< Schedule
Wednesday, May 13 – Pre-Meeting
Workshops
(Separate
registration is required for the pre-meeting workshops)
CASC Review (7:25am–5:00pm)
PLEASE NOTE: This is the only CASC Review
Course that will be provided in 2015. It will not be offered at ASCA's 2015
Fall Seminar.
Interested in becoming CASC (Certified Administrator Surgery
Center) certified? If you are planning to take the CASC exam, or just want a
review of the key areas of ASC administration, this course is for you. Designed
for those with ASC experience and knowledge, this course will provide an in–depth review of the key topics in
the five content areas of the CASC exam: regulatory and legal issues, finance,
delivery of patient care, quality management and human resources. Each content
area will be covered by expert faculty.
PLEASE NOTE: This is the only CASC Review Course that will be provided
in 2015. It will not be offered at ASCA's 2015 Fall Seminar.Actual test
questions will not be provided.
Debra Stinchcomb, RN, BSN, CASC
Progressive
Surgical Solutions
John Goehle, MBA CPA CASC
Ambulatory
Healthcare Strategies, LLC
Mary Ryan, RN, MBA, CASC
ICD-10 For Administrators
(8:00am–12:00pm)
Learn what you need to know to take a proactive approach to
ICD-10 implementation in your ASC now rather than a costly defensive stand
later. Consider staff and physician education (clinical/business), budgets and
contingency planning critical to ensuring the continued success of your ASC
under the new ICD-10 system. Discuss these key areas and others that many ASC facilities
have not considered, including necessary changes in facility work flow
processes (form/template/documentation reviews), vendor readiness/questions to
ask and productivity and accuracy rate expectations.
Cristina Bentin, CCS-P, CPC-H,
CMA
Coding
Compliance Management, LLC
Preparing for AAAHC Accreditation
(8:00am–12:00pm)
Led by experienced surveyors from the Accreditation Association
for Ambulatory Health Care (AAAHC), this session will help you understand the
accreditation process and prepare to meet the most common accreditation
challenges. Two experienced ASC surveyors will provide a review of AAAHC's
standards, with a focus on recent revisions and compliance tips. Designed for
ASCs undergoing accreditation for the first time as well as those preparing for
re-accreditation.
Ray Grundman, MSN, MPA, FNP-BC,
CASC
Accreditation
Association for Ambulatory Health Care
Jo Vinson, RN, BA, CASC
Accreditation
Association for Ambulatory Health Care
Preparing for Joint Commission
Accreditation (8:00am–12:00pm)
Review the process for successfully completing a Joint
Commission accreditation survey, including preparing for the survey,
participating in on-site survey activities and following up after the on-site
survey visit. Examine the challenges that can occur as well as suggestions for
helping the process to proceed smoothly. A question and answer segment will
focus on participants concerns about issues or questions that can arise during
the Joint Commission accreditation process.
Susan Herrold, BSN, MN FNP-BC
The
Joint Commission
Pam Roark
The
Joint Commission
A CMS/Life Safety Code® Survival
Guide (1:00pm–4:30pm)
The Centers for Medicare & Medicaid Services (CMS) mandate
for compliance with any particular edition of the National Fire Protection
Association’s Life Safety Code (NFPA 101) is no simple thing, and as if
published code requirements aren’t elusive enough, CMS mixes it up with its own
requirements for adoption. This session explores fundamental CMS requirements
for an ASC’s physical (built) environment, from CMS facility-related mandates
to the design, construction, and operational requirements of the adopted “Life
Safety Code set.” CMS & NFPA requirements for ASCs and little known operational requirements
that can quickly turn a survey into a nightmare will be highlighted. New Life
Safety Code code sets will be discussed.
Bill Lindeman, AIA
WEL
Designs PLC
Sterilization: Standards and
Recommended Practices (1:00pm–4:30pm)
"Innovation and research continue to redefine sterilization
standards and recommended practices, and surveying agencies are intensifying
their oversight of these processes in the ASC setting. Investigate the most
recent updates to the Association for the Advancement of Medical
Instrumentation (AAMI) sterilization standards affecting ASCs, including two
due out in 2015:
the first standard specifically developed for flexible endoscope
reprocessing, Standard 91 Flexible
endoscope reprocessing in health care delivery organizations; and
• the first standard specifically developed for flexible
endoscope reprocessing, Standard 91
Flexible endoscope reprocessing in health care delivery organizations;
and
• the first guidance document that addresses loaner
instrumentation, Technical Information Report (TIR) 63 Management of loaned
critical and semi-critical medical devices that require sterilization or
high-level disinfection.
Highlights of other AAMI documents that impact the processing of
medical devices will also be provided."
Sue Klacik, BS, CRCST, ACE, CIS,
FCS
Klacik
Consulting
GENERAL SESSION (5:00pm–6:30pm)
Meet ASCA’s volunteer leaders and find out more about new programs and services ASCA is offering and our plans for the year ahead.
