Ambulatory Surgical Center Development Course
AMBULATORY SURGERY CENTER DEVELOPMENT COURSE
Welcome to the exciting world of Ambulatory Surgery Center Development! This comprehensive course is designed to be your guide through the intricacies of establishing and developing Ambulatory Surgery Centers. Whether you’re a healthcare professional, administrator, or entrepreneur looking to develop in the dynamic field of outpatient surgical care, this course is tailored to equip you with the Knowledge, tools, and skills needed for successful Ambulatory Surgical Center Development.
Over the duration of this course, we will explore the key components of Ambulatory Surgical Center Development, from regulatory considerations and compliance to operational efficiency and strategic planning. Gain insight into the latest industry trends, best practices, and essential tools that will empower you to navigate the complex landscape of Ambulatory Surgical Center Development with confidence.
Our goal is to provide you with a comprehensive understanding of the various facets involved in establishing and managing ASCs, enabling you to contribute to the delivery of high-quality, patient-centered care in the outpatient setting. Get ready to embark on a transformative learning journey that will position you at the forefront of Ambulatory Surgical Center Development. Let’s dive in!
AMBULATORY SURGERY CENTER DEVELOPMENT COURSE OUTLINE
This is a six-week course designed to give the participant an understanding of the stages of development when developing a new ambulatory surgery center. The course will include the following sessions:
Module 1: Project Assessment
- Introduction
- Market Study
- Strategic Planning
Module 2: Pre-Project Planning
- Preliminary Design
- Investment Structure
- Financial Projection - Initial
- Real Estate
Module 3: Planning and Development: Facility Design and Construction
- Legal / Regulatory / Organizational
- Financial Projections
- Facility Development: Design and Construction
Module 4: Planning and Development: Non-Clinical Operations
- Administration
- Human Resources
- Medical Records
- Facility
- Financial Management
- Marketing
- Support Services
- Miscellaneous
Module 5: Planning and Development: Clinical Operations
- Administration
- Supporting Physician Coverage Models
- Policies and Procedures
- Medical Staff
- Ancillary Services
- Quality Preparedness
Module 6: Go Live
- Grand Opening
- Test Clinical Systems
- Test Non-Clinical Systems
- Accreditation Preparedness
PRE-RELEASE SURVEY
What are your top 3 concerns regarding the development of an ambulatory surgery center?
How long has it been since your last strategic plan was developed?
Within 1 year
1-3 years
More than 3 years
What is your top concern regarding strategic planning?
Bonus: ASC Development Life Cycle
Receive for taking the survey and registering for the course
MODULE 1: PROJECT ASSESSMENT
Welcome to Module 1 of the Ambulatory Surgical Center Development Class, where we embark on the foundational phase of Project Assessment. In this module, participants will be introduced to the essential components that set the stage for a successful ambulatory surgical center (ASC) development journey. We will kick off with an exploration of the critical role of a comprehensive Market Study, laying the groundwork for informed decision-making. Building on this, we delve into the intricacies of Strategic Planning, emphasizing the importance of a well-crafted strategy in shaping the trajectory of ASC development. As a culmination, participants will engage in a Completion Survey, providing a comprehensive overview of the key takeaways from this module. Join us as we navigate the fundamental aspects of project assessment, equipping participants with the knowledge and tools necessary for a strategic and informed approach to ASC development.
MASTERING MARKET DYNAMICS: A COMPREHENSIVE GUIDE TO AMBULATORY SURGICAL
CENTER DEVELOPMENT.
Market Study
Market Definitions
Primary
Secondary
By zip code; country
Market and Market Share Targets
Current
Targeted
Timeframe
Targeted Growth
Location(s)
Physician recruitment Satellite clinics / locations
Partnerships
Bonus: Market Planning Worksheet
STRATEGIC EXCELLENCE IN ASC DEVELOPMENT: GROWTH, RECRUITMENT, AND PARTNERSHIPS
Strategic Planning
Market Study / Baseline for Strategic Plan
Focus on “Targeted Growth”
Physician recruitment
Potential partnerships
Targeted Growth: Service Offering(s)
Single speciality
Multi-speciality
Excluded specialities
Physician Recruitment: Initial Physician List
Individual physicians
Physician groups
Number of active participants Current Planned / Desired
Potential Partnerships
Hospitals
Physician groups
Development companies
Anticipated / Expected Financial Results
At most 5-7 strategies
Assign tasks per strategyResponsibleStart dateEnd dateProgress notesMonthly / Quarterly updates
Accountability is Critical
Strategy level
Task level
Potential Partnerships
What is your top question regarding strategic-planning?
