Detailed Schedule

Wednesday, April 17

 

CASC Review Course (8:00am–6:00pm)

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 review 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. Actual test questions will not be provided.

Member: $250, Full price: $365

 

Chris E. Bockelman, CPA CASC

Foundation Surgery Center of Oklahoma


Norman L. Burnette, Jr., CPA CASC

Baylor Surgicare at Fort Worth I & II


Raymond E. Grundman, MSN MPA FNP-BC CASC

Accreditation Association for Ambulatory Health Care


Mary K. Ryan, RN MBA CASC

Tri-State Surgery Center


Debra Stinchcomb, RN BSN CASC

Progressive Surgical Solutions, LLC



Pre-Meeting Workshops (1:00pm–5:00pm)

 

Achieving and Maintaining Life Safety Code Compliance

Protect yourself from over-zealous surveyors and under-performing design professionals. The Centers for Medicare & Medicaid Services (CMS) holds every ASC directly responsible for complete and continuous compliance with the Physical Environment Requirements found in the CMS State Operations Manual and CMS-referenced National Fire Protection Association standards tied to the Life Safety Code, regardless of prior approval. This session will identify and explore those requirements and potential complications involving local and state requirements. Processes for ensuring initial approval and maintaining continuous compliance will be presented. Leave this session better informed than many of the regulatory officials and design professionals that you will encounter.

Member: $125, Full price: $255

 

William E. Lindeman, AIA NCARB

ASComply.Com & WEL Designs, PLC

 

HR Issues in the ASC

In this four-hour, interactive workshop, Marcus Crider, a partner with the Waller law firm, will cover a variety of employment law and human resources (HR) issues common to ASCs. Engage with Crider and fellow attendees in lively discussions about critical issues, such as using social media safely and effectively; conducting effective workplace investigations; dealing with co-worker or supervisor harassment; managing the problem employee; getting buy-in from your supervisors; untangling the ADA/FMLA/workers’ compensation web; and avoiding common wage and hour pitfalls. In the final portion of the program, Crider will moderate a panel discussion of HR professionals from leading ASC companies. This discussion will provide real-life examples and advice on how to take on and avoid the most difficult HR and employment law problems. 

Member: $125, Full price: $255

 

Marcus M. Crider

Waller

 

Becky Monroe, SPHR

Symbion, Inc.


Laurie T. Roderiques, RN CRNFA CASC

Northeast Surgical Care

 

Preparing for AAAHC Accreditation

Led by experienced Accreditation Association for Ambulatory Health Care (AAAHC) surveyors, this pre-meeting workshop will review AAAHC standards, provide tips on compliance and help your ASC prepare for a AAAHC accreditation survey.

Member: $125, Full price: $255

 

Raymond E. Grundman, MSN MPA FNP-BC CASC

Nancy Jo Vinson, RN BA CASC

Accreditation Association for Ambulatory Health Care

 

Preparing for Joint Commission Accreditation

Join this overview of Joint Commission accreditation standards to get the tools you need to ensure continuous compliance and operational improvement at your ASC. Learn about recent changes in the standards and the keys to success for the on-site accreditation survey.

Member: $125, Full price: $255

 

Jay R. Afrow, DMD MHA

The Joint Commission



Specialty-Specific Interactive Sessions (4:00pm–5:00pm)

Get to know and exchange ideas with your colleagues who work in ASCs that serve the same specialties as your ASC. During these interactive sessions, the speaker will present three 15-minute segments on the hottest topics in your specialty. The last 15-minute segment will be devoted to the participants who will be invited to share real-life experiences and practical advice, then brainstorm together to find new approaches to the unique challenges of your ASC. These sessions are offered at the very beginning of the conference to afford you the opportunity to make valuable connections with your peers and begin conversations that can continue over the next three days.

GI
Michelle Day, RN MSN CGRN
Hartford Hospital


Multi-Specialty
Stephanie Martin BSN RN CNOR
St. Augustine Surgery Center


Ophthalmology
John R. Grant, MBA MHA
AMSURG

Ortho/Pain
Tony Forgione, LPN CST
Quincy College



Welcome Reception (5:30pm–7:00pm)
(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’oeurves, 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 cash prize give-a-way. With food and drink representing the neighborhoods of Boston, our Welcome Reception willstart the meeting right!


Thursday, April 18

 

Exhibit Hall Continental Breakfast (7:00am–8:00am)


Stop by the Advocacy Coffeehouse at the ASCA booth for your morning latte and learn how to make your voice heard in the halls of Congress. Complimentary lattes and other specialty coffee and tea beverages provided by ASCA Government Affairs Department.

Exhibit Hall Open (7:00am–2:00pm & 5:30pm–6:30pm)

 

General Session (8:00am–10:00am)

 

ASCA’s Annual Membership Meeting

Meet ASCA’s volunteer leaders and find out more about new programs and services ASCA is offering and our plans for the year ahead.