WELCOME RECEPTION (6:30pm–8:00pm)
Sponsored by United Surgical Partners International
Kick off the conference by attending this year’s Welcome Reception inside the ASC industry’s largest Exhibit Hall of the year. Enjoy cocktails and hors d’oeuvres, reconnect with old friends and get to know other ASC professionals. Familiarize yourself with the Exhibit Hall and start your Exhibit Hall Passport to enter ASCA’s grand prize give-a-way. With food and drink that showcases the best of Orlando’s world-renowned cuisine, this reception will help open ASCA 2015 with a splash. Be sure to attend!
Thursday, May 14
GENERAL SESSION: ASCs in 2015 (8:00am–10:00am)
Terry Bohlke, CASC, CPA
National
Surgical Healthcare
Rebecca Craig, RN, MBA, CNOR, CASC, CPC-H
Harmony Surgery Center, LLC
Judy Harless, MBA, CASC
SMI Surgery Center
Larry Taylor, ATC
Practice Partners in Healthcare, Inc
GENERAL SESSION: The Four Foundation of Greatness at Work: How Happiness and Excellence Go Together (8:00am–10:00am)
What makes for great teams and great work? Philosopher Tom Morris has the answer. In a high energy and fun filled session, he'll share with us the wisdom of the ages about how an understanding of happiness lays the foundations for greatness in whatever we do. This talk can not only bring you a new spirit at work, but revolutionize all your relationships. Come, laugh, think, and go away with ideas you can use!.
Tom Morris, Ph.D.
50 Ways to Improve Productivity
in Your ASC (11:00am–12:00pm)
Explore the best of 50 different ideas proven to reduce labor
costs while improving productivity and innovative techniques for developing
site-specific improvement plans that really work. A toolbox that contains an
overview of each idea, checklists and sample reports that track, trend and
graphically depict performance around key productivity metrics will be
provided. This presentation is based on research and demonstration projects
conducted at more than 21 surgery centers and surgical hospitals in 2014.
Terry Bohlke, CASC, CPA
National
Surgical Healthcare
Donna Giles, RN
National
Surgical Healthcare
Current Guidelines and Standards
for Moderate vs. Deep Sedation, Training/Pitfalls and Controversies
(11:00am–12:00pm)
Administering moderate and deep sedation to patients undergoing
procedures outside the operating room should be handled with vigilance and
attention to safety and quality. Review the American Society of
Anesthesiologists (ASA) guidelines and standards for moderate and deep sedation
and the ASA guidance for directors of anesthesia service for computer-assisted
personalized sedation (CAPS) devices. The lecture will also highlight the
competencies and education needed to administer deep sedation and discuss some
potentially controversial aspects, including the use of Sedasys and other
computer-assisted, personalized sedation devices.
Rebecca Twersky, MD, MPH
SUNY
Downstate, UniversityPhysicians of Brookyn, Department of Anesthesiology
Electronic Health Records; More
Than Just a Documentation Tool (11:00am–12:00pm)
Get real-world insights into
•the state of the union for electronic health records (EHR) in
the ASC industry;
•the future of patient care coordination and its impact on the
ASC industry;
•the factors to consider when deciding if the time to implement
EHR technology in your ASC has arrived; and
•questions to consider when choosing an EHR vendor for your ASC.
Mary Hibdon
Cerner
Corporation
Intake and Investigation:
Effectively Handling Employee Complaints (11:00am–12:00pm)
Take advantage of this opportunity to hear an experienced
employment lawyer discuss tips and best practices for effectively handling and
investigating employee complaints to reduce risk while maximizing employee
satisfaction. Examine actual employee lawsuits to gain perspective on the many
ways that an employer’s pre-suit personnel actions affect subsequent
litigation. Focus on the fundamental steps every employer should be following
from complaint to conclusion.
Jason Ross, JD
Higgs,
Fletcher & Mack
Medicare Quality Reporting Update
for ASCs (11:00am–12:00pm)
Find out what you need to know to stay on top of the Centers for
Medicare and Medicaid Services quality reporting requirements in 2015 to avoid
payment penalties down the line. Learn what quality measures you need to
report, definitions you need to apply and how-to tips that will help you
comply. Get the most up-to-date information on this program and answers to your
questions and others’ about all of the details involved.
Gina Throneberry, RN, MBA, CASC,
CNOR
ASCA
Donna Slosburg, RN, BSN, LHRM,
CASC
ASC
Quality Collaboration
Using AORN Guidelines to Avoid
Adverse Patient Events (11:00am–12:00pm)
Examine actual intraoperative adverse patient events and how to
put Association of periOperative Registered Nurses (AORN) guidelines to work to
avoid similar scenarios in your ASC. Look at a case involving a patient
undergoing a knee arthroscopy; one involving a patient undergoing elective
cosmetic surgery; and one involving an outcome affected by hand-off
communication. The AORN guidelines provide evidence-based guidance that
registered nurses can follow to provide safe patient care in the perioperative
setting. This presentation will focus on how each event that occurred could
have been avoided had the AORN guidelines been followed and events that
occurred despite application of the AORN guidelines. Each discussion will focus
on the evidence that supports the recommended guidelines.
