Becker's ASC Review

37 13th Annual Spine, Orthopedic and Pain Management-Driven ASC Conference + The Future of Spine – Call (800) 417-2035 M ore procedures can now be performed on an outpatient basis, making it easier for ambulatory surgery centers to grow and add specialties. Adding a new specialty or service line is also a popular tactic for growing patient volume and diversifying an ASC's business. Brookside Surgery Center (Battle Creek, Mich.). The surgery center recently incorporated Blue Belt Technologies' Navio orthopedic surgical system for partial knee replacements, which features an ad- vanced CT-free intra-operative registration, planning and navigation platform. "Potential benefits to the patient are numerous," said Joseph Burkhardt, DO, orthopedic surgeon and phy- sician partner. "By making partial knee replacements a more accessible option through enabling very pre- cise and predictable results, the patient has available a surgical procedure that is generally associated with smaller incisions, less scaring, a shorter hospital stay or an outpatient procedure in some cases, and quicker recovery when compared with the total knee replace- ment alternative." The Meridian Surgical Partners-affiliated facility was established in 1997. It encompasses 11,540 square feet and includes three operating rooms and two proce- dure rooms. It offers surgical services in a number of specialties, including gastroenterology, gynecology, ophthalmology, ENT and pain management. Beverly Hills Surgery Center (Los Angeles). The ASC was the site of the first single-site robotic hysterectomy in Los Angeles. Additionally, the center was the first to perform minimally invasive robotic surgery using the da Vinci Si Surgical System and one of the only outpatient centers in the United States specializing in minimally invasive surgery using robotic technology. The ASC is a miVIP center. miVIP includes 60 sur- geons and single-site robotic hysterectomy was per- formed by David Ghozland, MD, and Marc Winter, MD. The ASC also offers bariatric surgery services. The Center for Minimally Invasive Surgery (Mokena, Ill.). This ASC recently adopted Microline Surgical's MiFusion ENTceps for tonsillectomy, which is designed to preserve healthy tissue and result in less postoperative pain for patients. CMIS boasts 55 surgeons, a 0 percent infection rate and a nurse-to-patient ratio of one-to-two. Areas of expertise at the center include spine, orthope- dics, pain management, gynecology and podiatry as well as a focus on treating workplace injuries. Citrus Surgery Center (Lecanto, Fla.). The Surgical Care Affiliates-owned surgery center added spine surgery in April. They added the specialty due to the community's need for the option to have spine procedures done in an ASC, as opposed to a traditional hospital setting. Also, the recent addition of spine codes to the Medicare payment changes for 2015 promoted the addition of spine because the community has a high Medicare population. However, there were some challenges when incorpo- rating spine cases into the ASC. "Starting up a new discipline from ground zero [involves] procuring equipment, instrumentation, implants and medica- tions to meet surgeon's preferences and educating our team new processes," says Lisa Howell, RN, director of nursing at the center. Coastal Orthopedics with The Surgery Center of Pointe West (Bradenton, Fla.). The ASC has added minimally invasive spine decompression cases, which include microdiscectomies. The 40,000-square-foot encompassing the surgery center also offers patients physical therapy, X-ray, MRI and bracing services as well as a pharmacy. It is accredited by the Accreditation Association for Ambulatory Health Care and licensed by the state of Florida. Physicians from Coastal Orthopedics offer the full-spectrum of orthopedic and sports medicine services, including treatments for arthritis, fractures, hip disorders and meniscal tears. Coral Gables Surgery Center (Miami). Coral Gables Surgery Center, affiliated with Meridian Surgical Partners, recently implemented and is growing its new spine program. The center now has three highly- experienced spine surgeons performing one-level spine procedures and expects to exceed initial volume estimates in 2015. One-level cases include: kyphoplas- ty, radiofrequency ablation, pain blocks, discectomy, vertebroplasty. The center also performs laminecto- mies (one- and two-levels), cervical fusions and lum- bar fusion (one- and two-levels). The 9,000-square-foot center has 25 licensed physi- cians. In addition to spine, the surgery center offers general surgery, gynecology, oncology, ophthalmol- ogy, orthopedics, pain management plastics, podiatry and urology services. Elite Surgical Center (Fremont, Calif.). This center offers a number of services, including cardiology, orthopedic surgery, podiatry and weight loss. The cen- ter now also offers endoscopic primary obesity surgery endolumenal and the endoscopic sleeve gastroplasty. The POSE procedure allows surgeons to enter the GI tract orally and reduce the stomach size. The ESG procedure also allows endoscopic oral access to the GI tract, but surgeons suture a portion of the stomach. Laguna Niguel (Calif.) Surgery Center. The ASC recently added a number of new service lines — ophthalmology in September; urology in December; ENT in January; and pediatrics in February. These specialties were added to provide for physicians in the center's new partnership with Surgical Care Affiliates; Long Beach, Calif.-based MemorialCare Health Sys- tem; and Monarch HealthCare in Irvine, Calif. According to Lisa Engel, RN, administrator of the center, the biggest challenge when starting the oph- thalmology service line in particular was that it was a brand new service line for the entire team. 16 ASCs Recently Adding New Specialties & Procedures By Anuja Vaidya and Brandon Howard 16 ASCs Recent Adding New Specialties & Procedures

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