纳税人的压力,不断发展的法规, and consumer demand for more convenient and cost-effective care have 加速了外科手术的迁移 cases from traditional hospital sites of service to ambulatory 设置. 而一些bet8网站备用已经 developed an effective ambulatory surgery center (ASC) strategy, others are realizing 如果不这样做,他们可能会永远失去这些案子. 哪里都不是这样 more evident than in women’s health, as services such as gynecology, breast surgery, and reconstructive surgery transition from hospitals to outpatient 设置.
This is the second of a two-part series on why hospitals and health systems need to incorporate an ambulatory surgery plan into their overall women’s health strategy.
阅读第一部分类似于妇女的健康适应 to the migration of imaging services decades ago, leading women’s health programs, whether part of a dedicated women’s hospital or within a larger health system, need 实现长期可持续发展的ASC战略. 下面是四个关键步骤 女子项目需要在设计时进行.
1. 理解你的项目愿景
Determine the types of services that should be provided and the patients they will cater to. These decisions will be unique to each organization based on its specific needs and vision for the delivery of care. 常见的情况有以下几种:
- 在第一个场景中, 一个更小的, dedicated women’s health campus without an ASC may identify close to 2,000名妇女的手术(e.g., 子宫镜检查, 子宫肌瘤手术, breast biopsies or reconstruction) that are at risk for migrating out of the system completely and decide that developing a small, one- or two-room licensed ASC on campus will be necessary to keep those cases within the system.
- 在第二个场景中, a large health system that has embraced women’s health as a cornerstone of its overall strategy may choose to develop a large, 多专业ASC能够提供负担得起的, comprehensive surgical care to all members of a woman’s family, with women’s health services being a key service among a broader offering.
2. 聘请合适的bet8网站备用
Critical to the success of any ASC is an engaged group of surgeons who are intimately involved with the facility’s planning, 日常操作, 还有管理——在很多情况下, 投资者在中心吗. 在计划过程的早期, engage potential surgeons to gauge their interest in being a part of the ASC.
Essential to any women’s program is the ability to provide convenient, customizable care. Identify physicians whose perspectives on care delivery align with this vision. 此外, knowing which surgeons will be involved will drive other key aspects of ASC planning, 包括预测病例数量, 了解房间容量需求, 并制定一个形式, which will ultimately determine the feasibility of the enterprise.
经常, a joint venture between the hospital and physicians is the optimal method for creating alignment between the parties, 因为这意味着bet8网站备用将有“切身利益”.” A common historical equity model was often a 51%/49% split between the hospital and the physicians; however, partnerships with higher hospital equity—say 70%—are becoming increasingly more common, as hospitals can optimize resources to better fulfill capital requirements (like robotics) and may be able to negotiate stronger contracts with payers.
3. 决定是从零开始还是投资
Once you’ve determined your specific ambulatory surgery needs and identified potential surgeons for involvement, decide whether to create a de novo ASC or buy into an existing one. 每种选择都有优点和缺点.
- 例如, 购买现有的, well-managed ASC often mitigates the steep learning curve associated with building and running a brand new center; however, it may mean compromising on other aspects of the partnership (e.g.(权益和/或控制权减少).
- 相反, developing a de novo ASC could allow for the creation of a surgery center that is highly customized to serve the unique needs of the program’s patients. But opening a de novo facility can be a painful experience without the assistance of a third party with ASC expertise.
其他需要考虑的问题:
- ASC的理想位置是什么, 这将如何影响bet8网站备用的日程安排, 患者体验, 以及你的战略设施总体规划? 例如, does your organization have an existing or planned outpatient women’s center that could host the ASC?
- ASC将提供哪些bet8娱乐, and what other services or facilities might they pair well with?
- How many ORs are needed, and what is the minimum viable number?
- How will the ASC fit into your broader women’s health strategy?
4. 不要像管理医院一样管理ASC
要么在规划和设计期间 process or once the center opens, organizations that are dipping their toe into the ASC space often make the same mistake of developing and running the 像医院一样的设施. Remember why physicians and patients prefer having procedures performed at ASCs: care tailored to each patient, fewer delays, lower costs, higher 护患比,降低感染风险等. 不幸的是,医院 often can’t help themselves; when they see the shiny new toy next door—a beautiful ASC—despite intending to provide support, they frequently introduce unnecessary 官僚和行政负担. 避免这种诱惑,并使 ASC尽可能高效地运行.
大胆尝试
While women’s health programs across the country recognize that an ASC is a crucial component to providing comprehensive and convenient care to their patients, ASC领域通常是一个陌生的领域. It can also be challenging to understand how an ASC plan fits into a broader women’s health strategy. Don’t go it alone; hire someone with ASC experience or contract with a third party with relevant expertise to ensure your enterprise is successful and the women’s health service line achieves its objective.
HOSPITALS AND HEALTH SYSTEMS NEED TO INCORPORATE AN ASC PLAN AS PART OF THEIR OVERALL WOMEN’S HEALTH STRATEGY.
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出版于2022年8月24日