What is your top question about beginning the process of developing an ambulatory surgical center?
Bonus: Strategic Planning Worksheet - Template
Receive bonus when survey is completed
MODULE 2: PRE-PROJECT PLANNING
In Module 2 of the Ambulatory Surgical Center Development Class, we delve into the critical phase of Pre-Project Planning. This module focuses on laying the foundation for a Successful ambulatory surgical center (ASC) by addressing key elements in the preliminary design stage. Participants will learn the significance of engaging architects, leveraging insights from the market study and strategic plan to estimate facility size based on anticipated volume. The module covers the intricacies of determining the number of operating rooms (ORs), pre-op beds, and post-op beds, while also emphasizing the creation of a block diagram. Other essential considerations such as the incorporation of a medical office building, ancillary services, and estimating facility construction costs will be thoroughly explored. Join us as we navigate the intricacies of pre-project planning, providing participants with the tools and knowledge necessary for effective ASC development in this vital phase.
PRELIMINARY DESIGN MASTERY: CRAFTING THE BLUEPRINT FOR SUCCESSFUL AMBULATORY SURGICAL CENTER DEVELOPMENT
Preliminary Design
1. Engage architect
2. Estimate facility size based on volume
3. (market study / strategic plan)
4. Number ORs, pre-op beds, post-op beds
5. Create block diagram
6. Other considerationsMedical office building Ancillary services
7. Estimate facility construction cost
STRATEGIC REAL ESTATE PLANNING: NAVIGATING REQUIREMENTS AND OWNERSHIP STRUCTURES IN ASC DEVELOPMENT
Real Estate
Estimate Amount of Real Estate Required Based on Preliminary Design
Size of facility
Anticipated daily patient volume
Planned expansion
Parking requirements
Retention ponds and other infrastructure
How Will Real Estate be Held?
Owned Held in ASCCreate separate real estate companyInvolve real estate development company
Leased Involve real estate development company
Identify real estate development partner
Local vs. National
STRATEGIC INVESTMENT FRAMEWORK:CAPITAL COMMITMENT, OWNERSHIP STRUCTURES, AND FINANCING STRATEGIES IN ASC DEVELOPMENT
Investment Structure
Estimated Total Capital Commitment
Facility construction
Capital equipment
Capital Raise / Financing
Corporate structureASC onlyInclude real estate
Ownership allocation among partnersCurrentFuture
Capital StructureDebtEquity
Physician ownershipActive ownersPassive owners
STRATEGIC FINANCIAL PLANNING FOR ASC SUCCESS:STRATEGIC FINANCIAL PLANNING FROM COMPREHENSIVE FIVE-YEAR PLANS
Financial Projection – Initial
Order of magnitude projection
Assumed volume and mix of cases
Broad revenue and expense assumptions
Initial financial plan based on:
Market study / strategic plan
Size and scope of project
Investment structure
Projection packet
Assumptions
Five year financial projection
Capital budget
Completion Survey (take before next module)
What is your top question about Pre-Project Planning?
What is your top question or concern about beginning the process of planning and developing an ASC?
Bonus: Pre-Planning Project Checklist
Receive bonus when survey is completed
MODULE 3: PLANNING AND DEVELOPMENT: FACILITY DESIGN AND CONSTRUCTION
In this ASC Development course section dedicated to Legal, Regulatory, and Organizational intricacies, where we delve into the critical legal and structural aspects shaping the foundation of ambulatory surgical centers (ASCs). Explore project-specific legal considerations, including joint venture structures and the pivotal decision on physician, hospital, and ASC development company partnerships. Navigate the process of determining entity types, recruiting investors, and crafting comprehensive investor decks. Uncover the nuances of board organization and development, defining size, representation, and committee structures with a focus on administrative and medical committees. This section also provides insights into refining financial projections, evaluating financing alternatives, conducting payer analyses, and tightening projection assumptions. Join us as we delve into the multifaceted landscape of ASC development, covering legal, regulatory, and organizational dimensions crucial for success.
