8 Maximize relationships. Consider enlisting the services of a consultant and maximize
what your consultant provides. Accreditation can
be complex. If your state requires accreditation,
it’s not just the accreditation they can assist you
with. They can provide a list of architects,
contractors, device companies, equipment
companies, vendors, etc. Leverage the relationship to maximize value to avoid consulting with
or hiring multiple experts. The guidance of an
accreditation consultant can drastically minimize mistakes and unnecessary costs.
The same holds true for the device company.
Medical reps commonly have existing relationships with architects, local contractors for
build-outs, and other vendors and services.
A device company rep is a great resource to
leverage, as they have experience doing exactly
what is necessary to make sure your build-out is
done with the least amount of cost/space needed
to succeed. This minimizes risk and liability by
establishing high-quality policy and procedures
that will be the backbone of your surgical suite.
Because it is in the best interest of the device rep
to make this as convenient, safe, and cost effective as possible, they should be happy to help.
And, if you outsource anesthesia, leverage
their knowledge as well. For instance, Mobile
Anesthesiologists works with multiple practices
and specialties, and they’re able to utilize their
knowledge and relationships.
9 Set patient criteria and selection parameters. Work with your nurses and anesthesia partner to formulate an outpatient
patient-selection criterion specific to the procedures you perform in the
office. Keeping sick patients with comorbidities in the hospital ensures
minimizing the chance of a patient emergency. Include the comfort you
have with each patient type and their health history, including age, allergies, past surgeries, other ailments, cardiac history, etc. Your plan should
also include insurance parameters (i.e., will you get paid if done in-office,
or does the plan require patients to be treated at a hospital?) as well as
applicable state mandates.
has to offer. The expertise is there
for the taking if you know where to
look and who to ask.
Don’t get paralyzed by false
assumptions on how daunting,
overwhelming, or costly this can be
because the benefits are too great
to ignore, and the marketplace is
already on the bandwagon.
The healthcare industry is
changing. Taking a wait-and-see
approach to declining reimbursements is no longer enough. Look for
ways to make up lost revenue and
secure long-term financial health.
For many, a transition to office-based surgery is the answer to a
sustainable, profitable future.
Scott Mayer is CEO of Mobile Anesthesiologists, a turnkey, peri-operative, and
anesthesia solution for office-based
surgery, working exclusively in this
setting for over 20 years.
If you plan to keep anesthesia in-house,
key considerations include:
X Sedation elements you will use
X Revenue, liability, and costs associ-
Embrace the Change
ated with who provides the anesthetic
If you are not trained in anesthesia,
it is difficult to know the needs and
idiosyncrasies required for a safe and
While the move to an office-based
surgical environment may seem
overwhelming, it doesn’t have
to be. Medical device vendors,
insurance carriers, anesthesia
providers, patients, and others
see value in this new model.
Therefore, they will do all they can
to make things easy for physicians and their practices in this
regard. Leveraging their expertise
and assistance minimizes out-of-pocket expenses and avoids
a large, upfront cash output.
Also, reach out to your bank/
lender to learn about low interest
and interest-free options on equipment and facility improvements.
There are many ways to protect
yourself financially and liability-wise
as you take advantage of everything
the office-based surgical setting