OR Manager - February 2018 - 31

AMBULATORY
SURGERY CENTERS
Total Joints
Continued from page 27
same hospitalists who round on his
orthopedic patients at the hospital to
round at the skilled nursing facility.
Future outlook
The cohort of appropriate patients for
outpatient total joint replacement will
increase, with volume expected to reach
3.5 million procedures by 2030, according
to Leggett.
" Total joints are the next ACLs, " he
says. " Just a little over 10 years ago,
ACLs were done primarily in hospitals,
and now almost 100% are done in surgery
centers. " He urges ASCs to consider
adding total joints, especially if
they already do orthopedics: " If you're a
joint-ready surgery center and prepared
to take on these volumes, it's going to
mean a lot of business for your surgery
center. The volume potential is tremendous. "
✥
Leslie Flowers is president of Flowers
Communications in Indianapolis, Indiana.
References
Courtney P M, Boniello A J, Berger R A.
Complications following outpatient
total joint arthroplasty: An analysis
of a national database. J Arthroplasty.
2017 May;32(5):14261430.
Crowe
K. Are you prepared for the shift
to outpatient total knee replacement?
Blog. Oct. 11, 2016. www.
sg2.com/health-care-intelligenceblog/2016/10/prepared-shift-outpatient-total-knee-replacement/.
Kurtz
S, Ong K, Lau E, et al. Projections
of primary and revision hip
and knee arthroplasty in the United
States from 2005 to 2030. J Bone
Joint Surg Am. 2007;89(4):780785.
Total
joint implementation guide. Convergent
Same Day Orthopedic Strategies.
www.convergentortho.com.
ASC for sale
Continued from page 29
removal contracts to management of
capital purchases, under the new management
she had to attend multiple
meetings and contend with the typical
hospital's bureaucracy.
" After the first year, my job got boring;
it wasn't challenging enough, " she
says. Three years after the sale, HoeftHoffman
left the organization. The experience
of being acquired made her take
a closer look at her career, which was
beneficial, she says, because she loves
her current job.
Be sure to identify
what you want
before negotiations
begin.
Joint ventures
Like hospitals, some ASCs may need
to seek support from a larger entity to
help them survive in the competitive,
demanding world of healthcare. In the
case of physician-owned ASCs, HoeftHoffman
recommends pursuing a joint
venture. " That way, the larger facility
has a percentage of the business, but
doesn't get involved in the day-to-day
operations, " she says. ✥
Cynthia Saver, MS, RN, is president of
CLS Development, Inc, Columbia, Maryland,
which provides editorial services to
healthcare publications.
References
Taylor M. Hospitals, insurers to continue
buying ASCs, Fitch reports.
HFMA. 2017. https://www.hfma.
org/Content.aspx?id=52293.
FitchRatings. Alignment of incentives
drives US healthcare consolidation.
2017. https://www.fitchratings.
com/site/pr/1017898.
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OR Manager - February 2018

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