NAVIGATING LEGAL AND ORGANIZATIONAL FRAMEWORKS IN ASC DEVELOPMENT: STRUCTURING JOINT VENTURES, ENTITIES, AND BOARDS
LEGAL / REGULATORY / ORGANIZATIONAL
Project specific legal issues
Joint venture structure
i. Only physician and physician group partners?
ii. Hospital (for profit vs. non-profit)?
iii. ASC development company?
Determine entity type
Recruit investors
Develop investor deck
Equity partners
Debt partners
Board organization and development
Size of board
Representation
i. Hospital executives
ii. Participating physicians
iii. Local business leaders
Committee structure and operating authority
Administrative committees
Medical committees
Scope of authority (sample authority matrix)
Participation requirements
STRATEGIC FINANCIAL PROJECTIONS IN ASC DEVELOPMENT:
ANALYZING ALTERNATIVES, REFINING ASSUMPTIONS, AND CRAFTING COMPREHENSIVE PLANS
Financial Projections
Financing alternatives
Payer analysis
Tighten projection assumptions
Volume and revenue analysis
Expense analysis
Develop charge master
Financial projections – second draft
ARCHITECTING SUCCESS:A COMPREHENSIVE GUIDE TO FACILITY DEVELOPMENT IN ASC PLANNING AND CONSTRUCTION
Facility Development: Design and Construction
Real estate
How will real estate be held?
Secure land
Architecture
Schematic design
Design development
Construction drawings
Interior design
Capital equipment
Construction
Facility management
Physical plant management
Completion Survey (take before next module)
What is your top question or concern about the Planning and Development process?
What is your top question or concern about Non-Clinical Operations?
Bonus: Planning and Development Checklist
Receive bonus when survey is completed
MODULE 4 : PLANNING AND DEVELOPMENT: NON-CLINICAL OPERATIONS
Delve into the Non-Clinical Operations module in our ASC Development course, exploring the administrative landscape of ambulatory surgical centers (ASCs). Covering licensure, accreditation, HIPAA compliance, financial management, information systems, revenue cycles, payer relations, human resources, marketing, medical records, support services, and facility considerations. This module invites participants to share concerns and questions through a Completion Survey, shaping discussions on non-clinical and clinical operations. Completing the survey unlocks a bonus Non-Clinical Operations Checklist, ensuring a comprehensive grasp of key operational dimensions. Join us in navigating the essential components of non-clinical operations crucial for ASC success.
FOUNDATIONS OF ASC GOVERNANCE:ADMINISTRATION, PHYSICIAN COLLABORATION, LICENSURE AND HIPAA COMPLIANCE
Administration:
1. Physicians
2. Licensure / Accreditation
3. HIPAA
FINANCIAL EXCELLENCE INASC OPERATIONS: MANAGEMENT, INFORMATION SYSTEMS, REVENUE CYCLE, AND PAYER RELATIONS
Financial management:
1. Information systems
2. Revenue cycle
3. Payer relations
OPTIMIZING NON-CLINICAL OPERATIONS IN ASCS:HUMAN RESOURCES MARKETING, RECORDS, FACILITIES, AND BEYOND
Human resources
Marketing
Medical records
Support services
Facility
Miscellaneous
Completion Survey (take before next module)
What is your top question or concern about Non-Clinical Operations?
What is your top question or concern about Clinical Operations?
