Healthcare Venture Professionals — Article Library

All entries filed under “Ambulatory Surgery Center”

Outpatient Surgery Centers

Outpatient surgery centers (or ambulatory surgery centers / ASC’s) are a growing part of the healthcare landscape. Recent data shows that there soon will be more outpatient surgery centers than there are Hospitals in the U.S. This trend is expected to continue in the years ahead as more and more services are provided in an outpatient vs. the traditional inpatient setting.

It’s well documented that both Patients and Physicians prefer the convenience and efficiency found in a surgery center. A freestanding ASC, by definition, is able to provide surgical services in a manner that even the best-operated Hospital-based outpatient surgical setting is unlikely to match. The outpatient surgery center is dedicated to doing one thing only with minimal distraction or interruption. Patients receive high quality surgery in a lower cost setting. Customer/Patient (and Family) service is primary. Physicians can be more productive which frees up valuable time for other professional and personal endeavors.

HVP believes that Hospitals and Physicians should be proactive in considering the development of such dedicated, free standing centers. Ideally, this will be done taking a collaborative, partnership approach with joint Hospital and Physicians ownership. The alternative scenario frequently is where one of these parties chooses to develop an ASC without involvement of the other. The result can be increased competition between the two most important groups of healthcare providers in the community. As a rule, neither the Hospital nor the Physicians benefit from this approach in the long run and the Patient frequently gets stuck in the middle.

If you believe an opportunity exists for the development of a free standing outpatient surgery center in your community, give HVP a call at 615-457-1848. We can help you look at the feasibility of such a project. We can also help you assess the various ownership options that may exist for the ASC. You can also learn more about HVP’s approach to the development (and ongoing management) of outpatient surgery centers by visiting our website at

Surgery Centers

In most markets, outpatient surgery procedures now account for 70% - 80% of all surgery procedures being performed. While many procedures are still being done in a Hospital outpatient setting, the trend toward the development of freestanding Surgery Centers has continued. In fact (depending on the data you look at), the number of Surgery Centers now exceeds the number of acute care Hospitals in the U.S.

The trend toward Surgery Centers has occurred for several reasons. When compared with a Hospital setting, Patients and Physicians greatly prefer the improved access, convenience and other amenities found in the typical Surgery Center. It also is a lower cost site for the Patient to obtain needed outpatient surgery. The high level of Patient / Family (and Physician) satisfaction with the Surgery Center approach is well documented.

Given its dedicated nature, the well-operated Surgery Center is much more efficient and effective when compared with even the best run Hospital outpatient surgery setting. Surgeons can be much more productive which, in turn, creates additional valuable time for them to pursue other personal and professional endeavors. In many situations, Surgeons can also be provided with an opportunity to acquire ownership in the Surgery Center. Finally, involved Physicians truly appreciate the opportunity to have increased input and control of quality-related decisions for their outpatient surgery Patients.

The Hospital too can frequently benefit from participation in the development of a freestanding Surgery Center. This is certainly a better alternative than losing a majority of outpatient surgery volume to a Center owned solely by others. A separate Center can also allow the Hospital to better utilize its existing Operating Room and / or free up needed space for other (new or expanded) revenue producing services. If a Joint Venture approach is taken to Center ownership, then a scenario is created where the Hospital and Physicians can collaborate as Partners and subsequently enjoy the many potential benefits that should result from such collaboration.

If you’d like to learn more about Surgery Centers, we at HVP would love to help you out! Visit our website at or give us a call at 615-457-1848 so that we can talk with you personally about this exciting topic.

Pain Treatment Centers

In the opinion of Healthcare Venture Professionals, the development of a free standing Pain Treatment or Pain Management Center continues to be a an excellent opportunity for the creation of a Joint Venture (JV) between the Hospital and Physicians practicing this specialty. As ASC specialists, HVP can consult, develop and manage both multi specialty and single specialty ASC’s such as a Pain Center.

Patients and Physicians tend to like this free standing approach vs. having Pain Treatment services provided in a purely Hospital setting. Access, convenience, excellent customer service and a variety of efficiencies for the Patient and his / her Family (including lower costs) are much more likely to be achieved in a free standing setting dedicated only to Pain Treatment. Physicians can generally be more productive in this environment which frees up valuable time for them to devote to other professional or personal activities.

In the event that a JV approach is taken, many of the above benefits apply to the Hospital as well. The collaborative model avoids another situation where, as an alternative, the Hospital might find itself in direct competition with Physicians providing Pain Treatment. The JV model turns a potential negative into a positive situation, and the Hospital also benefits from enhanced levels of Patient satisfaction with Pain Treatment rendered in a free standing facility. If properly designed, developed and managed, the JV Pain Center should also lead to expanded market share of Pain Services and improved financial / business results for both JV partners.

A more recent question being heard concerns changes to Medicare ASC reimbursement for Pain Treatment services provided in a free standing ASC setting. Despite the decreases in Medicare facility payments scheduled to take place between now and 2011, HVP believes that a free standing Pain Center can still do very well. The key to this success will be even greater attention to effective business planning, facility design and ongoing professional management leading to the achievement of all possible operational efficiencies.

If you’d like to talk about how HVP can assist you in the development of a JV Pain Treatment Center, give us a call at 615-457-1848. And don’t forget to visit our website at to learn more about the HVP philosophy and approach to collaboration on significant single specialty ASC’s such as Pain Treatment Centers.