News and Press Releases
Spotlight on MMX Healthcare: Developing Reliable, Affordable Tools for ASC Data Tracking & Management
Written by Laura Miller | December 11, 2013
Founded by CEO John Seitz and President Tamar Glaser, RN, MMX Healthcare was formed to develop, deploy and deliver unique tools and resources that allow ambulatory surgery centers to compete in today's volatile healthcare market.
"Our whole mission is to provide ASC owners and managers with tools that are affordable, relevant and real time," says Mr. Seitz. "We are fulfilling a need that no one else is meeting."
MMX Healthcare solutions include AccredAbility and ManageMyASC, which are designed to enable ASC owners and operators to spot issues and recognize opportunities for improvement. These cloud-based solutions combine to provide regulatory compliance, quality improvement, patient satisfaction, financial performance and operational efficiency.
"We identified a need to deliver expertise in these areas outside of the large management companies," says Mr. Seitz. "The vast majority of independent ASCs are left with a 'do it yourself' challenge. Accordingly, we developed very robust, cloud-based and affordable solutions that, when combined, present the owners and managers of the surgery center with the tools they require to achieve success."
ManageMyASC was launched in 2011 and AccredAbility in 2012, with product development support from the multi-billon dollar technology and support company Cerratek/UST Global. MMX Healthcare distributes these products through their website (www.mmxhealthcre.com) and through a channel relationship with Cardinal Health.
ManageMyASC has proven beneficial to ASC owners and operators who can track their financial and operating metrics in real time. "It makes sense to review data in real-time which then allows for constant adjustments and improvements. You don't want to wait until the month is closed to recognize that you did not meet your goals," says Mr. Seitz, who has operated ASC and preformed numerous restructurings over the past 12 years. "This will become even more important for reimbursement and accountable care organization contracting."
Ms. Glaser, an AAAASF Medicare Surveyor and accreditation specialist, says this about the AccredAbility solution, says, "Staff should be focused on getting results, not preparing reports. We designed this solution to be comprehensive and to be a staff resource. By organizing and simplifying the task completion and reporting, staff can spend more time on patient care and improving quality."
In a recent article, Mr. Seitz and Ms. Glaser identified five core competencies for ASC owners and operators and defined their value. These competencies are measured by MMX's solutions. In another article, they explain the importance of ASC interaction with ACOs and what owners and operators need to know before entering into ACO discussions.
"If you are going to participate in an ACO and risk sharing, you have to know your costs and how you are operating," says Mr. Seitz. "Understand your cost structure; our tools allow you to do that in a straight-forward manner. If you are going to contract with other providers or ASCs in this area, it's required you share quality data and performance metrics."
In the coming year, the company plans to combine its solutions to create a "score card" for presenting an ASC's results to payers for contracting purposes. They also aim to develop a bridge that would allow ASCs on different systems to network together for ACOs.
But even for centers not considering ACO participation, quality reporting and transparency has become extremely important. The Centers for Medicare and Medicaid Services will begin to penalize ASCs not reporting quality data and insurance companies want to know their members are receiving quality care.
Mr. Seitz and Ms. Glaser are very excited about 2014. "There are numerous program enhancements on the schedule and we have begun to develop our solutions for other healthcare verticals."
ManageMyASC is a real-time, interactive management tool that provides an unprecedented view into the financial and operational performance of your surgery center and allows you to communicate this information quickly and accurately to physicians. MMASC integrates information from your scheduling/billing system and your accounting system to provide you with real-time reports, key performance indicators and benchmarks that can be used to solve problems and recognize opportunities.
AccredAbility is our comprehensive accreditation tracking and reporting solution. The program builds itself around your facility - number of ORs, accrediting agency (AAAHC, AAAASF, Joint Commission, Medicare) and creates the tasks and reports you need to perform. You can assign tasks to different staff and get notifications if a required task is not performed or there is an "outside normal" value. AccredAbility runs on any browser enabled device (iPad, iPhone, Android) speeding these tasks and allowing you and your staff to spend valuable time on other duties. In addition, AccredAbility now incorporates a simple but powerful email based patient satisfaction survey that sends, compiles and stores all reports. No more three ring binders and missing information. You are always ready for your next inspection.
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234 People in the ASC Industry to Know
Written by Laura Miller | November 18, 2013
Here are 234 people to know in the ambulatory surgery center industry. For questions, comments and updates on this list, please contact Laura Miller at email@example.com.
David Abraham, MD, is an orthopedic surgeon with The Reading Neck & Spine Center in Wyomissing, Pa. He is a member of the American Academy of Orthopaedic Surgeons, North American Spine Society and Pennsylvania Orthopedic Society. Dr. Abraham earned his medical degree at Jefferson Medical College in Philadelphia and completed his residency at Thomas Jefferson University Hospital. His additional training includes a fellowship in spine surgery.
Clifford G. Adlerz has served as president of Symbion since May 2002 and COO and director of the company since its inception in 1999. His previous experience includes time as COO of UniPhy and division vice president of HCA. He was also regional vice president of HealthTrust.
Dianne Appleby, RN, BSM, MBA, is the executive director of the Menomonee Falls (Wis.) Ambulatory Surgery Center. She has administrative experience in hospitals, home health, medical groups and ambulatory surgery. She has been president of the Wisconsin Surgery Center Association and the MGMA Ambulatory Surgery Center Assembly executive committee.
Lisa A. Austin, RN, CASC, serves as vice president of operations for Pinnacle III. She currently is president of the Colorado Ambulatory Surgery Center Association and serves on the surgery center advisory board of MedAssets and has extensive experience in operational development, management and consulting for ASCs and HOPDs.
David Ayers is the CEO of Nueterra Healthcare U.S. Operations. He has 20 years of experience developing, building and managing ambulatory facilities including surgery, imaging, physical therapy and urgent care centers. Mr. Ayers was previously vice president of a Fortune 500 company that specialized in ambulatory care product lines.
Rodger Baca is a vice president of acquisitions and development for Ambulatory Surgical Centers of America. He has more than 20 years of experience in executive positions with global leaders in logistics, telecom, financial services and consulting. Mr. Baca's focus is on increasing profitability, creating revenue, building organizations and increasing operational efficiency.
John Bartos, JD, is CEO of Collect Rx, a company focused on out-of-network billing for healthcare providers. He has previous experience as President of DrFirst and executive vice president of Prematics. He has serviced a wide range of for-profit and not-for-profit health insurers as well as numerous health systems and physician practices.
Sean Benson is the co-founder of ProVation Medical and has been involved in the company's operations since its inception in 1994. He is currently the vice president of innovation, clinical solutions. He has experience in research and development, product management, sales, marketing, business development and client services.
Sandy Berreth, RN, MS, CASC, is the administrator of Brainerd Lakes Surgery Center in Baxter, Minn., a multispecialty ASC that performs general surgery, gynecology, orthopedics, ophthalmology, facial plastics, otolaryngology, urology, podiatry and pain management. She has been with the center since it opened in 2005 and is currently a surveyor for the Accreditation Association for Ambulatory Health Care.
Gerald Biala, RN, MS, CNOR is a senior executive of Assay Healthcare Solutions. He has experience in management and operations of surgical and anesthesia services in both hospitals and ASCs. He has worked in a consulting role for more than 15 years and previously served as national director for surgical services consulting for Ernst and Young.
Chris Bishop is senior vice president of acquisitions and business development for Blue Chip Surgery Center Partners. He previously served as vice president of business development for Ambulatory Surgical Centers of America. He has 15 years of experience in leadership roles in the medical device and surgery center industries.
Stephen E. Blake, JD, MBA, CPC, is the CEO of Central Park Surgery Center in Arlington, Texas. He has successfully guided the organization through the many challenges that an independent ASC must maneuver through especially during today's turbulent healthcare times. He is a board member, executive committee member and officer with the Texas Ambulatory Surgery Center Society, as well as a past president. He has testified before the Texas Legislature on several occasions and continues to stay active in ASC legislative and regulatory matters at the state and federal level.
Jeff Blankinship is the CEO and president of Surgical Notes, which provides transcription services to more than 450 surgery centers and 6,500 physicians in 42 states. He also co-founded and launched the Surgery Center Network in this past year.
Henry H. Bloom is the founder and president of The Bloom Organization, a healthcare-consulting firm devoted to providing project-related services to healthcare providers. He has structured and negotiated numerous healthcare transactions including physician practice acquisitions and divestitures and joint venture arrangements.
Robert Boeglin, MD, is the board president for Midwest Eye Institute in Indianapolis and co-founder of Health Venture Management, a company that develops surgery center partnerships between physicians and Clarian Health. Dr. Boeglin attended Indiana University for medical school and completed a glaucoma fellowship at Yale University.
Dotty Bollinger serves as president and chief operating officer at Laser Spine Institute. In three years with Laser Spine Institute, Ms. Bollinger has established processes and procedures that have improved efficiency of care at all facilities. She was instrumental in implementing the company's electronic medical records program and has led accreditation efforts as well.
Tom Bombardier, MD, is a board-certified ophthalmologist and one of the three founding principals of Ambulatory Surgical Centers of America. Before founding ASCOA, he established the largest ophthalmic practice in western Massachusetts, two ASCs and a regional referral center. Over the past 15 years, he has been a real estate developer in Cape Cod, Mass.
Regina Boore, RN, BSN, MS, is the CEO of Progressive Surgical Solutions and administrator at Newport Bay Surgery Center in Newport Beach, Calif. She has more than 25 years of clinical, administrative, teaching and consulting experience in ambulatory surgery. Prior to coming to Progressive Surgical Solutions, Ms. Boore worked as a perioperative nurse, OR supervisor and ASC director.
Bonnie Brady, RN, CNOR, is the administrator at West Morris Surgery Center and Rockland and Bergen Surgery Center. She is currently serving her second term as secretary of the New Jersey Association of Ambulatory Surgery Centers and was the chairperson for the organization's annual conference. She also serves as chair of the membership committee for NJAASC and is involved with discussions about evolving legislative and regulatory issues with the New Jersey Department of Health.
Robert S. Bray Jr., MD, is founder of DISC Sports & Spine Center in Marina Del Rey, Calif., and a neurological spine surgeon. He has experience treating elite athletes and working with device manufacturers to develop new products. Before founding DISC in 2006, Dr. Bray practiced at Cedars Sinai Medical Center where he founded the Institute for Spinal Disorders. Dr. Bray earned his medical degree from Baylor College of Medicine and served in the United States Air Force.
Brett Brodnax is the president and chief development officer of United Surgical Partners International, positions he has held since 2011 and 2004, accordingly. He joined USPI in 1999 and previously served as assistant vice president for Baylor Health Care System.
