Operational Considerations for Both Hospitals and ASCs - 2024 Quality Summit Presentation (Non-CE)-Operational Considerations for Both Hospitals and ASCs

Video Transcription

Video Summary

The session focused on operational considerations for transitioning cardiovascular procedures to ambulatory surgical centers (ASCs) under the leadership of Ginger Breezebrook and Nick Morse. Discussions centered around the transition of care from hospitals to ASCs, highlighting its potential mainstream adoption over the next few years. Key considerations include the types of procedures permitted, state regulations, market dynamics, and economic implications. The presenters emphasized the non-incremental nature of shifting existing procedures to ASCs, which typically operate at lower costs and lower reimbursement rates. This shift is supported by the growth in same-day discharge practices and a push for lower-cost care settings. ASCs offer an attractive alternative for facilities facing capacity constraints, with benefits including patient satisfaction and potential for physician alignment through joint ventures. Regulatory frameworks and quality assurance, particularly registry participation for cardiovascular procedures, were emphasized as critical. The session warned of potential challenges in maintaining acute care staffing levels as ASCs might attract staff with their favorable work schedules. Current developments include state-specific regulations and the evolving policy landscape, with CMS playing a crucial role in determining the scope of procedures done in an ASC. While ASCs hold potential for cost savings and operational efficiency, the presenters highlighted the need for careful strategic planning and policy development to ensure quality and access to care remain uncompromised.

Keywords

ambulatory surgical centers

cardiovascular procedures

transition of care

state regulations

economic implications

same-day discharge

capacity constraints

regulatory frameworks

CMS policy

quality assurance