Jan Davidson, MSN, RN, CNOR, CASC
Association
of periOperative Registered Nurses (AORN)
Clinical Benchmarking
(2:00pm–3:00pm)
Get the hands-on advice you need to take your ASC's clinical
benchmarking program from a binder filled with pivot tables and graphs to a
foundation of performance that drives clinical outcomes and operational
efficiencies that give your ASC a competitive edge in your local market. Learn
what to measure, when to measure it and how to measure performance indicators
that will help you build a successful benchmarking program that you can use to
differentiate your ASC from its competition and support sustainable performance
improvements that provide longterm benefits to your patients and your ASC.
Michelle George, RN MS CASC
Surgical
Care Affiliates
Compounded Medicines—New Laws,
New Responsibilities, New Questions (2:00pm–3:00pm)
In 2012, a Massachusetts compounding pharmacy distributed 17,000
doses of a sterile injectable drug. Some of those vials were contaminated, and
more than 65 people died. Another 745 were infected. Neither the state
regulatory board nor the Food and Drug Administration, which had both inspected
the facility and found significant deficiencies, took action or
responsiblility. A year later, to clarify federal oversight and authority,
Congress passed the Drug Quality Security Act. This law applies not just to
pharmacists, but to all physicians and prescribers. Get an overview of the new
law, its impact on practice and what ASCs need to know now to establish a
responsible relationship with a compounding pharmacy.
David Miller, RPh
International
Academy of Compounding Pharmacists
Electronic Health Record Panel
(2:00pm–3:00pm)
Digital technology is transforming health care, and Electronic
Health Record (EHR) technology is being adopted by unprecedented numbers of
physicians and health systems. As EHRs become more prevalent and the ability to
share information between systems becomes more seamless, the need to
participate in the exchange of clinical information will create new value for
the EHR investment. Panel members will discuss the value of an EHR in an ASC,
lessons learned during implementation, sustainability, what you should know
about the unique requirements for EHRs in ASCs and what you can be doing to
help prepare your ASC.
Cindy Klein, PMP, CPHIMS
United
Surgical Partners International
Scott Luba, MBA, MPH, CASC
Outpatient
Surgery Center of Hilton Head
Proper Credentialing and
Privileging as a Risk Management Process (2:00pm–3:00pm)
The credentialing and privileging process can never be a
"wink and a nod." Properly done, it is the first step in your ASC's
risk management program and lays the groundwork for an emphasis on patient
safety and quality of care. Discover essential techniques for making this
process work and taking full advantage all of the benefits it offers in your
ASC.
Frank Chapman, MBA
Ohio
Gastroenterology Group
Susan Herrold, BSN, MN FNP-BC
The
Joint Commission
Strategic Planning for your ASC:
Part 2 (2:00pm–3:00pm)
This session will focus on participants creating a strategic
plan for their ASC which can be used in leading their ASC in the rapidly
changing healthcare environment. The format will be mission, values objectives
and strategies. Participants will be working individually and in small groups
to design their plan. There will also be reporting to those in attendance on
what they have designed for their strategic plan to encourage group discussion.
At the conclusion of the one hour session attendees should have completed the
basic elements of their strategic plan.
Colin Rorrie, PhD, FASAE
CCR
& Associates
Matt Pate, BBA
United
Surgical Partners
Where Do You Stand within the Alphabet
Soup? ACA, ACO, ASC, IPA; Health Reform
Who Will Survive? (2:00pm–3:00pm)
As healthcare reform continues to shape the market, it is
imperative that ASCs evolve as well. ASCs ownership and administration first
must understand where they fit in this new landscape and ultimately how to
survive. Continuing to provide high quality, low cost care is simply not
enough. We must stand together as we educate everyone from our representatives
to patients alike in an effort to show the true value of ASCs. Join us as we
discuss the "Alphabet Soup" and provide strategies that any center
can adapt to their market and continue to not only grow but also thrive.
Mike Guarino
North
Shore Surgi-Center
Best Practices in Vendor
Credentialing/Vendor Access (3:15pm–4:15pm)
This session will provide an update on Vendor
Credentialing/Access requirements and discuss best practices for meeting the
common goals of patient safety and confidentiality. In the interactive
presentation, we will discuss how ASCA could leverage existing models and best
practices for a more efficient and effective method of meeting these
requirements and ensuring compliance.
Gina Throneberry, RN, MBA, CASC,
CNOR
Ambulatory
Surgery Center Association
Rhett Suhre
Abbott
Disruptive Behavior: How to
Handle It (3:15pm–4:15pm)
Find out what happens to your patients, staff and physicians
when they experience violence or abuse in their work environment. Get the
real-world tools and advice you need to manage disruptive behavior in your ASC
and provide a more secure workplace for all.
Beverly Ann Kirchner, BSN RN CNOR
CASC
Genesee
Associates, Inc
Emerging Trends in Post Op Care
after Total Joint Procedures (3:15pm–4:15pm)
Look at how a center can function performing procedures that may
require 24+-hour recovery care, how one state association is currently fighting
for the right for 72-hour convalescent care centers, and how state-based policy
stakeholders see the future of the ASC care model and its ability to generate
savings in the health care marketplace.
