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Bert, MD Abstract Since the introduction of arthrosco-py to North America in 1965, the de-velopment of minimally invasive or-thopaedic surgical techniques has steadily progressed.1As a r

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Office Ambulatory Surgery Centers:

Creation and Management

Neal C Small, MD, and Jack M Bert, MD

Abstract

Since the introduction of

arthrosco-py to North America in 1965, the

de-velopment of minimally invasive

or-thopaedic surgical techniques has

steadily progressed.1As a result,

be-ginning in the 1980s,2some

ortho-paedic procedures were moved from

the hospital environment to the

free-standing ambulatory surgery center

and, more recently, to the

ortho-paedic office ambulatory surgery

center (OASC) Early concern for

pa-tient safety led to preoperative

eval-uation, intraoperative monitoring,

and postoperative care being

de-signed into the centers.3,4

The cost-effectiveness of OASCs

soon became evident to third-party

payers, as well as to surgeons and

patients Payers became less

reluc-tant to preauthorize surgery in the

office environment once the issues of

facility charges and patient safety

were addressed to their satisfaction

The emphasis on cost containment,

which heightened in the early 1990s,

accelerated the development of

OASCs in the mid to late 1990s.5

However, without state licensure, Medicare certification, and accredi-tation, anesthesia restrictions lim-ited the types of procedures that could be done in an office operatory

General anesthesia could not be ad-ministered in a nonlicensed facility, and even when local anesthesia or monitored conscious sedation was used,6 most third-party payers would not preauthorize procedures

These payers stipulated Medicare certification as a requirement for placing the OASC on their panel of approved facilities In addition, licensure by both the state and Medicare and accreditation by the Accreditation Association for Am-bulatory Health Care (AAAHC) or the Joint Commission on Accredita-tion of Healthcare OrganizaAccredita-tions re-quire appropriate design and con-struction of these facilities.7,8

Owners of OASCs responded to these concerns Obtaining state li-censure allowed the use of general anesthesia, so that the number of surgical procedures done in the

li-censed OASCs increased.9 With Medicare certification and AAAHC accreditation, virtually all payers, in-cluding workers’ compensation, would then reimburse for facility use in a licensed OASC.10 Recent studies have confirmed that outpa-tient ambulatory orthopaedic sur-gery is safe, efficient, and cost effec-tive,3,5,9leading to wider acceptance

of OASCs by orthopaedic surgeons

Benefits of a Licensed OASC

The proximity of the operating room

to the clinic in an OASC (Fig 1) im-proves productivity, efficiency, and convenience The surgeon can

exam-Dr Small is Associate Clinical Professor, Ortho-pedic Surgery, University of Texas Southwestern Medical School, Dallas, TX Dr Bert is Clinical Professor, University of Minnesota School of Medicine, Minneapolis, MN, and President and Medical Director, Summit Orthopedics, St Paul, MN.

One or more of the authors or the departments with which they are affiliated has received some-thing of value from a commercial or other party related directly or indirectly to the subject of this article.

Reprint requests: Dr Bert, Suite 307, 17 West Exchange Street, St Paul, MN 55102-1034 Copyright 2003 by the American Academy of Orthopaedic Surgeons.

Among orthopaedic surgeons, the popularity of in-office ambulatory surgery has

steadily increased Changing practice patterns, including utilization of office

sur-gery centers, have resulted in improved efficiency and increased revenue However,

accurate feasibility and market analyses are necessary before considering the

addi-tion of a surgery center to an orthopaedic practice The legal requirements to

op-erate a center include state licensure, Medicare certification, and accreditation In

addition, approved construction design and effective operations management are

essential.

J Am Acad Orthop Surg 2003;11:157-162

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ine patients and provide office care

while the operating room is being

prepared for the next procedure

Some surgeons have reported a

sav-ings of as many as 8 hours per week

because of this single improvement

in practice efficiency.11

Patient satisfaction is usually

quite high among those who have

OASC.12Patients may feel less

anx-ious in the office environment as op-posed to that of the hospital Results

of satisfaction surveys indicate that patients appreciate the amount of personal attention they receive, par-ticularly in postanesthesia recovery (Fig 2) Patients’ families also report

a high satisfaction rate

The OASC appears to be more cost effective than either the hospital operating room or the hospital

out-patient surgery department.5,9The fees for freestanding OASCs, which are scheduled to take effect on July

1, 2003, have been published in the

Federal Register.13OASC facility fees are to be reimbursed at a lower rate than hospital facility fees because the cost to deliver a procedure is less for an OASC than for a hospital

An example of the difference be-tween Medicare-allowable facility fees for the hospital outpatient sur-gery department compared with those for the OASC can be illustrated

using Current Procedural Terminology

(CPT) code 29881 (arthroscopic men-iscectomy) The Centers for Medi-care & Medicaid Services published

a proposed ambulatory payment classification group payment rate of

$1,048 for CPT code 29881 when the procedure is done in the hospital outpatient surgery department.14

The facility reimbursement to OASCs published in the Final Rule

of the Centers for Medicare & Med-icaid Services is $630.13This differ-ence in facility fees is a direct result

of the substantially lower costs re-quired to perform surgery in non-hospital facilities.15 Even though most third-party payers reimburse for facility use at a higher level than

Figure 1 A, Single operating room B, Double operating room.

