1 00:00:00,240 --> 00:00:02,980 Looking for a solution that helps alleviate administrative 2 00:00:03,199 --> 00:00:05,599 tasks for your staff and also helps your 3 00:00:05,599 --> 00:00:07,599 patients cover their out of pocket health care 4 00:00:07,599 --> 00:00:08,099 expenses? 5 00:00:08,480 --> 00:00:11,199 Find what you're looking for from CareCredit because 6 00:00:11,199 --> 00:00:13,919 CareCredit is a credit card and more. It's 7 00:00:13,919 --> 00:00:16,375 a helping hand for staff and a flexible 8 00:00:16,375 --> 00:00:19,434 payment solution for patients. For over thirty years, 9 00:00:19,574 --> 00:00:22,934 CareCredit, a Synchrony solution, has offered patients a 10 00:00:22,934 --> 00:00:25,894 credit card with promotional financing options to get 11 00:00:25,894 --> 00:00:27,894 the care they want while helping staff do 12 00:00:27,894 --> 00:00:30,649 what they do best, provide care. To learn 13 00:00:30,649 --> 00:00:33,009 more, visit carecredit.com 14 00:00:33,009 --> 00:00:34,789 forward slash beckerspodcast. 15 00:00:35,409 --> 00:00:37,329 This is Gracelyn Keller with the Becker's Healthcare 16 00:00:37,329 --> 00:00:39,489 Podcast, and we're recording live at the thirty 17 00:00:39,489 --> 00:00:42,149 first annual business and operations of ASCs. 18 00:00:42,675 --> 00:00:45,155 I'm currently joined by Tara Goodyoung, who is 19 00:00:45,155 --> 00:00:47,954 the CEO at PDI Surgery Center. So thanks 20 00:00:47,954 --> 00:00:49,475 for being here. I'll have you kick us 21 00:00:49,475 --> 00:00:50,914 off by sharing a little bit more about 22 00:00:50,914 --> 00:00:53,015 yourself and your work in the ASC space. 23 00:00:53,475 --> 00:00:55,715 Thanks for having me. Really appreciate it. Becker's 24 00:00:55,715 --> 00:00:58,850 is one of my favorite conferences to attend. 25 00:00:59,629 --> 00:01:02,369 A little about myself. So forty two years 26 00:01:02,509 --> 00:01:04,590 in health care in the last twenty in 27 00:01:04,590 --> 00:01:05,090 leadership, 28 00:01:05,709 --> 00:01:07,729 have run different ambulatory 29 00:01:08,109 --> 00:01:09,810 surgery center practices 30 00:01:10,829 --> 00:01:11,329 with 31 00:01:11,655 --> 00:01:12,155 maxillofacial 32 00:01:12,694 --> 00:01:13,594 oral surgery, 33 00:01:13,974 --> 00:01:14,474 plastics, 34 00:01:15,015 --> 00:01:16,075 and now currently 35 00:01:16,534 --> 00:01:20,155 in pediatrics for pediatric dental oral reconstruction. 36 00:01:21,094 --> 00:01:21,594 Wonderful. 37 00:01:22,295 --> 00:01:24,454 Well, let's start our conversation with the ASC 38 00:01:24,454 --> 00:01:24,954 market 39 00:01:25,310 --> 00:01:27,069 Because in The US, this is projected to 40 00:01:27,069 --> 00:01:28,989 reach $60,800,000,000 41 00:01:28,989 --> 00:01:31,709 by 2030 and continues to experience strong year 42 00:01:31,709 --> 00:01:34,109 over year growth. So from your perspective, what 43 00:01:34,109 --> 00:01:36,269 are the most significant trends in market forces 44 00:01:36,269 --> 00:01:38,909 driving this expansion, and how should ASC leaders 45 00:01:38,909 --> 00:01:40,049 be preparing today? 