Instructions
Assignment 4: (20 points) Final Project- AMBULATORY SURGERY CENTER CASE STUDY (Power
Point Presentation) .
In the final project, students will apply the knowledge gained in this course to a case example.
Each student will select one of the scenarios below and develop a 10-12 slide PowerPoint
presentation to discuss the current status of the organization, provide an overview of the
organization, and make recommendations on how to manage the selected problem. You must
include one or more slides that address the degree to which the Affordable Care Act might
impact these services. Use APA formatting references and your reference slides. For this
presentation, your title slide does not have to be in APA format.
Info on ASC’s here:
http://www.ascassociation.org/
SCENARIO OPTIONS. Pick one of the scenarios below. Your role is the manager in charge of an
ambulatory surgery center (ASC). Restate the problem you are addressing. Make some logical
assumptions. Make brief recommendations as to a reasonable solution to the problem in the
scenario.
POINT OF CLARIFICATION: You will use an established independent ASC for either of the four
scenarios listed below. Your presentation should be drafted as the administrator of the surgery
center working to address one of the four scenarios. In your response, please be sure to
address all components of the scenario.
1) One of the greatest challenges facing ASCs is maintaining and increasing volume. With all
the external pressures, i.e. physicians pressured to become employees, mergers, decreasing
payments from insurers, etc. – ASCs are challenged to keep physicians motivated to increase the
number of cases and keep patients satisfied. What are some strategies you would use to
increase referrals to your ASC while maintaining high patient satisfaction scores?
2) Another challenge facing ambulatory surgery centers is the recruitment of new physicians.
Following a national trend, many local hospitals and health systems are purchasing physician
practices, which could eventually lead to doctors referring surgical cases to a hospital’s same
day surgery department. Assuming there is ample opportunity to increase surgical volume, how
do you intend to recruit physicians to practice via your ASC? What are some strategies/offerings
you could employ?
3) The ASC you are currently managing is experiencing out of network challenges.
Additionally, the proposed reimbursement rates from payers do not match Medicare rates for
your market. Most of your ASC contracts are based on the Medicare fee schedule and because many of your surgeries are not on that schedule, you have to negotiate a fee schedule on a
case-by-case basis. What strategies could you employ as you work with payors to contract for
reasonable rates that could save you both money in the short term?
4) In this changing environment, you are required to do more with less. Reimbursement rates
are declining; supply and implant costs, taxes, utilities, rent, salaries and benefits and other
operating costs are increasing and there are more regulatory requirements i.e., increased
standards for accreditation (Joint Commission’s additional requirements as an example), ICD-10,
adoption of an EHR, etc. Additionally, your staff is wearing multiple hats; many working to
register, bill, code, schedule and assist with back house operations. What strategies and tools
can you implement to increase productivity, reallocate resources and boost employee morale?
If you opened this Assignment in the Assignment Folder, the grading rubric for this assignment
appears below. If you opened the Assignment in Content, the rubric can be opened by clicking
on the ‘Assignment 4 Rubric’ tab in the lower right corner of the screen. Due Date
Dec 18, 2016 11:59 PM