Rebecca Craig, RN, MBA, CNOR, CASC, CPC-H
Harmony Surgery Center, LLC
Randall Gross, MHA
Massachusetts Avenue Surgery Center, LLC
Michael Patterson, FACHE
Mississippi Valley Health
Financial Benchmarking (3:15pm–4:15pm)
Gain new insight into the development of balance sheet revenue
and expense cycle benchmarks that you can use to compare your ASC's financial
performance measures to other publicly available data. Get a guideline that
will help you make the most essential comparisons. Designed for individuals
with limited exposure to the concepts and processes of basic financial
benchmarking, this session is open to all ASC staff involved in the finances of
their ASC.
John Goehle, MBA CPA CASC
Ambulatory
Healthcare Strategies, LLC
Front Office Management
(3:15PM–4:15PM)
Get practical, best-practice advice that can help you ensure
effective and efficient revenue cycle operations at your ASC. Learn the steps
of a successful revenue cycle audit and share in benchmarking data that will
allow you to compare your own practices against national standards. Get tips
for improving your billing and coding procedures to ensure compliance and
minimize delays and denials.
Lisa Rock
National
Medical Billing Services
Infection Control: Confronting
New and Existing Challenges during Surveys and Daily Practice (3:15pm–4:15pm)
Learn about new Medicare infection prevention compliance
requirements, including Medicare's process of care measure ASC-8 (Influenza
Vaccination Coverage among Healthcare Personnel), and the likelihood of a
federally mandated antibiotic stewardship program. Find out which infection
prevention and control issues surveyors are citing most frequently today as
more focus is being placed on specific infection control plans; the risk
assessment with goals, strategies and follow-up; the competence of the
infection prevention designee and reprocessing technician; and surveillance for
surgical site infections. Come away with strategies to effectively address
these challenges, as well as an awareness of what the US Department of Health
and Human Services task force eliminating Healthcare-Associated Infections is
focused on with respect to ASCs.
Phenelle Segal, RN CIC
Infection
Control Consulting Services, LLC
Communication in the ASC
(4:30pm–5:30pm)
The number one cause of medical mistakes is a breakdown in
communication between health care providers. Examine techniques for improving
communication in your ASC, not only between health care providers but also with
patients and family members, that can help you ensure top quality care. Get
best practices and easy-to-implement ideas that support meaningful improvements
and sustained success. Strong communication will improve the quality of care
you provide to your patents, increase patient satisfaction and enhanced team
work at your ASC.
Ann Shimek, MSN, BSN, RN, CASC
USPI
Deemed Status and CMS Surveys -
Always Be Prepared (4:30pm–5:30pm)
The Centers for Medicare Medicaid Services (CMS) surveys are
tougher than ever before, and ASCs have to be properly prepared to avoid common
survey issues and manage difficult outcomes from these surveys when they occur.
Identify some of the most common and significant issues that CMS surveyors cite
and strategies and resources you can use to avoid them. Learn how to properly
address challenging survey citations in a plan of correction.
John Goehle, MBA CPA CASC
Ambulatory
Healthcare Strategies, LLC
Development and Implementation of
a Meaningful QAPI Program in the ASC (4:30PM–5:30PM)
Improve your Quality Assurance and Performance Improvement
(QAPI) Program by focusing first on the goals and objectives of your program
and, then, on the key indicators you need to produce and analyze. Consider the
ways you can use the reports you already generate from benchmarking , tracking
and trending of performance indicators, facility and equipment records,
infection control and complications tracking and monitoring of medical record
documentation. Discuss the coordination of peer review and risk management
activities within your QAPI Program. Actual case studies and a methodology for
an annual review and evaluation of your QAPI Program will be provided.
Jan Allison, RN, CHSP
Surgical
Care Affiliates
Infection Control: The Role of the Anesthesia Team
(4:30pm–5:30pm)
As infection control continues to be an important hot button
issue for all health care providers and the US health care system continues to
evolve, anesthesia teams have started to take on many new responsibilities. It
is important for the anesthesia team not only to be at the forefront of
operational concerns like safe injection practices, but also to understand the
broader approach to improving patient care and lessening everyone's exposure to
potentially hazardous situations. Clinical case studies will be provided during
this discussion of the critical role that anesthesia providers play in
infection prevention in your ASC.
Stan Plavin, MD
Technical
Anesthesia Strategies and Solutions
Working Effectively with a GPO
(4:30pm–5:30pm)
Discuss the services typically offered by a Group Purchasing
Organization (GPO), focusing on those specific to ASCs. Consider everything
from basic cost savings to advanced revenue producing solutions. This session
is ideal for newer administrators who are unfamiliar with GPOs.