Brian Brown is regional vice president, operations for Meridian Surgical Partners. He has more than 15 years of experience in the healthcare industry, all of them with ambulatory surgery centers. Most recently, Mr. Brown served as an assistant vice president for Symbion Healthcare. In this role, he was responsible for financial operations of six outpatient surgery centers.
Jennifer Brown, RN, is an endoscopy nurse manager for Gastroenterology Associates of Central Virginia in Lynchburg. She is responsible for overseeing endoscopy operations and administration. Her previous experience includes time as a nursing supervisor for Centra Health's Lynchburg General Hospital. She has received the Coastal Carolina Community College Clinical Excellence Award four times, after earning her degree from Coastal Carolina Community College.
Paul Cadorette, CPC, is director of educational services for mdStrategies. He is responsible for developing coding training seminars and educational webinars featured by ASCA with a focus on ASC coding. He is a member of the Academy of Professional Coders and lectured at several chapter conferences. He also provides training for large healthcare corporations.
Jason Cagle was named CFO of United Surgical Partners International in January 2013. He previously served as the company's senior vice president, general counsel and head of acquisitions. His experience includes corporate finance and capital markets activities. He previously served as a corporate attorney with Vinson & Elkins where he worked on USPI's initial public offering and high-yield bond issue.
Joe Cappiello is the COO for Healthcare Facilities Accreditation Program. He previously served as vice president of the field of operations for The Joint Commission and led his own consultancy to help healthcare facilities improve and maintain compliance with accreditation standards.
Robert J. Carrera is the president and CEO of Pinnacle III. With more than 20 years of healthcare experience, he has spent the last 15 years developing and managing ASCs, physical/occupational rehabilitation centers, diagnostic imaging facilities and occupational medicine clinics nationally. He has been active in ASC-related legislation in Colorado, Minnesota and Utah.
John Caruso, MD, has more than 16 years of neurological surgery experience. Since completing residencies at the Eastern Virginia Graduate School of Medicine and the University of New Mexico, he has been in private practice with Neurosurgical Specialists in Hagerstown, Md.
Mark Casner is the CEO of aesthesis. He has nearly 30 years of healthcare executive and business operations experience, previously serving as CEO of Digirad and President/COO of DMS Imaging. He is a member of the board of directors for the Preventing Colorectal Cancer Organization and Centers for Handicapped Development Corporation.
Brett Chambers is project manager, IT consulting for Key Whittman Eye Center in Dallas. The center has provided vision correction for more than 50 years and services include refractive surgery, cataract surgery and toric intraocular lens implant. The center includes Versus real-time location system.
Frank J. Chapman, MBA, is chief operating officer for Ohio Gastroenterology Group in Columbus. He preciously served as acting administrator for New York Gastroenterology Associates and treasurer of the Accreditation Association for Ambulatory Health Care. He previously served as the COO of Asheville (N.C.) Gastroenterology Associates and is past president of the Medical Group Management Association Gastroenterology Administrators Assembly. He is the first non-physician to hold a seat on the practice management committee of the American Society for Gastrointestinal Endoscopy and is a member of the AAAHC board of directors.
Rajiv Chopra is a principal with The C/N Group, which develops, owns and operates healthcare facilities. He has prior work experience in the banking and management consulting industries. Before joining The C/N Group, Mr. Chopra was a principal consultant in the strategic change practice of PricewaterhouseCoopers Consulting.
Raman Chopra is principal for The C/N Group. He oversees the firm's diagnostic imaging and hospitality operations and all marketing and technology related activities. Prior to joining The C/N Group he spent seven years in strategic consulting, with his last position as director of consulting services for Equifax.
Ravi Chopra is the president and CEO of The C/N Group. He holds a variety of operational responsibilities, including ASC and real estate operations, and he oversees the finance and accounting for the company and its affiliates. He previously served as a principal consultant in the strategic change practice of PricewaterhouseCoopers Consulting.
Scott Christiansen is president of CCO Healthcare Partners, a marketing consulting firm focused on healthcare providers. He has experience as a national television and radio producer as well as a mixed media executive. Mr. Christiansen founded Knox & Cook, a marketing firm, and launched Core Medical Marketing in 2012.
Richard N. Christie, MD, is vice president of operational development at Ambulatory Surgical Centers of America and a board-certified OB/GYN with a private practice in Newport Beach, Calif. As an investor and physician at The Newport Beach Surgery Center, he has extensive personal knowledge of the ASC industry. He has been involved in real estate development in Newport Beach and Palm Springs, Calif.
Monica Cintado is the senior vice president for United Surgical Partners International, and she has been with USPI since 1998. Prior to joining USPI, Ms. Cintado provided development and operations support in the international group at HCA.
Joe Clark serves as executive vice president and chief development officer for Surgical Care Affiliates. Prior to SCA, he served as the president and CEO of HealthMark Partners, Inc. (a surgery center and surgical hospital provider), and as CEO of Response Oncology (an oncology provider). He worked previously for Humana and American Medical International (hospital providers), and earned a Bachelor of Arts from Dartmouth College.
Daniel Connolly is the vice president of payer contracting for Pinnacle III. He performs all aspects of managed care contracting including contract negotiations, renegotiations, analysis, market analysis, implementation and compliance monitoring for ASCs in multiple markets.
R. Blake Curd, MD, is chairman of the board of directors of Surgical Management Professionals. He is an active proponent of physician ownership in healthcare and has served as a director for Physician Hospitals of America. He has also been a manager for Medical Facilities Corp.
Urfan Dar, MD, is been principal, manager and medical director of Theda Oaks Surgery Center in San Antonio, which performs close to 10,000 cases annually. He is board-certified by the American Board of Pain Medicine and American Board of Anesthesiology.
Daniel C. Daube, MD, is the director and CEO of Surgical Center of Excellence in Panama City, Fla. He practices with the Gulf Coast Facial Plastics and ENT Center in Panama City and is on the clinical faculty at Tulane University Medical Center in New Orleans. Dr. Daube is board-certified in otolaryngology and facial plastic and reconstructive surgery.
D. Paul Davis, CPA, CMA, serves as the president and CEO of Broomfield, Colo.-based Amblitel, a full-service back office, business intelligence and ASC consulting company that he founded in 2009. Mr. Davis has more than 25 years of healthcare industry experience and has held diverse senior leadership roles with ASC management companies.
Fred Davis, MD, is a co-founder of Michigan Pain Consultants and president of ProCare Systems. He earned his medical degree at Rush University's College of Medicine in Chicago and completed his residency at the University of Michigan in Ann Arbor.
Timothy T. Davis, MD, is the director of interventional pain and electrodiagostics at The Spine Institute, Center for Spinal Restoration in Santa Monica, Calif. He has been involved in extensive research using biological therapies to repair damaged spinal discs and has published internationally. Dr. Davis earned his medical degree at the University of Missouri-Kansas City School of Medicine and completed a surgical internship at Ochnser Clinic in New Orleans.
Tom Deas Jr., MD, MMM, has served as medical director of two Fort Worth, Texas-based ambulatory endoscopy centers since their development in 1995 and 2002. He is board-certified in internal medicine and gastroenterology and holds a master's in medical management from UT Dallas School of Business.
Gregory P. DeConciliis, PA-C, CASC, is the administrator of Boston Out-Patient Surgical Suites and a position he has held since its inception. Mr. DeConciliis is a licensed physicians' assistant and previously worked at New England Baptist Hospital. He remains on staff at the hospital and assists with surgical procedures at the center.
Richard DeHart is the principal partner and a co-founder of Pinnacle III and has more than 18 years of experience in the outpatient healthcare industry. He provides Pinnacle III's clients with expertise in strategic planning, development and management of ASCs, diagnostic imaging and physical rehabilitation services.
Ann S. Deters, MBA, CPA, is CEO and co-founder of Vantage Outsourcing, which provides cataract outsourcing to hospitals and ASCs throughout the Midwest, South and Southeast. She also started 7D, a consulting and management service company for ASCs.
Michael Doyle is CEO of Surgery Partners. In this role, he is responsible for overseeing the firm's day-to-day operation and expansion through partnerships. He has experience developing and managing hospitals, surgical centers and imaging centers.
Goran Dragolovic serves as a senior vice president of operations at Surgical Care Affiliates. Previously, he served as executive vice president and COO for Forest Health Services (a surgical hospital provider), and he served in executive positions at AmSurg and Symbion (surgery center providers). Mr. Dragolovic earned a Bachelor of Science and an MBA from Pepperdine University.
Stephanie Ellis, RN, CPC, is the owner and president of Brentwood, Tenn.-based Ellis Medical Consulting and has provided healthcare consulting services to ASCs in that capacity since 1992. She has written many articles and spoken at numerous seminars on a wide variety of healthcare topics, including coding, billing and reimbursement issues.
Gayle Evans, RN, BSN, MBA, CNOR, CASC, is president of Continuum Healthcare Consultants, a firm that specializes in the planning, development and operation of ASCs. With more than 25 years of multispecialty surgery experience, Ms. Evans is a seasoned professional with management and operations experience at several leading medical facilities, including a 12-room surgery department, mobile lithotripsy services and the first U.S. research unit for biliary lithotripsy.
Paul G. Faraclas is president and CEO of Voyance, previously named CTQ Solutions. Prior to CTQ, he was vice president of ISH in Fairfield, N.J., for four years, where he helped grow the practice into the nation's largest acute care consulting firm. He also has experience as national director of sales for professional services for USInternetworking.
Robin Fowler, MD, is a pain management physician, chairman, medical director and owner of Atlanta-based Interventional Management Services. He has served as pain management advisor for several private insurance carriers and has participated in speaking engagements around the country. He is a member of the American Academy of Pain Medicine, National Pain Foundation and American Pain Society.
James L. Fox Jr., MD, is the founding leader of the Ravine Way Surgery Center in Glenview, Ill., and practices at the Illinois Bone & Joint Institute. He is a board certified orthopedic surgeon who has been practicing for more than 20 years. His clinical interests include general orthopedic surgery, fracture care and arthroscopy, as well as orthopedic oncology.
Richard Francis Jr. has served the chairman of Nashville, Tenn.-based Symbion Healthcare since March 2002 and as CEO of the company since its inception in 1999. Prior to his work with Symbion, Mr. Francis worked as the president and CEO of UniPhy. He was also senior vice president of department for HealthTrust.
Brandon Frazier is the vice president of business development at Surgical Care Affiliates. He preciously served as vice president of development and acquisitions for Ambulatory Surgical Centers of America and had a focus on development of de novo ambulatory surgery centers and the acquisition of existing centers. Before joining ASCOA, Mr. Frazier worked at Smith & Nephew with an exclusive focus on ASCs.
