Member Focus

Member Focus

Member Focus

Member Focus

Member Focus invites ASCA members to express their views on key ASC issues. Share your perspective with your colleagues and get to know your peers in the ASC community.

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Tyler Johanns

Tyler Johanns

Title: Administrator
Facility Name: Mason City Surgery Center
City: Mason City
State: Iowa
Length of time your facility has been an ASCA member: Five or more years

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What changes in the OAS CAHPS Survey would make the experience easier and more productive?

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The biggest opportunity for improvement is turning the survey data into something more actionable at the operational level. The current reporting often lacks the level of detail needed to isolate specific improvement opportunities. At the same time, our response rate has dropped from roughly 40 percent to about 20 percent, which limits the overall usefulness of the results.

We also question whether all patients are consistently receiving the survey electronically, even when an email address is on file. As the survey has become more time-consuming for patients, participation appears to be declining. A shorter, more targeted survey with improved delivery tracking and more timely, detailed reporting would greatly enhance its impact.

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What strategies are you using to manage the anesthesia shortage?

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We have taken a proactive and collaborative approach to managing anesthesia staffing. At the end of 2022, our facility transitioned to a CRNA-only model of care, which significantly improved staffing stability while also reducing the overall cost of care. That change has been instrumental in maintaining access and minimizing disruptions.

We review our block schedule on a quarterly basis and intentionally include anesthesia leadership in those discussions to ensure alignment between surgeon demand and anesthesia availability. We have also focused on strengthening relationships through transparent communication, predictable scheduling and mutual flexibility. Ultimately, we believe third-party anesthesia groups must be treated as true partners in operations—not simply as a contracted service—to ensure long-term success and stability.