 

Keynote Presentation - Tom Morris, Ph.D., the "World's Happiest Philosopher"

Tom Morris, Ph.D, is a philosopher who helps to change lives and revolutionize business practices. He is the author of the highly acclaimed and best-selling leadership classic If Aristotle Ran General Motors and is known for bringing the insights of the great thinkers into the drama of everyday life with high energy and good humor. As a public philosopher and advisor to the corporate world, Morris’ audiences have included such organizations as Toyota, Merrill Lynch, Verizon, IBM, Coca Cola, The US Air Force, NBC Sports, the American Heart Association and more. Morris holds a Ph.D. in philosophy and religious studies from Yale University and served for 15 years as a professor of philosophy at the University of Notre Dame. Morris is now chairman of the Morris Institute for Human Values and blogs regularly at The Huffington Post. His latest book is Twisdom (Twitter Wisdom): A Philosopher Ponders Life in 140 Characters or Less.

Exhibit Hall Coffee Break (10:00am–11:00am)

 

Breakout Sessions (11:00pm–12:00pm)

 

Conquering the Third Party Payor Cliff

Learn tricks of the trade to master accounts receivables management of third party payors. Discussion will include out of network appeals, third party contracting and negotiations.

Lisa Rock

National Medical Billing Services

 

Duties and Responsibilities of Your ASC’s Governing Board

Review the areas of oversight that your ASC’s governing board must manage to comply with CMS’ Conditions for Coverage. Ways to present this information and items that your board members review annually will be presented.

Margaret M. Orman, RN BS

Healthcare Consultants International

 

Emerging Trends in Orthopedics

Discuss the evolution of orthopedic surgery, from milestones in medical advancement to current trends in surgery. Review emerging procedures, new techniques and advancements in implants and equipment. Then, look at how those trends affect the clinical and financial health of your ASC. Topics will include staff training, facility needs, cost, reimbursement, increasing demand tied to an aging population, physician shortages, competition in the orthopedic device space and ways recent economic trends are affecting this specialty.

Larry D. Taylor

Practice Partners in Healthcare, Inc

 

Following the Standards to Reduce Patient Risk

Analyze real-world examples of adverse patient events that probably would not have occurred if the ASCs affected had adhered to the Association of periOperative Registered Nurses’ Standards and Recommended Practices and their facility's accreditation standards.

Jan Davidson, MSN RN CNOR CASC

Association of periOperative Registered Nurses (AORN)

 

Managing Drug Shortages

Drug shortages across the country are affecting the anesthesia and surgical services that ASCs provide. Find out if alternative drugs are available, the financial ramifications for your ASC and your patients, and whether a compounding pharmacy remains a viable option. Recommendations to help your ASC prepare for future shortages will be discussed.

BobbieJean Sweitzer, MD

University of Chicago

 

Strategies to Combat Market Consolidation

Examine current marketplace trends across the country that are threatening the viability of ASCs—including physician employment, hospital-owned insurance companies and health system purchases of freestanding ASCs. Delve into real-world examples of what has worked to keep independent ASCs independent in their local markets. Learn how this ASC owner classifies large health care institutions in stages ranging from stage one, where the hospital is truly just a tertiary care setting, to stage five, where the hospital system is established in multiple locations, employs several physicians and, in collaboration with local health insurance providers, appears to be on the verge of becoming a monopoly in its community.

Michael A. Guarino

North Shore Surgi-Center

 


Exhibit Hall Luncheon (12:00pm–2:00pm)



Breakout Sessions (2:00pm–3:00pm)

 

Building and Sustaining a Culture of Safety

Explore the importance of creating a culture of safety where every employee feels empowered to ensure that the right thing is being done for every patient every time. Discuss what a Culture of Safety looks like and the shift from risk management to performance improvement that has occurred in the health care industry in recent decades. Specific steps that your ASC can take to improve the safety of your patients and employees and sustain a culture of safety in your ASC will be provided.

Ann Shimek, RN BSN MSN CASC

United Surgical Partners Inc.

 

CMS Quality Reporting for ASCs

Examine the steps you need to take to comply with Medicare’s new quality reporting program, including  definitions of the terms you need to know and answers to many of the questions ASC professionals ask most. Learn about the measures you need to report and how to report them. Current information about new developments in the program will be provided.

Donna Slosburg, RN BSN LHRM CASC

ASC Quality Collaboration

Gina A. Throneberry, RN MBA CNOR CASC

Ambulatory Surgery Center Association

 

Credentialing Physicians, Staff and Vendors

Physicians are not the only individuals who must be credentialed to practice in your facility. Allied health providers, staff and vendors all must receive scrutiny related to competence, training and background checks. Discuss credentialing in general; physician credentialing in particular; and the credentialing of other providers who you cannot ignore. Make sure that you have the tools you need to put an effective, efficient and detailed credentialing program to work to protect the safety of the patients in your facility.

Ann Geier, MS RN CNOR CASC

Ambulatory Surgical Centers of America

James X. Stobinski, PhD RN CNOR

Competency and Credentialing Institute

 

Financial Benchmarking 101

ASCs are under continuous pressure to provide high quality care at the lowest cost possible. Determining how your facility compares to other ASCs is a critical component in prudent financial management. This session is designed for individuals with limited exposure to the concepts and processes of basic financial benchmarking. Administrators, business office managers and all other ASC staff involved in the finances of their ASC are invited to participate. Gain a new understanding of the need for benchmarking and insight into how to develop facility benchmarks to compare financial performance measures. The session will also provide a guideline that you can use to compare your facility results with those benchmarks that are publicly available.

