Becker's ASC Review

52 ASC MANAGEMENT • 90th percentile: 72 percent 57. Workers compensation: • Mean: 7 percent • 25th percentile: 2 percent • Median: 4 percent • 75th percentile: 10 percent • 90th percentile: 14 percent 58. Self-pay: • Mean: 6 percent • 25th percentile: 2 percent • Median: 3 percent • 75th percentile: 6 percent • 90th percentile: 12 percent 59. Other pay: • Mean: 9 percent • 25th percentile: 2 percent • Median: 6 percent • 75th percentile: 13 percent • 90th percentile: 21 percent Quality The following data is based on the ASC Quality Collaboration Quality Report from the second quarter of 2018. ere were 1,586 ASCs participating. e data was collected April 1 through June 30. ere were 986 mul- tispecialty ASCs and 600 single specialty ASCs representing every state except Vermont. 60. Patient fall rate per 1,000 ASC admis- sions: 0.096 61. Patient burn rate per 1,000 ASC admis- sions: 0.015 62. Hospital transfers/admissions per 1,000 ASC admissions: 0.944 63. Rate of wrong site, side, patient, proce- dure or implant per 1,000 ASC admissions: 0.025 64. Rate of prophylactic IV antibiotic timing: 98 percent 65. Percentage of ASC admissions with appropriate surgical site hair removal: 98 percent 66. Percentage of eligible ASC patients with normothermia: 97 percent 67. Percentage of ASC cataract patients with unplanned anterior vitrectomy: 0.44 percent 68. Rate of toxic anterior segment syndrome per 1,000 admissions: 0.12 69. Rate of emergency department visits within one day of discharge per 1,000 admis- sions: 0.86 70. Rate of unplanned hospital admissions within one day of ASC discharge per 1,000 admissions: 0.43 YAG laser posterior capsulotomy e following is based on a benchmarking study from AAAHC based on clinical studies of YAG laser posterior capsulotomy surgeries between January and June. e study includes 25 organizations with a combined 15,788 YAG laser posterior capsulotomies surgeries per year. 71. Eighty-eight percent of patients waited less than one month aer scheduling YAG laser surgery before undergoing the proce- dure. 72. One-hundred percent of patients re- sumed daily living within a week of undergo- ing YAG laser surgery. 73. Eighty-nine percent of patients reported improved vision aer YAG laser surgery in an ASC. 74. Ninety-nine percent of patients said they're comfortable undergoing YAG laser surgery in the ASC. 75. Ninety-eight percent were comfortable aer discharge. 76. Ninety-nine percent of patients reported they would recommend YAG laser surgery aer undergoing the procedure in an ASC. 77. Median preprocedure time was 47 min- utes for YAG laser surgeries, with a range of 18 to 75 minutes. 78. Median procedure time for YAG laser surgeries in ASCs was two minutes, with a range of one to 11 minutes. 79. Median discharge time for cataract sur- geries was six minutes. Colonoscopy e data in this section is based on a bench- marking study from AAAHC on clinical find- ings for colonoscopy from 47 organizations performing 199,522 annual colonoscopies between January and June. 80. Sixty-nine percent of colonoscopy pa- tients reported little or no discomfort during bowel preparation. 81. Seventy-six percent of colonoscopy patients waited less than a month between scheduling their colonoscopy and having the procedure. 82. Ninety-six percent of colonoscopy pa- tients reported scheduling their procedures as soon as they wanted. 83. Ninety-eight percent of colonoscopy patients experienced little or no discomfort during the procedure. 84. Ninety-nine percent of colonoscopy patients reported being comfortable aer discharge. 85. Ninety-eight percent would recommend colonoscopy at the center to others. 86. Colonoscopy procedure time was eight to 23 minutes. 87. Preprocedure time for colonoscopy was six to 124 minutes, covering patient check-in to scope insertion. 88. Colonoscopy discharge time was 16 to 52 minutes for ASCs. Knee arthroscopy e following is based on a benchmark- ing study from AAAHC on clinical findings for knee arthroscopy in the ASC based on data from 20 organizations that perform a combined total of 5,270 knee arthroscopies annually. e study was conducted between January and June. 89. Median preprocedure time for knee arthroscopy was 108 minutes, and organiza- tions with shortest times attributed results to educating patients on what to expect during the procedure at the preop visit and having consistent, reliable staff. 90. Median knee arthroscopy procedure time was 24 minutes in the ASC. 91. Median discharge time for knee arthros- copy was 67 minutes in the ASC, and organi- zations with short discharge times attributed results to using the appropriate amount and type of anesthesia specific to each patient and educating patients on what to expect in terms of pain management postprocedure. 92. Seventy-six percent of knee arthroscopy patients waited less than a month for their procedure aer scheduling. 93. Eighty-eight percent of knee arthroscopy patients were able to schedule the procedure as soon as they wanted in the ASC. 94. Ninety-nine percent of knee arthroscopy patients say they were comfortable postdis- charge in the ASC. 95. Over 99 percent of knee arthroscopy pa- tients reported little or no discomfort during the procedure. 96. Ninety-nine percent would recommend knee arthroscopy at the center to others Low back injections The following is based on a benchmarking study from AAAHC on clinical findings for low back pain in ambulatory care settings from 28 organizations that perform a com- bined total of more than 47,598 low back injections annually. The data was collected between January and June.

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