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:
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?
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