46 00:01:40,774 --> 00:01:42,155 One of the biggest influences 47 00:01:42,534 --> 00:01:44,715 I see in our ASC space 48 00:01:45,254 --> 00:01:47,594 and growth is going to be CMS's 49 00:01:47,894 --> 00:01:48,394 continued 50 00:01:49,334 --> 00:01:51,034 expansion of outpatient 51 00:01:51,334 --> 00:01:51,834 procedures 52 00:01:52,390 --> 00:01:55,909 being moved from hospital setting to the ASC 53 00:01:55,909 --> 00:01:58,230 setting. Now with that, there's gonna be the 54 00:01:58,230 --> 00:01:58,730 expectation 55 00:01:59,030 --> 00:02:01,370 of downward pressure on pricing. 56 00:02:02,390 --> 00:02:04,390 Problem with that that we'll need to be 57 00:02:04,390 --> 00:02:06,454 able to be prepared for is gonna be 58 00:02:06,454 --> 00:02:08,314 doing a lot of payer negotiations 59 00:02:08,935 --> 00:02:11,254 and knowing what your margins are and what 60 00:02:11,254 --> 00:02:14,455 your market is. Just because the shiny new 61 00:02:14,455 --> 00:02:16,055 thing for you to possibly be able to 62 00:02:16,055 --> 00:02:17,034 do in the ASC 63 00:02:17,590 --> 00:02:20,250 doesn't necessarily mean that it'll be profitable. 64 00:02:20,709 --> 00:02:22,009 If it's already oversaturated 65 00:02:22,709 --> 00:02:23,209 in 66 00:02:23,509 --> 00:02:26,229 a shouldering market to you, you may not 67 00:02:26,229 --> 00:02:28,389 have room for market share, and it may 68 00:02:28,389 --> 00:02:30,310 quickly be a race to the bottom on 69 00:02:30,310 --> 00:02:30,810 price 70 00:02:32,025 --> 00:02:34,105 rather than pivoting to take a look at 71 00:02:34,105 --> 00:02:36,284 where you can deliver the best value 72 00:02:36,745 --> 00:02:38,605 customer service for your reputation. 73 00:02:39,544 --> 00:02:40,044 Absolutely. 74 00:02:40,425 --> 00:02:42,985 And from AI and robotic surgeries to advanced 75 00:02:42,985 --> 00:02:43,885 EHR systems, 76 00:02:44,370 --> 00:02:46,370 technology remains both a make or break factor 77 00:02:46,370 --> 00:02:48,610 and a critical driver of ASC operations at 78 00:02:48,610 --> 00:02:50,930 scale. So how do you see deeper tech 79 00:02:50,930 --> 00:02:53,650 integration shaping the way ASCs deliver care and 80 00:02:53,650 --> 00:02:55,909 manage their business over the next few years? 81 00:02:56,525 --> 00:02:58,625 I think you can really start to leverage 82 00:02:58,844 --> 00:02:59,344 AI 83 00:02:59,885 --> 00:03:03,025 to do many of the menial and tedious 84 00:03:03,085 --> 00:03:03,585 repetitive 85 00:03:03,885 --> 00:03:04,385 tasks, 86 00:03:04,844 --> 00:03:07,025 whether it's helping with managing 87 00:03:07,325 --> 00:03:09,985 phone call handling still in a very humanistic 88 00:03:10,365 --> 00:03:10,770 sense. 89 00:03:11,250 --> 00:03:13,409 I think you'll have less turnover of staff 90 00:03:13,409 --> 00:03:14,849 if you have staff that feel like they're 91 00:03:14,849 --> 00:03:18,469 doing meaningful work, if AI can do the 92 00:03:18,689 --> 00:03:19,909 basic level 93 00:03:20,290 --> 00:03:23,745 of receiving and triage of calls than to 94 00:03:23,745 --> 00:03:26,084 the human that really needs to handle it. 95 00:03:26,384 --> 00:03:28,544 As well, you can load in a lot 96 00:03:28,544 --> 00:03:30,884 of your data and have it aggregated 97 00:03:31,424 --> 00:03:34,305 rather than spending all of this time putting 98 00:03:34,305 --> 00:03:35,364 it into spreadsheets 99 00:03:35,664 --> 00:03:37,685 to drill down your own data, 100 00:03:38,040 --> 00:03:39,740 make your own pivot tables 101 00:03:40,040 --> 00:03:41,659 that's very time consuming. 