Jim Freund is vice president of business development for Medical Web Technologies One Medical Passport. He was previously the senior vice president of business development of GENASCIS. He is a 20-plus year ASC industry veteran who has worked with more than 600 ASCs. He has experience directing sales, strategic planning and marketing.
Nap Gary is the COO of Regent Surgical Health, where he is responsible for all operations and physician relations at the company's centers. He is also president of the board of directors for ASCA. During his more than 20 years of experience in the healthcare industry, he has served as senior vice president and assistant corporate counsel for HealthSouth. Prior to his entry into healthcare, he spent time at the Haskell Slaughter Young and Rediker law firm.
Ann Geier, RN, is founder of Geier Consulting, where she uses her clinical and ambulatory surgical center expertise to help ASCs improve compliance with regulation and standards. She previously served as the senior vice president of operations at Ambulatory Surgery Centers of America and an ASCOA representative on the ASC Quality Collaboration Expert Group, which sets standards for national quality of care benchmarking.
David S. George, MD, is a board-certified ophthalmologist at the Eye MDs (of George, Strickler and Lazer) and specializes in topical cataract surgery, glaucoma and diabetic eye care. He has served as a member of the board of directors for ASCA and the Outpatient Ophthalmic Surgery Society.
Gregory George, MD, PhD, is founding principal of SurgCenter Development, which has developed more than 60 physician-owned ASCs under his leadership. He is also a practicing ophthalmologist. He graduated from M.I.T., and received his medical degree and a PhD in ocular physiology from Duke University in Durham, N.C.
Bill Gilbert is the vice president of marketing at AdvantEdge Healthcare Solutions. In that role, he oversees product management and marketing. AHS applies technology to maximize client revenue and decrease client costs.
Scott E. Glaser, MD, FIPP, is a well-respected pain specialist and founder of the Pain Specialists of Greater Chicago in Burr Ridge, Ill. He serves as director on the national board of the American Society of Interventional Pain Physicians and was heavily involved in the lobbying efforts required to ensure passage of the NASPER bill. He still works closely with the Illinois Department of Health.
Tamar Glaser, RN, is CEO of Accreditation Services and AccredAbility, a service of MMX Healthcare, and president of MMX Healthcare. She has experience with Medicare certification preparation, credentialing and privileging, mock surveys and infection control training. Ms. Glaser was previously a surveyor for American Association for Accreditation of Ambulatory Surgery Facilities.
Eric Gleichman is chief development officer of Nueterra Healthcare. He previously served as executive vice president and chief development officer for Foundation Surgery Affiliates. He has more than 17 years of progressively responsible healthcare experience on both the payer and provider sides, most notably in strategic development, contract negotiations, and mergers and acquisitions.
Edward Glinski, DO, MBA, CPE, is the medical director at Heritage Eye Surgicenter of Oklahoma in Oklahoma City and a specialist in refractive and cataract surgery. Aside from his clinical work at the surgery center, Dr. Glinski also serves as an accreditation surveyor for the organization Health Facilities Accreditation Program.
John J. Goehle, CASC, MBA, CPA, founded Ambulatory Healthcare Strategies alongside Vito Quatela, MD, where he is COO. During his career, he has written several books and frequently speaks on topics related to the surgery center industry.
Michael Gossman, BSBA, CASC, is the administrator at the Cedar Lake Surgery Center in Biloxi, Miss., a multispecialty center. Previously, he served as administrator at Methodist Ambulatory Surgery Center in New Orleans, where he oversaw the start-up of the center. He was president of the Mississippi Ambulatory Surgery Association for four years.
Doug Golwas is the senior vice president, ambulatory surgery sales at Medline Industries, a company focused on manufacturing and distributing healthcare supplies. He has previous leadership experience at Berkshire and Kimberly-Clark. Mr. Golwas also served as vice president, national accounts for Medline.
Nicole Gritton, MSN, MBA, is the vice president of nursing and ASC operations at Laser Spine Institute. She began with Laser Spine Institute as a recovery nurse in 2008 and in her current executive role has responsibility for nurse recruiting and streamlining the nursing orientation program. She also ensured the center achieved certification from the Accreditation Association for Ambulatory Health Care.
John Hajjar, MD, FACS, MBA, is the CEO and chairman of Surgem. He developed one of the first ASCs in New Jersey at Fair Lawn and has been managing facilities profitably since 1992. Dr. Hajjar also operates one of the largest private urology practices in the United States.
Debbie Hall is the administrator of High Plains Surgery Center. Services at the center include spine surgery, otolaryngology, pain management, general surgery and orthopedics. There are 25 physician owners of the center, as well as Memorial Hospital of Laramie County dba Cheyenne Regional Medical Center.
David Hamilton is the president and CEO of Mnet Financial, which provides healthcare collections services for ASCs, imaging centers and outpatient hospitals. Since 1999, he has assisted more than 300 facilities with collections.
Marilyn Hanchett, RN, is the infection control technical lead at the Centers for Medicare and Medicaid Services. She has also served as senior director, professional practice at the Association for Professionals in Infection Control and Epidemiology. She is dual-certified in infection control and healthcare quality and has spoken and written on the topic of infection control on numerous occasions. Before joining APIC, Ms. Hanchett served at CMS as infection control technical lead for the ASC program.
Kenny Hancock is the president and chief development officer at Meridian Surgical Partners, a development and management company that centers on multispecialty and spine-driven ambulatory surgical centers. He is the former executive vice president, chief development officer and co-founder of Surgical Alliance Corporation, a specialty surgical hospital company founded in 2001. Prior to Surgical Alliance, Mr. Hancock was previously the chief development officer for OrthoLinks Physicians. He also worked in various positions for DePuy. Mr. Hancock received his bachelor's degree from the University of Kentucky in Lexington.
Tracey Harbour, BSN, RN, is the administrator at Surgery Center of Pinehurst, which is managed by Nueterra Healthcare. The center opened in 2006 and includes six operating rooms and two procedure rooms. Services at the center include orthopedics, otolaryngology, urology, podiatry and pain management. The center is accredited by the Accreditation Association for Ambulatory Health Care and is a joint venture with First Health of the Carolinas.
Andrew Hayek serves as president and CEO for Surgical Care Affiliates; and, he is a member of SCA's board of directors. Prior to SCA, Andrew served as the President of a division of DaVita Inc., and as president and COO of Alliance Healthcare Services Inc. Mr. Hayek worked previously at Kohlberg Kravis Roberts & Co. (a private equity firm), and the Boston Consulting Group, and he currently serves on the board of directors of Senior Home Care and the board of advisors of Sg2. Andrew earned a Bachelor of Arts from Yale University.
Bill Hazen, RN, CHT, is the administrator and CEO for The Surgery Center at Pelham in Greer, S.C., which he helped open in 2004. He has previous experience as director of special projects at Spartanburg Regional Medical Center and developed the hospital's Hyperbaric Medicine and Wound Center.
Christy Heald is senior vice president of business for Surgery Partners. During her career at Surgery Partners, Ms. Heald has been responsible for physician recruitment, anesthesia development, de novos and acquisitions. She currently leads the charge for all the company's development activities.
Edward P. Hetrick is president of Facility Development & Management and has more than 20 years of experience in the healthcare industry. Before founding FDM, he was vice president in Healthcare Facilities Management, a firm that specializes in reimbursement consulting for physicians and outpatient hospital accounts, a position which he still holds today.
Carol Hiatt, BSN, RN, LHRM, CASC, CNOR, is a consultant and accreditation surveyor for Healthcare Consultants International in Ocala, Fla. She has more than 25 years of experience in the healthcare industry, including time spent as a consultant and accreditation surveyor for Healthcare Consultants International.
Bo Hjorth is the vice president of business development at Regent Surgical Health. More than half of his 20-plus years in healthcare have been dedicated to the outpatient industry. Previously, he was the vice president of operations at Community Care, where he oversaw three surgery centers in Indiana and Maryland.
Tracy Hoeft-Hoffman, MBA, CASC, is the administrator of Fremont Surgical Center, a position she has held since March 2012. The center's board of managers, led by Brett Fischer, MD, says she has done a tremendous job of implementing cost savings programs and building the center's current team. Recently she was instrumental in hosting Governor Dave Heinman on a tour of the center and completed Leadership Fremont to integrate herself into the community. She has previous experience at Hastings (Neb.) Surgical Center.
Jeremy Hogue, JD, MBA, is the president, CEO and co-founder of Sovereign Healthcare, a privately-held company based in Orange County, Calif., that partners with physicians for the ownership and management of ASCs. He previously served as vice president of Audax Group and was an associate with Lehman Brothers.
Christopher Holden is the president, CEO and director of AmSurg. He has more than 21 years of experience in the healthcare industry, most of which he has spent in multi-facility and multi-market healthcare management. Before joining AmSurg, he served as senior vice president and a division president of Triad Hospitals.
Karen Howey, CASC, is administrator and CEO at Beaumont Macomb Township ASC. Her previous experience includes more than six years as administrator and CEO for Matrix Surgery Center. Beaumont Macomb Township ASC is affiliated with Nueterra Healthcare and Beaumont Health System. Services at the center include gastroenterology, orthopedics, gynecology, otolaryngology and general surgery.
Tom Hui is president and CEO of HST Pathways. He has more than 25 years of experience in IT and founded the Surgicenter information Systems in 1989. By 2001 when SIS was sold to SourceMedical Solutions, the company had more than 600 surgery center installations throughout North America. Mr. Hui served as senior vice president and chief technology officer for SourceMedical before founding HST.
Thomas Jacobs is CEO and co-founder of MedHQ, a business office solutions provider for outpatient healthcare businesses. As CEO, he has led MedHQ from start-up to a profitable company that operates in 10 states.
Richard K. Jacques is president and CEO of Covenant Surgical Partners and has more than 15 years in the ASC industry, including holding senior management positions with both public and private healthcare companies. He previously served as president and director of Surgical Health Group, a developer and manager of single- and limited-specialty surgery centers.
Marion Jenkins, PhD, is executive vice president - healthcare at 3t Systems. He previously founded and served as CEO of QSE Technologies, an IT systems integrator in Denver, which joined 3t Systems. He has authored more than 50 articles and presentations on the role of technology in business, and serves on the Colorado Regional Health Information Organization Technology Advisory Committee.
Beth Ann Johnson, RN, is vice president of clinical systems for Blue Chip Surgery Center Partners. She joined Blue Chip from LCA Vision where she was vice president of operations responsible for the growth of the ophthalmic surgery center business. She was previously with Aetna as a director of provider relations, recruitment and contracting.
