2020 Ambulatory Surgery Centers Congress
February 27-28, 2020 * Caesars Palace Las Vegas Hotel & Casino

2020 Ambulatory Surgery Centers Congress

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About the Conference

In an effort to achieve value-based care, the nation is seeing a rapidly growing shift from inpatient care to outpatient care. As a result, experts are noting a tremendous resurgence of Ambulatory Surgery Centers (ASCs), and are forecasting significant growth. The industry is seeing an expansion into more specialty and sub-specialty procedures, enhanced patient care and the implementation of ancillary services. ASC’s are also growing in popularity due to greater convenience for the patient, lower complication and infection rates, as well as reduced healthcare costs and increased revenues.

This conference brings together ASC’s, hospitals, health systems, payors and industry leaders to share best practices in shifting from inpatient to outpatient care, maximizing efficiencies, improving quality care, and expanding patient care services. Key topics of discussion will include total joints and bundled payments, infection prevention and control, creating relationships and partnerships, utilizing technology to improve care and access, navigating reimbursement, and operational best practices.

Who Should Attend?

From Ambulatory Centers/Hospitals/Health Systems/Medical Groups/Health Plans:

  • CEO’s
  • CFO’s
  • Owners
  • Medical Directors
  • Surgeons
  • Physicians
  • Administrators
  • Nurses
  • Anesthesiologists
  • Clinical Leaders
  • VP/Director
  • Operations
  • Finance
  • Marketing

Also of Interest to Vendors and Solutions Providers; Healthcare Consultants; TPA’s; Medical Equipment Suppliers; Pharmaceutical Companies

Conference Agenda

Day One – Thursday, February 27, 2020

7:15am – 8:00am
Conference Registration & Networking Breakfast

8:00am – 8:10am
Chairperson’s Opening Remarks

8:15am – 8:50am
Key Issues When Opening an Ambulatory Surgery Center

Starting from the ground up can definitely be a daunting task. Thoughtful planning and a deep understanding of the ASC world is crucial. Sheila Thompson has successfully opened two surgery centers over the past three years. The first one in 2016 and the second in 2019. Sheila will also examine diversifying from a single specialty to a multi-specialty center. The first of many things to implement is to establish concrete ASC specific processes. You also need to cultivate an ASC mindset for staff. This is especially important if they have never worked in an ASC. The business of an ASC is hard work; however, it is a great business to be in and the benefits for patients are immeasurable.

Sheila R. Thompson, RN, BS
Practice Administrator
Twin Cities Pain Clinic and Surgery Center

8:50am – 9:30am
Navigating Reimbursement Strategies

Capturing proper reimbursement is critical to an ASC. Payor contracts should be reviewed periodically to be sure newer code sets are being paid correctly. When your facility adds new procedures, be sure to cost out the CPT codes before performing the cases. There are various ways to be prepared to request CPT code and or fee additions. The insurance is not the only area to work costing. Be prepared to negotiate with the implant vendors, too.

Ellen Rostron, MBA, CASC, CASCC, CPC
Business Administrator
Orthopedic Surgical Center of the North Shore, LLC

9:30am – 10:00am
Networking & Refreshments Break

10:00am – 10:40am
How to Select New Specialties and Procedure for Your Center Wisely

This session will explore the areas of possible growth in ASCs by adding new specialties and procedures. We will examine the steps a management team needs to take to determine what is the best options for the center they run. The details we will explore are establishing a need in the marketplace, can we do this with the highest level of patient care and safety, can we afford to do it and finally how do we get started.

Jeffrey Flynn
Administrator/Chief Operating Officer
Gramercy Surgery Center

10:40am – 11:20am
Strategies to Create and Infection Control and Prevention Plan

Healthcare associated infections (HAI) are a problem, with 75 – 80% percent of surgical procedures in the United States being performed on an outpatient basis, ASCs need to address infection prevention and control. HAIs are responsible for 1.7 million deaths per year, one-third of which are preventable. ASCs are built on the reputation of being a superior option to hospitals and if this is the case ASCs must not only meet but exceed hospital standards for infection prevention. On Nov. 18, 2008 the Centers for Medicare & Medicaid Services (CMS) adopted the Hospital Outpatient Prospective Payment System final rule (73 FR 68502), which included revisions to the ambulatory surgery center (ASC) Conditions for Coverage (CfCs) in 42 CFR 416.2 – 416.52 that took effect on May 18, 2009. The standard’s language is definitive; it describes an infection control program that must be implemented under the direction of a designated and qualified professional who has training in infection control; it must be an integral part of the ASC’s quality assessment and performance improvement program; and it must contain a plan of action for preventing, identifying and managing infections and communicable diseases and for immediately implementing corrective and preventive measures that result in improvement. The presentation will describe in some detail how ASC’s can be successful with infection prevention and control initiatives as defined by the CDC and Conditions for Coverage [CfC] mandated by CMS.

