course material

1. Ambulatory Surgery Center Case Study:
QUESTIONJUN 22, 2017Ambulatory Surgery Center Case Study:Assignment 3: (20 points)
Case Study Project- AMBULATORY SURGERY CENTER CASE STUDY (Power Point
Presentation) .In this project, students will apply the knowledge gained in this course to a
case example.Each student will select one of the scenarios below and develop a 10-12 slide
PowerPoint presentation to discuss the current status of the organization, 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. 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/homeSCENARIO OPTIONS. Pick
one of the scenarios below. Your role is the manager in charge of an ambulatory surgery
center (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 surgery center working to address one of the four scenarios. In your response, please
be sure to address all components of the scenario. *** I HAVE CHOSEN SCENARIO #3 and
the ASC I have chosen is OTAY LAKES SURGERY CENTER***.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 surgery centers 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

2. basis. What strategies could you employ as you work with payors 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?