Jen Johnson, CFA, is a partner in professional service agreements with VMG Health. She previously served in the Forensic and Litigation Services department of KPMG, was a finance professor at the University of North Texas and did consulting work in business valuation, financial projections and operational systematizations for various companies.
Nikki Johnson, SPHR, is vice president of Human Resources for Nueterra Healthcare. She has more than 12 years of HR recruiting and management experience, working with both large acute care hospitals and local healthcare providers. She also serves as an adjunct instructor at Baker University.
Sandra J. Jones, MBA, MS, CASC, FHMA, is the executive vice president and COO of ASD Management and has previous experience as president of Ambulatory Strategies. She previously served as regional managed care coordinator, risk manager and facility administrator for Premier Ambulatory Systems. She was also CEO and COO at for-profit hospitals and case management director for several hospitals and clinics.
Mike Karnes is the CFO and co-founder of Regent Surgical Health. He recently served as chief administrative officer of GTCR-Golder Rauner, one of the nation's largest and oldest venture capital firms. He also has been CFO for Prime Group Realty Trust and Balcor, a subsidiary of American Express.
I. Naya Kehayes, MPH, is managing principal, president and CEO of Eveia Health Consulting & Management, based in Issaquah, Wash. She previously served as regional director of operations and managed care of National Surgery Centers. She also coordinated orthopedic development in the Northwest region of the country and was a surgical hospital administrator for Columbia/HCA Healthcare Corporation.
Wendy Kelley is administrator at Cool Springs Surgery Center in Franklin, Tenn. Services at the center include gastroenterology, gynecology, otolaryngology, orthopedic surgery and ophthalmology. The center was founded in 2000 as a freestanding multispecialty facility with five operating rooms and one procedure room.
R. Matthew Kilton, MBA, MHA, is principal and COO of Eveia Health Consulting & Management, based in Issaquah, Wash. Before joining Eveia, Mr. Kilton was CEO of Renton, Wash.-based Valley Orthopedic Associates, a division of Proliance Surgeons. He earned master's degrees in business administration and health services administration from Xavier University in Cincinnati.
Susan Kizirian, RN, MBA, is principal of Kizirian Health Care Consulting and former COO of Ambulatory Surgical Centers of America. She has more than 17 years of experience in ASC operations, serving as executive director and consultant for ASC management and development. She serves as lifetime past president emeritus on the board of directors of the Florida Society of Ambulatory Surgery Centers and past president of the Ambulatory Surgery Management Society.
Marc E. Koch, MD, MBA, is the president and CEO of Somnia Anesthesia, where he focuses on furthering the company's mission of offering high-quality and cost-efficient anesthesia solutions to hospitals, ASCs and office-based facilities nationwide. He co-founded the medical practice Resource Anesthesiology Associates in 1996.
Greg Koonsman, CFA, is the founder and senior partner at VMG Health, where he specializes in valuation, transaction advisory and feasibility. He has acted as an advisor in transactions for more than 250 hospitals, 1,000 surgery centers and 1,500 physician organizations. He founded Practice Performance, a physician management organization providing outsourced business management services.
Lawrence Kosinski, MD, MBA, is a gastroenterologist with Elgin (Ill,) Gastroenterology. He is on the board of directors for Sherman Hospital and a member of the advisory board of the Illinois Health Information Exchange. Dr. Kosinski also serves as chairman of the American Gastroenterological Association Practice Management and Economics Committee.
Catherine W. Kowalski, RN, is the executive vice president and COO for Meridian Surgical Partners. She has more than 25 years of experience in the healthcare industry and is the former executive vice president of operations and co-founder of Surgical Alliance Corp., a specialty surgical hospital company.
Donald Kramer, MD, has developed several successful ASCs in the Houston market. He founded Northstar Healthcare, which develops and, in conjunction with physician partners, owns and operates ASCs in concentrated markets. He currently serves as CEO of Northstar after retiring from his clinical anesthesia and pain management practices in 2007.
Timothy Kremchek, MD, is one of the leading shoulder surgeons in the country and is a physician with Beacon Orthopaedics & Sports Medicine in Sharonville, Ohio. He has developed plans and thoughts around operating surgery centers and building and marketing brands for orthopedic surgeons. His professional interests include advanced arthroscopic repair of shoulder and knee injuries.
Richard Kube, MD, is the CEO, founder and owner of Prairie Spine & Pain Institute in Peoria, Ill. He is a fellowship-trained spine surgeon who performs minimally invasive, motion-preserving surgical techniques, including sacroiliac joint surgery. He earned his medical degree from Saint Louis University School of Medicine and currently serves as a faculty member at the University of Illinois School of Medicine in Peoria.
Brent W. Lambert, MD, FACS, is a founder and member of the executive management team for Ambulatory Surgical Centers of America. He is a board-certified ophthalmologist and previously developed and owned three ambulatory surgical centers, including the first eye ASC in New England. Dr. Lambert is currently responsible for business development at ASCOA.
Luke M. Lambert, MBA, CFA, CASC, is the CEO of Ambulatory Surgical Centers of America, a position he has held since 2002 after having served as CFO for five years. He previously worked for Smith Barney in international sell-side equity research and at Booz, Allen & Hamilton and Ernst & Young in venture exploration and reengineering business processes.
Matt Lau, CPA, is the corporate controller at Regent Surgical Health, where he brings 14 years of finance and accounting experience. He previously held positions with Paincare America and Option Care. He earned his MBA from DePaul University Kellstadt Graduate School of Business in Chicago.
Scott Leggett is CEO of Surgery One, which manages four multispecialty ASCs in the San Diego area. He has more than 17 years of experience in orthopedics and holds a master's degree in exercise and sports science from the University of Florida in Gainesville.
Liliana Lehmann is administrator at Hallandale Outpatient Surgical Center in Hallandale Beach, Fla., as well as the Surgery Center of Weston (Fla.). She is responsible for the surgery center's development, accreditation and licensure, operations, billing, accounting and personnel. She also has experience as president of Axis Management & Billing Services.
Jeff Leland is the CEO of Blue Chip Surgery Partners. He previously served as executive director of Lutheran General Medical Group and as a senior-level executive with Advocate Health Care in Chicago, where he was responsible for business development and Advocate's 225,000-member health plan.
Bruce Levy, MD, JD, is CEO of Austin (Texas) Gastroenterology and serves on the Texas Ambulatory Surgery Center Society Board of Directors. He is a board-certified anesthesiologist who previously practiced at The Methodist Hospital and served on the Baylor College of Medicine faculty, both in Houston.
Michael J. Lipomi is president and CEO of Surgical Management Professionals. Mr. Lipomi has more than 30 years of experience in hospital and ambulatory surgery facility management. Prior to his current role, he was president of Dallas-based RMC MedStone, where he owned and managed several surgery centers and a surgical hospital.
Rodney H. Lunn is the principal of the Surgical Health Group. Over the past 17 years, he has developed more than 150 ASCs throughout the United States. He is often considered the original pioneer in taking the concept of ASCs and transforming it into a practical, successful business model in dozens of states.
James J. Lynch, MD, FACS, is the president, founder and CEO of SpineNevada based in Reno, and he also serves as the director of spine service for Regent Surgical Health. Dr. Lynch is a board-certified neurological surgeon who specializes in complex spine surgery, cervical disorders, degenerative spine, spinal deformities, trauma, tumor infection and minimally invasive spine surgery.
Scott T. Macomber is the executive vice president and CFO for Surgery Partners. He is responsible for the company's financial management, treasury and reporting functions. He has previous experience in the healthcare information technology business as CFO of Extended Care Information Network.
Tom Mallon is the CEO of Regent Surgical Health, which he co-founded in 2001. He was previously a partner with Gryffindor Capital Partners and Same Day Surgery. Prior to joining Same Day Surgery, he was vice president of leasing and marketing for JMB Realty and later for Miglin-Beitler Developments, both in Chicago.
Laximaiah Manchikanti, MD, is the medical director of Pain Management Center of Paducah (Ky.) and has been chairman of the board and CEO of the American Society of Interventional Pain Physicians and Society of Interventional Pain Management Surgery Centers. He has been in private practice in Paducah since 1980, and has been instrumental in the preservation of interventional pain management.
John D. Martin is principal with Martin Healthcare Consulting. He has experience as an advisor and in-house implementer for healthcare management. Mr. Martin was previously CEO of OrthoIndy where he was responsible for the overall strategic director of the group's growth in existing and new markets. He also spent time as director of financial planning and business development at St. Francis Hospital.
Lori Martin is the administrator at Summit Surgery Center in Reno, Nev., a joint venture between physician owners and Prime Healthcare. Ms. Martin has been the administrator since 2009 and was an integral part of the opening of the center. She served as secretary of the Nevada Ambulatory Surgery Center Association and has experience as a director of nursing. She is currently completing her MBA. The ASC is a multispecialty center including 23-hour stay capabilities and is accredited by the Accreditation Association for Ambulatory Health Care.
Reed Martin is COO of Surgical Management Professionals and has more than 28 years of healthcare management experience. He most recently held the position of COO in the physician services division for Nueterra Healthcare. He has also been vice president of operations for Nueterra.
Sarah Martin, MBA, RN, CASC, is a vice president, clinical operations at Symbion. She previously served as vice president, operations at Meridian Surgical Partners. She has close to 30 years of healthcare experience, focusing in the ambulatory surgery area for the past decade. Prior to joining Meridian, Ms. Martin was the regional director of ASCs for Universal Health Services where she managed both ASCs and specialty hospitals. She is a recent past member of the ASCA board.
Bryan Massoud, MD, is founder and head surgeon at Spine Centers of America in Fair Lawn, N.J. He received training at Texas Back Institute in Plano, and has performed more than 1,000 endoscopic spine surgeries, including endoscopic cervical spine surgery. He also trains spine surgeons in endoscopic procedures.
Rob McCarville, MPA, is a principal with Medical Consulting Group. He has an extensive portfolio in the field of healthcare facility management, administration and strategy. He previously built a strong reputation by developing innovative strategies to increase profitability during his time overseeing 16 separate physician practices.
Kevin McDonough is a partner at VMG Health, where he has provided valuation, transaction advisory and operational consulting services for clients. He has served as a consultant in the formation and development of several physician-hospital joint venture initiatives.
Casey McFarland is the administrator of Georgia Endoscopy Center & Endoscopy Consultants, a position she has held since 2011. She has previous experience as administrator of Lawrenceville Surgery Center and Surgery Center of Eastern New Mexico. She has been in healthcare administration for more than 20 years and helped develop, construct, start-up, license and achieve accreditation at two facilities. During her time leading surgery centers, she designed a quantifiable patient satisfaction survey program with 98 percent satisfaction and doubled investor quarterly distribution within one year.