Rand Ballard
MedAssets
Barton Schmitz, BSN
Amerinet
Alan Whorton, FACHE
Provista
NETWORKING RECEPTION (5:30pm–6:30pm)
Sponsored by United Surgical Partners International
Relax after a full day of educational sessions with a sampling of finger foods and light snacks. Visit with vendors and colleagues, explore the innovations on display and learn about products and services that can improve your ASC. Door prizes will be awarded during the evening!
Friday, May 15
ASCA 5K FUN RUN/WALK (6:30am–7:30am)
Sponsored by SourceMedical
A Healthy Way To Start the Day
ASCA's 5k is a race for all ages and fitness levels! Regular runners and first-timers alike are welcome to join us for the 5k Fun Run/Walk. Whether you’re trying to beat your personal best or walking with friends and co-workers, this is a great way burn some extra calories during the Annual Meeting. This event is a fun opportunity to soak in the beautiful landscape of the Marriott World Center – and a terrific way to get your body moving and energized for the rest of the day.
Utilize the ASCA 2015 pedometer to track your fitness over the course of the meeting. The 5K Fun Run/Walk gives you the chance to boost your overall distance; on average, a runner logs about 6,200 steps during a 5K. Staying hydrated is easy with water refilling stations along the route. Don’t forget your reusable water bottle! All race participants will also receive an ASCA 5K Fun Run/Walk T-shirt!
Register for the 5K Fun Run/Walk today!
GENERAL SESSION (8:00am–10:00am)
Medicare’s Golden Anniversary: The Program’s Evolution Over the Past 50 years and What to Expect During the Next Five
Kara Newbury, JD
Ambulatory Surgery Center Association
Debra Stinchcomb, RN, BSN, CASC
Progressive Surgical Solutions
Eric Zimmerman, JD
McDermott + Consulting
Attitude is Everything – Keynote Presentation
Vickie Hitzges
Achieving an Effective Competency
Program (11:00am–12:00pm)
Advances in pain control and technology mean that more
complicated procedures and patients with more complex medical conditions are
having surgery in ASCs every day. In response, the role of clinicians has
advanced substantially and requires increasingly sophisticated knowledge and
skills. Maintaining effective competency training and assessment in a timely
and effective manner is more important than ever. Examine the different types
of competencies required in the ASC setting and their impact on patient safety.
Tips to make competency training more fun and meaningful will be provided.
Jan Allison, RN, CHSP
Surgical
Care Affiliates
ASC Administrators' Must-Know
Info: 201 (11:00am–12:00pm)
ASC administrators need extensive knowledge of both financial
and clinical processes and standards. Focus on critical operational areas and
get detailed information and resources that an administrator can use every day.
This course builds on the information provided in last year's "What Every
New ASC Administrator Needs to Know".
Ann Geier, MS, RN, CNOR, CASC
SourceMedical
ASCA’s Federal Legislative and
Regulatory Update (11:00am–12:00pm)
Get an overview of ASCA's legislative and regulatory agenda for
2015 and recent regulatory changes that will affect operations in your ASC.
Learn about opportunities for you to participate in ASC advocacy efforts in
Washington, DC, your state and your hometown.
Kara Newbury, JD
Ambulatory
Surgery Center Association
Steve Miller, CAE
Ambulatory
Surgery Center Association
HIPAA in Plain English
(11:00am–12:00pm)
The Health Insurance Portability and Accountability Act (HIPAA)
Privacy Rule affects how ASCs use and disclose health information each day.
Noncompliance can have significant consequences, including patient complaints,
government audits, monetary sanctions and even attorney general actions. Learn
the practical side of HIPAA, in plain English, including suggested tips and
best practices. Review high priority concerns involving HIPAA authorizations,
court orders, search warrants, state-law privileged information, business
associate agreements and social media.
Angie Burnette, JD
Alston
& Bird LLP
Pharmacy Medication Management
(11:00am–12:00pm)
Medication management is a dynamic and important aspect of every
ASC. Absent an actual on-site pharmacy in their facilities, ASC staff and
administrators need to be aware of the standards and regulations that frame
medication management and best practices for providing a safe and effective
medication delivery process that ensures patient and staff safety. Participants
will review issues that present the greatest medication management challenges
in the ASC setting, learn how to structure policies and programs that lead to
survey success and discuss up and coming topics in this area.
Michael Oneal, DPh, MBA
Pharmacist
Consultant
Social Media from a Legal
Standpoint (11:00am–12:00pm)
This presentation will examine the ins and outs of the current
law governing social media and the workplace. It will include topics such as
when and to what extent a employer can monitor employees' social media
accounts; when an employer can limit its employees' social media use and
internet postings; and whether an employer may discipline employees who post
negative comments about their employer.
Jessica Hill, JD
Frost
Brown Todd
CELEBRATION LUNCHEON (12:00pm–2:00pm)
Sponsored by Surgical Care Affiliates
Take a short break from the intensive educational program and enjoy a leisurely sit-down lunch with your colleagues while you help celebrate recent successes in the ASC industry. Along with the networking opportunities you will find at this event, be prepared to be entertained when our featured speaker takes the stage. Invite your friends, colleagues and family members to join in. This part of ASCA’s annual meeting offers something that everyone can enjoy.
