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The ASCA 2020 Conference & Expo is the can't-miss event of the year for the ASC industry! Check out last year's schedule below to see what you missed. This year's schedule will be posted here as soon as it's available.
7:15 am–4:40 pm
If you are planning to take the Certified Administrator Surgery Center (CASC™) exam or want a review of the key areas of ASC administration that will help you keep your skills current, this course is for you. Designed for those with ASC experience and knowledge, this course will provide an in-depth review of the key topics in the five content areas of the CASC exam: regulatory and legal issues, finance, delivery of patient care, quality management and human resources. Each content area will be covered by expert faculty with extensive experience in ASC management. Actual test questions will not be provided.
John Goehle, MBA, CPA, CASC
Mary K. Ryan, MBA, BSN, RN, CAIP, CASC
Debra L. Stinchcomb, MBA, BSN, RN, CASC
John Goehle is the Chief Operating Officer and partner with Ambulatory Healthcare Strategies, LLC - a Rochester, New York-based ASC management and consulting services company.
Prior to forming AHS, Mr. Goehle developed and managed two Rochester New York-based ambulatory surgery centers, and provided management consulting services for a wide range of health care organizations, primarily in the Northeast.
Mr. Goehle has a Masters Degree in Business Administration from Heriot-Watt University in Edinburgh Scotland, and a Bachelor of Science Degree in Accounting from Ithaca College in Upstate New York. He holds the prestigious Certified Administrator Surgery Center (CASC) credential. He is also a Certified Public Accountant in the State of New York. Mr. Goehle is also an accreditation surveyor with the Accreditation Association for Ambulatory Healthcare (AAAHC).
Mr. Goehle is the host of the ASC Podcast with John Goehle available on iTunes and Google Play. He is also is frequent speaker on health care finance, technology and administration and has authored or co-authored eight books related to the ASC Industry including Ambulatory Surgery Center Governance - A Guide for Ambulatory Surgery Center Owners & Governing Body Members and The Survey Guide for ASCs – A Guide to the CMS Conditions of Coverage & Interpretive Guidelines for Ambulatory Surgery Centers. He is a former board member with the Federated Ambulatory Surgery Association and one of the founders of the New York State Association of Ambulatory Surgery Centers.
Mary became an Administrator in 2001 and remained in that role for 15 years. She also held positions as Regional Manager and Clinical Consultant for Health Inventures and Johnson and Johnson and as a Group Clinical Director for Surgical Care Affiliates. Mary was one of the founding members of the Iowa ASC Association and served as the first President as well as multiple recurrent appointments as president. Mary currently serves on the BASC Board and is CASC certified.
Debra Stinchcomb has 30 years of health care experience including development, clinical, administrative, operations and sales. The last 20 years have been focused exclusively in the ASC industry.
Her responsibilities have included budget development/management, revenue/expense management, contract negotiation, licensing/certification/accreditation compliance, marketing, risk management, quality improvement and benchmarking.
Debra is a Registered Nurse having received her BSN and MBA. She is the founder/past President of Arkansas Ambulatory Surgery Association and has served nationally as a past board member of FASA and the ASC Association. She is currently the President of the Arkansas Ambulatory Surgery Association.
She received her CASC credential in 2002.
Debra was an AAAHC surveyor 2001 - 2007 and is Past Chair of the Ambulatory Joint Commission Professional and Technical Advisory Committee.
Debra is Chair of the Quality Committee of ASCA.
8:00 am–12:00 pm
Find out how your ASC can use coaching to improve individual performance, build stronger teams and achieve your facility's goals. This interactive session will guide you through the steps your ASC's leaders need to take to use coaching to help staff perform at their best. Explore techniques for setting expectations, navigating difficult conversations and providing motivational and developmental feedback. Work in teams to practice these techniques and share actual ASC performance challenges that threaten teamwork, accountability, clinical quality and service excellence in your facility.
AEU Content Area: Quality Management
Michelle George, MSN, RN, CASC
Michelle George is Vice President, Professional Development with Surgical Care Affiliates. Michelle has over 30 years of experience as a registered nurse. She has worked in various areas of nursing including critical care, emergency and trauma, and surgical services. Michelle has served in multiple hospital and ambulatory surgical center leadership roles, served on professional advisory boards, as affiliate faculty to a nursing program and professional speaker to professional and state healthcare organizations. She has authored various nursing journal articles and been contributing author to a healthcare textbook. Michelle completed a Master's in Nursing Administration program at San Diego State University and holds a Certified Administrator Surgery Center certification. She serves on the ASC Quality Collaboration's Technical Expert Committee, the ASC Quality Collaboration Board of Directors and as President Elect for California Ambulatory Surgery Association.
Alise Howlett has over twenty-eight years of experience working in the built environment with focused expertise in the arenas of compliance, design, and construction management. Ms. Howlett earned a Bachelor of Science degree in Architectural Studies from the University of Illinois, Champaign-Urbana, and has served on local, state, and national American Institute of Architects boards. Her experience with historic buildings and unique construction provides valuable insight into communicating compliance issues and collaborating with diverse user groups.
Alise is an ASHE Certified Healthcare Facility Manager (CHFM) and an NFPA Certified Fire Plans Examiner (CFPE), a distinction that verifies knowledge of NFPA 1, NFPA 101, and referenced life safety standards through exam and practicum. She utilizes her expertise and instructional skills as a standards advisor for the Healthcare Facilities Accreditation Program (HFAP), a nationally recognized agency with deeming authority from the Center for Medicare & Medicaid Services.
Bio coming soon.
Understand the many benefits that Accreditation Association for Ambulatory Health Care (AAAHC) accreditation offers your ASC and get real-world advice on how to achieve and maintain accreditation. Discuss essential components of AAAHC accreditation, including continuous quality improvement, patient and employee safety, and infection prevention and control. Look closely at the steps your ASC needs to take to make sure it measures up and learn how to avoid the top deficiencies found during recent AAAHC accreditation surveys.
AEU Content Area: Regulatory and Legal Issues
Jan Kleinhesselink
David M. Shapiro, MD CHC, CHCQM, CHPRM, LHRM
Jan Kleinhesselink, RN, BSHM, CPHQ Is the Chief Quality Officer of the Lincoln Surgical Hospital. Ms. Kleinhesselink oversees the leadership at the hospital and associated Ambulatory Surgery Centers in Quality Service, Health Information and Compliance. She is listed in Becker's 130 Women Hospital and Health System Leaders to know for 2016 & 2017.
Ms Kleinhesselink has been a surveyor for Accreditation Association for Ambulatory Health Care for 9 years; she is the immediate past board chair for the Institute for Quality Improvement.
Ms Kleinhesselink has published articles and authored and presented webinars on quality improvement, benchmarking and peer review. As a selected speaker at OR Excellence, Becker's Healthcare, OR Manager, OR Business Manager and Physician Hospitals of America, She has presented on several topics including Risk Management, Quality Improvement, and Leadership.
David Shapiro, M.D. is an anesthesiologist from Florida who has had extensive experience serving as a department chair, medical director and board member of several ambulatory surgery centers. In addition, Dr. Shapiro has served as the national medical director on behalf of ASC management corporations, prior to establishing his consulting practice. His areas of expertise encompass a wide range of disciplines primarily focused on all aspects of ASC development, administration and operations. These include clinical quality, regulatory compliance and medical liability in the ambulatory surgery arena.
12:00 pm–4:00 pm
Participants will network with their peers in other states to share best practices on association governance, membership recruitment and state advocacy.
Note: This is a FREE event, but pre-registration is necessary.
1:00 pm–5:00 pm
Review the process for successfully completing a Joint Commission accreditation survey, including preparing for the survey, participating in on-site survey activities and following up after the on-site survey visit. Examine the challenges that can occur and suggestions for helping the process proceed smoothly.
Learn more about The Joint Commission's orthopedic certification option for ASCs, including eligibility requirements, standards and the application process. The Joint Commission's Advanced Total Hip and Total Knee Joint Replacement program was named as one of the certification programs that is a mandatory element for ASCs seeking to earn the status of a Blue Cross Blue Shield Association's Blue Distinction program center of excellence.
Participate in a question-and-answer segment focusing on your key concerns and questions that can arise during the Joint Commission accreditation and certification process.
Pamela Roark, RN
Pamela Roark has been a Joint Commission Surveyor in the Ambulatory Accreditation Program since 2012, and is trained under the Accreditation Manual for Ambulatory Care and Office-Based Surgery. She has also completed training to conduct surveys for Ambulatory Surgery Centers, Deemed Status, Advanced Diagnostic Imaging, Telehealth, Primary Care, Endoscopy, Dialysis, Urgent Care, and Ambulatory Healthcare Systems. Ms. Roark conducts Department of Defense and Bureau of Prisons Surveys, as well as surveys for The Joint Commission's Office of Quality and Patient Safety.
Prior to joining The Joint Commission, Ms. Roark served 30 years in the U.S. Navy as a Nurse Corps Officer and has extensive experience in ambulatory healthcare delivery and administration.
Ms. Roark received her Bachelor of Science degree in Nursing from Central Missouri State University, Warrensburg, Missouri. She received her Master of Art in Health Services Management from Webster University, St. Louis, Missouri, and her Master of Science in Nursing with a focus on Ambulatory Care Nursing Administration from Loyola University, Chicago, Illinois. She is a fellow of the Johnson and Johnson Wharton Nurse Executive program.
Ms. Roark is currently a resident of Florida, and is licensed as an RN in Florida.
Peer review. CMS and the accreditation organizations require it, and misconceptions about the process abound. Learn how to perform peer review correctly and get answers to common questions from two Accreditation Association for Ambulatory Health Care surveyors and an attorney who specializes in credentialing and peer review. Case studies will be discussed.
Ann Geier, MS, RN, CNOR, CASC
Sandra J. Jones, MBA, CPHRM, CPHQM, FHFMA, CASC
Thomas J. Stallings
Ann Geier is Chief Nursing Officer for Surgical Information Systems SIS), a leader in perioperative information systems. In this role, she consults with clients on best practices and strategies to enhance efficiency, improve compliance and deliver high quality patient care.
Ann Geier has worked in the ASC industry for over 30 years, and is a recognized expert. She has been responsible for every aspect of ASC financial & clinical operations, and has been a surveyor for Accreditation Association for Ambulatory Health Care (AAAHC) since 2006.
Ann's extensive clinical background is in the operating room, where she served in every capacity. She is an active member of AORN and ASCA, and she represented ASCA on the Board of Directors of AAAHC.
She was selected by the Board of Ambulatory Surgery Certification (BASC) Nominating Committee serve on the BASC Board through 2019 and is the currently the secretary/treasurer.
Ann has an MS in Health Services Administration from the University of St. Francis. She is CASC & CNOR certified. She regularly speaks at national meetings and contributes articles to Outpatient Surgery Magazine, ASC Focus, Becker's ASC Review. She has written an e-book, Admin 101: What Every New ASC Administrator Needs to Know available at www.sisfirst.com.
Sandra was a hospital administrator for several years before opening and managing surgery centers as an administrator and as a consultant. Her experience was highlighted in an AMA news article about peer review proceedings at a hospital corporation. She has written articles and presented case studies on peer review, assisted corporate and independent surgery centers in managing peer review activities and adherence to medical staff bylaws and has managed state and national reporting of peer review results for numerous surgery centers. Sandra is a Certified Professional in Healthcare Risk Management, CASC, and Certified in Quality Management.