Figure 2 Postanesthesia recovery area.

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the Medicare-allowable rate, payers

nevertheless perceive the OASC to

be cost effective compared with

hos-pital operating rooms and hoshos-pital

outpatient surgery departments

Creating an OASC

Individual state laws regarding

health care facilities development

must be studied before creating an

OASC because some states require a

certificate of need, which allows the

physician group to construct the

proposed facility Obtaining a

certif-icate of need may involve local or

statewide political issues because of

possible resistance to

physician-owned surgery centers by local

hos-pitals Some states have dropped the

certificate of need requirement, are

in the process of doing so, or are

re-viewing the law; other states have

exemptions for single-specialty

OASCs Several states have

certifi-cate of need exemptions allowing

fa-cilities to be constructed with

expen-diture limitations Despite strong

opposition by hospital lobbyists, it

appears that certificate of need

quirements are being steadily

re-duced.7

The process of planning,

design-ing, and building an OASC, as well

as obtaining licensure, certification,

and accreditation, takes

approxi-mately 1 year to 18 months to

com-plete and can be divided into five

phases: phase 1, feasibility and

mar-ket analysis (approximately 1

month); phase 2, legal issues and

de-sign (3 months); phase 3,

construc-tion and staffing (6 months or more);

phase 4, licensing and Medicare

re-quirements (2 months); and phase 5,

accreditation (optional but

recom-mended)

Phase 1: Feasibility and Market

Analysis

A feasibility analysis should be

done to determine whether a clinic

should build an OASC A limited

preliminary analysis can help deter-mine whether the clinic should ex-pend the time and incur the expense

of a full feasibility analysis and pro forma

The detailed feasibility analysis involves evaluating the explanations

of benefits for the surgical proce-dures as well as analyzing by CPT code the procedures done by each surgeon The subspecialty mix of the surgeons and the average operating time per procedure of each must be assessed Fee schedules and collec-tion percentages must be analyzed

In addition, local construction costs must be reviewed Many other fac-tors, including a cost analysis for the facility, are used to determine likely gross revenues and net profitability

of the OASC When the feasibility analysis is complete, the analyst can determine if the practice entity is an appropriate candidate for an OASC

A market analysis is critically im-portant, as well By reviewing the marketplace, assessing the competi-tion, and performing a payer analy-sis, the practice will be able to deter-mine whether it should proceed with development or whether the market forces and payers in the area will restrict the practice from refer-ring patients to its surgical unit Be-cause the cost of an OASC can be sig-nificant, the importance of the feasibility and market analyses can-not be underestimated These analy-ses provide the necessary informa-tion to decide whether the OASC should be built and, if so, what size the facility should be

Phase 2: Legality and Design

Before proceeding with design and construction, the practice may wish to form a new legal entity, such

as a limited liability corporation, to own and operate the OASC Legal counsel should study the ownership alternatives and create the entity

Also, the new entity should have a billing number different from that of the practice itself

A medical architect will work with the state licensure board to ensure that the OASC is designed according to state guidelines and within Medicaspecific design re-quirements This design process var-ies considerably depending on the size of the facility and whether it will require remodeling of or addition to existing space or necessitate new construction

Phase 3: Construction and Staffing

The construction phase may last from a few months to a year or more

An architect and construction firm familiar with code requirements for medical facilities can eliminate

cost-ly revisions Contracting with third-party payers also must begin during phase 3

The OASC staff should be hired during this phase The nurse

manag-er should be brought on early to as-sist in ordering equipment, materi-als, and supplies appropriate for the procedures to be done in the facility Consultants can aid in this process The OASC owners can either

direct-ly hire staff necessary for payer rela-tions and financial management or use the services of a company with experience in OASC management The anesthesia staff should be se-lected during this phase to assist with the installation and testing of an-esthesia machines and monitoring equipment, as well as related items Some practice-owned centers provide ownership interests for some or all

of the anesthesia staff, but most work with independent anesthesiologists who have no financial interest in the OASC Sometimes the anesthesiolo-gist is employed by the center, which then bills for anesthesia professional services provided during surgery Phase 3 concludes when a certificate

of occupancy is obtained

Phase 4: Licensing and Medicare

Phase 4 includes the state licen-sure process and Medicare

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certifica-tion State licensure is required for