Maximizing Surgical Efficiency in
the Ophthalmic OR (2:00pm–3:00pm)
In this era of uncertain future reimbursements and
ever-increasing governmental regulations, it is more imperative than ever that
ophthalmic surgical departments run in the most efficient and effective manner
possible. Consider this whole system approach that results in the highest
degree of efficiency defined as: maintaining or developing the highest quality
and taking the shortest amount of time without accepting unnecessary risks.
During the preoperative through postoperative continuum, good habits will be
highlighted with a goal of consistency and excellence in outcomes. Using
cataract surgery as a template, the ability to safely and effectively perform
cases an hour in only one OR will be demonstrated.
Larry Patterson, MD
Eye
Centers of Tennessee
Total Joint Replacements in an Ambulatory Surgery Center (2:00pm–3:00pm)
Take a macro- and micro-level look at outpatient unicompartmental and total knee arthroplasty in the ASC setting.
Matthew Ohl, MD
Mallard Creek Surgical Center Orth Carolina
The Feasibility, Safety and
Effectiveness of Minimally Invasive Transforaminal Lumbar Interbody Fusions
Performed in an Outpatient Setting (2:00pm–3:00pm)
While numerous studies demonstrate the safety and effectiveness
of reducing pain and disability levels among patients who undergo minimally
invasive spinal fusions, no formal studies conducted to date report on the
safety and effectiveness of minimally invasive transforaminal lumbar interbody
fusions (TLIF) performed as outpatient procedures. This pilot study evaluated
the feasibility of performing a minimally invasive single-level TLIF in an
outpatient setting. It indicates that as the result of new techniques that
allow for significant reductions in levels of pain and disability, low blood
loss and low rates of complications, it is feasible to perform a TLIF safely in
the outpatient setting today.
Michael Perry, MD
Laser
Spine Institute
Updates on GI Endoscopy
(2:00pm–3:00pm)
Gastroenterology is changing at a rapid pace. Current providers
of GI care have to keep up with technological as well as medical advances. The
presentation will review salient points regarding such issues.
Samuel Giday, MD
Center
for Digestive Health
Urology (2:00pm–3:00pm)
Explore the urologic lines of service that can be established in
an ASC, including basic and advanced procedures such as prosthetics,
ureteroscopy, various fluoroscopy guided cases, pelvic slings, InterStim
therapy, microsurgery, laser therapy for benign prostatic hyperplasia (BPH) and
stones, various endoscopic therapies for BPH and bladder tumors and
extracorporeal shock wave lithotripsy. Clinical, financial and regulatory concerns
will be addressed.
Brad Lerner, MD, FACS, CASC
Chesapeake
Urology Associates
EPA and DEA Drug Disposal Update
(3:15pm–4:15pm)
The Environmental Protection Agency (EPA) and state
environmental authorities continue to dig deeper into the health care community
to ensure compliance with federal and state hazardous waste regulations under
the Resource Conservation and Recovery Act. In addition, on September 9, 2014,
the Drug Enforcement Administration (DEA) published its Final Rule for Disposal
of Controlled Substances. This session will examine the policies and procedures
your ASC needs to have in place to be in compliance with both the EPA and DEA
requirements.
Charlotte Smith, BS, MS, R Ph
GreatWorks
LLC
Implementing an Effective and
Meaningful Peer Review Program (3:15pm–4:15pm)
Peer Review is an integral and critically important component of
an ASC’s clinical activities related to patient safety and quality of care. It
is also a risk/liability management process that protects your ASC’s individual
physicians, entire medical staff, facility and Governing Board, which is,
ultimately, accountable and responsible for all of the operations in your ASC.
This session, presented by a former Medicare surveyor, will focus on the
components needed to build and implement an effective and meaningful peer
review program. Special attention will be paid to compliance with accreditation
and Medicare certification requirements. Examples of process failures that have
led to regulatory and accreditation deficiencies for others will be presented.
Bruce Ettinger, MD, MPH
Ettinger
Health Services Consulting
Nursing Documentation
(3:15pm–4:15pm)
Basic nursing documentation techniques are easily ignored or
forgotten. This session will help you ensure that your documentation meets
requirements, accurately reflects the patient care you provide and protects
your ASC, and its staff and physicians, from preventable risks.
Debra Stinchcomb, RN, BSN, CASC
Progressive
Surgical Solutions
Reimbursement Issues for Ortho,
Eye, GI, Spine, Urology, ENT (3:15pm–4:15pm)
Take a careful look at the Medicare guidelines for the coding
and billing of common procedures in the surgical specialties of orthopedics,
ophthalmology, GI, spine surgery, urology and ENT, including the correct use of
modifiers. Coding mistakes for these high-dollar specialties can cost your
facility thousands of dollars in lost reimbursement every year and expose your
facility to avoidable compliance problems. Make sure that your ASC gets
reimbursed properly for the care it provides while staying clear of compliance
pitfalls when billing these specialties.
Stephanie Ellis, RN, CPC
Ellis
Medical Consulting, Inc.