Alfred McNair, MD, is a gastroenterologist who founded Digestive Health Center in Biloxi, Miss. He earned his medical degree at Presbyterian-St. Luke's Medical Center in Denver and has practiced at several hospitals in Mississippi, most at Ocean Springs Hospital.
Tim Meakem, MD, is medical director at Wolters Kluwer, parent company of ProVation, an information technology company focused on medical content. He has more than 17 years of clinical anesthesiology experience and spent time as CMO for Medical Automation Solutions. Dr. Meakem was also CEO of The Epsilon Group and Charlottesville Anesthesia Associates.
Todd Mello is partner and co-founder of HealthCare Appraisers in Castle Rock, Colo. He has more than 20 years in healthcare finance and valuation experience. He previously served as vice president of business development for a neuro-musculoskeletal physician management company.
Timothy Merchant is vice president of sales at MEDISISS. He has previous experience as director of national accounts and regional sales manager for Covidien and spent time as a sales representative for DeRoyal.
Cathy Meredith, RN, BS, CASC, serves as vice president of finance for Ambulatory Surgical Centers of America. Her ambulatory systems expertise extends to physician offices, where she has set up office-based operation rooms, endoscopy suites and pulmonary function and cardiac testing labs.
Thomas A. Michaud, CPA, is the CEO of Foundation Surgical Hospital Affiliates. Prior to founding FHA's parent company, Foundation HealthCare Affiliates, in Jan. 1996, he held the positions of COO and CFO of a regional surgery center management company. During his career, has also developed bariatric centers.
Evelyn S. Miller, CPA, is the vice president operations at The Bloom Organization. She previously served as vice president of development for United Surgical Partners International. Before joining USPI, she was executive vice president of Medway Health Systems, overseeing the financial operations of its medical clinics.
Steve Miller is the director of government and public affairs with the ASCA. Before joining ASCA, he was the director of OPHTHPAC and political affairs for the American Academy of Ophthalmology. He also was the senior director of legislative affairs for the American Health Care Association.
T.K. Miller, MD, is the medical director at Roanoke (Va.) Ambulatory Surgery Center, which is affiliated with ASD Management. He has subspecialty experience in sports medicine, arthroscopy and knee and shoulder reconstruction.
Kris M. Mineau II is the president and CEO of Constitution Surgery Centers, based in Newington, Conn., which operates 12 ASCs in the surrounding area. He co-founded CSC in 1997 and has led the company's growth for more than 10 years. He was also the founding president of the Connecticut Association of Ambulatory Surgery Centers.
Amy Mowles is president and CEO of Mowles Medical Practice Management. She has successfully guided numerous new ventures and established ASCs and physician practices through the complicated maze of regulations, licensing, certification and accreditation processes.
Rob Murphy is chairman and founder of Murphy Healthcare Group in Montvale, N.J., and New York City. He has played a key role in the turnaround of more than 30 ambulatory surgery centers. His ASC turnaround group specializes in revitalizing, restructuring and acquiring underperforming ASCs in the United States.
Christine Henry Musa is the director of business development for Regent Surgical Health. She performs due diligence on Regent's new business opportunities and leads strategic initiatives for Regent centers. She has previous experience developing strategic marketing plans and commercialization strategies for products in clinical development as a senior consultant at Navigant.
James E. Mutrie is the general counsel and compliance officer for United Surgical Partners International, a position he has held since January 2013. He previously served as the company's assistant general counsel and was a corporate attorney for Vinson & Elkins. He has experience managing SEC compliance and advises the USPI board and senior management on corporate governance issues.
Jessica Nantz is the president and founder of Outpatient HealthCare Strategies. She has spent more than 25 years in the healthcare field and previously held a senior level executive position operating and managing more than 80 facilities, including ambulatory surgery centers, imaging centers and physical therapy centers for HealthSouth. She founded mdStrategies in 2003, a successful ASC coding company which she sold before founding ASC Strategies, which focused on hospital outpatient departments and ASCs.
Jeffrey P. Nees, MD, is a neurosurgeon with Laser Spine Institute. He was among the first surgeons in Oklahoma City to use artificial discs. He is a diplomate of the American Board of Neurological Surgery.
Nicholas Newsad is a senior associate at HealthCare Appraisers' Colorado office. He has previous experience as a senior analyst at a national surgery center chain where he developed business plans for de novos and acquisitions. He also served as an interim administrator for a physician-hospital ASC joint venture.
Jon Nielsen, MD, is a physician with North Memorial Ambulatory Surgery Center at Maple Grove (Minn.). He has served as medical director of women's and children's services at North Memorial Medical Center at Maple Grove Hospital and president of Premier ObGyn of Minnesota. Dr. Nielsen earned his medical degree at the University of Minnesota Medical School in Minneapolis.
David W. Odell, CPA, is the CEO and president of MedBridge Surgery Center Billing, which has been providing comprehensive billing services exclusively to ASCs for more than 10 years. As a CPA by trade, Mr. Odell has more than 12 years' experience in the ASC industry, with a focus on maximizing net revenue through enhanced billing and collection processes.
Mike Orseno is the revenue cycle director at Regent Surgical Health. He focuses on monitoring and testing components of the revenue cycle process to ensure compliance and accuracy. He previously served as the revenue cycle administrator for the Chicago Institute of Neurosurgery and Neuroresearch.
Jon O'Sullivan is principal at HealthEconomix. He previously served as a senior principal and founding member of VMG Health. He has experience in transactional advisory services in the healthcare market, financial valuation and joint ventures. He previously founded PracticeTech, a provider of network technology solutions and support within the healthcare industry.
Rebecca Overton is director of revenue cycle management at Surgical Management Professionals. She has previous experience as director of revenue and materials at SurgCenter Development and business director at Weston Outpatient Surgical Center.
Michael Pankey, RN, MBA, is the administrator of the Ambulatory Surgery Center of Spartanburg (S.C.). He previously served as administrator and clinical resources manager in multiple locations. Mr. Pankey also served as the president of the South Carolina Ambulatory Surgery Center Association.
Colin Park is manager with VMG Health. He has a special interest in providing financial, valuation and transaction advisory services to the firm's clients. Mr. Park is also a research associate and collaborator in the development and publication of the Intellimarker Multi-Specialty ASC Benchmarking Study. His previous experience includes time as a senior associate in the planning and financial group at Greystone Communities.
Marcia Patrick, RN, MSN, CIC, is an infection prevention consultant with AAAHC. She has presented several webinars for AAAHC on topics such as infection prevention and sterilization in endoscopy settings.
Michael Patterson is president and CEO of Mississippi Valley Surgery Center in Davenport, Iowa. He has previous experience in health administration at another surgical center and hospital. He also spent time in the Navy and Naval Reserves.
Jeff Péo is the vice president of acquisitions and development for the Ambulatory Surgical Centers of America. He graduated from Brigham Young University in Provo, Utah, with a degree in manufacturing engineering. Prior to joining ASCOA, Mr. Péo ran a knowledge management and IT consulting division for a Fortune 100 company.
Kenneth Pettine, MD, is the the founder of the Society for Ambulatory Spine Surgery. He has an extensive background in spinal surgery, research and rehabilitation and is board certified. Dr. Pettine co-invented, designed and patented the Maverick Artificial Disc.
Lori Pilla, RN, BSN, MBA, is vice president of clinical advantage and supply chain optimization for Amerinet. She has extensive experience in healthcare with business development, strategic planning and financial performance. She previously spent time as director capital, surgical and critical resources at Ascension Health System and consultant director business services-surgery at St. Anthony's Medical Center.
Stanford R. Plavin, MD, has served as a member of Ambulatory Anesthesia of Atlanta since its inception and has been the managing partner for the last several years. He is an active member of local and state anesthesia societies and is the immediate past president of the Greater Atlanta Society of Anesthesiologists.
Thomas J. Pliura, MD, JD, PC, is a physician and attorney at law with the company he founded, zChart, an electronic medical records-related company based in LeRoy, Ill. He has also served as founder and manager of four ASCs. In 1998, he sought and received the first favorable Medicare Advisory Opinion in the country, certifying that a proposed ASC was exempt from Stark Laws under a rural provider exemption. He is also running for the Illinois state senate.
John Poisson is the executive vice president, strategic partnerships of Physicians Endoscopy. During his more than 17 years of healthcare experience, he has served in senior management positions within both corporate development and operations roles. Prior to Physicians Endoscopy, Mr. Poisson was vice president of client services at Transcend Services and vice president of new business development at Coastal Physician Group.
William A. Portuese, MD, is the past president of the Washington ASC Association and Washington State Chapter of Facial Plastic Surgeons. He specializes in plastic, cosmetic and reconstructive surgery of the face and neck and has studied recent advancements in facial cosmetic surgery, including tissue adhesive techniques and lower eyelid surgery without external incisions.
William Prentice, JD, is the CEO of ASCA and Ambulatory Surgery Foundation. He previously served as senior vice president of government and public affairs at the American Dental Association and vice president of a New Jersey public affairs firm. He has more than 17 years of experience working with healthcare organizations.
Vito Quatela, MD, co-founded Ambulatory Healthcare Strategies. He developed and owns two ASCs in Rochester, N.Y., and founded HUGS, a non-profit organization that does medical mission trips to third-world countries. He is a board-certified facial plastic and reconstructive surgeon and is the immediate past president of the American Academy of Facial Plastic and Reconstructive Surgeons.
Lori Ramirez is the founder, president and CEO of Elite Surgical Affiliates and previously served as a senior vice president with United Surgical Partners International where she was directly responsible for developing the second-largest network of surgical facilities for the company. In this role, Ms. Ramirez oversaw 20-plus surgical facilities.
Michael R. Redler, MD, is a founding partner of The Orthopaedic and Sports Medicine Center in Fairfield, Conn. He is a fellowship-trained orthopedic sports medicine and hand surgeon. He serves as an orthopedic consultant to Major League Lacrosse and associate clinical professor for the department of physical therapy and athletic trainers at Sacred Heart University in Fairfield, Conn.
Karen Reiter is COO at DISC Sports & Spine Center in Marina Del Rey, Calif., and Newport Beach, Calif., which are focused on outpatient orthopedics and spine. The centers are accredited by the Accreditation Association for Ambulatory Health Care and affiliated with Red Bull America and the Los Angeles Kings.
Ralph J. Riccardi is president and CEO of SourceMedical, where he has also served as president and COO of the company's therapy division. He has previous experience as senior vice president of channel partner programs for WebMD where he was responsible for sales and management of more than 650 IT vendor relationships. Mr. Riccardi also spent 21 years in the United States Air Force Medical Service where he held several positions, including director of contracting policy and operations for the Office of the Surgeon General, USAF.