Highly efficient and responsive, Tom has been a trusted adviser to healthcare providers for more than 30 years. Tom brings a cost-effective, practical approach to helping healthcare providers navigate some of their most important legal issues, including medical staff privileges; healthcare contracts; state and federal self-referral and fraud and abuse prohibitions; professional and facility licensure; peer review privilege; healthcare litigation; certificate of public need matters; and managed care, Medicaid, Medicare, and third-party reimbursement and regulation.
Tom serves on the Health Law Section Council of the Virginia Bar Association. He is a past chairman of the Board of Governors of the Virginia State Bar's Health Law Section and served as vice chair, secretary, and newsletter editor of the section. Among his many honors, Tom is consistently recognized in The Best Lawyers in America, which twice named him Richmond's Lawyer of the Year for health care law.
3:30 pm–5:00 pm
Attendance is limited to 36 people. A first-come, first-served policy will apply. Join this interactive session to brainstorm ideas and solutions with your colleagues and four experts about operational issues for ASCs that perform total joint replacement surgery. This session features four tables, each with nine attendees and one expert. Using a timed rotation system that mimics popular speed dating techniques, the experts will spend 20 minutes at each table. When time is up, they will move to the next table and begin another 20-minute conversation on their topic with the new group. Get the answers you need to the things that keep you up at night about total joint replacement surgery. Arrive early to make sure you get a seat.
AEU Content Area: Delivery of Patient Care
Lisa A. Austin, RN CASC
Rena M. Courtay, RN, BSN, MBA, CASC
Janie Kinsey, RN, CASC
Kecia Norling, RN, MBA, CNOR, CASC
Lisa has been an RN for over 36 years and in ambulatory care for the majority of those years. Lisa's extensive operational development, management and consulting experience provides clients with expertise in facility administration, budget development, regulatory compliance, staff recruitment and retention, equipment procurement, policy and procedure development and implementation, and organizational interfacing. Lisa's national ASC and Hospital Department development and management expertise affords clients, who are opening new Facilities, unparalleled success.
Lisa has developed numerous surgery centers working in concert with investors, corporations, hospitals, architects, builders and equipment manufactures/distributors through all phases of surgery center development and management. Lisa has achieved CASC, the credential that connotes expertise in ASC administration.
Lisa has previously served on the Board of CASCA, the Colorado Ambulatory Surgery Center Association, serving as President of the Organization from 2011 - 2015. Lisa currently serves as the Chair of ASCA Public Relations committee.
Rena Courtay is the Vice President, Executive Director for HSS (Hospital for Special Surgery) Florida. Rena has over 25 years of experience in the ASC industry and has been an operating room nurse, a DON, a surgery center Administrator and spent over 15 years as an RVP for HCA and Surgical Care Affiliates. Rena is also on the Board of Directors of the Florida Society for Ambulatory Surgery Centers and its immediate Past President. She is the Education Chair for the Florida Society and also serves on the ASCA education committee. Rena earned her BSN from The Ohio State University and her MBA from Youngstown State University.
For over 20 years, Janie Kinsey has been serving and delivering excellence to the healthcare industry. She is a seasoned veteran who genuinely loves what she does. Her passion dates back to 1998 when she began her career as a surgical nurse. Janie later grew into an administrative role where she managed staff members and directly focused on patient satisfaction. Today, Janie serves as the Administrator at Saint Luke's Surgicenter in Lee's Summit, Missouri. With CASC credentials, Janie strives to provide progressive care by developing and implementing programs that improve patient experience.
In addition to her daily duties, Janie stays active in the healthcare community by attending conferences, speaking at events, and serving as a board member. Janie is consistently asked to speak on various topics, educating her peers in the healthcare field. In the past, Janie furthered her engagement by serving as the Vice President, and later President, of the Kansas Association of Ambulatory Surgery Centers. Today she serves the Ambulatory Surgery Center Association as the Secretary of the Board of Directors.
In her personal time, she loves vacationing and traveling with her family. Janie is, and will continue to be, an outstanding healthcare provider for the Kansas City Metro area.
Kecia Norling, MBA, RN, CNOR, CASC has been an RN for 31 years with 19 of those in ASCs. She has led two de novo surgery center projects and functioned as both a clinical director and administrator. Kecia has experience in independent, surgeon owned centers; and joint venture centers between surgeons, corporate owners and hospital systems. Kecia is a past president of OASCA, current vice president of ASCA and current board member of the Oregon Patient Safety Commission – representing ASCs. She is the administrator of Northwest Ambulatory Surgery Center, a multi-specialty ASC performing total joint replacements. NWASC is the only surgery center in the Pacific Northwest offering Rapid PTH Assay Parathyroid Cases and High Intensity Focused Ultrasound Surgery for prostate cancer. Kecia is married with 7 children and 6 grandchildren.
Attendance is limited to 36 people. A first-come, first-served policy will apply. Join this interactive brainstorming session to address clinical and business issues involved in spine surgery in the ambulatory surgery environment with your colleagues and four ASC management experts. This session features four tables, each with nine attendees and one expert. Using a timed rotation system that mimics popular speed dating techniques, the experts will spend 20 minutes at each table. When time is up, they will move to the next table and begin another 20-minute conversation on their topic with the new group. Discuss key concerns surrounding these procedures with your colleagues to ensure you are providing the safest care possible for these patients. Arrive early to make sure you get a seat.
Cristina Bentin, CMA, CCS-P, COC, CPPM, AAPC FELLOW
Rebecca Craig, RN, MBA, CNOR, CPC-H, CASC
Brenda Page, MBA, RN
Arnaldo Valedon, MD
Cristina Bentin, CMA, CCS-P, COC, CPPM, AAPC Fellow is the president of Coding Compliance Management, LLC, a healthcare consulting company specializing in Ambulatory Surgery Centers with emphasis on business operations assessments, HIPAA training, coding support/audits and training. Ms. Bentin is recognized as an ASC revenue cycle educator, speaker, and writer with over 27+ years of hands-on experience in ASC multi-specialty facility and physician office revenue cycle operations. Cristina's expertise extends to her involvement in federal fraud investigations to include her role as expert witness. Cristina currently serves on the education and programs committee for the ASC Association (ASCA).
Rebecca Craig serves as chief executive officer of Harmony Surgery Center and Peak Surgical Management, located in beautiful Fort Collins, Colorado. She helped open Harmony Surgery Center in August of 2000, as well as multiple other surgery centers in Northern Colorado. Rebecca started her nursing career in the operating room and has held various management roles in perioperative services. Rebecca is president of the ASCA Board of Directors and also serves as a Colorado ASC Association board member. She strives to stay involved on state and federal health care policy levels to ensure that the highest quality of care is maintained and patients continue to have a choice for a cost-effective site of service. She enjoys spending time with her husband of 25 years and her two wonderful children.
Nursing/history degree and MBA. Appointed director of her survey center in 2006 – my first experience with ambulatory care. Long history with neurosurgery at Dartmouth (scrubbed/circulated/part of the call team) for 23 years.
Arnaldo Valedon, MD is an anesthesiologist practicing day surgery and perioperative management for twenty years. He received his bachelors degree in science at Cornell University in 1987 and his doctorate degree in medicine at the University of Pennsylvania in 1991. He continued his training in anesthesiology and critical care medicine at the University of Pennsylvania, with sub-specialty training in pediatric anesthesia at the Children's Hospital of Philadelphia.
After finishing his training, Dr. Valedon has provided outpatient anesthesia services almost exclusively. He has served as medical director of two outpatient surgery centers,
He is the Board Chair for the Accreditation Association for Ambulatory Healthcare (AAAHC) and a board member of AAAHC-International (Acreditas Global). He is a member of the General Assembly and Executive Committee for the International Association for Ambulatory Surgery (IAAS), and Immediate-Past President of SAMBA and is the board advisor to Committee of International Relations and the membership committee. He has been involved with the American Society of Anesthesiologists (ASA) as part of the ambulatory surgery committee.
Dr. Valedon is the president and CEO of Knightstone Consulting Group and has been actively consulting on day surgery and perioperative management in the U.S., Central and South America, India, and the United Kingdom. He has been an invited speaker at multiple conferences nationally and abroad.
5:15 pm–6:30 pm
Join nonprofit leader Alex Sheen as he officially kicks off ASCA 2019 with an inspiring Opening Session presentation on the importance of a promise.
During this thought-provoking session, you'll explore the importance of a promise and learn how you can become better at keeping the promises you make to family, friends, patients, colleagues and even yourself. Alex's message will inspire an increase in goal attainment rates, encourage volunteerism and foster a culture of accountability.
After his presentation, make sure to visit Alex in the Exhibit Hall, where he will be available to take photos, sign copies of his new book (scheduled for release in early 2019) and talk about ways you can get involved.
Alex Sheen
Alex Sheen is the founder of because I said I would, the international social movement and nonprofit dedicated to bettering humanity through promises made and kept. Sparked by the loss of his father in 2012, Alex and his organization began sending "promise cards" to anyone who requested them, anywhere in the world, at no cost. because I said I would has now sent nearly 10 million promise cards to more than 153 countries, and Alex's commitment has inspired millions more around the world.
6:30 pm–8:00 pm
Kick off ASCA 2019 by attending the Welcome Reception inside the ASC industry's largest exhibit hall of the year. Enjoy cocktails and hors d'oeuvres, reconnect with old friends and get to know other ASC professionals. Familiarize yourself with the exhibit hall and start your Exhibit Hall Passport to enter ASCA's grand prize giveaway. With food and drink that showcase the best of Nashville, this reception will be the start of ASCA 2019. Be sure to attend!
6:35 pm–7:50 pm
Presentations are held within the ASCA Affiliate Presentation Studio located in the Exhibit Hall. The ASCA Affiliate Presentation Studio is sponsored by Pacira Pharmaceuticals.
2019 ASC Valuation and Transaction Trends Matthew Muller, Director, HealthCare Appraisers
HealthCare Appraisers offers ASC administrators and all physician stakeholders an overview of the state of the ASC industry. Join us as we share the results of our 2019 ASC Valuation Survey and learn what is driving transaction activity and valuation trends within ASCs throughout the United States.
Improving Online Reputation Management with Two-Way Texting Brandon Daniell, President and Co-Founder, Dialog Health
Learn how ASCs are using texting to gain real-time feedback from patients and improve online reputations and scores.
Running a High-Volume Total Joints Program: Standardization, Efficiency and Patient Experience Cindy Armistead, Administrator, Campbell Clinic Surgery Centers
This presentation will review the approach and processes used to establish and grow a high-volume total joints program.
Language Solutions for ASCs Kate Accetti, Business Development, Akorbi
An overview of services Akorbi provides to ASCA members to comply with Section 1557 of the Affordable Care Act (ACA) in relation to the language access plan. The presentation includes tips on how to contact a certified interpreter using our Adapt platform that is available for all ASCA members.
The advice and opinions presented are those of the presenters and do not represent official Ambulatory Surgery Center Association policy or opinion.
7:00 am–8:00 am
Start your day off with breakfast in the exhibit hall alongside more than 150 exhibiting companies. Breakfast is scheduled to include a variety of juices, fruits, bagels, breakfast bakeries and coffee.
8:00 am–9:00 am
Whether he's earning an Olympic gold medal for figure skating, fighting his fourth cancer diagnosis or starting a nonprofit, Scott Hamilton is committed to pursuing excellence and living life to the fullest.
