December 18, 2024

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THIS WEEK'S ARTICLES

Put the Patient Atop Every ASC Design Step

A New Ortho ASC Rises in Texas

New High-tech, Multi-specialty Surgery Center Opens in Buffalo, New York - Sponsored Content

The Allure of Linking ASCs to Ortho Walk-In Centers

Total Joints Fundamentals for ASCs

 

Put the Patient Atop Every ASC Design Step

A human-centered approach to your build will attract patients to your facility for all their orthopedic needs.

PerformanceSUNSHINE STATE STUNNER Performance Health Surgery Center, a 14,700-square-foot, four-OR multispecialty facility on the outskirts of Fort Myers, Fla., is one of more than 150 ASCs created by Hardaway|Sziabowski Architects. | Hardaway | Sziabowski Architects

Building a new surgery center requires a design team to ask one key question every step of the way: “What will this look like through the eyes of the patient?”

The patient-as-customer approach to ASC design is something Joseph Sziabowski, AIA, swears by. Mr. Sziabowski, owner of Hardaway|Sziabowski Architects in Newton, Mass., and founder of Ambulatory Healthcare Design Lab, understands the ASC build process well, as his firm has designed more than 150 ASCs. He believes a patient-focused design strategy can reshape the way ASCs are constructed. “By prioritizing not only function but also comfort, aesthetics and ease of use, we can create facilities that are welcoming, efficient and focused on healing,” he says.

In a recent post on the Ambulatory Healthcare Design Lab blog titled “Experience First: A Paradigm Shift in Ambulatory Healthcare Design”, Mr. Sziabowski advises leaders to focus on three core design principles during their ASC build processes.

  • A people-pleasing marriage of form and function. Surgery centers shouldn’t resemble cold, impersonal hospitals from a bygone era. Combining a well-organized, clearly marked and eye-catching space that features accessibility for people of all abilities, varied seating options, proper acoustics and warm inviting lighting conveys comfort to the patient from the moment they walk through the door, he says.
  • Spatial organization that creates seamless throughput. Mr. Sziabowski says an efficient layout improves the orientation of both patients and staff. “Thoughtful spatial organization minimizes unnecessary movement and helps people flow through the space naturally,” he says.
  • Tastefully incorporated technology. A new ASC should include the latest and greatest technology, implemented in a way that blends devices in a natural manner. As Mr. Sziabowski puts it, “Incorporating medical equipment in a non-intrusive way and using patient tracking systems enhances communication and reduces stress.”

Ultimately, focusing first and foremost on the end-user’s needs, be they patients or providers, is an ASC design strategy that leadership teams can rely upon. “By starting with the human experience and designing backward, we can create ambulatory healthcare facilities that exude comfort, efficiency and healing,” says Mr. Sziabowski.

A New Ortho ASC Rises in Texas

Sterling Ridge Orthopaedics & Sports Medicine partners with Memorial Hermann to provide surgical services powered by the latest tech.

LombardiJOINT VENTURE Sterling Ridge Orthopaedics & Sports Medicine’s new ASC provides convenient access for patients in a rapidly growing community, with support from Memorial Hermann Health System. | Sterling Ridge Orthopaedics & Sports Medicine/Woodlands Online

Yet another orthopedics practice has established a new surgery center in partnership with a local hospital system, as Sterling Ridge Orthopaedics & Sports Medicine (SRSOM) recently announced the opening of an ASC developed in conjunction with Memorial Hermann Health System.

The center, which hosts a wide range of orthopedic and sports medicine procedures, is set in the “rapidly growing” community of Woodforest, Texas. It features three ORs and one specialized procedure room.

SRSOM, which announced the ASC’s opening on local news site Woodlands Online, features a high level of medical technology, and includes integrated audio/visual systems that it believes will enhance both patient care and its surgeons’ precision.

SRSOM is a longtime provider of orthopedic, sports medicine and physical therapy services in the area. It says that with the opening of the ASC, it gains an expanded ability to provide same-day outpatient surgeries and minimally invasive procedures with shorter recovery times and reduced costs.

Above all, the practice believes the new center will allow its surgeons to provide a better patient experience. “The addition of the ambulatory surgical center enables us to bring innovative solutions and personalized treatment to more patients than ever before, all within a modern, comfortable facility,” stated SRSOM orthopedic surgeon and joint replacement specialist Brian Flowers, MD, MPT, FAAOS, FAAHKS.