Medicare certification To achieve

state licensure and eventual

Medi-care certification, requirements must

be met in several areas, including

fa-cility design and construction

De-tailed documentation of such items

as appropriate committee meetings

and staff credentialing also is

neces-sary (Table 1)

Phase 5: Accreditation

Accreditation is optional, but

some payers require accreditation in

addition to licensure and

certifica-tion Accreditation can be obtained

from the AAAHC or the Joint

Com-mission on Accreditation of

Health-care Organizations

Anticipating and Correcting Potential Problems

Substantial preliminary payer nego-tiations, accomplished payer mar-keting, and professional manage-ment are necessary for a successful OASC Because of stringent state li-censure, Medicare, and AAAHC re-quirements, problems for the OASC rarely involve issues of patient

safe-ty or operating room qualisafe-ty The usual reasons that facilities do not function at maximum capacity are management difficulties with such procedures as contracting, schedul-ing, or billing Underutilization may occur because of problems with

pay-er contracting, scheduling, patient flow, and inventory management Contracting difficulties should be minimal or nonexistent because cost savings and patient preference for the OASC have led to acceptance by most payers Although scheduling and pa-tient flow issues may be a potential problem, software programs can elim-inate much of the complexity for the nurse manager and scheduler Sup-ply inventories often are inappropri-ate for the OASC caseload; many OASCs struggle with either inade-quate stock or an overabundance of certain supplies Inventory control software can help with these problems Staffing inconsistencies are among the most common difficulties

encoun-Table 1

Medicare Requirements for OASC Certification

Structural The design must comply with state health facilities commission structural guidelines

The operating room must be at least 250 sq ft

The OASC must have a separate recovery room and waiting room

The OASC must meet Life Safety Code standards of the National Fire Protection Association Policies and

procedures

The OASC must have a governing body

The OASC must perform ongoing quality assurance

All medical staff must be credentialed by a credentialing committee

Medical privileges must be periodically reappraised by the OASC credentialing committee Policies and procedures must exist for nonmedical personnel

Patient safety All OASC personnel must be trained to use emergency medical equipment

A registered nurse must be in attendance whenever a patient is in the OASC

A written transfer agreement must be in effect with a local hospital, and all surgeons using the facility must be on the staff of that hospital

Emergency

equipment

The OASC must have comprehensive emergency equipment, including emergency call system; oxygen; mechanical ventilatory assistance, including airways, manual breathing bag, and ventila-tor; cardiac defibrillaventila-tor; cardiac moniventila-tor; tracheotomy set; laryngoscopes and endotracheal tubes; suction equipment; and other emergency medical equipment specified by the medical staff Ancillary services

and contracts

The OASC must provide pharmaceutical services under the supervision of a pharmacy director The OASC must have its own laboratory or must use a Medicare-certified laboratory

The OASC must use a Medicare-certified radiology facility

Administrative Medical records identical to hospital records must be developed and maintained

Random surveys of the OASC by the Centers for Medicare & Medicaid Services must be anticipated The OASC must maintain accurate financial records containing data that enable the Centers for Medicare & Medicaid Services to determine payment rates for covered surgical procedures

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tered by newly opened OASCs

De-spite the fact that staffing usually

be-gins in phase 3, some clinics are

unable to hire qualified personnel

quickly enough Many OASCs

per-form 200 or more procedures per

month soon after obtaining licensure,

certification, and accreditation The

OASC nurse manager may be unable

to provide adequate staffing if

person-nel needs are not fully addressed well

in advance of opening Understaffing

risks inadequate patient care, while

the expense of overstaffing impairs

OASC profitability The use of

part-time employees may be advisable

Also, continuing education for OASC

personnel is important to maintain

quality patient care and employee

morale

Some facilities have problems

with CPT coding, billing, and

collec-tion of OASC facility fees,

particular-ly in the first several months after

opening Difficulties with CPT

cod-ing and collection of facility fees can

severely compromise a clinic’s

over-all cash flow The facility fee revenue

represents at least one third of the

gross revenue for a typical

ortho-paedic group practice with an

OASC Some practices have been

overwhelmed by the additional

bill-ing volume and frustrated by a cash

flow shortage during the start-up

phase This problem can be avoided

with proper forecasting, training,

and preparation.11

Many practice entities do not

ad-equately anticipate the debt service

and other ongoing overhead

expens-es that begin even before the OASC

is opened These anticipated costs

necessitate that the center secure a

line of credit several months before

opening It can take at least 90 to 180

days before the facility fee

reim-bursements compensate for ongoing expenses such as salaries, rent, and other costs Because payers often are unfamiliar with the new billing en-tity, the claims process is slower than when the professional fee claims are reviewed This collection window for accounts receivable decreases considerably once payers become fa-miliar with the new facility

