Editor's Note Poor planning and rushed decisions derail too many ambulatory surgery centers (ASCs) before they open their doors. In a recent blog post, ASC consultant Emily Spooner outlined the top five errors commonly made during ASC development, offering targeted guidance on how to avoid them. According to the post,…

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Editor’s Note: This page is a companion piece to the main article, Proper planning prevents OR construction, renovation cost creep. It brings together four focused updates on OR and ambulatory surgery center (ASC) construction and renovation: Regulatory shifts: The Joint Commission's updated safety and sustainability requirements for hospitals and ASCs, including new…

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How would you describe the ideal OR? Whatever the answer, the chance to reimagine and reshape the perioperative suite can be among the most exciting projects of a perioperative leader’s career. However, OR construction and renovation also can be among the most daunting projects of a perioperative leader’s career. Just…

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Imagine an innovative, safe, and highly efficient OR not confined by walls but on wheels—crossing rugged terrains, bustling cities, and disaster-stricken areas to deliver life-saving surgical care in underserved areas. That is the premise and promise of mobile ORs. They are not just mobile units. With some of the technological…

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One of the most sobering moments in the career of anesthesiologist Cornelius Sullivan, MD, occurred not as a caretaker in the OR, but as a patient in the emergency department. Having been knocked out cold by a low-hanging monitor during a surgical procedure at Boston Children’s Hospital, he had to…

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Editor's Note Hospitals and health systems are all-in on ambulatory surgery centers (ASCs), with ownership now the rule rather than the exception, according to the 6th Avanza Intelligence Hospital Leadership ASC Survey published in 2025. The report, produced in partnership with HealthLeaders Media, shows 82% of hospitals now own at…

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Editor's Note In 2025 earnings reports for the first quarter (Q1), both Surgery Partners Inc and Ardent Health Partners Inc posted solid top-line growth and reaffirmed full-year guidance, but they diverged in outpatient performance, TipRanks May 12 reports. Surgery Partners, a major operator of ambulatory surgery centers (ASCs), reported Q1…

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Editor's Note Terry A. Bohlke, MSHA, CPA, CMA, CASC, emphasized that Rocky Mountain High Surgery Center is a pseudonym “to protect the innocent,” but the numbers he presented at the 2025 Ambulatory Surgery Center Association (ASCA) Conference & Expo in Denver last week were real enough. Based on actual scenarios…

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Editor's Note A thoughtful, operations-driven approach to ambulatory surgery center (ASC) facility design can prevent major delays, costly change orders, and inefficient workflows down the line, according to a May 2 presentation from Akshay Tavkar, MBA, CMPE, CASC, principal and managing director of Skyline Healthcare Solutions, LLC, at the Ambulatory…

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Perioperative leaders are entering a time of uncertainty after 2024 proved to be transformative for inpatient and outpatient surgical care. Last year saw important updates from The Joint Commission and the Centers for Medicare & Medicaid Services (CMS) that emphasized improvements alongside ongoing challenges in safety, workforce shortages, reimbursement, and…

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