SRSOM says the partnership with Memorial Hermann allows its new ASC and its physicians to access support from the hospital system’s extensive resources and expertise.

SRSOM also expanded its physician roster recently, with two new surgeons added to the practice in October: James Lin, MD, a fellowship-trained orthopedic surgeon specializing in treating hand, wrist, elbow and shoulder conditions, and Jacob Jones, DPM, a board-certified and fellowship-trained reconstructive foot and ankle surgeon with a special interest in sports injuries, cartilage restoration, deformity correction and arthritic conditions.

 

New High-tech, Multi-specialty Surgery Center Opens in Buffalo, New York
Sponsored Content

Northtowns Ambulatory Surgery Center holds a grand opening at 716 Health to celebrate the launch of their new, state-of-the-art facility

NorthtownsCredit: Northtowns Ambulatory Surgery Center, Buffalo, New York

Centrally located in the newly built 716 Health medical complex, Northtowns Ambulatory Surgery Center (NASC) held a grand opening celebration and ribbon cutting ceremony to mark the launch of their new, state-of-the art facility on October 24, 2024.

The new 38,000-square-foot NASC facility contains 14 total surgical and procedure rooms, making it among the largest freestanding, multi-specialty ambulatory surgery centers in New York State. Offering outpatient services including orthopedics, colorectal surgery, general surgery, plastic surgery, vascular surgery, breast surgery, and colonoscopy and endoscopy procedures, the facility includes seven hospital-sized operating rooms, four endoscopy suites and three procedure rooms that enhance patient care with the latest equipment and technology.

NASC’s vision is to be a “smart center” using AI and advanced technology to drive improved clinical, operational and financial outcomes while providing the highest level of excellence in surgical expertise and compassionate patient care.

The NASC grand opening included facility tours, as well as demonstrations by Stryker, a strategic partner and primary vendor for NASC, of the Mako SmartRobotics™ technology used in orthopedic surgeries. Using Mako can lead to better outcomes, like less pain and shorter recovery times compared to traditional joint replacement surgery. 1-3

From its initial concept to its grand opening, the NASC facility was the result of years of planning and dedication. To help bring their vision of a state-of-the-art facility and world-class care to life, the NASC leadership team partnered with Stryker. The operating rooms at NASC are equipped with Stryker’s comprehensive portfolio and technology and are fully integrated. The integration and connectivity of Stryker’s medical devices help make the surgical care provided at NASC more precise, efficient and personalized.

“Other ambulatory surgery centers in town were never envisioned or built to have robotics and other high-end technology in the operating room,” says NASC Chief Executive Officer Ronald S. Mornelli. “Many were built before that tech even existed or needed to be right sized for their other intended purposes. That’s where this center is breaking ground as more of a technologically advanced ambulatory hospital.”

In addition to Mornelli, other key visionaries behind the development of NASC were the team of physician owners including Brian E. McGrath, MD; William M. Wind, Jr., MD, FAAOS; Leslie J. Bisson, MD; Steven D. Schwaitzberg MD, FACS; Joseph D. Mills, Jr., MD; and Director of Clinical Operations at UBMD Surgery Ashley McGowan.

This significant milestone for NASC is only the beginning. Stryker is proud to partner with NASC in their efforts to bring quality healthcare to Western New York.

“This grand opening serves as an embodiment of progress and innovation in healthcare, and our collective dedication to public service and healing,” says Mornelli.

To learn more about Northtowns Ambulatory Surgery Center, visit northtownasc.com

For more information on how to build and grow your ASC with Stryker, click here.

References:
1. Kayani B, Konan S, Tahmassebi J, Rowan F, Haddad F. An assessment of early functional rehabilitation and hospital discharge in conventional versus robotic-arm assisted unicompartmental knee arthroplasty: A PROSPECTIVE COHORT STUDY Bone Joint J 2019;101-B:24–33
2. Kayani B, Konan S, Tahmassebi J, Pietrzak J, Haddad F. Robotic-arm assisted total knee arthroplasty is associated with improved early functional recovery and reduced time to hospital discharge compared with conventional jig-based total knee arthroplasty: A PROSPECTIVE COHORT STUDY Bone and Joint Journal: 2018; 100-B:930–7.
3. Shibanuma N, Ishida K, Matsumoto T, et al. Early postoperative clinical recovery of robotic arm-assisted vs. image-based navigated Total hip Arthroplasty. BMC Musculoskelet Disord. 2021;22(1):314.