Scott has been successful in many areas of life, but he didn't get there by settling for mediocrity. Somehow, many of us have fallen into the belief that competition is bad—that finishing first robs someone else of their chance to shine. What it actually means is we have committed to pursuing excellence.
During this captivating keynote presentation, Scott will inspire you to reject average and go for the win in every part of your life—not for yourself, but to bring the greatest possible good to the world around us.
Scott Hamilton
Scott Hamilton first captivated the world with his Olympic gold-medal performances in Sarajevo in 1984, and has remained a voice of authority for figure skating in the US ever since. He's shared his love and enthusiasm for the sport off the ice as an analyst, performer, producer and best-selling author (including his newest book, Finish First, published February 2018.) Scott also inspires others as a speaker, humanitarian and cancer and pituitary brain tumor survivor.
9:10 am–10:10 am
The increasing popularity of high-deductible health plans is rapidly changing the dynamic between patient, provider and payer. With 68% of patients indicating that they are unable to pay their full financial responsibility after care is provided, we are seeing a growing focus on time-of-service collections. Join this session to explore new ways to leverage technology and put your governance policies to work to implement a collections process that supports a positive revenue stream in your ASC.
AEU Content Area: Financial
Kylie Kaczor, MSN-RN, CASC, CMPE, CPHRM, ACHE, CPCO, CLSSBB
Kylie is a master's prepared registered nurse who has served as Executive Director of multiple ambulatory surgery centers using her unique clinical background and understanding of operations to drive quality in patient care and organizational development and growth.
Kylie has specialized in several areas during her career resulting in certifications in ambulatory surgery center administration, medical practice operations, and healthcare risk management. She is a Certified Lean Six Sigma Black Belt focused on operational efficiency and practice improvement. Kylie serves as National Medical's Compliance Officer and remains active in Washington, DC visiting Capitol Hill and meeting with lawmaker's to further healthcare reform efforts.
Her distinctive experience in healthcare services and business operations allows Kylie to provide National Medical's clients with supportive collaboration as they effectively operate their facilities through an ever-changing healthcare climate.
Master the basics of ASC accounting during this interactive session. Participate in small-group discussions with your colleagues and examine key financial topics such as how to interpret ASC financial statements, what financial metrics and benchmarks your ASC should be monitoring, how to evaluate common financial opportunities and more. Come prepared to discuss the financial issues and opportunities that keep you awake at night and leave with practical strategies and solutions to your most pressing financial concerns.
Terry A. Bohlke, CPA, CASC
Terry is Vice President of Ambulatory Surgery Centers for Community Health Systems in Franklin, Tennessee. The CHS portfolio includes over 100 hospitals and 25 ASCs throughout the United States. Terry served as President of the national ASC Association (ASCA) from 2014 to 2016 and as President of the California Surgery Center Association (CASA) from 2012 to 2014. Terry was Vice President of Operations for two national surgery center companies and has managed surgery centers and surgical hospitals in 15 different states.
Terry is a Certified Public Accountant (CPA), Certified Management Accountant (CMA) and a Certified Administrator Surgery Center (CASC). He holds a master's degree in Healthcare Administration and an undergraduate degree in Accounting. He served as faculty for the University of Florida as adjunct assistant professor in their Masters in Healthcare Administration program. He retired as Commander in the United States Navy Reserve after 24 years of military service.
CMS requires ASCs to have "a licensed health care professional qualified through training in infection control and designated to direct the ASC's infection control program." What CMS doesn't tell you is how to pick the right person for the job and define their responsibilities. This session will highlight key components of an ASC infection prevention program that are the responsibility of the infection preventionist (IP). Participants will also learn how the role of the IP integrates into a multi-disciplinary approach to an effective Quality Assurance and Performance Improvement program.
IPCH Content Area: Infection Prevention Program Development, Implementation & Maintenance
Deborah L. Mack, BSN, CAIP, CASC
Debbie currently provides healthcare consulting services to ASC's focusing on developing and maintaining comprehensive Infection Control and Quality programs. She assists facilities with survey readiness for CMS and accreditation agencies. Prior to consulting, she was a VP of Operations for a management company overseeing the operations and development of ASC's and surgical hospitals. She has worked in the ASC industry in California since 1993, beginning as an Administrator of a surgery center. Debbie served on the Board of the California Ambulatory Surgery Association for 15 years; including Past President. She continues to date to serve as Chair of the Education Committee, including developing the CASA Infection Control Seminar for over 11 years.
Beginning with appropriate patient selection criteria, ASCs that want to provide safe care to obese patients and patients with obstructive sleep apnea need to address the special needs of these patients carefully. Participants in this session will learn to:
Girish P. Joshi, MBBS, MD, FFARCSI
Girish P. Joshi, MBBS, MD, FFARCSI is a Professor of Anesthesiology and Pain Management at the University of Texas Southwestern Medical School in Dallas, Texas. He is an attending staff member with the Parkland Health and Hospital System, Dallas, Texas. He received his fellowship in anesthesiology (F.F.A.R.C.S.I.) from the College of Anaesthetists, Royal College of Surgeons, Ireland, and then received a M.D. degree from the University College Dublin, Ireland. He is a diplomate of the American Board of Anesthesiology.
He is a Executive Section Editor for Anesthesia & Analgesia and a Section Editor for UpToDate. He is an active member of many professional societies, including the American Society of Anesthesiologists (ASA), Texas Society of Anesthesiologists (TSA), International Anesthesia Research Society (IARS), Society For Ambulatory Anesthesia (SAMBA), Society of Anesthesia and Sleep Medicine (SASM), Accreditation Association for Ambulatory Healthcare Centers (AAAHC) and Acreditas Global. He is the Past President of SAMBA and SASM, and the President of TSA. He serves on the Board of Directors of TSA, SASM, and Acreditas Global. He is the chair of the SAMBA committee on guidelines development. He is also a member of the Procedure Specific Pain Management (PROSPECT) Group, which is an international collaboration of anesthesiologists and surgeons that formulates evidence-based procedure specific pain management recommendations. In addition, the Prospect group is the Think Tank contributing to European Society of Anesthesiologists vision on perioperative medicine.
As Americans struggle to comprehend and deal with the challenges of managing perioperative and postoperative pain, health care professionals are actively investigating various complementary treatment plans and modalities that can prevent reliance on opioid analgesics and their related side effects. Anesthesiologists are spearheading various algorithmic approaches to managing both opioid-tolerant and opioid-naive patients. The complexities involved demand a holistic approach, which we will discuss during this session.
Stanford R. Plavin, MD
Stanford R. Plavin MD is a board certified practicing anesthesiologist who has over 20 years of clinical experience. In addition to co-authoring a number of publications, he continues to be active in clinical research as well as other academic and patient centered entrepreneurial activities. Over the last few years he has worked with two prominent corporate anesthesia groups providing not only clinical excellence and leadership but also engaging with key stakeholders to improve deliverables as well as implementing process improvement protocols.
Dr. Plavin has extensive ASC, hospital, and office based practice experience and most recently is a founding member of Ambulatory Anesthesia Partners LLC, an anesthesia practice based in Atlanta, Georgia. He has also devoted himself to a number of charitable endeavors including being one of the co-founders of Preventingcolorectalcancer.org. He continues to be actively involved in the ASC community and maintains a board seat with ASCA.
Review critical operational areas you must address to perform vascular procedures successfully in your ASC. Consider physical space requirements; policies and procedures; Quality Assessment and Performance Improvement and infection prevention requirements; staffing; patient selection; scheduling; laboratory requirements; and single-specialty designation for vascular procedures.
Lisa Petrusky, RN, BSN, CAIP, CASC
Registered Nurse with over 25 years of experience in med-surg, research, ED, telemetry, and interventional radiology. Has spent the last 12 years navigating the regulations and accreditation standards of office based surgery and ambulatory surgery for vascular procedures for a company that when she started with had less than ten office based facilities in four states and now has over 60 office based and licensed and deemed ASCs in 26 states including Puerto Rico.
10:10 am–11:10 am
Enjoy a coffee or tea as you visit with our vendors in the exhibit hall.
10:15 am–11:10 am
Best Practices in Patient Experience Analysis John Merritt, Vice President, SPH Analytics
This presentation will cover new approaches to understanding patient satisfaction, including Net Promoter Score, service recovery and tools for quicker feedback and increased response rates.
Standardization Pitfalls and How to Avoid Them Marvella Thomas, Clinical Consultant, Cardinal Health
Standardization plays an integral role in helping ASCs optimize efficiency and reduce costs, which is precisely why many are implementing standardization programs. While the concept may be straightforward, implementing it in your facility is more complex and can easily lead to small pitfalls. This session will provide clarification on what standardization means in an ASC and what common mistakes to avoid.
Utilizing an Integrated Software Platform to Reach Business and Clinical Goals Robert Marinich, Vice President, HSTpathways
Are you looking to maximize your efficiency across your center from scheduling to charting to billing and make patient care and safety improvements? How can you improve your supply chain costs, measure your case costs easily or improve your revenue cycle management with faster collections? Robert Marinich will show you how utilizing HST's integrated platform will help you reach your goals faster, and with more accurate and measurable outcomes.
11:15 am–12:15 pm
Examine the predictors of health care-associated infections (HCAIs) and ways your anesthesia team can use them to decrease the risk of HCAIs. Discuss techniques for eliminating undesirable anesthesia practices that contribute to common HCAIs in outpatient surgery and review actions your anesthesia team can take to prevent HCAIs in your ASC.
IPCH Content Area: Infection Prevention Education and Training
Get the information and practical advice you need to develop a successful cardiovascular and endovascular program. Find out how to grow your ASC's business by adding cardiovascular and endovascular procedures, then discuss the types of these procedures other ASCs are already performing, the safety and efficacy of performing these procedures in your ASC and the keys to success.
Kelly Marie Bemis, RN, BSN
Kelly Bemis, RN, BSN, is the Chief Clinical Officer (CCO) for National Cardiovascular Partners, a subsidiary of Fresenius Medical Care, North America. Kelly's entire career has been spent in the healthcare arena, first providing patient care as an operating room circulator, and later in a succession of high level management roles. In her capacity as CCO, Kelly is responsible for the overall strategy, direction and oversight of all clinical and nursing aspects of the organization. She also sits on the Joint Commission Ambulatory Care Advisory Council and represents NCP's interests with the Outpatient Endovascular and Interventional Society (OEIS).
Get the metrics and step-by-step instruction you need to case cost effectively. Learn how to use the information you uncover to work with your ASC's physicians to drive clinical and administrative improvement in your ASC. Join this interactive session to discuss methods of case costing, examples of successful programs, key data points to consider, integrating your ASC's profit and loss statement into the process and different classifications of cases that affect cost. Gain a deeper understanding of the dynamic variables that lead to case costing success and discover techniques and new ideas you can use to make the process a wise investment in your ASC.
Larry D. Taylor, BS, AT-C, CASC
Larry Taylor has over 30 years of experience in healthcare delivery, management, and physician relations. Prior to founding Practice Partners in HealthCare, Inc, in 2005 he served as President and COO of HealthSouth, one of the largest providers of Ambulatory Surgery Centers in the United States. Since founding Practice Partners, the team has developed and opened over 20 surgery centers and has a pipeline of centers under development and construction. Larry currently serves as a board member and Vice President for the Ambulatory Surgery Center Association and the Ambulatory Surgery Center Foundation.