Terry Bohlke

National Surgical Hospitals

 

Nursing Documentation

What constitutes an appropriate physician’s order? Are you documenting the appropriate response to treatment?  What should you document in the record and on the incident report should an incident occur? The patient record is the key to communications regarding individual patient care. Brush up on your nursing documentation skills to facilitate communication within your ASC, promote good nursing care, support quality assurance activities and meet professional and legal standards.

Debra Stinchcomb, RN BSN CASC

Progressive Surgical Solutions, LLC

 

OSHA: Are You Compliant? (Also offered Friday at 11:00am)

Being prepared at all times for an Occupational Safety and Health Administration (OSHA) survey requires continual compliance with a number of OSHA requirements. Review the elements of an OSHA Safety Plan, including a comprehensive list of required annual education for all employees. Get a comprehensive OSHA Survey Checklist to assist your ASC in preparing for a survey and an education checklist to assist in tracking employee compliance with OSHA’s education requirements and competencies.

Beverly Ann Kirchner, BSN RN CNOR CASC

Genesee Associates

 

Afternoon Break (3:00pm–3:15pm)
(Sponsored by Cerner Corporation)

 

Breakout Sessions (3:15pm–4:15pm)

 

Anesthesia in an ASC: Coverage, Compliance and Controversies

Find out how to configure and implement anesthesia coverage in your ASC. Special attention will be focused on departmental organization and integration with all aspects of anesthesia departmental activities, including regulatory compliance and the provision of high quality patient care. Clinical considerations pertaining to pre-, intra- and postoperative management will also be discussed. Leave with real-world approaches to the anesthesia-related financial, clinical and operational issues that confront ASCs every day.

David M. Shapiro, MD CHC CHCQM CHPRM LHRM CASC

 

Financial Benchmarking 201

Take an advanced look at the financial benchmarks available in the ASC industry and evaluate how you can use these tools to improve the fiscal operations of your center. The discussion will include practical advice on how to set realistic targets for labor, supplies and other fixed and variable costs based on available financial benchmarking data. Focus will be on how to report data within the organization and to your ASC’s governing body to improve decision making and operational goal-setting.

John J. Goehle, MBA CPA CASC

Ambulatory Healthcare Strategies, LLC

 

Health System ASC Transactions

Due to the consolidation resulting from health reform, as well as heightened commercial and governmental reimbursement in the hospital and health system setting, health systems and individual hospitals have moved into the ASC industry in a monumental way. This session will address the driving factors behind these transactions and how the deals are being structured.

Jerry J. Sokol, Esq

McDermott Will & Emery, LLP

 

Managing Controlled Substances in Your ASC

Several high-profile court cases involving controlled substances and health care workers in recent years highlight the need for a comprehensive plan for managing these substances and keeping your employees and your ASC out of harm’s way. Make sure you are up to date on the latest regulatory policies and enforcement techniques available to the US Drug Enforcement Administration (DEA), which regulates the management of controlled substances in your ASC.

BobbieJean Sweitzer, MD

University of Chicago

 

Peer Review Essentials

Medical chart reviews are just one part of a peer review program. Learn how to establish and maintain a comprehensive peer review program, and get tools you can use to improve buy-in from physicians and make peer review less daunting for the ASC manager.

Ann Geier, MS RN CNOR CASC

Ambulatory Surgical Centers of America

 

You Gotta Be Kidding Me!...Are We STILL Talking about Artificial Nails? Really?

Get a new, fresh and humorous perspective on how to implement best practices in infection prevention in your ASC. This entertaining and interactive session will include workgroup exercises, a team challenge activity and open forum discussions on how ASC health care workers manage the challenges involved.

Lee Anne Blackwell, RN BSN EMBA CNOR

Practice Partners in Healthcare, Inc.

 

Breakout Sessions (4:30pm–5:30pm)

 

Daily and Monthly Dashboard Statistics

What numbers do you need to watch, how often do you need to look at them and what should you do when they change? Identify the statistics that successful ASCs monitor and which numbers apply to your ASC. Explore data-driven action steps that facilitate assessment, planning, implementation and the evaluation of your organizational effectiveness. Learn the terminology you can use to improve clinician involvement in embracing measurement and management of performance in your ASC.

Elodia Flores, RN CASC

Outpatient Healthcare Strategies

 

Medication Safety in the ASC

There are competing challenges for ensuring safe medication use in the ambulatory setting. The revision to the Association of periOperative Registered Nurses’ Safe Medication Use Recommended Practice Guideline (RPG) is a blueprint for minimizing the risk of adverse drug events. This session will explore the RPG and highlight opportunities to overcome barriers within the ASC setting.

Rod Hicks, PhD RN FNP FAANP FAAN

Western University College of Graduate Nursing

Linda J. Wanzer, DNP RN CNOR

Uniformed Services University of the Health Sciences, Graduate School of Nursing

 

Moderate Sedation: Are We Managing It Properly?