Allowable facility fees must be well understood, and in some in-stances it is beneficial to accept out-of-network benefits for facility use because of improved reimburse-ment Discounted contracts usually are not advisable unless they repsent significant volume and the re-imbursement is greater than the cost

of the service provided Hiring or consulting with a contracting spe-cialist familiar with the nuances of OASC reimbursement can be of great benefit

Enjoying the OASC

The quality of professional life that the OASC provides surgeons is be-yond the expectations of most.16,17

The importance of operating in a comfortable, well-conceived envi-ronment of one’s own design should not be underestimated The surgeon can make reasonable changes with-out dealing with the layers of ad-ministration and committees typical

of the hospital environment Sur-geons who have completed an OASC often wonder why they

wait-ed so long to simplify their profes-sional lives and enjoy improved practice profitability As technology progresses and appropriate facilities are completed, and if insurance re-imbursements are allowed, many

minimally invasive procedures now performed in the hospital may be done in an OASC This is also a trend

in other specialties, such as ophthal-mology, otolaryngology, plastic sur-gery, and urology

Summary

Office ambulatory orthopaedic sur-gery has become an increasingly widespread method for delivering certain types of orthopaedic surgical care In many states, there has been

hospital-based and freestanding am-bulatory surgery centers to practice-owned OASCs States requiring a certificate of need may delay or pre-vent the development of OASCs, al-though certain exemptions may be available in some states with certif-icate of need requirements; these ex-emptions should be carefully re-searched Legislative changes are under way in many states to modify

or eliminate the certificate of need process Orthopaedic surgeons should be aware of the stringent re-quirements for securing state licen-sure and Medicare certification for the OASC In addition, a somewhat lengthy process from feasibility analysis to facility completion should be anticipated However, an OASC can help a practice contain medical costs, improve efficiency, control the surgical environment, and enhance patient satisfaction The practice group can help ensure

a high quality of orthopaedic care

by hiring their own surgical staff Properly managed, the OASC can provide an additional source of rev-enue to offset declining reimburse-ments

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1 Small NC (ed): Office Operative

Arthros-copy New York, NY: Raven Press, 1994.

2 Hall MJ, Lawrence L: Ambulatory

sur-gery in the United States, 1996 Adv

Data 1998;12:1-16.

3 Rohrich RJ, White PF: Safety of

outpa-tient surgery: Is mandatory accreditation

of outpatient surgery centers enough?

Plast Reconstr Surg 2001;107:189-192.

4 Williams BA, DeRiso BM, Figallo CM,

et al: Benchmarking the perioperative

process: III Effects of regional

anesthe-sia clinical pathway techniques on

pro-cess efficiency and recovery profiles in

ambulatory orthopedic surgery J Clin

Anesth 1998;10:570-578.

5 Novak PJ, Bach BR Jr, Bush-Joseph CA,

Badrinath S: Cost containment: A charge

comparison of anterior cruciate ligament

reconstruction Arthroscopy

1996;12:160-164.

6 McGuire DA, Sanders K, Hendricks SD: Comparison of ketorolac and opi-oid analgesics in postoperative ACL re-construction outpatient pain control.

Arthroscopy 1993;9:653-661.

7 Becker S, Biala M: Ambulatory surgery centers: Current business and legal

is-sues J Health Care Finance 2000;27:1-7.

8 Small NC: Building a successful practice-owned, office-based ambulatory surgery

center Am J Knee Surg 2000;13:241-244.

9 Nogalski MP, Bach BR Jr, Bush-Joseph

CA, Luergans S: Trends in decreased hospitalization for anterior cruciate lig-ament surgery: Double-incision versus

single-incision reconstruction Arthros-copy 1995;11:134-138.

10 Brown S: Accreditation of ambulatory

sur-gery centers AORN J 1999;70:814-818, 821.

11 Bert JM: Pros and cons of practice-owned and office-based ambulatory surgery

cen-ters Am J Knee Surg 2000;13:245-248.

12 Small NC, Glogau AI, Berezin MA, Far-less BL: Office operative arthroscopy of the knee: Technical considerations and

a preliminary analysis of the first 100

patients Arthroscopy 1994;10:534-539.

13 http://a257.g.akamaitech.net/7/257/ 2422/14mar20010800/edocket.access gpo.gov/2003/pdf/03-7236.pdf Ac-cessed April 18, 2003.

14 McLelland M: The financial effect of ambulatory payment classifications.

Manag Care Interface 1999;12:67-70.

15 Owings MF, Kozak LJ: Ambulatory and inpatient procedures in the United States,

1996 Vital Health Stat 13 1998;139:1-119.

16 Bert JM: The efficient, enjoyable, and

profitable orthopedic practice Clin Sports Med 2002;21:321-325.

17 Bert JM: Office based arthroscopy

cen-ter Outpatient Surgery 2000;1:11-13.

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