Question: What is the purpose of a monitoring and adjustment plan?

Ambulatory Surgery Center (ASC)

Background:

You are a project manager for a 300-bed community hospital with a 100-physician medical group consisting of primary care and specialty physicians, including 20 surgeons of various specialties. Included in this are four well-known and respected orthopedic surgeons who contribute significantly to the hospital’s surgery volumes. Senior leadership of the hospital has asked you to put together a proposal for the addition of an outpatient surgery center to be constructed in a new space attached to the hospital.

Important factors for consideration in your proposal include:

• Patient flow
• Number of rooms needed
• Operating room (OR) equipment
• Sterilization equipment
• Office equipment
• Construction factors: contractor selection, timelines, permitting, licensing, architecture and interior design, etc.
• Volumes lost in main OR versus volume gain from outpatient environment and increased capacity
• Staffing: Make the following assumptions per operating room:

oOne RN

oOne scrub tech

oFour preop RNs

oFour postop RNs

oTwo registration clerks

oOne custodian

oTwo sterilization clerks

• Registration process
• Postop process
• Coding/billing process
• Physician space (changing rooms, workspace for paperwork)
• Staff space (changing rooms, break room)
• Effects of political aspects of meeting physician needs on both the surgery center’s performance and that of the main OR in the hospital. Also, any that may occur between surgical specialists.
• Financial impacts of an ASC
• Trend analysis: are ambulatory surgery centers a growing or diminishing trend?
• Typical competition of an ASC
• Should it be attached to the hospital, etc.?
• Marketing – Who are the major audiences?
• Training
• Certification

What is the purpose of a monitoring and adjustment plan?
Analyze and describe three different performance measurement tools. Which one will work best for your business plan?
What metrics will you be monitoring and why?
What goals have you set for the selected metrics? What is your rationale for these goals?
What are three barriers that could cause a need to adjust your plan?
Include an example of your performance measurement tool