CMS quality reporting requirements change annually, and your ASC's ability to adapt could determine whether Medicare reimburses your center fully or imposes payment penalties down the line. Learn which quality reporting measures ASCs need to report now and what steps you must take to meet the requirements. Get definitions, compliance tips and answers to frequently asked questions that will help your ASC report successfully. Future expectations for the program will be discussed.
Donna Slosburg, RN, BSN, HRM, CASC
Gina Throneberry, RN, MBA, CNOR, CASC
Donna Slosburg, RN, BSN, HRM, CASC is Executive Director of the ASC Quality Collaboration, and has served as the organization's leader since its creation in 2006. Ms. Slosburg oversees and participates in a broad range of quality-related projects on behalf of the ASC industry, and speaks across the country regarding ASC quality measurement. In addition to directing the ASC QC's quality measure development activities and public reporting of quality data, she has collaborated with organizations that advance quality in the ASC industry, including the CDC, AHRQ and CMS contractors. Prior to joining the ASC QC, Ms. Slosburg worked in a broad range of ASC clinical and administrative positions. She is currently a member of several Technical Expert Panels. Ms. Slosburg has served on the Board of Directors for the Florida Society of Ambulatory Surgery Centers and the editorial board for AORN. Ms. Slosburg is a Healthcare Risk Manager and CASC.
Gina Throneberry is the Director of Education and Clinical Affairs for the Ambulatory Surgery Center Association (ASCA). In this role she educates members and non-members to the Medicare Quality Measure Reporting Program for ASCs. She also works with federal agencies (Medicare, CDC, FDA, OSHA) in regards to clinical, regulatory, and quality issues/concerns among the ambulatory surgery center industry. Ms. Throneberry is a board member of the Tennessee Ambulatory Surgery Center Association. She is also a surveyor with the Accreditation Association for Ambulatory Healthcare (AAAHC).
Prepare to tackle the challenges inherent in a multi-generational workforce with this discussion of the four main generations in the workforce today. Compare and contrast the experiences, events and world perceptions of each generation; discuss the most effective employee retention approaches for each group; and gain a better understanding of why the members of each generation behave the way they do. It's through the understanding of ourselves that we are able to understand others.
AEU Content Area: Human Resources
Leana McGuire, BS, RN
Leana McGuire is an RN with over 20 years of experience in adult critical care and heart transplantation. After obtaining her degree in Management and Organizational Development in 2007, Leana transitioned away from the bedside to focus on her passion for leadership and staff development. She has been working with ASC leaders, throughout USPI and Tenet, for five years.
Examine variances in thermoregulation—including hypothermia, normothermia and hyperthermia—with an emphasis on unique considerations involving the ambulatory surgery patient. Review general thermoregulatory principles and physiology along with case studies that demonstrate best practices in the assessment, differential diagnosis and treatment of hypo- and hyperthermic patients. Malignant hyperthermia awareness and preparedness in the ambulatory setting will be discussed.
Michael Greenberg, MD
Mike Greenberg, MD, is the Vice President of Medical Affairs at Eagle Pharmaceuticals where he focuses on thermoregulatory disorders with an emphasis on malignant hyperthermia. In addition to his clinical and medical affairs experience, Dr. Greenberg has also worked with the Federal Agency for Healthcare Research and Quality (AHRQ) to raise awareness of comparative effectiveness research and as acted as a consultant to teams focusing on Risk Evaluation and Mitigation Strategies (REMS) and Drug Safety Communications at the FDA Center for Drug Evaluation and Research (CDER).
Dr. Greenberg earned his medical degree at SUNY Upstate Medical University and completed his residency at the University of Massachusetts.
12:15 pm–1:45 pm
ASCA 2019 attendees are invited to participate in one of six Affiliate-led focus group lunches. This is your opportunity to help ASCA Affiliates shape their product/service offerings during a targeted discussion over lunch.
For consideration, please complete the focus group registration form. Participation is limited to ASCA 2019 attendees and advance registration is required.
Finding the Future of Supply Chain Distribution for ASCs Hosted by Cardinal Health
We are looking for ASC administrators and materials managers who play a key role in supply chain management to participate in a focus group regarding distribution. We seek to collaborate with the group to identify current and anticipated supply chain challenges, explore potential solutions and discuss the future of distribution in ASCs.
Managing Postoperative Pain in Ambulatory Surgery Center Settings Hosted by Heron Therapeutics
The purpose of this focus group is to solicit input and guidance on key strategic topics related to the future planning for HTX-011, an investigational, long-acting formulation of the local anesthetic bupivacaine with the anti-inflammatory meloxicam, to reduce postoperative pain for 72 hours and the key value drivers for the ASC. HTX-011 has been granted an FDA PDUFA review date of April 30, 2019, and potentially will be approved by the date of this discussion.
Addressing the Opioid Crisis in ASCs: Social Risk Scoring, Prevention and Reportable Outcomes Measures Hosted by HSTpathways
Join us and weigh in on how ASCs can demonstrate leadership in proactive risk scoring, prevention and reporting on outcomes related to the use of opioids in outpatient surgeries. According to a study done by the American Physical Therapy Association (APTA), "the average rate of later opioid dependence and addiction among surgical patients hovered at 12%." With social determinant risk scoring for potential addiction, prescription protocols and outcomes reporting that consolidated pre-, intra- and postoperative clinical indicators, ASCs could take a leadership role in demonstrating yet another way ASCs are safer environments for surgical procedures. Uniform data standards, data collection tools and benchmarking are measurable ways to decrease the percentage of dependency and addiction. Please join the conversation among ASC leaders to make a measurable difference in the opioid crisis.
Do More of What You Love: How to Make More Time for Patient Care Hosted by McKesson Medical-Surgical
Would you like to hear how your peers save time so they can focus on patient outcomes? Join our focus group to learn tips and tricks from ASC administrators on how they create efficiencies. Participate in this focus group to discuss solutions for managing time and improving workflow so you can get back to doing what you love—caring for patients.
Reporting to Simplify Your ASC Operations and Harness the Power of Your Data Hosted by Simplify ASC
Join us for a lively roundtable discussion on data usage and reporting for improved business intelligence. Your ASC generates a lot of data—but what's the most effective way to use it? What do you need (or maybe what is missing) in order to calculate your true case cost? Do you have access to the data you need, when you need it? Which reports are most insightful? We'll compare notes on how successful centers effortlessly generate the business intelligence they need to improve and strengthen operations. And don't forget to bring your reporting wishlist—this will help us shape and redefine your future. You won't want to miss this wide-ranging discussion.
Strategies for Success as Orthopedics and Total Joints Shift to Outpatient Value-Based Care Hosted by Smith & Nephew
Over the next 10 years, one of the largest growth opportunities for ASCs will be in orthopedics and total joints as about 50% of these procedures are projected to shift to outpatient settings. The move has already begun, and everyone wins when the shift is managed well. Are you ready? What do you need to ensure success? Join us as we explore these questions in a highly interactive session where you can share your experience and knowledge.
12:15 pm–2:10 pm
Migrating Joints to the ASC: Playbook Bill Wilder, Director of Outpatient Solutions, DePuy Synthes, a Johnson & Johnson Company
Clinical, operational and financial considerations for joint migration to the ambulatory surgery center setting.
SCD for the Prevention of DVT: The Way of the Future Richard Parker, CEO, Midwest Medical
Learn the safest, most-effective way to prevent DVT and curb the grim statistics that take more than 300,000 lives per year in the US. With the increase in total joint surgery in the ASC, portable DVT prevention is paramount for every administrator and clinician to understand.
Total Joints and Reimbursement at Campbell Clinic: 5-Year Look-BackAnthony Mascioli, MD, Campbell Clinic Surgery Centers
From inception to implementation, this presentation will review lessons learned related to the clinical protocols and financial drivers of a total joints program.
One World Surgery and the ASCA Medical Mission Scholarship Maria Doria, Medical Missions Coordinator, One World Surgery
One World Surgery is a US-based nonprofit with a mission to ignite the spirit of service and transform lives by providing access to high-quality surgical care globally. Its three cornerstone programs include operating global surgery centers, leading medical missions and building the capacity of local medical professionals through education and training. Learn how to get involved with One World Surgery's medical missions and hear more about the medical mission scholarship sponsored by ASCA.
Growing Your ASC—Capitalizing on the Newly Approved CMS Codes for 2019 Kylie Kaczor, MSN-RN, CASC, Vice President, National Medical Billing Services
With the emergence of new surgical technologies and high-quality outcomes in surgery centers, CMS is continuing to approve more complex procedures for the ASC environment. This session will highlight many of the newest codes that have been approved for ASCs and discuss how you can negotiate with payers to incorporate them into your contracts to capitalize on these opportunities.
The Role of Ryanodex® for the Treatment of Malignant Hyperthermia Michael Greenberg, MD, Eagle Pharmaceuticals
An introduction to Ryanodex® (dantrolene sodium) for injectable suspension in the management of malignant hyperthermia (MH) in the ASC setting.
12:15 pm–2:15 pm
Meet with new and old friends in the exhibit hall for a buffet lunch. Don't forget to visit the sponsors located throughout the exhibit hall!
2:20 pm–3:50 pm
To comply with CMS' emergency preparedness regulations, ASCs must address four areas:
Join this session to gain a better understanding of the background for each regulation and practical compliance advice. Learn how equipping all members of your team makes you better prepared to handle any potential scenario that could interrupt operations.
Terry Mahoney, BN CNOR CASC
Laurie T. Roderiques, RN, BSN, LNC, CASC, CAIP
Laurie has been in the ASC industry for the last 22 years with over 18 in a leadership and administrative role. Her certifications include Certified Nurse Operating Room (CNOR), Certified Registered Nurse First Assist (CRNFA), and the prestigious Certified Administrator Surgery Center (CASC). She is also a Legal Nurse Consultant (LNC).
Prior to relocating to Cape Cod MA, she served as an executive board member and secretary for the New Hampshire ASC Association, during which time she lobbied for ASC reform both in the state of New Hampshire and Washington DC.
Laurie has provided leadership for both large and small multi-specialty ASCs. She currently is a deemed-status surveyor for AAAHC, sits on the education committee for ASCA , is the Director of Nursing Services for a national ASC consulting company, provides legal nurse consultant expertise and works clinically in two ASCs.
Get the information and tools you need to develop a robust Quality Assessment and Performance Improvement (QAPI) program that fosters and encourages participation from your ASC's entire team. Review requirements and key terminology as both Medicare and the accrediting organizations define them; explore implementation challenges for both large and small facilities; and examine the focus and goals of a successful program. You will also learn how to implement a notification report tool that you can use to capture data while fostering full participation in the program.
Tina J. DiMarino, MSN, RN, CNOR, CASC
Tina DiMarino graduated Summa Cum Laude from the College of Notre Dame with her BSN and went on to earn her Master of Science degree in Nursing with a focus in Leadership in Nursing administration. Tina is currently pursuing her Doctorate of Nursing Practice (DNP) in Executive Leadership at George Washington University.
Tina DiMarno has worked in the ambulatory surgical setting for 19 years serving the last 16 year as administrator. She holds certifications as a Certified Operating Room Nurse (CNOR) and as a Certified Ambulatory Surgery Center Administrator (CASC). She is also an ASC consultant developing and managing centers nationwide. Tina DiMarino is a board member of the Maryland Ambulatory Surgery Association.
