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Practical Business, Legal and Clinical Guidance for Ambulatory Surgery Centers ASCREVIEW May/June 2015 • Vol. 2015 No. 4 INDEX ASC Turnarounds p. 15 Spine, Orthopedic & Pain Management- Driven ASCs p. 26 Transactions & Joint Ventures p. 33 Quality & Accreditation p. 70 135 ASC Women Leaders to Know These women serve in leadership roles overseeing the development, management and operations in the ASC industry. p. 51 72 Statistics on ASC Staffing Statistics on ASC staff pay and hours. p. 18 How to Turn ASC Staffing Into a Value Center 8 key tips to switch staffing from a cost-center to a value center. p. 15 Hospitals in the ASC Market Sorting out the rivals from the potential partners. p. 34 4 Key Implications of the USPI-Tenet Joint Venture By Carrie Pallardy Tenet Healthcare and United Surgical Partners International have formed a joint venture ambulatory surgery center busi- ness, now the largest in the industry. This transaction is the first of likely many creative joint venture arrangements. Here are four key implications of this transaction, according to a Cain Brothers' Comments report. For years, healthcare has focused on treating sick patients. Now, providers are turning their attention to popula- tion health, which preaches keeping patients healthy and out of the hospital. "It's truly a paradigm shift," says Re- gent Surgical Health Director of Op- erations Vivek Taparia. "It's like telling auto mechanics to stop just treating the problem and instead start doing maintenance on our cars so we don't have to come in for repairs. Hospitals are used to doing major repairs, but now in healthcare we want to succeed by making sure everyone is healthy and that health is maintained." Hospitals are making that shift to provide more services beyond sur- gical care, but where do ambulatory surgery centers fit? "ASCs are sitting on a lot of value," says United Surgical Partners Inter- national Senior Vice President, Ac- quisitions Michael Stroup. "They are on the right side of the value equa- tion. We can provide the site of care for these ambulatory events at a good price because we have all the data and it's easier for us to define our costs." There are many consulting firms now dedicated to helping hospitals make this transformation, signing multi- year contracts with health systems. Many of the 218 USPI centers have hospital partners, including non-for- profit hospital partners. 5 Top Financial Issues for ASCs in 2015 By Laura Dyrda Surgical Management Professionals COO Reed Mar- tin discusses five of the biggest financial issues for ambulatory surgery centers this year. 1. ICD-10 will begin in October, barring any further delays, and unprepared ASCs could take a huge fi- nancial hit. Properly train coders in the transition so continued on page 16 continued on page 9 continued on page 34 INSIDE: Special Outpatient Spine, Orthopedic & Pain Management Section; Becker's ASC 22nd Annual Meeting - The Business and Operations of ASCs How ASCs Fit Into Population Health: Where are the Best Opportunities? By Laura Dyrda Becker's ASC 22nd Annual Meeting - The Business and Operations of ASCs October 22 - 24, 2015 Swissôtel - Chicago, Illinois 51 Great Surgeons, 55 Leading Administrators and 110 Surgery Center Speakers in Total For more information, visit www.beckersspine.com or call (800) 417-2035. ASCREVIEW