Gary A. Richberg, RN, ALNC, CRN-A/C, CASC, CAPPM, is the administrator at Pacific Rim Outpatient Surgery Center in Bellingham, Wash. He previously served as an administrator of the Institute of Orthopedic Surgery in Las Vegas and has spent time in the United States Navy as a hospital corpsman.
Patrick Richter is the vice president of business development for United Surgical Partners International. Prior to joining USPI, he spent 13 years serving in various capacities at Baylor Health Care System in Dallas, most recently as the vice president of business development. Mr. Richter received a master's degree in taxation from Texas A&M University.
Anne Roberts, RN, BSN, is the administrator at the Surgery Center of Reno. She began her career as a nurse in the emergency department, spending 16 years as a staff nurse and 10 years as the manager of a busy ED seeing 55,000 patients annually.
Lisa Rock is the president of National Medical Billing Services, which specializes in freestanding outpatient surgery center coding and billing. She has been in the healthcare field for 23 years.
Jay Rom, MBA, CPA, is the president of Blue Chip Surgical Partners. Before joining Blue Chip, he served as CEO of a cardiology group in Cincinnati with 15 physicians and was vice president for physician services of the Franciscan Health System, where he was responsible for a 60-physician multispecialty group.
Michael Romansky, JD, is the senior lobbyist and vice president of corporate development for the Outpatient Ophthalmologic Surgery Society. He has practiced exclusively in health law, representing healthcare providers, companies and organizations. He also has served as the Washington counsel to many other medical specialty and health trade associations.
Stephen Rosenbaum is CEO for Interventional Management Services. He has more than 15 years of healthcare experience working with physicians and physician-owned facilities. Prior to joining IMS, he created SourceRevenue, an independent healthcare consulting company.
Kenneth L. Rosenquest is the senior vice president of operations at Constitution Surgery Centers, based in Newington, Conn., and oversees the company's hospital joint ventures. He served as administrator of one of the top performing orthopedic surgery centers in the country and has experience in all aspects of ASC management from operations to billing to equipment acquisition.
Michael Rucker serves as Surgical Care Affiliates' Executive Vice President and Chief Operating Officer. Prior to SCA, he served as a Divisional Vice President of Operations at DaVita Inc. (a renal dialysis provider). Previously, Mr. Rucker served as an associate in the healthcare group of Houlihan Lokey (a specialty investment banking firm) and also worked in public accounting as a CPA. He earned a Bachelor of Science from Miami University and an MBA from the Wharton School of the University of Pennsylvania.
Blayne Rush, MBA, is president of Ambulatory Alliances, a boutique investment banking, business brokerage and strategic advisory firm for surgery and radiation oncology centers. With more than 15 years experience in healthcare, he has completed acquisition searches for more than 200 healthcare clients, ranging from physician-owned cancer centers to large corporations focusing on the oncology market.
Michael E. Russell II, MD, is a spine surgeon at Azalea Orthopaedics in Tyler, Texas. He serves on the board of directors and is immediate past president of Physician Hospitals of America and Texas Spine and Joint Hospital in Tyler. He earned his medical degree at the University of Southwestern Medical School in Dallas a completed a spine surgery fellowship at The Carolinas Medical Center at Charlotte (N.C.).
Dan Saale is CFO of Nueterra. He oversees all the financial activities of the company and directs the financial services within each of Nueterra's physician partnership ventures. He was previously vice president of finance for Health Midwest.
Karen Sablyak, CPA, is CFO at Physicians Endoscopy, which develops and manages endoscopic ASCs. She has directed a transition to a paperless A/R billing system and strives to enhance performance through the company's payor contracting services, group purchasing discounts and performance benchmarking.
Nader J. Samii is CEO of National Medical Billing Services, a leading revenue cycle outsourcing company focused strictly on ASCs. He was the co-founder and president of revenue cycle company, Ajuba International and has also worked as a corporate finance attorney and an investment banker at both Merrill Lynch and UBS.
Phillip Santillanes, MAM, BBA, ARRT, is the executive director for Specialty Surgery Center in San Antonio. He has more than 17 years of experience in healthcare delivery systems and has held administrative leadership positions in hospital departments as well as at multispecialty surgery centers. He has worked with healthcare organizations such as the department of defense, San Antonio Military Medical Center and Methodist Health System. He is active on boards for the American College of Health Care Executives and Texas Ambulatory Surgery Center Association.
Marcy Sasso is the former director of compliance and development at Facility Development & Management and co-founder of Surgery Center Coalition. She recently launched her own business, Sasso Consulting. She previously served as the administrator at Raritan Valley Surgery Center in Somerset, N.J., and director of operations at the Ambulatory Surgical Center of Union County in Union, N.J., and has experience in many roles at other surgery centers and at Saint Barnabas Hospital.
Bob Scheller Jr., CPA, CASC, is the COO of the Nikitis Resource Group. In the past 15 years, he has been involved in the development and management of more than 50 surgery centers. He is currently responsible for nationwide development, management and consulting services for NRG.
Donald Schellpfeffer, MD, is CEO of Medical Facilities Corp., and has more than 18 years of experience in ambulatory surgical environments. He is currently medical director of Sioux Falls Surgical Center, which he co-founded, and president of Anesthesia Associates, the largest anesthesia services provider in South Dakota.
Matt Searles, MBA, is partner with Merritt Healthcare, a company he has served with for more than 10 years. He has managed and advised dozens of healthcare facilities. His background includes experience in corporate finance and venture capital-backed companies.
Phenelle Segal, RN, CIC, is the founder, president and owner of Infection Control Consulting Services. She has more than 28 years of experience in infection prevention and control, and has led the State of Pennsylvania's mandatory Healthcare-Associated Infections Advisory panel. She also provides consulting services to ASCs, an acute care hospital and nursing home facilities.
John Seitz is CEO of MMX Holdings, which includes the Manage My ASC platform. He has more than 25 years of experience in healthcare, having previously co-founded and served as president of Surgem, based in Oradell, N.J. He previously founded and served as CEO of Cornerstone Physicians.
Caryl Serbin, RN, BSN, LHRM, is president of Serbin Medical Consulting and previously served as executive vice president and chief strategy officer for SourceMedical, which provides clinical and business software solutions for ambulatory surgery centers. She was founder and CEO of Serbin Surgery Center Billing, which was acquired by SourceMedical as the core of their new billing division, Revenue Cycle Solutions.
David Shapiro, MD, is immediate past president of the ASCA board of directors. He has been a partner with Ambulatory Surgery Co., an ASC consulting company. In addition to his time as a practicing anesthesiologist, he has served on the board of directors for the Ambulatory Surgery Center Association and chaired the Florida Society of Ambulatory Surgery Centers.
Jeffrey Shanton is the director of billing at Journal Square Surgical Center in Jersey City, N.J. He also serves as chair of the Advocacy & Legislative Affairs Committee for the New Jersey Association of Ambulatory Surgery Centers. He is an ASC industry activist and has met with New Jersey lawmakers on ASC-related legislation. Previously, Mr. Shanton served as director of billing for American Surgical Centers.
Joshua A. Siegel, MD, is the sports medicine director at Access Sports Medicine & Orthopaedics in Exeter, N.H., and the founding partner and managing member of Northeast Surgical Care. He has treated professional, national and Division I collegiate athletes and has mastered the latest techniques in arthroscopic surgical treatments of the knee, shoulder and elbow.
Jeffrey Simmons is chief development officer for Westchester, Ill.-based Regent Surgical Health. He is responsible for overseeing the company's acquisition and development of surgery centers. He began his healthcare career more than 25 years ago as vice president of marketing at American Medical International, overseeing business development for 18 hospitals.
Amy Sinder, MS, is administrator at CBC Surgery Center in Crown Point, Ind. The surgery center services include gastroenterology, general surgery, gynecology, hand surgery, otolaryngology and pain management. The center has achieved The Joint Commission accreditation.
Sheldon S. Sones, RPh, FASCP, is president of Sheldon S. Sones and Associates, a pharmacy and accreditation consulting firm based in Newington, Conn. Established in 1985, the group, serving more than 100 sites in five states, specializes in safe medication management and pharmacy consulting to freestanding and hospital-based ambulatory surgical, endoscopy and renal dialysis centers.
Donna St. Louis is currently serves as a vice president for ambulatory services at BayCare Health System. Before joining BayCare, she was a group president for Symbion and responsible for more than 45 ASCs.
Jimmy St. Louis III, MBA, is the CEO of Advanced Healthcare Partners as well as a strategic advisor to Laser Spine Institute. Advanced Healthcare Partners is a consulting firm that aims to identify and invest in intelligent, forward-thinking companies and projects.
Marc Steen is vice president of development United Surgical Partners International, where he oversees six USPI ambulatory surgery centers in the Atlanta market, along with management responsibilities for Resurgens Orthopaedics. He previously served as vice president of development and operations in Arizona and Nevada markets.
Stephanie L. Stinson, RN, BSN, CASC, is vice president of clinical operations at ASD Management. Ms Stinson previously served as administrative director for Strictly Pediatrics, a pediatrics-only ASC in Austin, Texas, managed by ASD Management. Working as a nurse for 17 years, she served as a staff nurse in the neurosurgical intensive care unit, surgery and recovery rooms.
Debra Stinchcomb, RN, BSN, CASC, is a consultant for Progressive Surgical Solutions. She has more than 30 years of experience in the healthcare industry in development administrative, operations and sales. She previously spent time as director of operations preparation at Health Inventures and as administrator at Universal Surgery Centers.
Michael Stroup is SVP of acquisitions at USPI, where he leads overall acquisition efforts. He has previous experience with RBC Capital Markets and J.P. Morgan as an associate. In his current roll he also establishes and manages joint ventures with leading health systems and provides ongoing operational support for the acquired centers.
Chris Swing is CFO for Vantage Outsourcing, a cataract outsourcing company. He has previous experience as an insurance agent and owner with Swing Insurance Center and as senior cost manager at Pinnacle Foods.
Angela Talton, MBA, is senior vice president of coding for National Medical Billing Services. She leads the company's coding and compliance departments, providing long-term planning and operational oversight. She is also responsible for planning and managing the strategic integration of regulatory changes such as ICD-10.
Barry Tanner has been CEO of Physicians Endoscopy since 1999. The company currently manages 17 endoscopy centers. He previously co-founded Navix Radiology Systems, helping the company grow to more than $75 million in revenues, and was COO of HealthInfusion.