Explore advanced topics in ASC finance, including projecting and budgeting financial results and how to analyze financial statements to identify actions to improve profitability. Get answers to your more challenging financial questions and discuss ways to handle difficult financial situations.
In the demanding, fast-paced environment of an ASC, how can you make certain that you are delivering the highest level of customer service possible? How can you ensure that you're consistently meeting and exceeding your patients' expectations?
To find out, take a look through the eyes of your patients at every aspect of the care your ASC provides, beginning with staff and every other point of contact your patients encounter. Join this open discussion with your colleagues to identify and analyze best practices that you can implement in your own ASC.
Ann Shimek, RN, BSN, MSN, CASC
Ann Shimek is the Senior Vice President of Clinical Operations for United Surgical Partners, responsible for all clinical oversight for the organization. Her primary goals are to develop a team of clinical experts to provide the tools and resources necessary to empower the clinical staff of the organization to deliver the care to every patient that they would insist on for one of their family members or loved ones.
Ann has been in the health care industry for over 30 years primarily in and around the operating room. She graduated Sum Cum Laude from Wright State University with her BSN and received her MSN with honors from Benedictine University. Ann is a Board Member for the Ambulatory Surgery Center Association, on the Technical Committee for the Ambulatory Surgery Center Quality Collaborative and on the ASC Quality Collaborative Committee for Electronic Health Record for the ASC.
A well-constructed strategic plan can help your ASC prepare for the future, manage its priorities and achieve its goals. Learn key principles and components of an effective strategic plan. Then begin drafting a plan for your ASC, including a mission statement, values, goals, objectives and strategies that will lead your ASC to success. Leave the session with a solid start on a three-year plan custom-fitted to your ASC.
Colin C. Rorrie, Jr., PhD, FASAE, CAE
Colin Rorrie has been involved in strategic planning from three different perspectives. He directed the national strategic planning program at the US Department of Health & Human Services and then at the American College of Emergency Physicians, where as the CEO, he led the College's strategic planning program. For the last eleven years, he has operated his own consulting practice, focusing on strategic planning for national and state associations.
Explore real-world strategies for using the Medicare Exhibit 351 Infection Control Surveyor Worksheet to improve patient care. Discover techniques that can enhance your facility's compliance with CMS' infection prevention requirements while also driving lasting improvement.
IPCH Content Area: Surveillance, Data Collection & Analysis
Tammeria Tyler, RN, CIC, CAIP
Tammeria, a.k.a.Tammy, is the infection preventionist at Southeastern Spine Institute Ambulatory Surgery Center. She has work over 25 years in a variety of settings-both hospital and in ambulatory care. She is currently a member of the BASC board for ASCA and was a contributor in the development of the CAIP. She is board certified in infection prevention with a CIC designation and hopes to add the CAIP to her credentials in October.
3:50 pm–4:15 pm
Take a quick break to enjoy a snack or a drink before heading back to the educational sessions.
4:15 pm–5:30 pm
Physicians, historically, are highly competitive, self-confident leaders who place a high value on autonomy, but generational differences emerging in the physician community today are generating concern inside some ASCs. Strong physician leadership has long been associated with both business and clinical success, and effective physician leadership is a critical success factor in today's challenging health care environment. Find meaningful ways to actively engage the physicians in your ASC in supporting new physician recruitment initiatives that help build depth in your ASC's operational and clinical leadership talent.
Nick Hernandez, MBA, FACHE
Nick Hernandez, MBA, FACHE is the founder and CEO of ABISA. ABISA is an independent healthcare consultancy specializing in healthcare strategy, physician engagement, and strategic growth initiatives. Nick has extensive knowledge on matters surrounding physician engagement and has a long history of working with physician entrepreneurs. He is Board Certified in Healthcare Management and has been named a Fellow of the American College of Healthcare Executives.
Use a simple, 10-step method to choose and develop a meaningful Quality Assessment and Performance Improvement (QAPI) study. During this interactive roundtable session, attendees will be asked to break into groups and develop a mock QAPI study.
Christy Mosqueda, RN, CNOR, CASC
Christy Mosqueda has been working in the healthcare industry for more than twenty five years. The vast majority of her experience is in the perioperative environment.
After working as a nurse assistant for four years, she received her RN from Jefferson School of Nursing, in Pine Bluff, Arkansas, in 1996. In 1998 she was recruited to work in the OR at Zale Lipshy University Hospital in Dallas, TX. She quickly moved into a service coordinator role and progressive management positions which took her experience to the ASC setting. It was as an ASC manager where she found her niche.
Since 2004 she has steadily promoted and held positions, in the ASC environment, from Specialty Coordinator, Manager, Director of Perioperative Services and Regional Director of Surgical Services. She is currently employed by Surgical Care Affiliates and supports approximately 35 facilities across the US as a Group Clinical Director.
Christy currently holds a CASC and CNOR certification, is a AAAHC surveyor, has participated in a consulting role for AHRQ, and is an active member of AORN. Her background and experience in the ambulatory environment offer experience and responsibilities in center development, physician relations, governance, quality assurance, infection control, operations, accreditation, personnel management, vendor relations and supply/cost management.
Delve into all the factors that need to be considered when a facility is deciding if it should take on a new service line and whether to lease or buy any new equipment. Explore financial, compliance and intangible considerations, and get tools you can use to assist in decision making.
Kelly Barker, CPA, MBA
Kelly Barker is Senior Vice President – Controller, U.S. Operations at United Surgical Partners, International, a position she has held since November 2003. Kelly's group oversees all of the financial processes that occur on behalf of USPI's ~280 outpatient surgery centers and short stay surgical hospitals, working closely with USPI's physician and hospital partner stakeholders while doing so.
Kelly began her career in public accounting, and has been in the healthcare finance arena for the last 25 years. Prior to USPI, Kelly spent 7 years with CIGNA Healthcare in various facets of Accounting/Finance and was a CFO at a local hospital. Kelly holds a BBA in Accounting from the University of Texas at Arlington (1992), an MBA from Arizona State University (2000), and is licensed as a CPA in Texas (1994).
Find out where the fight against opioid addiction stands in the US court system during this investigation into litigation pending in the federal district court for the Northern District of Ohio in Cleveland—where some 1,000 cases brought by plaintiffs across the country against the manufacturers, distributors and retailers of prescription opiate drugs have been centralized for pre-trial and discovery purposes. Look at those who have filed suit, what claims they have brought, the timeline of the litigation, and rulings by the court to date as you get a glimpse at how the court is managing this large multi-district litigation.
Robin M. Wilson, ESQ, JD
Robin M. Wilson is a member at Kaufman & Company LLC, a litigation firm headquartered in Cleveland. Prior to joining Kaufman & Company, Ms. Wilson was chief trial counsel for the Cuyahoga County Executive and a Litigation Partner at Thompson Hine LLP. Over the course of her career, Ms. Wilson has represented clients in class, collective and individual actions involving complex civil litigation, and is currently Of Counsel for Cuyahoga County in the multi district litigation In Re: National Prescription Opiate Litigation. She earned a B.S. degree in journalism from Ohio University and her J.D. degree, cum laude, from the Cleveland-Marshall College of Law. In addition to being admitted to practice in Ohio, Ms. Wilson is admitted to practice before the United States Court of Appeals for the Sixth Circuit, the United States District Courts for the Northern and Southern Districts of Ohio, and the United States Supreme Court.
Make sure your ASC is following current guidelines for decontaminating and sterilizing its ophthalmic surgical instruments. Join this session to review industry standards and outline the critical steps you need to take in sterile processing, cleaning and decontamination. Examine best practices, the various methods of sterilization, the latest manufacturers' advice and what you need to know about storage and return to the sterile field. Briefly discuss the history of sterilization and how it works, and finish with a conversation about quality control and what your ASC can do to ensure every load is processed safely and effectively.
IPCH Content Area: Instrument/Equipment Cleaning, Disinfection & Sterilization
Lori Pacheco, RN, CRNO
Twenty five years in ambulatory surgery and the field of ophthalmology.
Surgical Technician, Registered Nurse, Clinical Director, proficient in the operations of a surgical environment including scrubbing, circulating, Pre-op/PACU and central processing.
Presenting at national conferences and webinars on Instrument Care and Handling since 2011.
Publication / Editor for Care and Handling of Ophthalmic Microsurgical Instruments. The American Society of Ophthalmic Registered Nurses. 2016
Proficient in central processing, decontamination, sterilization, care and handling of ophthalmic surgical instruments to include AAAHC and CMS infection control standards.
Each insurance policy/coverage involves an opportunity to protect your facility's assets. Are the policies your ASC has in place providing the protection you need without adding unnecessary coverage and fees? Identify key strategies and objectives that ASC owners and leaders can use to evaluate current insurance coverages as you enter your next insurance renewal season. This presentation will demonstrate strategies ASC leaders can use to manage risk while keeping the cost of coverage under control.
Linda McSmith, RN, CPHRM, LHRMC
Ms. Linda McSmith, RN, LHRM, CPHRM is the Manager of Risk Management for PICA, a ProAssurance Company. She has been a registered nurse for over 30 years and a risk manager for more than 20 years. Linda is responsible for managing PICA's risk management program, coordinating risk management consultative and educational services to PICA policyholders, developing risk management resources, and authoring risk management articles. Linda has held positions such as Assistant Vice President of Risk Management for professional liability insurance carriers, and was the Vice President of Regulatory Compliance for Symbion Healthcare. Linda has served as an ambulatory surgery participant for TJC Technical Expert Panel. Linda is a registered nurse in both Florida and Tennessee. She obtained her CPHRM certification from the American Society for Healthcare Risk Management.
5:30 pm–6:25 pm
Is Business Intelligence (or Lack Thereof) Jeopardizing Your ASC's Success? Marta Shultz, Vice President of Quality, Simplify ASC
Does information gathering and reporting challenge your ASC's success? Harness your business intelligence to WIN. We know you're a savvy bunch—why not join our trivia challenge to test your business intelligence? It will be a fun way to end the day. You might also pick up a few tips about how to improve your data analytics and upgrade your reporting capabilities along the way—and win prizes, too!
Capital Spend Management Kyle Green, Founder and CEO, HANDLE
Join us to learn how the ASCA Asset Network can help your capital dollars go further. The ASCA Asset Network is a secure online portal where ASCs can buy and sell health care supplies and equipment. ASCA has partnered with HANDLE to provide this unique platform exclusively for ASCA members.
The Leapfrog ASC Survey on Patient Safety and Quality Missy Danforth, Vice President, The Leapfrog Group
Learn about the first-ever national patient safety and quality survey now available to ASCs, how employers and purchasers will use the information and how you can participate.
5:30 pm–6:30 pm
Relax after a full day of educational sessions with a sampling of finger foods and light snacks. Visit with vendors and colleagues, explore the innovations on display and learn about products and services that can improve your ASC. Door prizes will be awarded during the evening!
Start the day off with a breakfast filled with bagels, pastries, fruit, a variety of juices and, of course, a cup of coffee to get you going!
8:00 am–9:30 am
Walk through the process one Minnesota ASC used to conduct a multi-dimensional study of the cause and effects of the opioid epidemic in its community. Then, look at how it collaborated with physicians, patients and other health care providers to launch a community-wide response. Learn firsthand how the ASC engaged physicians, other providers and patients in the conversation and developed the materials needed to support the effort.
