Ambulatory Surgical Centers

Question 1

Types of ASC’s

Answer 1

1. The hospital operating room
   • Inpatient basis
2. The hospital outpatient surgery department
   • Outpatient and inside of the hospital facility
3. The freestanding ambulatory surgery center
   • Outpatient and is completely separate facility

Question 2

Two most common physician specialty categories

Answer 2

Internal Medicine - ends in ology

Surgery - ends in surgery

Question 3

Two things that changed how surgeries are performed and date

Answer 3

• The development of the computer chip camera that permitted the visualization of organs, joints and body orifices without major incisions
• The development of the freestanding ambulatory surgery center by two anesthesiologists in Phoenix, AZ
• 1970

Question 4

Most complicated part of hospitals to manage

Answer 4

OR’s

Question 5

Surgery Departments in order of where patient starts

Answer 5

Patient transportation - Pre-Op - Anesthesia - PACU (Post Anesthesia Care Unit) - OR - Transportation - Imaging -Central Sterile Supply - Pathology Lab

Question 6

What do physicians value?

Answer 6

Respect
Autonomy
Control
Efficient
Quality Patient Care
Time

Question 7

Why were ASC’s created and some advantages?

Answer 7

1. Scheduling delays
2. Limited operating room availability
3. Department budgets
   - made it 50% cheeper
4. Slow “turnover” (cleaning of operating rooms between surgical procedures)
5. Interruptions caused by emergency cases and policies and procedures of the hospitals
6. Lower nosocomial infection rates
   - went from 4-5% to .4% in ASC’s

Question 8

Ownership of ASC’s

Answer 8

61% Physicians
16% Hospital/Physician
11% Corporate/Physician

Question 9

Hospital Licensure

Answer 9

• # of inpatient beds
• # of OR’s
• Regular Outpatient (HOPD)
• Special Procedures
• Endoscopy and Pain Control

Question 10

ASC Licensure

Answer 10

• # of OR’s
• Outpatient
• Special Procedures
• Endoscopy and Pain Control
• Can only hold a patient for 23 hours or less
• Required to have a transfer agreement that is a licensed inpatient facility

Question 11

Top performed surgery in ASC’s and type of Dr. that does it

Answer 11

Phacoemulsification - Removal of Cataracts and Replacement with Intraocular Lenses
- Eyes
Ophthalmologist

Question 12

Minimally Invasive Surgeries

Answer 12

1. Laparoscopy
   - Minimally invasive surgery done in the abdomen
2. Arthroscopy
   - Surgery done in the joints
3. Gall bladder removal is one of the most common minimal invasive surgeries