Vivek Taparia is in general management at Chicago's Center for Ambulatory Surgery at Swedish Covenant. He previously served as director of business development for Regent Surgical Health. He performs due diligence on new business opportunities and leads strategic initiatives for the company's centers. He previously developed marketing strategies for a surgical product line at Johnson & Johnson.
Larry Taylor is president and CEO of Practice Partners in Healthcare. He previously served as president and COO for a large provider of ASCs and has worked with physicians on projects ranging from acute care to diagnostics, physical rehabilitation and outpatient surgery centers. Mr. Taylor entered healthcare as a certified athletic trainer and focused on delivery of sports medicine and orthopedic care.
Dan Thomas is the president and CEO of Provista, a group purchasing company. He is the former CEO of VIant, a large independent PPO network. Before that, he served as chairman of the board of directors at Concentra and served as the company's president and CEO.
Joyce (Deno) Thomas is senior vice president of operations for Regent Surgical Health. Before joining Regent, she served as the executive director of Loveland (Colo.) Surgery Center and worked for HealthSouth as a regional director of quality improvement and as an administrator.
Jill Thrasher, CASC, is the administrator for Precision Surgery Center of Dallas, which is managed by Ambulatory Surgical Centers of America. The surgery center includes gynecology, gastroenterology, orthopedics, general surgery and pain management. The center has achieved accreditation from the Accreditation Association for Ambulatory Health Care.
Daniel J. Tomes, MD, is a neurological and spine surgeon, and president of Southwest Lincoln (Neb.) Surgery Center, a Blue Chip Surgical Partners facility. He serves on the board of directors for Madonna Rehabilitation Hospital in Lincoln and is the medical director for Gogela Neuroscience Institute, BryanLGH Medical Center in Lincoln.
LoAnn Vande Leest, RN, is the CEO at Northwest Michigan Surgery Center. She previously served as administrator at The Surgery Center, a large, multi-specialty ASC located in Franklin, Wis. With a 30-year career that has been largely OR-based, Ms. Vande Leest has the unique perspective of having been a surgical technologist, circulating RN, educator in surgical technology and currently administrator. She also serves as a surveyor for AAAHC and volunteers for other leadership roles in various OR, ASC and management organizations.
Andrea Venezio is the practice partner for the Ambulatory Surgery Center and Surgical Hospital practice for Kaye/Bassman International. She focuses on placing CEOs, COOs, vice presidents, administrators and directors of nursing. She has placed more than 250 executives and currently focuses on the ASC industry. In 2004, she was named "Rookie of the Year" by Kaye/Bassman
Pedro Vergne-Marini, MD, FACP, FACC, is founder and vice chairman for PCI | HealthDev, formerly Physicians' Capital Investments. It has developed and constructed 14 medical office and clinical facilities in just its first three years. More than 500 physicians have invested in PCI projects.
Jonathan Vick is founder and president of ASCs Inc., which is based in Valley Center, Calif., and has assisted in development, merger and acquisition transactions for more than 200 physician-owned ASCs, endoscopy centers and surgical hospitals. He previously founded and was a principle shareholder of Surgery Center Development Corp., as well as a corporate partner for a national network of surgery and endoscopy centers.
George A. Violin, MD, FACS, is a board-certified ophthalmologist and one of the three founding principals of Ambulatory Surgical Centers of America. He owned and developed two ASCs and a large, multiple-office ophthalmic practice in eastern Massachusetts.
Brice Voithofer is vice president-anesthesia and ASC services at AdvantEdge Healthcare Solutions. He is responsible for operations, client support and growth. He has experience in managing radiology, anesthesia and pathology practices and previously served at medical billing and payor firms in several capacities.
Jack Wagner is president and CEO of Micro-Scientific Industries, a company focused on producing products to prevent microbial transmission in the healthcare industry. The company produces products for hand care, medical and surgical equipment and instrumental disinfection, ultrasonic care and delicate blade cleaners.
Randy Ware is the president, CEO and founder of West Coast Medical Resources, a medical supplies surplus company. He is co-founder and previously served as vice president of Custom Orthotic Laboratory and has experience in the payroll processing industry.
Kelly Webb is vice president and general manager of the ASC billing division of MediGain. He was co-founder and former president of ASC Billing Specialists where he helped instruct, teach and guide physicians on billing decisions. He has experience as lead negotiator with medical insurance companies to receive payment on surgery billed charges for out-of-network claims.
Robert Westergard, CPA, is the CFO of Ambulatory Surgical Centers of America. He previously served as the controller for Truman Capital Advisors and has experience in finance and accounting in the software, chemical and healthcare industries.
Thomas Wherry, MD, is co-founder of Total Anesthesia Solutions. He has also been medical director for the Surgery Center of Maryland in Towson and consulting medical director for Health Inventures, he has collaborated with professionals in the United Kingdom, Japan and Kuwait to improve the delivery of ambulatory surgery.
Kathleen Whitlow, RN, BS, CASC, serves as COO for Blue Chip Surgical Center Partners. She joined the company as a partner and vice president of operations. She has more than 25 years of experience in the medical/healthcare industry, working in a variety of capacities and positions.
William H. Wilcox serves as the CEO of United Surgical Partners International. He previously served as CEO of United Dental Care, president of the Surgery Group of HCA and president and CEO of the ambulatory surgery division of HCA.
John C. Wilson Jr., is the CEO of Meridian Surgical Partners, a role he assumed on Oct. 1, 2013. He has been the company's CFO since 2006. Mr. Wilson's previous experience includes time as COO and CFO of two healthcare companies. He also served as COO of Xtensia, a revenue cycle management company, and executive vice president of finance and operations for Working Rx, Inc.
Kimberly L. Wood, MD, is co-chair of the ASC Quality Collaboration and founder of kmdWOOD, which provides consulting services to the ASC industry. She has participated in several collaborative and cooperative initiatives, including the ASC Advocacy Committee and the ASC Coalition.
Terry Woodbeck is the CEO of Tulsa (Okla.) Spine & Specialty Hospital. He has more than 30 years of healthcare experience, including physician practice management, clinic administration and research in the field of capitation rates and managed care contracting. He previously served as CEO of Oklahoma Spine and Brain Institute in Tulsa.
Kim Woodruff is the vice president of corporate finance and compliance at Pinnacle III, and is a member of the Healthcare Billing Management Association. She previously served as practice manager for a group of psychologists and business office manager and controller for an outpatient physical and occupational therapy practice.
David Zarin, MD, is one of the founding partners of Texas ENT Specialists in Houston and served on the board of directors at USPI, where he is currently national medical director. Dr. Zarin is currently the chairman of the board and chief of staff at TOPS Surgical Specialty Hospital and serves in the Expert Group of the ASC Quality Collaboration.
Joseph Zasa, JD, is a managing and founding partner ASD Management, where he works with existing ASCs that require turnaround expertise as well as developing new outpatient surgery centers. He previously served as the president of the Texas Ambulatory Surgery Center Association and continues to serve on the board.
Robert Zasa, MAHHA, FACMPE, is a managing and founding partner of ASD Management. His career spans more than four decades of managing and developing ASCs. He is a fellow in the American College of Medical Practice Executives.
J.A. Ziskind, JD, MBA, PhD, is the founder, president and CEO of Global Surgical Partners, which focuses on developing and managing hospital/physician and physician-owned joint-ventured ASCs. He has been actively involved in Florida's healthcare industry over the past 35 years, having served as CEO of Cedars Medical Center and as a healthcare lawyer.
Greg Zoch is managing director with Kaye/Bassman, where he has marketed healthcare organizations and been involved in recruitment. His primary focus is on the strategic growth and staffing initiatives of client companies that develop, manage, consult with or own and operate ASCs and specialty hospitals.
Chris Zorn is vice president at Spine Surgical Innovation, global distributor of the Swivel Port MIS System. He is also executive director of Minimal Incision-Maximum Sight Institute, which aims to increase the awareness about the Swivel Port and help physicians and administrators network with other specialists with common challenges, among other services.
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ASCs and ACOs: How Do They Fit?
Written by Ellie Rizzo | October 30, 2013
John Seitz, CEO of MMX Healthcare discussed the relationship between accountable care organizations and ambulatory surgery centers at the Becker's 20th Annual Ambulatory Surgery Centers Conference, held Oct. 24-26 in Chicago.
Mr. Seitz's presentation was entitled "ACO: Recognizing the Opportunity for Your Surgical Center."
"ACOs are a fast-growing reality," said Mr. Seitz. "They may be here to stay."
He began by defining the ACO: an organization that enrolls patients and contracts with providers to deliver high-quality, coordinated services either commercially or through Medicare. If providers reduce costs and/or improve specified quality metrics in a certain timeframe, they are able to receive financial rewards from or share in the savings with Medicare or a commercial payer.
In the hospital context, ACOs encourage physicians and hospitals to cooperate in care coordination by holding them jointly responsible for care quality and cost. ACO arrangements can also involve risk, in which the provider would have to pay back a portion or all of the costs that exceeded the payer's established benchmark.
ACOs can bring together any number of unrelated entities in an attempt to leverage the benefits provided by an integrated delivery system, while avoiding restrictions imposed by common physical facilities or ownership. Mr. Seitz noted ACOs seem to borrow significantly from the concepts of clinically integrated networks and health maintenance organizations in this way.
The "shared savings" approach is designed to motivate ACO participants to coordinate care and lower costs, reversing the system of incentives so it is most beneficial to cut unnecessary procedures altogether. Reducing unnecessary care is the only way for savings to emerge from the process, which providers can then share.
While the Medicare ACOs were intended to be pilot programs, Mr. Seitz said the ACO has captured the attention of commercial payers. "Rather than waiting for results of CMS pilots, they are partnering with physician groups and hospitals to launch ACOs that cover their members," he said.
For ASCs, Mr. Seitz described two ACO scenarios.
The first is general, in which an ASC joins an integrated network that is participating in an ACO in a geographically similar location. The ASC does internal negotiations with the ACO for shared savings rates. While this system comes with benefits -- knowing all players, easier system integration and an understanding of the local market -- it also has drawbacks. ASCs may have suboptimal leverage when negotatiating shared savings rates, compared to other providers in the ACO, and market revenue may be limited.
The second type is more specific. This involves a group of independent ASCs forming an ACO to cover a broad geographic territory, bidding on all ACO contracts within that territory. This gives ASCs great leverage in their markets and the possibility of higher reimbursements. ASCs should be wary of the incremental complexity in building an organization of such a wide range.
Mr. Seitz said hospitals, more often than not, drive ACOs in ASCs' local markets. He shared four hurdles for ASCs to keep in mind if they decide to contract with ACOs.