Rachel Uzlik, CPHQ
Gary Wyard, MD
Over the past 10 years, I've focused quality efforts on the ASC environment; supporting centers through Risk and Quality Management. Additionally, developing engaged quality programs to support accrediting and regulatory body requirements. In the past 4 years, my scope expanded into operational impact with private practice engagement in collaboration with the ASC environment. this opportunity expanded capabilities for integrated efforts for advancing quality care in both settings. Due to this collaborative environment, we've been able to impact change in significant, impactful ways.
Over the past year, my role has been multifaceted on the private practice side as a VP of Clinic Services helping integrate operational excellence through efficiency, operations and quality improvement while also supporting other private practices and ASC's in our managed services business as a VP of Quality.
Gary E. Wyard, MD, has extensive knowledge of total hip, total knee, and partial knee replacement procedures. He is an expert in revision surgery and arthroscopy, shoulder, hip and knee. Dr. Wyard also specializes in sports medicine of the knee and shoulder, trauma, general orthopedics, mini-exposure surgery and non-surgical neck and back care. He has provided medical expert testimony in forensic medicine for the past 35+ years.
Dr. Wyard is Chief Medical Officer for Twin Cities Orthopedics and prior Chairman of the Board.
The Infection Control Risk Assessment is required by accreditation organizations and CMS to help facilities develop a global view of the risks that patients and staff face in their specific setting. Explore best practices for developing and conducting a risk assessment and focus on helping personnel responsible for this task understand the key components and steps to take. Learn how to collect geographic, population and services information; how to identify and score the risks; and ways to prioritize the risks you uncover in your ASC in the order of magnitude. Consider goals and objectives your ASC can adopt based on the risks you identify.
Lisa Berus, RN, MSN, MED, CASSPT, CAIP
Lisa Berus is Director of Integration Management for Surgical Care Affiliates. In this role, she serves as the project manager for multiple de novo surgery centers. Lisa has over 28 years of experience in the ASC industry and has been doing infection prevention for 25 years. She has developed programs to train new infection preventionists and is certified in sterile processing.
Lisa has worked in every area of the surgery center including circulating, scrubbing, safety officer, infection preventionist, business office manager, administrator and corporate clinical leader. Lisa is a Lean Six Sigma Green Belt. She has previously worked for her County Health Department as the epidemiologist and bioterrorism nurse. Lisa has a BSN from the University of Cincinnati and a MSN and MEd from Xavier University.
Buyers, sellers and anyone interested in the long-term value of their ASC, this session is for you. Learn about current economic trends affecting today's ASC deals and gain an understanding of the pros and cons of today's ASC buyers, including private equity backed physician practice management (PPMs) and traditional ASC management companies. Participants will also explore the ways the proliferation of physician practice acquisitions, many of which are financed by private equity, are impacting the ASC industry.
Danielle Elizabeth Golino
Jerry J. Sokol, ESQ
Danielle Golino focuses her practice on mergers and acquisitions in the health care sector and health care private equity. Her transactional experience includes the acquisition and sale of physician practices, ambulatory surgery centers, immediate care and imaging centers, pharmacies, physician staffing companies, home health agencies, hospitals and medical schools. She also has experience structuring transactions to comply with state and federal health care fraud and abuse laws, state licensure issues, corporate practice of medicine prohibitions and other health care regulatory compliance matters.
Jerry Sokol concentrates his national practice on the business aspects of health care law with an emphasis on mergers and acquisitions, joint ventures and various contractual arrangements in the health care industry. He is co-chair of the Firm's national Health Transactions Group and Managing Partner of the Miami office.
Jerry has substantial merger and acquisition experience in multiple health care services subsectors, and has developed a particular niche representing physician practice management (PPM) and ambulatory surgery centers (ASCs) companies with all of their transactional and regulatory needs.
Jerry also has an active health care private equity practice with a focus on leveraged buyout transactions. Jerry and his team are uniquely qualified to perform the acquisition and finance components of these transactions, as well as the health care-specific due diligence and regulatory aspects of transactions.
Is your ASC financially healthy? From "Accounts Receivable" to "Zero Balance," this session will provide you with vital information and expert tips on how to improve operations that involve your revenue cycle. Calling on more than 25 years of experience in the ASC community, the presenter will provide valuable insight into each step in the revenue cycle, from "scheduling" to "account paid in full." Focus on the most efficient and timely techniques for managing the many processes involved and get tools for monitoring success. Your ASC will thank you for attending this presentation.
Tara Gillon, ASP, CRCP-P
Caryl Anne Serbin, RN, BSN, LHRM
Caryl Serbin, RN, BSN, LHRM is the President and Founder of Serbin Medical Billing. She has over 25 years' experience in the ASC industry. Ms. Serbin previously owned and operated Surgery Consultants of America, an ASC development and management company, and Serbin Surgery Center Billing, the first ASC-specific billing company.
As a recognized leader in the industry, Ms. Serbin has presented extensively at ASC national seminars and association meetings, authors articles on reimbursement and related topics and contributes regularly to industry publications. She was recognized in Who's Who in the Ambulatory Surgery Center Industry and chosen as the spokesperson for AAASC to present a series of educational seminars on the changing CMS payment system and its impact on ASCs.
Tara Gillion, ASP, CRCP-P, is the Vice-President of Operations for Serbin Medical Billing. She has more than twenty years experience in healthcare and ten years in ASC revenue cycle management. She has managed revenue for multiple specialties and sites, including ASC's, large multi-specialty practice's with primary and specialty care, hospital, nursing home, radiology, physical therapy, sleep labs, and laboratory services. She currently focus's on developing policies and workflow patterns to improve revenue cycle and streamline departments, high level resolution of managed care issues affecting revenue cycle, and leading employee education programs that provide the latest resources for billing, collections and compliance, as well as payer and state guidelines.
Ms. Gillon is a graduate of the University of Georgia and is a member of the American Association of Healthcare Administrative Management (AAHAM) and is certified by AAHAM as a Certified Revenue Cycle Professional.
Some have worked toward a leadership position their entire career while others are selected without any prior preparation. Either way, your ASC needs to train new leaders and make certain they are well-informed and prepared to meet all applicable federal regulatory requirements as well as the standards from the accrediting organizations. Where do you start? This presentation will discuss what new ASC leaders need to know about compliance and where they can go to find the information they need.
Review real-world scenarios of risk and get the solutions you need to minimize any risk confronting you and your ASC in this dynamic session on the clinical and legal implications of informed consent. Bring your most important questions and concerns; seasoned ASC consultant Debra Stinchcomb and attorney William Miller, a specialist in business litigation and professional liability, will help you find the answers you need.
William Miller, ESQ
Will graduated from the University of California, San Diego, in 1986, and graduated from the University of San Diego School of Law in 1989. Will is an Equity Partner with the San Diego, California, law firm of Higgs, Fletcher & Mack, LLP, and is Chairperson of the Firm's Health Care Group. For the past 29 years, Will's practice has included civil trial litigation, with an emphasis in the representation of healthcare clientele in both State and Federal courts.
Will represents healthcare clientele in their business litigation, administrative law, and medical malpractice matters; to date, he has represented both national, and state-wide, healthcare clientele in over 500 matters. His clients include Ambulatory Surgery Centers, Hospitals, Physicians, and other Allied Health Professionals.
Will has received the highest rating (A-V) available from Martindale-Hubbell for legal ability and ethics, has been distinguished as a designated "Super Lawyer for Southern California" by Thomson Reuters, the "Best of the Bar" by the San Diego Business Journal, and a "Top Lawyer" by San Diego Magazine.
9:30 am–10:30 am
Don't miss out on your last chance to visit the ASC industry's largest exhibit hall during our morning coffee break.
9:30 am–10:45 am
Combatting Medical Necessity Denials for Total Joints Performed in the ASC Jennifer Howe, Vice President, NSN Revenue Resources
Join us to learn how to prevent, and correct, medical necessity denials for total joints.
Mastering Compliance and Credentialing for Your ASC Ted Gottis, Senior Vice President, MedTrainer
Join us for this 15-minute presentation on how to protect your facility from liability breaches and streamline your credentialing process so you always receive timely reimbursement. Most ambulatory surgery centers have more demands than time in the day. Leverage technology to get your time back so you can spend more time with your patients and less on federally required paperwork.
Understanding the Science Behind the First-Ever Dual-Acting Local Anesthetic CANCELLED Randy Robins, MD, Heron Therapeutics
Until recently, local anesthetic innovations have focused on delivery as a way to extend the duration of postoperative pain relief, while ignoring the significant effects the body's natural inflammatory response can have on the effectiveness of local anesthetics. The arrival of dual-acting local anesthetics provides surgeons a new tool to address inflammation at the surgical site and potentiate the analgesic effects of local anesthetics. Learn what potential impact this innovation will have on overall approaches to postoperative pain management, as surgeons will increasingly find they can reduce opioid usage without compromising adequate pain relief.
10:30 am–12:00 pm
Using the ANSI/AAMI ST79:2017 "Comprehensive guide to steam sterilization and sterility assurance in health care facilities" standard as a guide, this presentation will walk through best practices for the various elements of instrument reprocessing, including
Point-of-use preparation, instrument transportation and receiving and returning loaned instrumentation will be covered. The program will conclude with advice on selecting the best process for sterilization if more than one modality is included in the IFU.
Delores O'Connell, LPN, BA, CRCST, CIS, CHL, AGTS
Delores O'Connell is a Clinical Education Specialist representing STERIS Corporation supporting IPT Healthcare in the Pacific Northwest. She is responsible for supporting the professional education needs to achieve best practices for sterile processing, infection control, surgical and endoscopy environments as it pertains to device processing.
She started her career as a staff nurse and spent 22 years as a Perioperative Manager of Sterile Processing for a multi hospital system.
She holds a Bachelor of Arts in Business Management from the University of Illinois. As well she has certifications from IAHCSMM, SGNA and CBSPD. Recently she was recognized for her work on the IAHCSMM Central Service Technical Manual 8th Edition as a Subject Matter Expert (SME) and was awarded the 2017 Educator of the Year Award from the Golden West Chapter of IAHCSMM covering Northern California & Northern Nevada and the 2018 Educator of the Year Award from the STERIS Corporation.
Incivility in the workplace is at epic proportions. Shockingly, it is even more pervasive in health care settings. In the OR, bullying is a very real phenomenon that gets brushed aside behind the red line with excuses like "That's just the OR." The time to expose and eliminate this silent virus has come. Bullying has many consequences for health care workers, patient outcomes and organizational success. Research has shown that, with education, bullying behaviors can be lessened, nurses can be empowered to speak up and the overall work environment can be improved. Understanding who bullies are and what behaviors they exhibit is a key component to dealing with incivility. Interventional tools and educational techniques will be shared.
Brenda Burk, MSN, RN, NEA-BC, CSSM, CNOR
Brenda began her Operating Room career in 1987 and maintains CNOR, CSSM and NEA-BC. Brenda currently works as a Director of Surgical Services. While doing her MSN, Lateral Violence in a Perioperative Setting was researched as a Capstone Project. Brenda's interest in incivility stemmed from being a victim of lateral violence.
Brenda served as an advisory member of the ANA Professional Issues Panel on Incivility, Bullying, and Workplace Violence. The ANA published their revised Position Statement in 2015.
