewood campus has 534 beds and 22 ORs and typically performs some 14,000 surgical procedures per year. Robots help manage the volume. The Edgewood, Florence, and Ft Thomas hospitals have…

David Shapiro, MD, who is a risk manager/medical director at several ambulatory surgery centers (ASCs) near Tallahassee, Florida, has seen his fair share of contracts with anesthesia services. Navigating these types of contracts at a time when anesthesiology is suffering from a workforce shortage and high costs for services is…

Today’s chat is with Tracy Hoeft-Hoffman, MSN, MBA, RN, CASC, Administrator, Heartland Surgery Center, Kearney, Nebraska. Q: What is something that went right at your facility and/or that you are thankful for this year? What has gone right this year and makes our center so successful every year is the…

Compensation has remained relatively flat for leaders in ambulatory surgery centers (ASCs), according to the 2022 OR Manager Salary/Career Survey, even as leaders face ongoing stressors. This is reflected in the 40% of respondents who reported a total current annual compensation of $120,000 or more—unchanged from 2021. Ongoing stress is…