CMS, the various ASC accrediting organizations and the professional societies concerned with anesthesia all have recommendations and requirements about the administration of moderate sedation. Find out how to apply all of these standards to provide moderate sedation safely in your facility.

Beverly K. Philip, MD

BWH Anesthesiology

 

Peer Review and the National Practitioner Data Bank

Do you know the process, duties and responsibilities of your facility in reporting to the National Practitioner Data Bank (NPDB) when investigating and disciplining health care providers with privileges at your facility? Does the NPDB Final Rule apply to your facility? Do you have to comply?  Get answers to these questions and much more in this session dedicated to identifying some common NPDB issues, explaining the NPDB’s Final Rule and considering how state peer review and reporting laws interact with the NPDB.  Specific scenarios that could arise at your facility will be identified. Also discussed will be the information that your ASC may be asked to report, which states require that reporting and whether the information your ASC could be asked to provide would be confidential under state peer review laws.

Angela T. Burnette, Esq.

Alston & Bird, LLP

 

The Ins and Outs of ASC Billing

ASCs are bombarded with information about coding, billing and collections from many different sources every day. Regulation, laws and payer policies all apply, and updated and accurate information is essential. What information, tools and education should you provide to your ASC’s billing staff to ensure that they can do a great job? This session will walk business office managers and others through the essentials of billing in an ASC.

Alina Logan, CPC CPC-H CPC-I

AMSURG

 

Using Case Costing and Payer Contract Performance to Improve Your Bottom Line

Attend this two-part session to learn how to use case costing data to improve net revenue and enhance your ASC’s financial performance. Find out how to control costs and increase revenue at the same time by addressing payer contract rates and performance.  Gain a working knowledge of how to conduct case costing analyses, apply the information you gather in meaningful ways and identify which key performance indicators are essential to improving your ASC’s net revenue during contract negotiations.

Arthur E. Casey, CASC

Outpatient Healthcare Strategies

Scott Pruzan

Outpatient Healthcare Strategies

 

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 inspired by southern cuisine—the perfect taste of what’s to come at ASCA’s annual meeting in Nashville next year. 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, April 19

 

Continental Breakfast (7:00am8:00am)

General Session (8:00am–10:00am)

 

A View from the Front Line

Join a panel of administrators from some of the top performing ASCs as they examine and discuss issues they encounter at their center.  Get the information you need to enable you to make decisions that will position your ASC for the future. 

Jesseye Arrambide, RN BSN CNOR
Oregon Outpatient Surgery Center

Lisa A. Austin, RN CASC
Pinnacle III

Debra Baker, MBA LHRM CASC
Florida Orthopaedic Institute Surgery Center

Andrew Weiss, CASC
The Endo Center at Voorhees

Forecasting the ASC Future

This panel of experts will explore what the next few years hold for ASCs. The future of the industry will be examined from several perspectives: Medicare, private pay and ASC transactions.
Scott Becker, JD CPA
McGuireWoods LLP

Nap Gary
Regent Surgical Health

Marian Lowe
Strategic Health Care

Marcus Williamson
Symbion, Inc.


Exhibit Hall Open (9:00am–11:00am)  

 

Exhibit Hall Drawings and Coffee Break (10:00am–11:00am)  

 

Breakout Sessions (11:00am–12:00pm)

 

Best Practices for Pre-Admission Areas

Pre-admission assessments are critical to ensuring safe, quality care for patients in ASCs. Gain insight into what makes a pre-admission center function well and able to provide the necessary assessments needed to deliver quality care for your patients. Best practices and a variety of staffing models will be discussed.

Jane Kusler-Jensen, RN MBA BSN CNOR

Deloitte Consulting

 

Clinical Benchmarking 101

Clinical benchmarking gives your ASC an opportunity to compare performance measures and use the information you collect to help focus your quality improvement activities. Get an introduction to internal and external benchmarking options, resources and methods that can help you establish an effective benchmarking program in your ASC.

Sandra J. Jones, LHRM CHCQM FHFMA CASC

ASD Management & Ambulatory Strategies

 

Federal Affairs Update

Learn about ASCA’s legislative and regulatory agenda for the coming year, and how recent legislative and regulatory changes taking place in Washington could affect your ASC. Attendees will also learn about ways they can become more involved in ASCA’s advocacy efforts.

Marian Lowe

Strategic Health Care

Steve Miller

Ambulatory Surgery Center Association

 

Online Pre-Op Screening: A Win–Win for Patients, Staff and Administrators

Do you have difficulty getting preoperative calls made on time for all of your patients? Let your patients do the work! Making the transition from paper to an online digital preoperative screening form is not difficult and may benefit your ASC in important ways, including saving thousands of dollars in reduced or redirected nurse labor hours and avoided cancellations.  You can also gain legible, consistent medical information and improve patient satisfaction with a convenient, secure web-based process. Find out what is involved in going digital from an ASC administrator who has been using an online preoperative screening system for two years and an industry expert familiar with the medical and financial benefits.