Since 2016 Brenda has presented at various national conferences on Bullying and Incivility in the Operating Room. Brenda presents routinely to the Charge RNs and Preceptors at the hospital where she is employed. Brenda has now expanded her talk to the non-nursing world and presents workshops on Workplace Violence, Conflict and Conflict Management in the Workforce.
Coding and revenue cycle assessments, whether performed as part of a compliance program or prior to an acquisition, can reveal the financial health and viability of a facility. Discuss the importance of establishing and implementing internal and external assessment processes for all areas of your facility's revenue cycle. Explore ways to use your findings, how to identify weak links and learn techniques for resolving problems and what you need to know to continue monitoring changes of any kind. Follow-up assessments reveal recurring concerns ranging from simple, rudimentary mistakes to more egregious infractions that could result in a serious misrepresentation or inflation of revenue. Examine common areas of the revenue cycle, including performance objectives, monitoring frequency and accuracy goals. Extra focus will be placed on the importance of due diligence coding audits.
Whether you are managing a mature ASC that is already functioning at a high level or looking for new ways to rejuvenate a previously successful facility that is struggling to adapt to a change in leadership or its local marketplace, you can find the keys to improving your center's performance in the "Four Rs"—recruitment, re-syndication, replacement and remodeling. With an ever-growing number of more complex surgical procedures shifting into ASCs, even the most experienced ASC leaders encounter challenges recruiting the right talent, bringing new physicians into their centers, re-syndicating and deciding whether to renovate or relocate. Get practical strategies for recruiting frontline talent and consider the pros and cons of everything from facility upgrades—such as adding operating rooms or overnight stay capacity—to de novo projects that can replace an aging, undersized center.
Identify the best opportunities to grow your ASC and avoid newly created pitfalls during this in-depth review of the policies and reimbursement rates that Medicare finalized in its 2019 ASC payment rule. Look ahead to what could be coming your way in the 2020 payment rule. Study the impact of these changes on various specialties to assess the opportunities and risks that could transpire with your commercial payers as well.
I. Naya Kehayes, MPH
Kara Newbury, JD
Naya Kehayes is a Principal and the Ambulatory Surgery Practice Leader for ECG Management Consultants. She has spent more than 25 years in the healthcare industry and 18 years in consulting. She has devoted her career to working with ASCs, surgical hospitals and surgical practices and has a proven track record creating value for her clients. Prior to ECG, Naya was the founder and Chief Executive Officer of Eveia Health Consulting and Management. She is an industry leader serving on the ASCA Government Affairs Committee, Washington Ambulatory Surgery Center Association Board and is the Chair of the Payment Policy Committee. Naya is a guest lecturer at Yale University School of Public Health and in 2015 was a recipient of the Winslow Centennial Honor Roll for Excellence and Service award. She earned a B.A. from the University of Rochester and M.P.H. from Yale University School of Public Health
Kara Marshall Newbury serves as regulatory counsel for the Ambulatory Surgery Center Association (ASCA), and through this role spearheads ASCA's federal regulatory efforts. Prior to this role, Kara coordinated state legislative, regulatory and public affairs for the association. Before joining ASCA, Kara served as the assistant director, state government affairs at the National Association of Professional Employer Organizations and staff attorney and director of government relations for the Community Financial Services Association. Kara received her undergraduate and law degree from The Ohio State University.
Discuss the many tools and techniques your ASC can use to proactively prevent pharmacy issues. Learn best practices from a consulting pharmacist with years of ASC experience, and get:
Gregory Tertes, RPH
Gregory Tertes is president of ASC Pharmacist Consultants, and an expert consultant to Ambulatory Surgery Centers. Gregory's guiding principles in his work are to assist you with Patient Safety, Survey Success, and Cost Containment. His past experience in management, operational and quality assurance roles in pharmacy have prepared Gregory to support his clients in any pharmacy challenge.
12:10 pm–1:50 pm
Join your colleagues in celebrating the recent successes and accomplishments of the ASC industry during this midday meal.
The Celebration Luncheon offers a change of pace after days of intensive educational sessions and the hubbub of the Exhibit Hall.
During this leisurely sit-down lunch, you'll also hear from Nashville songwriter Jaron Boyer about what it takes to craft a country hit. And Jaron would know—his songwriting credits include "They Don't Know" and "Gettin' Warmed Up" for Jason Aldean, "Somewhere on a Beach" for Dierks Bentley, "Hell of a Night" for Dustin Lynch and "Flatliner" for Cole Swindell.
Jaron Boyer
Jaron Boyer is a multitalented songwriter/producer who has crafted hits for country stars like Jason Aldean, Dierks Bentley, Cole Swindell, Chris Stapleton, Sam Hunt and Rascal Flatts. Boyer has penned four number-one hits, including "Hell of a Night" (Dustin Lynch), "Somewhere on a Beach" (Dierks Bentley), "Flatliner" (Cole Swindell feat. Dierks Bentley) and "Girl Like You" (Jason Aldean). He is among a growing group of writers and producers who are blending time-honored Nashville songcraft with beats and sonic touches from the worlds of pop and hip-hop to create something fresh and commercially combustible.
2:00 pm–3:30 pm
The Anti-Kickback statute, the Stark law and the False Claims Act are essential in defining the foundation for fair business practices in the ASC setting. Misinterpreting their core concepts could cost your ASC time, money and its good reputation. Keep your facility safe and compliant with this review of the basics and the ways these statutes have been applied in the past.
Tap into the expertise of this team of ASC leaders that spearheaded the design, development and execution of an ASC renovation and expansion. Hear firsthand about their experiences managing this project—which included a 16,000 square foot addition and a 13,000 square foot renovation—all while treating more than 5,000 patients annually. Their discussion will examine:
Jamie Oldfather
Michael Patterson, FACHE
Deb Sheehan, ACHE, EDAC, LEED, AP
Jamie Oldfather is the Manager of Administrative Services for Mississippi Valley Health (MVH) which encompasses Mississippi Valley Surgery Center, Mississippi Valley Endoscopy Center and Mississippi Medical Plaza Development. With this role she is responsible for providing leadership to the overall operation of the Registration department, Information Technology Services, Facilities Services, Marketing/Advertising, and provides administrative support to the President/CEO.
Jamie has been with the Mississippi Valley Health team since January 2012. Jamie has a very diverse professional background including a variety of healthcare positions such as; Pediatric Medical Assistant, Multi-Skilled Technician for acute care in-patient units, License Coordinator for Emergency Medical Services, Executive Assistant to Nursing Operations and Administrators of a multi-campus hospital system.
Michael J. Patterson is the President and Chief Executive Officer of Mississippi Valley Health.
For the past 20 years, his professional career has encompassed a variety of positions in healthcare ranging from a Registered Nurse in a Level I Trauma Center to the Chief Administrative Officer of a 350 bed community hospital and Chief Nurse Executive of a 3 hospital health system.
Michael has served over 23 years in both the Active and Reserve components of the US Navy and was deployed multiple times to provide Trauma care around the world. He retired with full honors in 2012.
Michael is a graduate of Northern Illinois University with a Bachelor of Science in Nursing, and the University of Illinois at Chicago with a Master of Science in Nursing where he was awarded the Distinguished Nurse Alumnus in 2010. He is also a Fellow in the American College of Healthcare Executives.
Honing a background of business management, engineering, architecture and construction, Deb champions short- and long-term strategies that leverage cross-market factors that shape industry trends and anticipate next generation solutions. Her success partnering with clients around the world made her a sought-after industry expert, contributing to Modern Healthcare, American Business Journal and Becker's Hospital Review as well as National Building Sciences Institute, ASHE and the American College of Healthcare Executives (ACHE).
In a career spanning three decades, Deb has been honored for her evidence-based project delivery approach by the Joint Commission, Modern Healthcare and the American Institute of Architects. She presents at numerous industry forums, including the Joint Commission Resources, ACHE, the American Society of Healthcare Engineering (ASHE) and the Strategic Research Institute. She holds a degree from Miami University and is an Honors recipient of the University of Wisconsin Business Management Program.
Learn how to identify and address conflict before it causes serious damage to your ASC. Join Heather Lambert, manager of training and development for AMSURG, as she:
Heather Lambert, MLIS, MA
I have worked as a teacher, supervisor, professor, instructional designer, change leader, mentor, and facilitator. I have a bachelor's in Sociology and a Master's in Anthropology and in Information Science. For over 20 years I have helped teams develop and grow. I have certifications in DiSC, Change Style, Teamwork, and Facilitation. I have worked with non-profits, NGO's, government, higher education, and corporate groups to grow individuals, create team, and impact customer experience.
Does your ASC know what to do if the media calls in response to a patient complaint? Do you know how to work with the media to market your ASC, or how to use social media and online review sites to respond to posts and help people find you? Are you aware of the services and resources ASCA provides to help you in these areas?
Find out what you can do to work with reporters, respond to potentially negative news and use traditional and social media to your ASC's advantage. Join two public affairs and public relations consultants as they discuss:
Charlie Leonard, BA
Ellen Satterwhite
Charlie Leonard provides public affairs and public relations counsel to corporate, public sector and non-profit organizations including the Ambulatory Surgery Center Association (ASCA). Charlie's clients have included virtually every facet of the healthcare industry including hospitals, physician and nursing organizations, insurers, pharmaceutical companies, ambulatory surgery centers, medical device manufacturers and medical colleges. Charlie has helped clients navigate major crises including government investigations and regulatory actions. He has prepared witnesses and speakers, led public affairs campaigns and created thought leadership programs to help build and strengthen several major brands. He has been a communications counselor, media spokesman, coalition organizer and advertising director. Prior to his consulting work, Charlie was the National Campaign Director of the National Republican Congressional Committee and a Republican campaign consultant. Charlie graduated from the State University of New York at Albany and was trained in film and television production at the New York Institute of Technology.
As Vice President at Glen Echo Group, Ellen Satterwhite helps clients formulate policy positions and tell their stories with good one-liners backed by solid data. As a co-author of the FCC's National Broadband Plan, Consumer Policy Advisor to the Commission and freelance consultant, her work has been written about in Huffington Post, AllThingsD, CNet, Geekwire, GigaOm and CivSource. Previously, Ellen served as Program Director for Gig.U, supporting communities seeking gigabit speeds.
Satterwhite earned a Master's in Public Affairs from UT Austin and a BA from Grinnell College. She believes brevity is the soul of wit and someone should tell that to YouTube commenters.
Keep your ASC's employees safe with this in-depth review of everything you need to know about compliance with the Occupational Safety and Health Administration's requirements and key steps in infection control. Find out how sharps are properly maintained and delve into infection control, including hand hygiene. Be sure that you are following procedures and policies that protect both your ASC's staff and your patients.
IPCH Content Area: Infection Prevention Strategies
Kelly Denise Ogle, BS, MS
Kelly provides OSHA and HIPAA training and consulting to help medical and dental practices maintain compliance within their facilities. She conveys the importance of a safe environment for employees while reducing the risk of penalties for the practice. In addition to delivering training, Kelly performs mock OSHA and HIPAA audits to help clients take corrective action to help reduce the risk of penalties before they happen. She also contributes to the Compliance Quarterly and the OSHA and HIPAA compliance manuals produced by DoctorsManagement.
Kelly engages her audience with enthusiasm as she conveys the importance of employee safety and patient privacy as well as the details of protecting the practice from risks and penalties that result from OSHA and HIPAA violations.