1) Consider legal structure. A surgery center conforms to one legal structure, while an ACO may conform to another legal structure altogether. Consider how joining the ACO may affect the ASC's compliance.
2) ACOs have common leadership. That common ACO governance structure is a board that holds the decision-making authority for the entire organization. Make sure the ASC has a voice within the board of directors or other governing body.
3) ACOs must exchange information. Common information systems require a shared health information exchange platform. Consider how the ASC plans to leverage existing information systems to exchange data across locations.
4) Quality reporting is non-negotiable. While ASCs already have certain reporting requirements to Medicare, ACOs have an extensively defined process for reporting the costs and outcomes of care. ACOs will require any prospective ASC member to report this information.
Of ACOs Mr. Seitz added this: "They could capture significant portion of healthcare dollar. ASCs should recognize this opportunity and evaluate the gain of participation in either type of network."
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ACO's: Is this right for your ASC
John R. Seitz, CEO and Co-founder, MMX Healthcare
Tamar R. Glaser, President and Co-founder, MMX Healthcare
While once a remote possibility, ACO's are now a fast growing reality. This article explores the benefits, the hurdles you will need to overcome and the options for your ASC to participate in an ACO.
The current status of ACO's
The goal of an ACO is to encourage physicians and hospitals to coordinate care by holding them jointly responsible for the quality and the cost of care. An ACO can bring together any number of unrelated entities -- primary care practices, hospitals, ASCs, diagnostics, home care, pharmacies -- to oversee and coordinate care for a defined population of patients. At its core, an ACO attempts to gain the benefits of an integrated delivery system (such as Kaiser) without the restrictions of common ownership or physical facilities. As the Becker's ASC article "100 Accountable Care Organizations to Know" demonstrates ACOs are here and they are proliferating. CMS issued a press release in January, 2013 that opened with this statement: "Doctor's and health care providers have formed 106 new ACOs in Medicare, ensuring as many as 4 million Medicare beneficiaries now have access to high-quality, coordinated care across the United States". Although coordinated at the federal level by the Centers for Medicare and Medicaid Services (CMS) to reduce Medicare spending, the ACO model has also captured the attention of commercial payers. Rather than wait for the results of the CMS pilots, they are partnering with physician groups and hospitals to launch ACOs that cover their members. While reimbursement models are still being defined all ACOs use a "shared savings" approach to motivate participants to coordinate care and lower costs. This requires the use of evidence-based care practices and shared information technology.
Hurdles in preparing your ASC for ACO and health system integration
To participate in an ACO and to generate "shared savings" revenue, your ASC must be prepared to meet certain requirements. Most of these requirements are related to being part of a larger network, or a network of independent ASCs formed to participate in ACOs. Requirements include:
- Legal Structure: A legal structure that allows the receipt and distribution of bonuses to providers
- Common Leadership: A common leadership or management structure that has decision-making authority for the organization
- Information System: A common information system (or a way to gather information into a common platform). This could include a health information exchange that enables participates to leverage existing information systems and to exchange data across locations.
- Quality Reporting: A defined process to promote care quality, report on costs and report on outcomes.
Options for developing a network of ASCs
ASCs are in a position to benefit from contracting with ACOs and to participate in the revenue that shared savings may generate. While there may be many options for ACO contracting, it makes sense to consider the two extremes that can be termed "local/general" and "wide/specific" networks.
In a local/general network one or more ASCs would form an integrated network with other geographically related providers (imaging, therapy, specialty physician groups, hospital) while meeting the requirements detailed above. The ASC would negotiate internally within the organization for rates and shared saving dollars. The benefits of this approach could include working with known providers, an understanding of the local market, and an easier implementation of communication and system integration. The disadvantages of the local/general network could include lack of leverage with other providers (hospitals, physician groups) in the same organization, lack of control, and limited market revenue. In the wide/specific network a group of independent ASCs form an organization to cover a broad geographic territory and bid on all ACO contracts within that territory. The advantages to this approach could include rate and marketing leverage, contracting benefits (wider area covered), and overall higher reimbursements. The disadvantages would be the incremental complexity in developing a wider organization with the inherent governance and control issues.
ACO's are here to stay. ASCs must examine the opportunity and determine where, when and how to enter this opportunity.
About the Authors:
John Seitz is CEO and Founder of MMX Healthcare. John has an extensive and proven track record in the development and management of surgical centers for over 11 years. Prior to that, John worked extensively with physicians and medical groups -- forming one of the largest and most successful integrated physician groups (a precursor to CINs) in the country.
Tamar Glaser, RN, President and Founder of MMX Healthcare; CEO of Accreditation Services, Inc. Tamar is a well-established leader in the field of ASC accreditation and compliance. Tamar provides both the design-input and the subject matter expertise for AccredAbility. As CEO and Founder of Accreditation Services, Inc., Tamar has a proven track record of success with over 120 surgical centers in the United States.
Cardinal Health Showcases Accreditation Reporting Solution at Ambulatory Surgery Center Association Annual Meeting
DUBLIN, Ohio, April 16, 2013
To promote new efficiencies and help ensure ambulatory surgery centers' compliance with accreditation regulations, Cardinal Health will showcase AccredAbility, a comprehensive accreditation tracking and reporting solution, at the Ambulatory Surgery Center Association annual meeting in Boston this week.
AccredAbility helps ensure the completion of all accreditation tasks in a simple, efficient browser-based environment. It can be configured for surgery centers of any size and fulfills accreditation requirements of the Accreditation Association for Ambulatory Health Care, American Association for Accreditation of Ambulatory Surgery Facilities, and The Joint Commission.
"We understand that accreditation is a critical component of surgery center success," said John Rademacher, president, Ambulatory Care at Cardinal Health, "and we're pleased to be able to offer a solution to help our customers streamline many of their compliance activities and gain new efficiencies."
AccredAbility can create custom profiles for surgery centers based on information related to the center's number of operating rooms, specialty types, Medicare participation, accreditation type, and equipment and equipment location. As profiles are configured, AccredAbility generates a list of accreditation tasks to be completed, along with related forms, and assigns deadlines to help ensure that tasks are completed and organized quickly and accurately. The system generates alerts to missing data elements or "out of normal" values entered to the system and can be used to schedule reports, services and training.
When using AccredAbility, surgery centers can prepare efficiently for accreditation-related inspections. Agency inspectors can access surgery center accounts to have instant access to related reports and data.
AccredAbility also offers users compliance policies and procedures on an as-needed basis or in manual format. The system offers a Standards and Regulations section, where users can view current information from Medicare, various state regulatory agencies and national accreditation agencies.
AccredAbility also incorporates an e-mail-based patient satisfaction survey that sends, compiles and stores reports. The tool can generate cost savings for surgery centers currently outsourcing survey services.
"We're pleased to work with Cardinal Health to offer surgery centers a solution that combines Internet access, a simple data capture process, a comprehensive database and a sophisticated reporting mechanism," said Tamar Glaser, RN and president, MMX Holdings, developer of the AccredAbility solution. "This solution can help surgery centers move away from their archaic paper-and-three-ring-binder recording systems to a platform that can help ensure that they are meeting their accreditation milestones."
To learn more about AccredAbility and Cardinal Health's full line of products supporting the unique needs of surgery centers, visit www.cardinalhealth.com/accredability or contact firstname.lastname@example.org.
About Cardinal Health
Headquartered in Dublin, Ohio, Cardinal Health, Inc. (NYSE: CAH) is a $108 billion health care services company that improves the cost-effectiveness of health care. As the business behind health care, Cardinal Health helps pharmacies, hospitals, ambulatory surgery centers and physician offices focus on patient care while reducing costs, enhancing efficiency and improving quality. Cardinal Health is an essential link in the health care supply chain, providing pharmaceuticals and medical products to more than 60,000 locations each day. The company is also a leading manufacturer of medical and surgical products, including gloves, surgical apparel and fluid management products. In addition, the company supports the growing diagnostic industry by supplying medical products to clinical laboratories and operating the nation's largest network of radiopharmacies that dispense products to aid in the early diagnosis and treatment of disease. Ranked #21 on the Fortune 500, Cardinal Health employs more than 30,000 people worldwide. More information about the company may be found at cardinalhealth.com and @CardinalHealth on Twitter.
About MMX Holdings
MMX Healthcare, LLC was formed to develop, deploy and deliver unique tools and resources that allow ambulatory surgery centers to more effectively compete in the increasingly volatile healthcare market. The company's AccredAbility and ManageMyASC products are designed to enable surgery centers to solve problems and recognize opportunities. MMX Healthcare is committed to transforming surgical centers into high performing, high value organizations that can compete in a competitive reimbursement marketplace using affordable, accessible technology.
MMX Healthcare announces that Kerlan-Jobe Surgery Center has joined the growing list of AccredAbility users
April 11, 2013
MMX Healthcare, LLC, a leading solutions provider for Ambulatory Surgery Centers ("ASC") including ManageMyASC.com and AccredAbility.com, announced today that the Kerlan-Jobe Surgery Center in Los Angeles, CA has signed a long-term user agreement for its AccredAbility solution.
"AccredAbility is our cloud-based accreditation tracking and reporting tool. It ensures the efficient and accurate completion of all accreditation tasks," said Tamar Glaser, President at MMX Healthcare. John Seitz, CEO and Founder adds: "We are proud that Kerlan-Jobe has joined the growing list of AccredAbility users. Their choice confirms the power and value of AccredAbility in a high-volume surgical center. We will continue to actively listen to our users to enhance the features and functions of our solution."
W. Harwood Runner of Kerlan-Jobe added, "We are pleased to work with MMX Healthcare and their suite of cloud based management tools. Accreditation is critical to our operational success and we are very proud of our track record. AccredAbility allows us to gain new efficiencies by streamlining many of our compliance activities.
The Kerlan-Jobe Surgery Center is an affiliate of the Kerlan-Jobe Orthopaedic Clinic, a world leader in the diagnosis and treatment of orthopaedic and sports medicine injuries and illnesses. In addition to sports medicine, Kerlan-Jobe provides diagnosis and treatment for a wide range of musculoskeletal conditions and injuries. Kerlan-Jobe physicians are renowned for their research in the areas of sports medicine and orthopaedics.
About MMX Healthcare
MMX Healthcare is developing and deploying innovative, real-time solutions for the Ambulatory Surgical Center industry and for healthcare providers. ManageMyASC.com is a real-time, interactive management tool that provides an unprecedented view into the financial and operational performance of an ASC. AccredAbility.com is a comprehensive accreditation tracking and reporting solution. AccredAbility replaces binders, clipboards and missing information with the access of the Internet, a simple data capture process, a comprehensive database, and a sophisticated reporting mechanism. For more information visit: www.managemyasc.com.