Trish Corey

Simple Admit, LLC

Becky Ziegler-Otis, RHIA CPHQ CHC CASC

Ambulatory Surgical Center of Stevens Point

 

OSHA: Are You Compliant? (Also offered Thursday at 2:00pm)

Being prepared at all times for an Occupational Safety and Health Administration (OSHA) survey requires continual compliance with a number of OSHA requirements. Review the elements of an OSHA Safety Plan, including a comprehensive list of required annual education for all employees. Get a comprehensive OSHA Survey Checklist to assist your ASC in preparing for a survey and an education checklist to assist in tracking employee compliance with OSHA’s education requirements and competencies.

Beverly Ann Kirchner, BSN RN CNOR CASC

Genesee Associates

 

Protecting Patients' Rights in Your ASC: What's New in Compliance, Audits and Certification?

CMS, the Health Insurance Portability and Accountability Act and the various ASC accrediting bodies all agree: ASCs have an obligation to respect patients’ rights. That includes obligations to honor advanced directives, protect privacy and security and provide notice of rights and responsibilities. ASCs must also comply with state laws governing patients’ rights, privacy, living wills, “do not resuscitate” orders and durable power of attorney for health care. What are the compliance requirements for ASCs? What’s new? What are the surveyors asking for? Where are ASCs most commonly at risk? Are there any legal tips that can help ASCs comply? Attend this session to find out.

M. Leeann Habte, JD
Larry Vernaglia, JD

Foley & Lardner LLP

 

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 and inspired when our featured speaker Dan Thurmon takes the stage. Dan's message and philosophy can be summarized by the title of his book, "Off Balance On Purpose." He believes that we will never achieve "perfect balance" and should, instead, learn to embrace uncertainty and initiate positive changes that lead to growth. Dan will uniquely convey how we can go beyond the pursuit of "success" and enhance our life experiences and professional endeavors with purposeful, positive contributions. 

 

Breakout Sessions (2:00pm–3:00pm)

 

Best Business Office Practices: Assessing the Success of your Coding and Billing Department

Get practical tools and advice for assessing the coding and billing function within your organization, whether you code and bill in-house or use an outside billing company. Find out how to analyze billing reports, accounts receivable, agings and days in receivables; what is an ideal structure for your billing department and how to develop proper controls over the function; how to ensure that your coding is done properly; and how to hire coders. The importance of coding audits will also be addressed.

Cristina Bentin, CCS-P CPC-H CMA

Coding Compliance Management, LLC

John J. Goehle, MBA CPA CASC

Ambulatory Healthcare Strategies, LLC

 

Overexposure: Risks Related to Disclosure of Preoperative Testing Results to Third Parties

Join this lecture/discussion session to find out how to manage the risks associated with inadvertent or purposeful disclosure of preoperative testing and screening results to patients’ employers and family members or other third parties.

Stephen Adams, Esq.

Taylor Duane Barton & Gilman, LLP

 

Patient Collections You Can Brag About

Focus on increasing patient collections using specific techniques, phrasing, patient education and technology. Gain insights from a first- and third-party perspective about how to collect the reimbursement you are due from each patient. Topics will include the best contact days/hours, what information is vital to have on an application to help the collections on the back end, using dialer technology and more. Statistics generated in a recent transition from a third-party to first-party collections system will be presented.

Jason Bradford

Outsource Receivables Management

Gavin Duckworth

abeo

 

Pharmaceutical Waste Management Challenges and Opportunities

Approximately 5% of pharmaceuticals on the market become a hazardous chemical waste when discarded and must be managed under the cradle-to-grave regulations of the US Environmental Protection Agency’s (EPA) Resource Conservation and Recovery Act. EPA and state environmental protection agencies are now moving beyond the acute care setting and on to other care providers to conduct on-site inspections. Attend this session for an introduction to the basics of hazardous waste regulations as they apply to pharmaceutical waste. Participants will also receive a well-defined action plan including step-by-step implementation decisions. Topics will include categorizing your pharmaceutical waste, what to sort or not, container selection and placement, determining your hazardous waste generator status, choosing your waste vendor and cost-effective alternatives available to ASCs.

Charlotte A. Smith, R.Ph MS

GreatWorks, LLC

 

Preventing Surgical Fires

Surgical fires, while relatively infrequent (about 600 per year in all health care settings), can be disastrous or fatal. Continuing incidents and recent publications by organizations including the ECRI Institute, the American Society of Anesthesiologists and state health and safety offices, along with surgeons’ acceptance of the ASA May 2008 Practice Advisory on preventing surgical fires us of the imperative of preventing this hazard. Explore the causes of surgical fires, their prevention and methods of extinguishing a fire burning on or within a patient. New initiatives by state and accrediting agencies and case studies will be discussed. Handouts, educational posters and citations to free Internet resources will be provided.

Mark Bruley, BS CCE

ECRI Institute

 

The Safe Surgery Checklist and the ASC

To avoid future reductions in your ASC’s Medicare reimbursements, you are required to report whether you are using a safe surgery checklist. Medicare’s plans for informing the public about the information collected from these reports remain unclear, but if all of that is released publicly, any ASCs that report  that they are not using a checklist could face public scrutiny of their patient safety policies. Join this session to find out how to adopt elements that make sense in an ambulatory setting from hospital checklists and how to comply with this new CMS requirement for ASCs.

