The trusted source for
healthcare information and
By Stephen W. Earnhart, RN, CRNA, MA
CEO, Earnhart & Associates, Austin, TX
Fifty years ago, the freestanding surgery center movement was born. It has expanded services and grown each year to unprecedented levels, far and away beyond what was expected.
Little did anyone know the implications of such a move. Hospitals continue outsourcing to ASCs, causing intermingling of services and cultures that challenge both. Surgery centers, conceived by frustrated surgeons wanting a more efficient workplace, decided they could improve the services in their own facilities better than in the traditional hospital environment. However, realizing the errors of their ways, hospitals have made great strides in the improvement of their services and are eager to joint venture with surgeons in several ways.
This includes developing and managing their own ASCs, buying out existing centers, and developing HOPDs that provide surgical services similar to freestanding ASCs.
Not surprisingly, things do not always go as planned. After 85 hospital/surgeon joint ventures, my company has made striking observations that I would like to share.
As someone who enjoys boating, I have divided these into two lists: “Tailwinds” (issues that make the process easier), and “Headwinds” (issues that make the process harder). The “Tailwinds” are as follows:
The remaining four points concern “Headwinds”:
When I started these lists, they grew longer than space available. Many readers have been part of this process on both sides, and likely create similar lists.
(Earnhart & Associates is a consulting firm specializing in all aspects of outpatient surgery development and management. Address: 5114 Balcones Woods Drive, Suite 307-203, Austin, TX 78759. Phone: (512) 297-7575. Fax: (512) 233-2979. Email: firstname.lastname@example.org. Web: www.earnhart.com. Instagram: Earnhart.Associates.)
Financial Disclosure: Nurse Planner Kay Ball, PhD, RN, CNOR, CMLSO, FAAN (Nurse Planner), reports she is on the speakers bureau for AORN and Ethicon USA and is a consultant for Mobile Instrument Service and Repair. Editor Jonathan Springston, Editor Jill Drachenberg, Author Melinda Young, Author Stephen W. Earnhart, RN, CRNA, MA, Physician Editor Steven A. Gunderson, DO, FACA, DABA, CASC, RN, CRNA, MA, Consulting Editor Mark Mayo, CASC, Editorial Group Manager Leslie Coplin, and Accreditations Manager Amy M. Johnson, MSN, RN, CPN, report no consultant, stockholder, speaker’s bureau, research, or other financial relationships with companies having ties to this field of study.