 

The Allure of Linking ASCs to Ortho Walk-In Centers

Popular model that delivers comprehensive care from initial assessment through surgery and post-op rehab is gaining traction among a growing number of orthopods.

The future of successful outpatient orthopedic care could rely on physicians embracing mergers of ASCs with orthopedic urgent care clinics, according to a surgeon with a successful practice in South Florida.

“By integrating ASCs with urgent care centers, we can create a more comprehensive and patient-centric system that delivers care from initial assessment through postoperative rehabilitation,” writes Alejandro Badia, MD, FACS, a hand and upper extremity surgeon in Doral, Fla., in a recent column on KevinMD.com, an online platform where physicians and other medical providers share ideas and insights.

Dr. Badia clarifies that the concept is to link ASCs with ortho walk-in centers, not general urgent care clinics where people routinely go for treatment for conditions such as upper respiratory infections, sore throats and other ailments. The integrated model applies to orthopedic-specific clinics where people seek treatment for pain in their lower backs, knees and shoulders.

The concept offers patients and surgeons four distinct advantages over traditional care models:

  • Convenience and accessibility. Patients can get specialized care without visiting a hospital or engaging in the complex and frustrating process of scheduling appointments at multiple offices.
  • Efficient care. Being diagnosed and treated at one facility streamlines the process for patients, which decreases their anxiety. Patients who walk into a traditional urgent care clinic often see a provider who isn’t an orthopedic specialist, which often means they must go to a second facility for a diagnosis and then a third facility for treatment. This is expensive and time-consuming.
  • Clinicians treat the cases most appropriate for them. Ortho walk-in centers can handle minor injuries in the urgent care setting, which frees surgeons up to put their expertise to use on more complex cases.
  • Cost savings and a better overall experience. When the initial care starts at a freestanding orthopedic urgent care center that’s aligned with an independent ASC, the overall cost of care can be significantly lower, as well as more pleasant for the patient and their loved ones.

The model isn’t without its challenges, says Dr. Badia, particularly in terms of securing insurance contracts and creating awareness and comfort with the process among providers and patients. But he believes the model can succeed in a competitive orthopedic care market burdened by ever-rising costs and patients who crave convenience.

“I believe the key to navigating this evolving landscape lies in prioritizing patient access to the appropriate clinician via seamless care delivery,” says Dr. Badia.

 

Total Joints Fundamentals for ASCs

You can build it, but will patients keep coming? Here’s how to focus your program.

What does it take for a new ortho ASC to determine if it’s on the right track with a total joints program?

Jennifer Parrott, RN, SPD manager and clinical nurse educator at the high-volume Knoxville (Tenn.) Orthopaedic Surgery Center (KOSC), believes the most important metrics and protocols an orthopedic ASC should monitor and prioritize are patient satisfaction rates, patient education, staffing levels, cost controls, average case times, infection rates, patient readmission rates and employment of Enhanced Recovery After Surgery (ERAS) protocols.

KOSC has performed thousands of total joint replacements since 2017, adding two ORs and boosting patient volume along the way. “When evaluating the effectiveness of your joints program, procedure time from start to finish is of the essence,” says Ms. Parrott. “Average length of stay depends on many factors, but the biggest one for success is how well the patient recovers immediately after the procedure and can be discharged safely and quickly. This is why it is extremely important to have an ERAS program in place.”

Ms. Parrott says patient education is crucial to success. “Patients need to know what to expect and to embrace the expectations that are placed on them,” she says. “Patient education will boost your patient satisfaction rates. When healthcare workers take the time to teach and connect one-on-one with a patient, this resonates and is one of your most valuable assets.”

Creating and sustaining success with total joints at an ortho ASC, says Ms. Parrott, is not a set-it-and-forget-it proposition. “Communication and collaboration among multiple disciplines is vital to ensure a successful total joints program,” she says. “From technology to resources, do the research, perform the education, implement policies and procedures and, lastly, network with your peers. Do not be afraid to ask for help or advice. Everyone needs it at some point. Do not get complacent. Never stop learning and growing. Familiarity is your worst enemy.” OSM

 

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