Steven Butz, MD

Surgicenter of Greater Milwaukee

 

Afternoon Break (3:00pm–3:15pm)
(Sponsored by Nueterra)

 

Breakout Sessions (3:15pm–4:15pm)

 

Clinical Benchmarking 201: Moving from Data Collection to Performance Improvement

You gather and compare data. Now what? Learn how to use the clinical benchmarking information you collect effectively and drill down to find opportunities to improve your processes, procedures and patient care.

Ann Geier, MS RN CNOR CASC

Ambulatory Surgical Centers of America

Sandra J. Jones, LHRM CHCQM FHFMA CASC

ASD Management & Ambulatory Strategies

 

Deadly Caring: The Effects of Substance Abuse on Perioperative Care Givers

Dr. William S. Halsted, widely recognized as the father of modern surgery, was addicted to morphine until the end of his life. 'Dr. Bob Smith,' a surgeon and alcoholic, was a cofounder of Alcoholics Anonymous. The American Nurses Association estimates that between 10% and 20% of nurses have substance abuse problems. Chemical dependency is a primary, chronic disease with genetic, psychosocial and environmental factors. It is often progressive. Examine current and future trends in substance abuse as it impacts perioperative practice. Discussion will include the prevalence of substance abuse among health care workers, intervention, treatment and workplace re-entry, as well as advocacy, networking and policy formation.

Cecil A. King, MS RN

Outer Cape Health Services

 

High-Level Disinfection and Technician Certification

When performed correctly, high-level disinfection should result in a device that is safe for patient use. Performed incorrectly, the patient is at risk for injury. Your ASC needs an effective quality control program in place to promote best practices. Discuss the components of such a program and identify best practices related to high-level disinfection. Also, consider whether technicians should be certified in your ASC. Only New Jersey currently requires technicians to be certified, but more than 30 states are considering legislation that would make certification mandatory, and certification is increasingly becoming a facility requirement for employment. The benefits of certification, obstacles to becoming certified and reasons why managers should suport certification will be presented.

Cynthia Spry, MA MS RN CNOR CSIT

 

Medicare Inspections and Survey Readiness

CMS released new interpretive guidelines for its Conditions for Coverage for ASCs in May 2009. Many substantial changes were incorporated. Determine how those changes, and the updates and clarifications issued since that time, affect your ASC. Also examine common current CMS survey deficiencies and get tips and tools you can use to to help your ASC prepare for a CMS survey. Whether or not your ASC is CMS-certified, you can gain important information that can help you deepen the culture of patient safety and promote efforts aimed at eliminating preventable health care harm in your ASC. All ASC administrators, nurses and medical directors are invited to participate.

Jan Allison, RN CHSP

Surgical Care Affiliates

 

Clinical and Comfort Benefits of Prewarming ASC Patients

Explore the process of prewarming patients, with an emphasis on why prewarming is beneficial in preventing unintended perioperative hypothermia. Discuss of the body's thermoregulation system; the outcomes, economics, and initiatives associated with maintaining normothermia; the potential adverse effects associated with unintended perioperative hypothermia; the science behind prewarming; industry initiatives and guidelines; and prewarming considerations. Positive impacts of prewarming on patient satisfaction and comfort in an ASC will be described along with ASC patients' perspectives of prewarming. (Note: CME credit is not provided for this session.)

Katie Anderson, RN BSN

Jacksonville Surgery Center

Linda West, BS CNOR

Arizant Healthcare Inc., a 3M Company

 

ASCA/SAMBA Panel (3:15pm–4:45pm)

 

Current Trends and Issues in Ambulatory Anesthesia (90 minute session)

The Society for Ambulatory Anesthesia (SAMBA) is the leading entity involved in the development of guidelines, research and networking in the field of outpatient anesthesia. Gain critical insights for your own ASC from this panel of experts that will discuss of current issues and practical solutions to "hot topics" facing perioperative management, including  obstructive sleep apnea, perioperative testing and how anesthesia providers can improve efficiency in an ASC. Active audience participation will be encouraged.


Thomas
W. Cutter, MD

University of Chicago Medical Center

 

Meena Desai, MD

Nova Anesthesia Professionals, PC

 

Girish P. Joshi, MBBS MD FFARCSI

University of Texas Southwestern Medical Center

 

Arnaldo Valedon, MD

Orthopaedic Associates of Central Maryland ASC, LLC



Breakout Sessions (4:30pm–5:30pm)

 

Dilemmas in the Age of Social Networking

Social media, including networks with user bases larger than the populations of many countries, has become an integral part of modern society. As we have all interacted with social media to some degree, we have learned that online communications and user-generated feedback is powerful. Posts on blogs, Twitter, YouTube or Facebook can virtually “go viral” in short order. Social sites are a big hit with all generations. It’s an amazing platform, but it certainly isn’t without dangers. Learn more about the impact of the Internet in the workplace and what an employer can do when it’s abused.

