Payer pressure, evolving regulations, 而消费者对更方便、性价比更高的护理需求也随之产生 accelerated the migration of surgical 从传统医院到门诊的病例. While some health systems have already 制定了有效的门诊手术中心(ASC)策略，其他人正在实现 that without one, they risk losing those cases permanently. Nowhere is this 在妇女保健方面更为明显，如妇科、乳腺等bet8娱乐 外科手术和重建手术从医院过渡到门诊 settings.
Similar to how women’s health adapted 到几十年前影像bet8娱乐的迁移，领导妇女健康项目， 无论是在专门的妇女医院还是在更大的bet8网站备用内，都需要 an ASC strategy to achieve long-term sustainability. Below are four key steps any women’s program needs to undertake when designing one.
1. Understand Your Program’s Vision
确定应提供的bet8娱乐类型以及bet8娱乐对象. 这些决定将根据每个组织的具体需求和提供护理的愿景而有所不同. A couple of scenarios are common:
- In the first scenario, a smaller, 没有ASC的专门的女性健康校园可能会确定接近2,000 women’s procedures (e.g., hysteroscopies, fibroid surgery, 乳房活组织检查或重建)有完全转移出系统的风险并决定发展一个小的, 为了将这些病例保留在系统内，校园内必须有一个或两个房间的持证ASC.
- In the second scenario, 一个将妇女健康作为其总体战略基石的大型bet8网站备用可能会选择发展一个大的, multispecialty ASC capable of providing affordable, 对妇女家庭的所有成员进行全面的外科护理, 妇女保健bet8娱乐是广泛提供的一项关键bet8娱乐.
2. Engage the Right Physicians
任何ASC成功的关键是一组密切参与设施规划的外科bet8网站备用, day-to-day operations, and management—and in many cases, are investors in the center. Early in the planning process, 与潜在的外科bet8网站备用接触，评估他们是否有兴趣成为ASC的一员.
任何女性项目的关键是能够提供方便、可定制的护理. 找出那些在医疗bet8娱乐方面与这一愿景一致的bet8网站备用. Furthermore, 了解哪些外科bet8网站备用将参与将推动ASC计划的其他关键方面, including forecasting case volumes, understanding room capacity requirements, and developing a pro forma, 最终决定企业可行性的因素是什么.
Often, 医院和bet8网站备用之间的合资企业是在双方之间建立联盟的最佳方法, as it means the physicians will have “skin in the game.” A common historical equity model was often a 51%/49% split between the hospital and the physicians; however, 与更高的医院股权合作(比如70%)正变得越来越普遍, 因为医院可以优化资源以更好地满足资本要求(如机器人)，并且可能能够与付款人谈判更强有力的合同.
3. Decide Whether to Start from Scratch or Invest
一旦你确定了你具体的门诊手术需求并确定了潜在的外科bet8网站备用参与, 决定是创建一个新的ASC，还是收购一个现有的ASC. Each option has benefits and drawbacks.
- For example, buying into an existing, well-managed ASC often mitigates the steep learning curve associated with building and running a brand new center; however, 这可能意味着在伙伴关系的其他方面做出妥协.g., decreased equity and/or control).
- Conversely, 开发一个全新的ASC可以允许创建一个高度定制的手术中心，以满足该项目患者的独特需求. 但是，如果没有拥有ASC专业知识的第三方的帮助，开设一个全新的设施可能是一种痛苦的经历.
Other questions to consider:
- What is the desired location of the ASC, and how will this impact physician scheduling, the patient experience, and your strategic facility master plan? For example, 贵组织是否有现有的或计划中的门诊妇女中心可以举办ASC?
- What services will be offered at the ASC, 还有哪些其他bet8娱乐或设施可以与它们很好地搭配?
- 需要多少手术室，最小可行数量是多少?
- ASC将如何融入你们更广泛的妇女健康战略?
4. Don’t Run an ASC Like a Hospital
Either during the planning and design 流程或一旦中心开放，组织就会涉足 ASC空间经常犯同样的错误，开发和运行 facility like a hospital. 记住为什么bet8网站备用和病人更喜欢做手术 在ASCs进行:为每位患者量身定制的护理，更少的延误，更低的成本，更高的成本 nurse-to-patient ratio, lower risk of infection, etc. Unfortunately, hospitals often can’t help themselves; when they see the shiny new toy next door—a 美丽的asc -尽管他们打算提供支持，他们经常介绍不必要的 bureaucratic and administrative burdens. Avoid this temptation, and enable the ASC to run as efficiently as possible.
Taking the Plunge
虽然全国各地的妇女健康项目都认识到，ASC是为患者提供全面和方便的护理的关键组成部分, the ASC space is often unfamiliar territory. 理解ASC计划如何与更广泛的妇女保健战略相适应也是一项挑战. 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.
Edited by: Matt Maslin
Published August 24, 2022