?Each student will
select one of the scenarios below and develop a 10-12 slide PowerPoint
presentation to discuss the current status of an ambulatory surgerycenter, if you do not work
for or know of an ambulatory surgerycenter, you can find one via agoogle search. Please
provide an overview of the organization, and make recommendations on how to
manage the selected problem. You must include one or more slides that address
the degree to which the Affordable Care Act might impact these services. The
slides can be bullet point and in the notes section of the slides write the
narrative of the slide content. Use APA formatting references and your
reference slides. For this presentation, your title slide does not have to be
in APA format.
?Info on ASC’s
here:
?http://www.ascassociation.org/ (ASC is the
ambulatory surgerycenter association and is
listed here to provide additional information for the assignment – DO NOTNOT WRITE AN ASSIGNMENT
ABOUT THIS ASSOCIATION.
?SCENARIO
OPTIONS.Pick
one of the scenarios below. Your role is the manager in charge of an ambulatory
surgerycenter (ASC). Restate the
problem you are addressing. Make some logical assumptions. Make brief
recommendations as to a reasonable solution to the problem in the scenario.
?
?POINT
OF CLARIFICATION: You will use an established independent ASC for either
of the four scenarios listed below. Your presentation should be drafted
as the administrator of the surgerycenter
working to address one of the four scenarios. In your response, please be
sure to address all components of the scenario.
?
?1) One
of the greatest challenges facing ASCs is maintaining and increasing volume.
With all the external pressures, i.e. physicians pressured to become employees,
mergers, decreasing payments from insurers, etc. – ASCs are challenged to keep
physicians motivated to increase the number of cases and keep patients
satisfied. What are some strategies you would use to increase referrals to your
ASC while maintaining high patient satisfaction scores?
?
?2) Another
challenge facing ambulatory surgerycenters is the recruitment of new physicians. Following a
national trend, many local hospitals and health systems are purchasing
physician practices, which could eventually lead to doctors referring surgical
cases to a hospital’s same day surgery department. Assuming there is ample
opportunity to increase surgical volume, how do you intend to recruit
physicians to practice via your ASC? What are some strategies/offerings you
could employ?
?
?3) The
ASC you are currently managing is experiencing out of network challenges.
Additionally, the proposed reimbursement rates from payers do not match
Medicare rates for your market. Most of your ASC contracts are based on the
Medicare fee schedule and because many of your surgeries are not on that
schedule, you have to negotiate a fee schedule on a case-by-case basis. What
strategies could you employ as you work withpayors to contract for
reasonable rates that could save you both money in the short term?
?
?4) In
this changing environment, you are required to do more with less. Reimbursement
rates are declining; supply and implant costs, taxes, utilities, rent, salaries
and benefits and other operating costs are increasing and there are more
regulatory requirements i.e., increased standards for accreditation (Joint
Commission’s additional requirements as an example), ICD-10, adoption of an
EHR, etc. Additionally, your staff is wearing multiple hats; many working to
register, bill, code, schedule and assist with back house operations. What
strategies and tools can you implement to increase productivity, reallocate
resources and boost employee morale?