Ruth P. Shumaker, RN BSN CNOR       

Ruth P. Shumaker Consulting

 

Legal and Compliance Issues in Anesthesia Arrangements: Maintaining High Quality Anesthesia in Your ASC 

After Advisory Opinion (No. 12-06) can an ASC partner with an anesthesia provider? What models work? What are the pitfalls you need to avoid when you contract with an anesthesia group? When your anesthesiologists are investors, what do you need to know about  ASC safe harbors and more? How do Certified Registered Nurse Anesthetists fit into your ASC? What special challenges do rural ASCs, gastrointestinal, ophthalmology and pain management centers face today? Contracting for anesthesia services involves complex clinical and business decisions. Find out how to consider your options carefully. 

Beth Connor Guest, Esq

Waller

 

Moving the Needle on Supply Chain Excellence

Most ASC leaders have come to recognize the strategic importance of supply chain efficiency in achieving higher margins, greater operational efficiency and physician satisfaction. Research shows that approximately one-third of ASCs in the US anticipate implementing a standardization program this year, one-quarter expect to re-evaluate their group purchasing organization (GPO) and 20% will evaluate a technology solution.  Get practical strategies for taking your supply chain efficiency efforts to new levels of achievement and explore the continuum of efforts to maximize supply chain efficiency, identifying benefits and potential trouble areas along the way. Identify the benchmarks that will help you monitor your GPO's performance.

Jon M. Pruitt, MHA CMRP

Provista

 

Surgical Site Infection

Clarify the definition of a surgical site infection and look at ways to gather data and meet reporting requirements. Steps to prevent surgical site infection will be discussed.

Gina Throneberry, RN MBA CNOR CASC

Ambulatory Surgery Center Association

 

The Five Tenets of Highly Effective Employee Risk Management: Using Progressive Discipline to Avoid Employee Litigation

Find out how to manage and avoid employee lawsuits from this experienced employment attorney who will present a blueprint for implementing and following effective progressive discipline policies. Examine ways that employers’ pre-suit personnel actions can have long-lasting and important effects on any subsequent litigation; how companies can best craft clear progressive discipline policies to enhance predictability and success in litigation; and the “do’s and don’ts” of personnel dealings from a litigation perspective. Specific employment case studies will be presented.

Jason C. Ross, Esq

Higgs Fletcher & Mack, LLP

 

Social Event at the Harvard Club (6:00pm–10:00pm)

Nothing says Boston more than Harvard and this is your chance to dance, eat and drink in the same halls as Presidents William Taft, Gerald Ford, George Walker Bush, General George Marshall and Eleanor Roosevelt at the Harvard Club. While the walls may not tell stories of the past 100 years, your experience at the Harvard Club will be one to share when you get home. Don’t miss the chance to experience “Old Boston" with John Hancock and Sam Adams, try your luck at stealing a dance with a Beacon Hill Gibson Girl, toss a lobster (don’t worry it won’t mind) or spin a wheel with a mermaid!  With food, dance, karaoke and games, the hallowed halls of Harvard will be filled with fun. No powder wig or blue blood required!
(Buses begin departing at 6:00pm from the Sheraton and Marriott hotel lobbies. Transportation sponsored by Soma Technology.)

 


Saturday, April 20

 

Continental Breakfast (7:30am–8:30am)

 

Breakout Sessions (7:30am–8:30am)

 

Clarifying the Processes: Sequela Monitoring, Sentinel Events and Root Cause Analysis

Clarify the processes involved in determining how and what types of data and events to track each day as part of your facility’s Quality Assurance and Performance Improvement–Sequela Monitoring (QAPI-SM) program. Identify which events are considered Sentinel Events and review how to, and why you should, complete a Root Cause Analysis. Learn how to identify required and voluntary reporting requirements involving your state and your accrediting body, what you need to report to Medicare to comply with its new quality reporting program and how to tie the data you compile for that program into a QAPI program by performing quality improvement projects, implementing changes and closing the loop.

Tracy Kruse, RN CASC

Carondelet Foothills Surgery Center

 

Dealing Effectively with Difficult Surgeons

Doctors consistently advise you to reduce your stress, but what do you do when they are the cause? Disruptive physicians can try your patience and tax your staff. Identify and understand common difficult personality types and find creative, effective strategies for handling unproductive behavior. Return to your facility feeling less stressed and more empowered.

Judy Harless, MBA

SMI Surgery Center

 

Directed or Self-Directed Learning, That Is the Question

Review techniques for directed and self-directed learning in an ASC. Using adult learning principles, it is possible to develop and provide varied educational programs that will maintain the interest of participants and maximize retention of the information provided. In today's economy, it is crucial to provide these educational opportunities cost-effectively. In today's regulatory environment, it is even more crucial that staff have the tools, knowledge and critical-thinking skills they need to respond to unexpected variances in the plan of patient care. Find out more about the educational programs, tools, individuals and organizations that are available to help. Ways to support your internal experts in developing and presenting interesting, succinct information, education and presentations will be discussed.

Claire Everson, RN CNOR CCAP

Henry Ford Macomb Hospital

 

Effective Approaches to Unexpected Clinical Events

How do you manage an unexpected clinical event? Review a series of clinical scenarios  and share pitfalls, puzzles and pearls of wisdom as we problem-solve our way through their management. Audience participation will be encouraged, and participants will be asked to think about how they would actually respond to these situations in their own facilities. Consider your ASC’s preparedness to respond to similar situations in new ways, and explore ways to continue the conversation with your colleagues when you return home. To encourage further reading, references to the medical literature will be provided.