Risk Management Assessment
(3:15pm–4:15pm)
A comprehensive risk management programs key elements include
process, prevention and planning. Learn practical and proven techniques for
recognizing gaps in risk reduction, actively evaluating potential problems and
engaging your team in safety and quality improvement from this licensed health
care risk manager and certified health care quality manager with more than 20
years of ASC management experience.
Sandra Jones, MBA, CASC, LHRM,
CHCQM, FHFMA
Ambulatory
Strategies Inc.
Valuation of your ASC
(3:15pm–4:15pm)
Presenters Aaron Murski and Chance Sherer, CVA, of VMG Health,
will highlight the key factors they consider when determining the value of an
ASC. They will discuss the current dynamics of the ASC industry, including its
greatest challenges and expectations in the future. Also, they will present the
recent ASC acquisition history, trends they are witnessing, who they consider
to be the major buyers in the ASC market and the motivations driving ASC
acquisitions. Finally, Murski and Sherer will closely examine critical aspects
of an ASC valuation, including the purpose for ASC valuations, the qualities of
ASCs that drive its value and changes in the valuation process depending on if
the acquisition is for a minority or controlling interest.
Aaron Murski
VMG
Heatlh
Chance Sherer, CVA
VMG
Heatlh
Informed Consent in the ASC
Setting (4:30pm–5:30pm)
Explore the nature of informed consent, the legal elements and
possible defenses in an informed consent lawsuit and how informed consent is
best gathered and documented in the ASC setting. Discuss the differences
between informed consent in ASCs and hospitals, risks inherent in the ASC
setting and the differing roles of staff and surgeons.
Kenneth C. Bartholomew, JD
Rath,
Young and Pignatelli, P.C.
Patient Selection in the ASC
(4:30pm–5:30pm)
Enhance you understanding of the concepts and processes behind
ASC patient selection, triage in the ASC setting, best practices for designing
and implementing triage in the ASC setting and managing the controversies that
surround triage in ASCs.
Meena Desai, MD
Nova
Anesthesia Professionals
Steven Butz, MD
Children's
Hospital of Wisconsin Surgicenter
Payer Strategies and Contract
Reimbursement (4:30pm–5:30pm)
Insights into payer contracting strategies and maximizing
reimbursement.
Angie Worley
West
Plains Surgery Center
Peer Review from a Legal
Standpoint (4:30pm–5:30pm)
Peer review is as important to the ambulatory surgery center
setting as to the general acute care hospital. The size, sophistication, and
organizational structure of the surgery center should guide the choice of peer
review policies and procedures.Peer review can be conducted in a
manner that not only makes sense to physicians and ASC leaders but also to
regulatory agencies, accreditation programs, and the courts.With
proper thought, peer review programs and procedures can be designed that take
advantage of the flexibility allowed by outside observers as well as that
achieve their purposes, and that strike the right balance between rigorous,
patient-care oriented review and appropriate respect for collegiality and
fairness.
Judy Semo, JD
Judith Jurin Semo, PLLC
Supplies Optimization—Making
Fewer Resources Work Harder for You (4:30pm–5:30pm)
Supplies typically represent approximately 30% of an ASC's
expenses and often offer the largest opportunity for cost reduction at a
facility. Focus on some of the levers you can use to optimize supply costs in
your ASC. Briefly review some basic best practices, such as supplier
contracting and product simplification (improving discounts by reducing
suppliers and items); then, explore more advanced cost control methods, such as
case cost analytics and perpetual inventory. Leave this session with at least
one or two improvement ideas that you can implement at your facility
immediately.
Chris Klassen
Surgical
Care Affiliates
Using Accurately Documented
Minutes for Your QA Committee and Governing Board to Ensure Regulatory
Compliance (4:30pm–5:30pm)
Ongoing compliance with Medicare's Conditions for Coverage and
the standards established by the various ASC accrediting bodies requires
accurate and comprehensive documentation of the activities of your ASC's
committees and governing board. This session will outline the sections of the
Conditions for Coverage that apply to your ASC's committees and governing
board; provide tools and methods to assist in making your committee and
governing board meetings more effective, efficient and productive; and help you
ensure that your committee and governing board minutes are written in ways that
ensure compliance.
Arthur Casey, CASC
Outpatient
Healthcare Strategies
SOCIAL EVENT (6:00pm–9:00pm)
Buses start leaving hotel at 5:40pm
Florida is known for its Latin influence, and while Miami may have Little Havana, Orlando has Cuba Libre! Come join your ASCA 2015 colleagues at one of Orlando’s favorite night spots: the Cuba Libre Rum Bar. Pass through the doors and leave Orlando behind as you enter Havana, circa the 1950s. Come for a night of Latin flavor from the re-creation of an Old Havana street while enjoying contemporary Cuban cuisine, salsa dancing and, of course, the drink made legendary by Ernest Hemingway but made best by Cuba Libre: the mojito.
