Issue link: https://beckershealthcare.uberflip.com/i/827052
12 ASC MANAGEMENT 15 Statistics on ASC Staffing By Laura Dyrda H ere are 15 statistics on surgery center staff- ing based on the VMG Health 2016 Intelli- marker Multi-Specialty ASC Study. Employee salaries and wages 1. As a percentage of net revenue: 22 percent 2. Per square foot: $137 3. Per operating room: $481,000 4. Per case: $422 Employee benefits 5. As a percentage of net revenue: 4.7 percent 6. Per square foot: $29 7. Per operating room: $106,000 8. Per case: $93 Staff hours per case 9. Nurse: 7 10. Tech: 3 11. Administrative: 4.5 12. Total: 14.5 Hourly wages 13. Nurse: $35.58 per hour 14. Tech: $23.32 15. Administrative: $26.24 n Top 20 Medicare Procedures in ASCs by Volume By Laura Dyrda T he top 20 highest volume procedures for Medicare pa- tients in ASCs account for 70.4 percent of the total Medi- care patient volume. Here are the 20 most frequently performed procedures in an ASC and the percentage of volume at ASCs for Medicare pa- tients, according to the 2017 MedPAC report. 1. Cataract surgery with IOL insert, 1 stage: 18.6 percent 2. Upper GI endoscopy, biopsy: 8.2 percent 3. Colonoscopy and biopsy: 6.8 percent 4. Lesion removal colonoscopy (snare technique): 5.6 percent 5. Diagnostic colonoscopy: 2.3 percent 6. After cataract laser surgery: 4.4 percent 7. Inject foramen epidural: lumbar, sacral: 4.8 percent 8. Injection spine: lumbar, sacral (caudal): 3.3 percent 9. Inject paravertebral: lumbar, sacral: 3.1 percent 10. Colorectal screen, high risk individuals: 2 percent 11. Cataract surgery, complex: 1.6 percent 12. Colorectal screen, not high-risk individual: 1.9 percent 13. Upper GI endoscopy, diagnosis: 1 percent 14. Lesion removal colonoscopy (hot biopsy forceps): 0.8 percent 15. Cystoscopy: 1.2 percent 16. Revision of upper eyelid: 0.9 percent 17. Inject spine, cervical or thoracic: 1 percent 18. Upper GI endoscopy, insertion of guide wire: 0.8 percent 19. Injection procedure for sacroiliac joint, anesthetic: 1.3 percent 20. Carpal tunnel surgery: 0.7 percent n How Mark Cuban Would Replace the ACA and Fix the US Healthcare System By Eric Oliver D allas Mavericks owner and entrepre- neur Mark Cuban used his entrepre- neurial experience to develop a plan to fix the U.S. healthcare system, and he wants your help. Mr. Cuban argued the three main stakehold- ers in the ACA — payers, providers and con- sumers — are all unwilling to accept reduced benefits leading to what he believes is a near "impossible" ACA fix, according to a post on his weblog, Blog Maverick. Consumers mitigate health risks by attempt- ing to find jobs with ample health insurance or by buying an inexpensive, high deduct- ible option and attempting to "save enough to cover the deductible." Mr. Cuban argued, "When disaster hits, we rarely have enough." To deal with inevitable personal health disas- ters, he suggests a single-payer system. Mr. Cuban said "whether [through] Medicaid or a new program, every single person in this country should be covered 100 percent for chronic physical or mental illness for any life threatening injury." Under Mr. Cuban's plan, individual and com- pany premiums earmarked for significant risks would go to the IRS, with insurers pay- ing for the remaining care cost. "ere would be no mandates. ere would be no individual penalties. No Tax Credits. No subsidies. No offsets or deductions for buying higher end insurance. is will be single payer (yes I know it's a dirty phrase in this country) for chronic physical or mental illness and for any life threatening injury," he wrote. By taking expensive healthcare risks away from payers, the insurance companies wouldn't have to plan for catastrophic costs. "We all share the same risks, we all can share the costs of our greatest risks," he wrote. He admitted, that the single-payer plan has "something for everyone to hate," but encour- aged discussion to improve on it and "make the concept better." n