OR Manager - September 2019 - 32

AMBULATORY
SURGERY CENTERS
Continued from page 31
of OR leaders, with 62% reporting the
same for STs.
Stability also seems to be the case
for surgical volume, with 43% reporting
that volume remained the same over the
past 12 months, comparable to the 40%
reported last year. Slightly more than a
third (37% vs 40% in 2018) said volume
has increased, and 20% said it has decreased,
as was reported last year.
Little change seen in care
delivery models
A total of 163 respondents provided
usable data for the question on how
surgical volume has changed over the
past 12 months. The average surgical
volume was 5,115 annually, but there
was a wide range of responses (80 to
100,000), making interpretation difficult.
The number of specialties over the
past 12 months has remained stable
for most OR leaders (73%), with only
23% reporting an increase, nearly the
same as the 24% reported last year.
The uptake of care models-Accountable
Care Organizations, joint ventures,
Enhanced Recovery After Surgery
(ERAS), Perioperative Surgical Homes,
and dual-license facilities-remains low.
Nearly two-thirds (63% vs 59% in 2018)
of respondents do not have and do not
plan to implement them in the next 6
0%
10%
20%
30%
40%
50%
60%
55%
44%
19% 20%
11% 13%
None
1
2
months. Of those who have one of the
care models or plan to implement, the
top pick was some form of joint venture
(18%), followed by ERAS at 16% (up
from 11% in 2018).
When asked about their biggest reimbursement
concern, ASC leaders
most commonly mentioned payer mix
and bundled payments. Representative
comments include:
* " Medicare and Medicaid reimbursement
not enough to cover expensive
supplies or implants. "
* " Insurance companies more difficult
to deal with (requiring more documentation
for precertifications and
denying payment after surgery performed). "
*
" Increasing cost of supplies (mainly
implants) and bundled payments not
How has your staffing changed
during the past 12 months?
Action
Hired more direct care staff
Reduced use of overtime
Reduced use of agency/travel (RNs/STs)
2019 2018 2017 2016 2015
46% 42% 42% 49% n/a
35% 40% 41% 23% n/a
Required staff to take time off without pay 23% 19% 16% 18% n/a
Eliminated open positions
Increased use of agency/travel (RNs/STs) 14% 8%
Had layoffs of direct care staff (RNs/STs)
Hired more management
Had layoffs of management
Other
None of these
32
OR Manager | September 2019
4%
6%
3%
5%
7%
5%
4%
6%
16% 11% 11% 13% 27%
9% 10% 13%
6%
4%
7%
4%
5%
9% n/a
8% 10%
3% n/a
8% 22%
2% n/a
3% 6%
16% 22% 16% 20% 5%
www.ormanager.com
Year
2019
2018
2017
2016
2015
9%
3%
3
11%
6% 5%
4
4 %
5 or more
reflecting some of those increased
costs. "
About the ASC
Most respondents (39%) work in physician-owned
ASCs, followed by joint venture
(23%), hospital owned (17%), and
corporate/LCC (17%).
Nearly three-quarters (73%) are employed
in a multispecialty ASC, with orthopedics
and general surgery the top
two specialties at 81% and 70%, respectively.
Ophthalmology, cosmetic/
5-year trends
in RN turnover and
open positions
% reporting
increased RN
turnover
26%
22%
23%
30%
24%
% reporting
increased RN
open positions
32%
26%
29%
34%
26%
How many FTE positions does
your ASC currently have open
for RN and ST positions?
RNs
STs
Thank you!
OR Manager thanks those who
generously took time to complete
this year's survey. We appreciate
your
help
in
gathering
this
information, which will be useful to
your colleagues around the country.
http://www.ormanager.com
OR Manager - September 2019

Table of Contents for the Digital Edition of OR Manager - September 2019