Bonus: Non-Clinical Operations Checklist
Receive bonus when survey is completed
MODULE 5: PLANNING AND DEVELOPMENT: CLINICAL OPERATIONS
Delve into the Non-Clinical Operations module in our ASC Development course, exploring the administrative landscape of ambulatory surgical centers (ASCs). Covering licensure, accreditationExplore the intricacies of Clinical Operations in Module 5 of the Ambulatory Surgical Center Development Class. This comprehensive module navigates through key components crucial for successful planning and development. From establishing administration and medical staff leadership to crafting policies, procedures, and quality management protocols, participants will gain insights into EMS and transfer agreements, credentialing processes, and supporting physician coverage models. The module concludes with a Completion Survey, enabling participants to express their top concerns about Clinical Operations and Go-Live Planning. Additionally, completing the survey unlocks a valuable Clinical Operations Checklist, ensuring a comprehensive understanding of essential clinical operational dimensions. Join us as we delve into the heart of ASC development. HIPAA compliance, financial management, information systems, revenue cycles, payer relations, human resources, marketing, medical records, support services, and facility considerations. This module invites participants to share concerns and questions through a Completion Survey, shaping discussions on non-clinical and clinical operations. Completing the survey unlocks a bonus Non-Clinical Operations Checklist, ensuring a comprehensive grasp of key operational dimensions. Join us in navigating the essential components of non-clinical operations crucial for ASC success.
NAVIGATING ASC OPERATIONS: ADMINISTRATION, EMS AGREEMENTS, AND TRANSFER AGREEMENTS
Administration:
1. EMS agreements
2. Transfer agreements
BUILDING EXCELLENCE: MEDICAL STAFF LEADERSHIP AND CREDENTIALING IN ASC DEVELOPMENT
MEDICAL STAFF
Establish physician leadership
Chief medical officer
Chief of anesthesia
Establish medical staff office
Administrative / Committee structure
Develop medical staff bylaws
Draft medical staff rules and regulations
Credentialing
Physician credentialing process
Allied health credentialing process
Complete initial credentialing process
OPTIMIZING CLINICAL TEAMS:PHYSICIAN COVERAGE MODELS AND COLLABORATIONS IN ASC DEVELOPMENT
Supporting physician coverage models
Anesthesia
Hospitalist
Radiologist
Consulting physician agreements
STRATEGIC GOVERNANCE:DEVELOPING POLICIES AND PROCEDURES IN AMBULATORY SURGERY CENTERS
Policies and procedures
Department level
Patient related processes and protocols
Medical administration
EXCEL IN EXCELLENCE:A COURSE ON QUALITY PREPAREDNESS AND CLINICAL OPERATIONS IN AMBULATORY SURGERY CENTERS
Quality preparedness:
1. Clinical quality improvement plan
2. Quality management
3. Outcomes management and report card
4. Environment of care
Completion Survey (take before next module)
What is your top question or concern about Clinical Operations?
What is your top question or concern about Go-Live Planning?
Bonus: Clinical Operations Checklist
Receive bonus when survey is completed
MODULE 6: GO LIVE
Welcome to Module 6 of the Ambulatory Surgical Center Development Class – the pivotal stage of Go Live. In this crucial phase, we dive into the grand opening, rigorously testing both clinical and non-clinical systems to ensure a seamless transition. Accreditation preparedness takes center stage, setting the foundation for operational excellence. As we navigate through Go-Live Planning, your insights matter. Share your top questions and concerns through the Completion Survey, guiding our coaching program tailored to address your needs. Completing the survey unlocks a valuable Go-Live Planning Checklist, empowering you with essential tools for a successful launch. Join us in this dynamic transition towards operational excellence in ambulatory surgical center development.
SEAMLESS UNVEILING: NAVIGATING GO-LIVE AND ENSURING EXCELLENCE IN ASC OPERATIONS SURGICAL CENTER DEVELOPMENT
Grand Opening
Test Clinical Systems
Test Non-Clinical Systems
Accreditation Preparedness
Completion Survey (take before next module)
What is your top question or concern about Go-Live Planning?
What other questions or concerns do you have about the process?
Bonus: Go-Live Planning Checklist
Receive bonus when survey is completed
TRAINING SERIES
Six modules over 6 weeks
Price: $2,495
Discount: $500 during initial sales period or first 10 registrations
COACHING PROGRAM
Up to 10 members per group
Facilitated interaction among participants
Price: $950/month. Meet 2x/month; 90 minute per week
Individual mentoring: $1,250/month. Meet 4x/month; 1 hour sessions
Discount: $500 for the first month to the first 5 sign-up
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