Sandra Berreth, RN, BS, MS, CASC
Administrator
Sansum Clinic

11:20am – 12:00pm
Key Strategies of Developing a Successful Total Joint Program in an Ambulatory Surgery Center

As the higher acuity cases are shifted to ambulatory surgery centers, we will discuss creating a total joint program. This discussion will include patient population, facility requirements, preop guidelines and PACU requirements. A total joint program can be successful with the right amount of planning and physician leadership.

Jill Thrasher, CASC
Administrator
Baylor Scott and White Sports Surgery Center at The Star

12:00pm – 12:40pm
Drug Diversion Prevention in the Ambulatory Surgery Setting

Every day more than 130 Americans die from an opioid overdose. The overprescribing of controlled substances began in the 1990s and has evolved into abuse of heroin and synthetic opioids. An estimated 10-15% of healthcare professionals are dependent on some type of drug. In the ambulatory surgery setting, several providers have access to controlled substances including nurses, anesthesia providers, and surgeons. This presentation will outline a variety of processes can you put in place to help reduce the risk of drug diversion in your center.

Lindsey N. Overcast, PharmD
Division Director of Clinical Pharmacy
MidAmerica Ambulatory Surgery Division

HCA

12:40pm – 1:40pm
Lunch

1:40pm – 2:20pm
Joint Ventures Between Physicians, Hospitals and Management Companies

The presentation will cover the various types of Joint Ventures that physicians can enter into a 2-way with a management company, a 3-way with a management company and hospital. The presentation will also cover the pros of entering into a JV, and the risks, considerations and timelines when doing so.

Tony Lafata
Chief Development Officer
National Cardiovascular Partners, LP

2:20pm – 3:00pm
Elevate the Patient Experience

According to new research, the patient experience is one of the top three priorities of ASC leaders over the next three years. It is clearly time to refocus on the person at the center of care. Many organizations are struggling to understand what patient-centered care truly means, and what it really looks like. Everyone has a role in the patient journey: from the arrivals parking attendant, to the CEO and clinical staff, including environmental services and the check-out receptionist. Successful hospitals provide an exceptional patient experience. Organizations with a culture that focuses on patients are rewarded with higher clinical quality and efficiency, a safer patient environment, greater employee engagement, and improved financial results. By putting the emphasis on a patient’s care experience — including respect, partnership, shared decision making, well-coordinated transitions, and efficiency — ASC’s see improvements in their patient satisfaction survey data.

Candy Ranshaw, RN
Administrator
Squaw Peak Surgical Facility

3:00pm – 3:30pm
Networking & Refreshments Break

3:30pm – 4:30pm
Panel: Optimizing the Patient Experience, OR Efficiencies and Operations

Topics to be discussed will include:
- Supply management
- Flexible staffing models
- Communication, organization and preparation
- Materials
- What worked, what didn’t and why?
Ashley Burks, RN
Director of Patient Experience
United Surgical Partners International

Caryn Fink, BSN, RN, CASC
Director Clinical Operations
IU Health Ambulatory Services

Deb Goodman, RN
Administrator
APAC Surgical Center II

4:30pm – 5:10pm
Partnering with Self-Funded Employers to Grow your Center

Changes to insurance requirements for businesses brought about by the Accountable Care Act have pushed more employers to directly funding their Health Plan. With more control over their health care expenditures, these employers are actively seeking ways to reduce costs and provide employees with enhanced benefits. In this session, we will discuss how Ambulatory Surgery Centers are uniquely positioned to partner with employers with self-funded health plans and other facilitators of care to develop a network capable of adding new volumes to their center.

Andy Poole, FACHE
Chief Executive Officer
Monticello Community Surgery Center

5:10pm
End of Day One

Day Two – Friday, February 28, 2020

7:15am – 8:00am
Networking Breakfast

8:00am – 8:15am
Chairperson’s Remarks

8:15am – 9:00am
Regulatory and Quality Measure Reporting Update for Ambulatory Surgery Centers

Federal regulatory and CMS quality reporting requirements can be challenging for perioperative leaders in the ASC setting. This session will provide information on these requirements and how they affect the day-to-day operations of an ASC. Learn what quality reporting is required now and get answers to frequently asked questions about the measures your ASC needs to report.

Gina Throneberry, RN, MBA, CASC™, CNOR
Director of Education and Clinical Affairs
Ambulatory Surgery Center Association (ASCA)

9:00am – 9:45am
Price Transparency

As patient consumerism continues to rise in healthcare, there is an ever-increasing demand for price transparency. Patients are demanding to be aware of their upfront cost and expense so they can adequately plan for the expense of their healthcare. This session will explore price transparency concepts and strategies that can be used in the ambulatory surgical center setting.