Judith Kuhn, RN BSN

Menomonee Falls Ambulatory Surgery Center

Scott Linton, MD

Menomonee Falls Ambulatory Surgery Center

 

Weight Loss and Gastric Reduction Surgery: An Update

The US has experienced a dramatic increase in obesity in the last two decades. Two out of three Americans  are overweight and 5% morbidly obese. More rapid growth in body mass index (BMI) has occurred in subgroups 35+ and 40+ years of age. With these trends is an equally matched increase in comorbidities. While bariatric solutions have existed now for 15 years, it is important to review the five- and 10-year outcomes of these surgeries as well as what’s current and forecasted as the next greatest solution for overweight and obese populations.

Marcus Williamson

Symbion, Inc.

 

Breakout Sessions (8:45am-9:45am)

 

A Collaborative Approach to Disaster Preparedness

When an emergency or disaster situation occurs, ASCs play a unique role in providing assistance and support. Learn about pertinent resources, consider why preparedness is critical and get the tools your ASC needs to participate in the mitigation phase of emergency management. Participants will develop portions of a Hazard Vulnerability Analysis for their ASC.

Kathy (KJ) Newman, MSN MBA RN CPHQ CASC

Indiana University Health Ambulatory Surgery Centers

 

CMS Audits: Top Seven Medical Documentation Risk Areas in the ASC and How to Reduce Revenue and Compliance Risk

Get both a clinical documentation and reimbursement perspective on CMS’ post-payment audit processes, the current status of pre-payment audit plans and other CMS audit initiatives.  Review the top seven procedures at risk for targeting and how proper documentation and coding compliance programs can reduce the potential for lost revenue and compliance concerns. Compare documentation samples and Local Coverage Determinations policies and learn how the implementation of internal coding policies, periodic external audits, clinical chart audits and continuing education can help ensure compliance and improve your ASC’s bottom line. Strategies for collaborating with physicians to improve the quality of clinical documentation will be explored.

Rebecca Overton, CPC

Surgical Management Professionals

 

EMRs: "The Good, the Bad and the Ugly"

The implementation of an electronic medical record (EMR) in your ASC can be a great decision or a terrible decision depending upon whether or not the entire organization has not bought into the idea of how it will be used. Learn the difference between the EMR and the electronic health record (EHR). Understand the benefits of implementing an EMR and the potential pitfalls to contemplate prior to utilization based on your ASC’s individual needs. Points to consider in selecting an EMR vendor will be discussed as well as tips for contract negotiations.

Cristina Bentin, CCS-P CPC-H CMA

Coding Compliance Management, LLC

 

Leveraging the Relationship with Your Vendor

Medical supply expense is typically one of the two largest expenses in an ASC.  Find ways to reduce those expenses in this interactive session. Useful ideas, tools and the working knowledge you need to negotiate better pricing from vendors for all of your medical supply purchasing will be provided. Every vendor can give you better pricing, but you have to know how to ask for it.

Arthur E. Casey, CASC

Outpatient Healthcare Strategies

 

The Company Model: Analysis of the OIG Opinion

Review the June 1, 2012, US Department of Health and Human Services Office of Inspector General Advisory Opinion 12-06 regarding both the “company model” arrangement and a second proposed model for anesthesia services. Learn how to manage the legal issues on the federal and state levels that the company model presents, options for restructuring, the risks associated with such restructuring and additional developments relating to company model arrangements.

Judith Jurin Semo, JD

Judith Jurin Semo, PLLC

 

Morning Break (9:45am–10:00am) 

 

Closing Session (10:00am–12:00pm) 

 

Congressional Speaker – US Rep. Richard Neal (D-MA)
Rep. Neal, a thirteen-term representative from Massachusetts, has played a critical role in shaping America’s health care delivery system. As a member of the powerful House Ways and Means Committee, Rep. Neal will be in the center of upcoming discussions over deficit reduction as well as entitlement and tax reform. During the ASCA 2013 Closing Session, Rep. Neal will share his insights on the challenges ahead and how the ASC community can prepare to meet those challenges.

 

Tonya Reiman,  America’s Body Language Expert

More than 75% of our communication comes from body language, but do you know how to use it to your advantage in your personal and private life and how to determine what others are saying by the body language they use? Tonya Reiman is a Fox News Channel contributor, a WPIX Channel 11 Reporter and one of Dr. Drew's Official LifeChangers. She has also authored three books: The Power of Body Language, The YES Factor and The Body Language of Dating. Learn what your body language is telling others and take home ideas that will help you gain the advantage in negotiations, to deliver a diagnosis or to read what an applicant is really saying in a job interview.  We all use body language but using it our advantage is when it becomes a skill.

Closing Remarks

 

Conference Adjourns (12:00pm)

 

Optional Tours (1:00pm–5:00pm)

 

John F. Kennedy Presidential Library and Museum

 

Academic World of Cambridge:
Massachusetts Institute of Technology (MIT) and Harvard University Tour

 

CASC Exam (1:30pm–5:00pm)