In addition to holding a Bachelor of Science degree in Dental Hygiene from East Tennessee State University and a Master's Degree in Industrial Organizational Psychology from Walden University, Kelly has successfully completed the General Industry for OSHA course, is a Certified Healthcare OSHA Professional (CHOP®) through the American Academy of Provider Offices and Laboratories and is a Certified Medical Practice Manager (CMPM®) through DM University. She is currently attending Walden University to obtain her Doctorate in Healthcare Administration.
Have you trained your successor? If something happened to you tomorrow, could someone step in and immediately take over in a seamless transition? Or, are you ready to retire but have no idea how to hire, promote or train someone who can take over your position without skipping a beat? You hold critical knowledge about your ASC's culture and history, and someone else needs to know this information. Look carefully at practical ways to prepare for your departure, whether its timing is planned or not.
3:30 pm–3:45 pm
3:45 pm–5:15 pm
Join cybersecurity experts as they take you on the journey of a cyberattack through an interactive, informative video. Witness the far-reaching destruction a successful attack can cause and learn what to do—and not do—to keep your ASC from becoming a victim. ASCs are in the crosshairs of cybercriminals who view small businesses as attractive, lucrative targets due to their low-level security measures. Verizon reports that 58% of malware attack victims are categorized as small businesses, while the Ponemon Institute reported that in 2017, cyberattacks cost small and medium-sized businesses an average of more than $2.2 million. For ASCs that fail to take cybercrime seriously, the financial and legal consequences could be devastating.
Nelson Gomes
Bo Jayakumar
Nelson Gomes is an information technology veteran with more than 25 years of IT experience. He is the founder of PriorityOne Group, a leading provider of integrated managed IT services to organizations including ASCs, medical groups and hospitals. The PriorityOne Group team of talented, committed professionals helps healthcare providers deliver high-quality care while maintaining IT security and compliance. Nelson is a sought after thought leader frequently called upon to speak at local, state and national meetings as well as serve as a source and contribute to well-known publications.
Bo has extensive expertise connecting organizations of diverse verticals and geographies with the cybersecurity help they need. Bo can explain complicated cybersecurity topics in easily-digestible form so audiences with varying understanding can all understand.
Bo regularly helps business owners, C-suite members, and IT Directors align with NIST cybersecurity standards. Essentially, he makes cybersecurity not scary, but instead attainable and actionable.
The key to a successful endoscope reprocessing program is developing and implementing a comprehensive orientation and training program for your ASC's reprocessors. The program must review the risks associated with endoscope reprocessing and reprocessing failures and include regular and consistent audits of your reprocessors' performance. Inspectors are now spending more time in the scope room to ensure you are providing safe care to your patients, so developing and maintaining a robust program is essential to sustain compliance and demonstrate that your center is meeting all required standards.
Melissa Kubach, BA
Melissa Kubach, BA is the National Education Coordinator for Mobile Instrument Service & Repair providing on-site education, auditing, and competency support for hundreds of facilities nation wide. She was one of the founding partners of Unitas Medical Services, Inc. where she served as the educator and Quality Manager for nearly 17 years. She has invented flexible endoscope products that promote infection control and holds product patents related to endoscope reprocessing. She has been the Medical Device Class guest educator at Southern Illinois University- Edwardsville for the last 8 years covering Endoscopy.
It's hard to assess the financial health of your ASC if you don't understand your numbers. Identify and get definitions for 10 Key Performance Indicators (KPIs) you can use immediately in your own ASC to compare your facility's performance with industry standards and forecast areas for improvement. Explore metrics such as Aged AR Over 120 Days, Net Collection Percentage, Bad Debt as a Percentage of Net Revenue and Percent of Denied Claims. Discuss the importance of goal setting and benchmarking. This presentation is for anyone who wants to improve the financial health of their business office.
Jocelyn C. Gaddie
Review the state of the opioid epidemic in the US, focusing on current trends in the types of controlled substances being diverted and the methods being used to divert them. Get an update on new state regulations surrounding the prescribing of controlled substances and how these new laws affect ASCs. Examine methods to safeguard patients and staff and discuss case studies and their long-term implications for those affected.
Lea Schilit, MS, PHARMD, CPH
Lea Schilit graduated from University of Florida with Bachelors in Food Science and Human Nutrition in 2000 and Florida International University in 2003 with a Masters in Nutrition. She then worked as a clinical dietitian prior to starting pharmacy school at Nova Southeastern University in 2005. Dr. Schilit earned a Doctorate in Pharmacy in 2009 and completed a pharmacy practice residency with Nova Southeastern University /Broward Medical Center in 2010. In 2010 she joined HCA as a clinical pharmacist at Westside Regional Medical Center. She transitioned to HCA's Ambulatory Surgery Division (ASD) in 2011 to create and pilot the role of the pharmacist in the ASD. From 2011 to June 2017, she was the Division Director of Clinical Pharmacy for HCA East Florida ASD. In June 2017, she was promoted to Assistant Vice President of Clinical Pharmacy for the Eastern Region of the ASD of HCA and has been in that position since.
Review the advantages, disadvantages and requirements of various organizational structures. Discuss what administrators need to know about what their governing bodies are required to do to ensure a well-functioning and compliant governing board.
Join a law firm partner for this candid discussion of best practices for hiring and firing employees, the recent increase in sexual harassment claims that has accompanied the advent of the #MeToo movement and legal requirements ASCs need to meet to protect their employees and their center.
Marcus M. Crider, JD
Marcus Crider is a partner in the Labor & Employment group at Waller Lansden Dortch & Davis, LLP. A broad range of companies – from some of the world's largest employers in manufacturing, healthcare, transportation, retail, and grocery, as well as various hospitality companies, start-up companies and family-owned businesses – rely on Marcus to defend them in labor and employment matters. Marcus's experience includes numerous federal jury trials involving alleged violations of Title VII, the Family and Medical Leave Act, the Americans with Disabilities Act, the Uniformed Services Employment and Reemployment Rights Act, and common law retaliation. He also defends matters involving the Equal Employment Opportunity Commission, the Department of Labor, the Office of Federal Contract Compliance Programs and the National Labor Relations Board. Chambers USA and Best Lawyers recognize Marcus as a leader in his field. He earned his J.D. from the University of Arkansas and his undergraduate degree from Northwestern Louisiana State University.
6:30 pm–9:30 pm
Enjoy a night of fun, Nashville-style!
Join your colleagues on Honky Tonk Highway for the ASCA 2019 social event. This exclusive private party at the Wildhorse Saloon in the heart of downtown Nashville is for ASCA 2019 Conference & Expo attendees only. Enjoy a night of dancing, live music, authentic southern cuisine, line dancing and more.
Transportation will be provided to and from the Gaylord Opryland.
Minimize your liability risk by mastering the fundamentals of the Americans with Disabilities Act, the Family and Medical Leave Act and the ways the two work together. Learn the basic definitions under each law, the steps employers should take to manage a leave request, ways to combat potential abuse by employees, strategies for engaging effectively in the interactive process and best practices for assessing and responding to a request for special accommodation.
Coe Heard, JD
Coe Heard, partner at Waller Lansden Dortch & Davis, LLP, is a management-side employment law litigator and counselor. She has broad experience defending clients in over 15 states in federal and state courts and administrative actions and arbitrations. Coe regularly advises clients on complex legal issues, litigation avoidance, and best practices. She assists clients in responding to pre-litigation disputes and offers training to human resources professionals on employment matters. Clients in a variety of industries – including healthcare, retail, hospitality, banking, manufacturing, and telecommunications – rely on Coe's depth of experience. Coe earned her J.D. from Samford University, Cumberland School of Law and her undergraduate degree from Furman University.
The 2012 edition of NFPA 99 describes a variety of risk assessments that are (1) fundamental to validating the compliance of built systems in an ASC and (2) the responsibility of each ASC to perform. Explore the limited guidance provided by the National Fire Protection Association and CMS concerning the process, what content is needed to arrive at a "qualified" risk assessment and how you can employ that assessment to develop a logical and understandable process that addresses each required system. Differences between the risk assessment requirements for new and existing ASCs will be scrutinized, including applicable code and CMS references that support exceptions for existing and/or new ASCs.
William E. Lindeman, BARCH, AIA
Mr. Lindeman is the President of WEL Designs PLC, a consulting firm for ASC regulatory compliance and development. As a licensed architect working exclusively with health care providers since 1983, he has been instrumental in the planning and design of millions of square feet of Ambulatory Surgery Centers, medical practice suites, and other health care facilities. He is a recognized expert in CMS Physical Environment Requirements for Medicare Certification, and State-specific Licensing requirements, and performs a wide variety of regulatory compliance consulting services is support of, or as a quality check of, local architects and engineers. He is the Physical Environment Consult to the Accreditation Association for Ambulatory Health Care, where he is instrumental to the development and maintenance of their Life Safety Code Surveyor resources and surveyor training.
In today's competitive business environment, we all have too much to do and too little time to do it. As a leader, you may have already learned how to plan, prioritize and streamline your work. Now, how can you help your team members do the same? Should you dictate the processes and tools they use? How do you keep people from taking on too much and then burning out or continuously spinning their wheels? How do you manage the slackers and the Negative Nellies who bring down the morale and the productivity of the entire team? Get proven strategies for dealing with these very pertinent issues and building a more productive and collaborative team.
9:30 am–9:40 am
Grab a quick cup of coffee or tea between the morning sessions.
9:40 am–11:10 am
Hear how to prepare for and respond to the unpredictable, quickly evolving chaos likely to accompany an active shooter incident in your ASC. Learn how you can play an integral role in mitigating the impacts of an active shooter incident by using tools and resources designed to help you be prepared.
Lee Eaves
Lee M. Eaves is currently a security and risk consultant for Agape Tactical, LLC. In this role Mr. Eaves provides services such as active shooter training, vulnerability risk assessments and consulting in the areas of security, risk and internal investigations.
Mr. Eaves was previously employed as a Special Agent with the United States Secret Service tasked with the dual mission of protecting our nation's financial infrastructure and protecting our nation's leaders. Mr. Eaves also has previous experience in the medical field having worked as a flight paramedic in Birmingham, AL.
Keeping negativity at bay or transforming a negatively charged culture in an ASC starts with its leaders. Come to this session prepared to discuss what causes a less than desirable work climate and ways you can work with others in your ASC to generate an environment that fosters and supports an energetic high-performing team. Investigate ways to build trust, gain respect from your teammates and set expectations for appropriate behavior all at the same time.
Mary K. Ryan, MBA, BSN, RN, CASC
Walk through a typical day in the life of a Medicare survey, studying deficiency trends and key compliance strategies that will help you make survey readiness a way of life in your ASC. Gain the knowledge and understanding of regulatory standards that you need to reduce your risk of errors, keep our health care system healthy and achieve survey success.
Jan Allison, RN, CHSP
Jan currently serves as the Sr. Director of Regulatory for AMSURG, providing regulatory support for more than 250 ASCs. Jan has served on ambulatory advisory panels for AORN, Joint Commission and the ASC Quality Collaboration. Jan has authored a book over compliance with Joint Commission standards and has had several publications in the AORN Journal. Jan is a certified healthcare professional and has been in the Ambulatory Surgery Industry since 1985, serving as an expert speaker on numerous nationwide audio and live conferences over quality, regulatory and accreditation issues.