Becky Ziegler-Otis, MHA, CASC, RHIA, CPHQ, CHC
Administrator
Ambulatory Surgical Center of Stevens Point

9:45am – 10:15am
Networking & Refreshments Break

10:15am – 11:00am
The Anesthesiologist’s Advancing Role in a Creating an ASC center of Excellence: The ABCs

The presentation will focus on the anesthesiologist's role of providing an environment that fosters an excellent clinical product while emphasizing the advancement of today's ASCs. Anesthesia providers must be able to navigate the ever-changing role of not only clinical provider but also focusing on many non-clinical expectations that surgeons, patients, and facility managers expect. These challenges include patient selection, risk stratification, advancing service lines, non-opioid approaches to patient care; as well as incorporating ERAS protocols to the ASC setting all coordinated in fiscally responsible manner.

Stanford R. Plavin, MD
Director of Anesthesia
ENT Institute

11:00am – 11:45am
The Shift from Hospital Outpatient to ASC

The prevalence of freestanding ASCs is on the rise again, but this time the drivers are different. Hospitals and providers are receiving pressure to provide quality healthcare at lower cost. In this session we will discuss how health systems and physicians are responding. What are the drivers forcing these changes? We will explore challenges faced by both the healthcare system and the physicians to negate negative impacts while maintaining collaborative physician/hospital relationships.

James Story RN, MBA
James Story, MBA
Administrative Director of Operations, Ambulatory Healthcare Network
St. Vincent's Health System/Ascension

11:45am – 12:30pm
Patient Selection in an ASC

As more procedures move to the outpatient setting, it’s important for your organization to have the proper process in place for appropriate patient selection. As CMS approves more advanced procedures to be performed, and people are living longer, that may mean higher acuity patients in your center. What are the parameters? How do we prepare our staff to take care of these patients? Fawn will discuss appropriate candidate selection and the process as well as creating policies and procedures and reviewing guidelines from key regulatory bodies.

Fawn Esser-Lipp, BSN, MBA, CNOR, CASC
Executive Director
The Surgery Center LLC

12:30pm
Conference Concludes

Workshop – Friday, February 28, 2020

12:45pm – 2:45pm

Workshops

Workshop A
Partnership in Ambulatory Surgery: M&A, Hospital and Payer Collaboration and Lease Arrangements to Optimize Market Supply

Surgery center construction has begun to plateau, and in many areas has led to excess capacity. This has resulted in diminished pricing power and failure of centers in many markets. Partnership has been the key to success in these overbuilt markets. Mergers and acquisitions, payer and hospital collaborations and lease arrangements have been employed to optimize the market supply of ASC’s. This will be a discussion with examples of how you can employ these winning strategies in any market.

Greg Horner
Managing Director
HealthPoint Surgery Center Management, LLC

Workshop B
Engaging Employees to Improve the Patient & Employee Experience in an ASC

In our ASCs, we are striving for very similar things:
● Providing care that is safe and in keeping with high standards.
● Delivering a consistently superior customer experience.
● Creating a great place to work where employees and providers want to stay, give discretionary effort, and contribute to the organization’s success.
● Growth and financial success. As leaders, we cannot do it alone.

To achieve the organization’s biggest strategies, it takes the work of everyone. Learn how Ohio Surgery Center took a new approach to engaging employees to improve the patient and employee experience.

Learning objectives:
1. The learner will be able to identify the structure for organizing employee-driven improvement efforts.
2. The learner will be able to apply one or more tactics to improve the patient and/or the employee experience.