Spend your evening on one of two floors, either by dancing the night away on the first floor with Cuba Libre’s DJ or relaxing on the second floor as a solo guitarist serenades you. Buses will leave the hotel starting at 5:40 pm and begin returning around
8:00 pm, with the last bus leaving at 9:00 pm. Join this evening of dancing, dining and Cuban culture for an unforgettable networking opportunity that only ASCA and Orlando
can provide.
Saturday, May 16
Life Safety Standards—Methods for
Compliance (8:30am–9:30am)
Explore the current and proposed requirements for Life Safety
Surveys based on Centers for Medicare and Medicaid Services (CMS) requirements.
Learn about CMS categorical waivers as these pertain to ASCs and how to take
advantage of these waivers in your jurisdiction. Examine what is required, how
to meet the requirements and how to maintain compliance over time.
Bill Phillips, BS, MS, PhD, CGC,
CIAQP, CDT, FMA
RITEway
Building Services
Making Your ASC Safer—Responding
to Serious Adverse Events (8:30am–9:30am)
Estimates indicate that more than two million health
care-acquired conditions are responsible for 90,000 deaths and add $5.7 billion
to health care costs in the US each year. Sentinel events, or Serious
Reportable Events (SREs), are serious, largely preventable and harmful clinical
events that signal the need for immediate investigation and response. Root
cause analysis (RCA) is a structured method used to analyze these events. Get
an overview of the methodology used to detect adverse events and a process for
investigating causes leading to these event that can help you ensure that you
are providing safe patient care.
Polly K. Campion, MS, RN
Healthcare
Quality Consultant
Laurie B Heels, RN, MSN
Dartmouth-Hitchcock
Medical Center
Take Patient Experience to the
Next Level (8:30am–9:30am)
Get the tools you need to move your ASC's patient satisfaction
scores from good to great. A description and plan for the patient experience
will be presented, starting with the surgeon’s office visit and surgical center
scheduling and extending through post-discharge. Tools provided will include:
• Scheduling packets
• Scripts to use with patients, families and surgeons
• Visual posters in the waiting room, preop and PACU
• Take-aways for patients
Margaret Adams, BSN, CASC
Riddle
Surgical Center
Emergency Preparedness in the ASC
(9:45am–10:45am)
What kinds of emergencies and disasters does your ASC need to
prepare for? If you need to respond, what sort of action plan should you have
in place and who else in your community should be involved? Is your ASC performing
all of the drills required? Will your program meet your surveyors'
requirements? Join this audience participation session to get answers to all of
those questions and more as we run through different disaster scenarios that
could affect your ASC and discuss the many ways that your ASC can respond.
Laurie Roderiques, RN, CASC, LNC
Healthcare
Consulting Specialists
OSHA- Recommended Practices for
the OR and Decontamination Area (9:45am–10:45am)
What do Occupational Safety and Health Administration (OSHA) and
fire safety officials look for when they visit your ASC? Find out during this discussion
of the hazards and recommended practices associated with operating room and
decontamination practices. Information will include what the various authority
having jurisdiction (AHJ's) are looking for in regards to OR fire safety with
an emphasis on strategies and prevention.
Tom Salamone, BS
Telgian
Wrong Site Surgery/Use of the
Safe Surgery Checklist in the ASC (9:45am–10:45am)
Effective and meaningful use of
a safe surgery checklist goes well beyond checking boxes. Attend this
session to find important ways to make this simple tool a critical part of your
patient safety program as you focus on:
• Developing a team–oriented checklist;
• Developing a culture of safety;
• Engaging the surgical team;
• Empowering patients and family;
• Implementing and coaching the checklist; and
• Sustaining the gains.
Shane Ricks, BSN Masters in
Health Science
Millennium
Surgery Center
How to Protect Your ASC from
Legal Trouble (11:00am–12:00pm)
Learn how to Identify, evaluate and respond to scenarios that
frequently expose ASCs to liability risk. This session will include real-world
examples and practical solutions (based on the misfortune of others) that
minimize your risk.
William Miller, Esq
Higgs,
Fletcher & Mack LLP
Implementing an In-House RN New
Graduate Program (11:00am–12:00pm)
In response to challenges staffing five ASCs (28 operating and
procedure rooms) in the San Francisco Bay Area with consistent, competent
registered nurses, E3 Healthcare Management designed a cost-effective new grad
RN training program that has been in place since 2011. The program has
graduated 15 RNs, and 90 percent still work for the company today. The training
program begins with a unique introductory phase where the nurses are employed
in administrative support positions lasting from a few weeks to a year followed
by a 3- to 6-month clinical phase during which the nurses rotate throughout the
company's centers. A didactic portion of the training prepares the trainees to
pass the Association of periOperative Registered Nurses and/or American Society
of PeriAnesthesia Nurses certification programs. All of the new grads finish
competent to practice.
Carole Wilson, MSN, FACHE
E3
Healthcare Management
Negotiating Vendor Contracts
(11:00am–12:00pm)
Learn how to interpret the terms and conditions of any vendor
agreement and how to obtain contract terms that favor ASCs. Examples of good
and bad termination language will be provided.
Tim Burns
USPI