Jane McLeod
Co-Founder
Capstone Leadership Solutions

Sue Tetzlaff
Co-Founder
Capstone Leadership Solutions

Featured Speakers

Sheila R. Thompson, RN, BS

Sheila R. Thompson, RN, BS

Practice Administrator

Twin Cities Pain Clinic and Surgery Center

Ellen Rostron, MBA, CASC, CASCC, CPC

Ellen Rostron, MBA, CASC, CASCC, CPC

Business Administrator

Orthopedic Surgical Center of the North Shore, LLC

Jeffrey Flynn

Jeffrey Flynn

Administrator/Chief Operating Officer

Gramercy Surgery Center

Sandra Berreth, RN, BS, MS, CASC

Sandra Berreth, RN, BS, MS, CASC

Administrator

Sansum Clinic

Jill Thrasher, CASC

Jill Thrasher, CASC

Administrator

Baylor Scott and White Sports Surgery Center at The Star

Lindsey N. Overcast, PharmD

Lindsey N. Overcast, PharmD

Division Director of Clinical Pharmacy, MidAmerica Ambulatory Surgery Division

HCA

Tony Lafata

Tony Lafata

Chief Development Officer

National Cardiovascular Partners, LP

Candy Ranshaw, RN

Candy Ranshaw, RN

Administrator

Squaw Peak Surgical Facility

Ashley Burks, RN

Ashley Burks, RN

Director of Patient Experience

United Surgical Partners International

Caryn Fink, BSN, RN, CASC

Caryn Fink, BSN, RN, CASC

Director Clinical Operations

IU Health Ambulatory Services

Deb Goodman, RN

Deb Goodman, RN

Administrator

APAC Surgical Center II

Andy Poole, FACHE

Andy Poole, FACHE

Chief Executive Officer

Monticello Community Surgery Center

Gina Throneberry, RN, MBA, CASC™, CNOR

Gina Throneberry, RN, MBA, CASC™, CNOR

Director of Education and Clinical Affairs

Ambulatory Surgery Center Association (ASCA)

Becky Ziegler-Otis, MHA, CASC, RHIA, CPHQ, CHC

Becky Ziegler-Otis, MHA, CASC, RHIA, CPHQ, CHC

Administrator

Ambulatory Surgical Center of Stevens Point

Stanford R. Plavin, MD

Stanford R. Plavin, MD

Director of Anesthesia

ENT Institute

James Story RN, MBA

James Story RN, MBA

Administrative Director of Operations, Ambulatory Healthcare Network

St. Vincent's Health System/Ascension

Fawn Esser-Lipp, BSN, MBA, CNOR, CASC

Fawn Esser-Lipp, BSN, MBA, CNOR, CASC

Executive Director

The Surgery Center LLC

Greg Horner

Greg Horner

Managing Director

HealthPoint Surgery Center Management, LLC

Jane McLeod

Jane McLeod

Co-Founder

Capstone Leadership Solutions

Sue Tetzlaff

Sue Tetzlaff

Co-Founder

Capstone Leadership Solutions

Venue

Caesars Palace
3570 S. Las Vegas Blvd.
Las Vegas, NV 89109
866-227-5938

“Mention BRI Network to get a discounted rate of $85/night” or use the link below:

https://book.passkey.com/go/SCBNC0

Sponsors and Exhibitors

Luncheon Sponsor

 

Nuance Nuance provides intelligent systems that support a more natural and insightful approach to clinical documentation, freeing clinicians to spend more time caring for patients. Nuance healthcare solutions capture, improve and communicate more than 300 million patient stories each year, helping more than 500,000 clinicians in 10,000 global healthcare organizations to drive meaningful clinical and financial outcomes. Nuance’s award-winning clinical speech recognition, medical transcription, CDI, coding, quality, and medical imaging solutions provide a more complete and accurate view of patient care.

 

Exhibitor

 

National Cardiovascular Partners NCP was founded in 2006 as a small, outpatient Cath lab partnership, working with the best and brightest cardiologists, to help oversee every aspect of the business, including executive management, development, operations and expansion. In 2014, NCP joined forces with Fresenius Medical Care of North America (FMCNA), a nationwide integrated health network, and one of the country's leading providers of dialysis treatments and resources. Since then, the company has evolved considerably, both in size and scope, now overseeing the development, management, and operations of 24 hybrid, outpatient ambulatory surgery centers (ASC & Office-Based Lab) in seven states, including the management and ownership of individual cardiology practices. NCP currently has partnerships with more than 280 physicians, and last year alone, we performed more than 15,000 outpatient cardiovascular procedures, with a patient satisfaction rate of over 98%! As the pioneer and market leader of the hybrid, outpatient center business model, we are proud of our success. But it's only the beginning. As the US healthcare landscape continues to shift and consumers demand more convenient, cost-effective and higher-quality care, NCP will lead the way.While we are continually growing and evolving, one thing remains constant: our commitment to providing exceptional and innovative patient care.

 

FAQ

Are there group discounts available?

  • Yes – Register a group of 3 or more at the same time and receive an additional 10% off the registration fee

What is the cancellation policy?

  • Cancellations received 4 weeks prior to the event will receive a refund minus the administration fee of $225. Cancellation received less than 4 weeks prior to the event will receive a credit to a future event valid for one year.

Can the registration be transferred to a colleague?

  • Yes – please email us in writing at info@brinetwork.com with the colleague’s name and title

Where can I find information on the venue/accommodations?

  • Along with your registration receipt you will receive information on how to make your hotel reservations. You can also visit individual event page for specific hotel information. The conference fee does not include the cost of accommodations.

What is the suggested dress code?

  • Business casual. Meeting rooms can sometimes be cold so we recommend a sweater or light jacket
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