102 00:03:42,120 --> 00:03:44,840 The best thing about what that can bring 103 00:03:44,840 --> 00:03:45,659 to the table 104 00:03:46,040 --> 00:03:49,000 is AI is really being directed now to 105 00:03:49,000 --> 00:03:50,860 integrate with your EHR, 106 00:03:51,264 --> 00:03:53,504 which then is a lot less click time 107 00:03:53,504 --> 00:03:55,584 for your staff and for your doctors, which 108 00:03:55,584 --> 00:03:57,664 has been one of the biggest complaints since 109 00:03:57,664 --> 00:03:58,164 EMRs 110 00:03:58,465 --> 00:03:59,205 came out. 111 00:03:59,985 --> 00:04:01,685 So if you can alleviate 112 00:04:02,224 --> 00:04:03,364 some of those bureaucratic 113 00:04:03,664 --> 00:04:04,164 frustrations, 114 00:04:04,819 --> 00:04:06,900 have people feel like they're doing what they 115 00:04:06,900 --> 00:04:09,080 want to do, and it makes a difference. 116 00:04:09,300 --> 00:04:10,919 You're gonna have better satisfaction 117 00:04:11,620 --> 00:04:13,620 as well. It's gonna free them up to 118 00:04:13,620 --> 00:04:15,620 have more of that face to face patient 119 00:04:15,620 --> 00:04:18,279 time, which is where your value of customer 120 00:04:18,420 --> 00:04:20,279 service and your return 121 00:04:20,875 --> 00:04:23,115 patient is going to come from. Because whether 122 00:04:23,115 --> 00:04:24,735 it's the employer, the insurance, 123 00:04:25,194 --> 00:04:26,735 or the referring provider, 124 00:04:27,274 --> 00:04:29,134 if that patient has a good experience, 125 00:04:29,595 --> 00:04:32,475 you're gonna get more referrals versus if they 126 00:04:32,475 --> 00:04:34,894 express that they had a poor or impersonalized 127 00:04:35,470 --> 00:04:38,050 service. There's plenty of other ASCs to choose. 128 00:04:38,669 --> 00:04:39,490 Yes. Absolutely. 129 00:04:39,790 --> 00:04:42,829 And with 60% of health systems considering ASC 130 00:04:42,829 --> 00:04:46,189 joint ventures, and many ASCs are already partnering 131 00:04:46,189 --> 00:04:47,649 with systems in their communities, 132 00:04:48,175 --> 00:04:50,574 What opportunities do you see for collaboration, whether 133 00:04:50,574 --> 00:04:53,134 with providers or vendors, to strengthen patient care 134 00:04:53,134 --> 00:04:54,275 and operational efficiency? 135 00:04:55,535 --> 00:04:58,335 Collaborating with your vendors is a really great 136 00:04:58,335 --> 00:05:00,095 way to know what's out there in the 137 00:05:00,095 --> 00:05:00,595 market. 138 00:05:01,500 --> 00:05:04,160 They'll hear from others, and they'll have inside 139 00:05:04,300 --> 00:05:04,800 information, 140 00:05:05,259 --> 00:05:06,800 not the secret information, 141 00:05:07,180 --> 00:05:09,339 but you'll have a bigger look on a 142 00:05:09,339 --> 00:05:12,319 SWOT wider outside your surrounding market 143 00:05:12,779 --> 00:05:16,104 of maybe who's overwhelmed with services they can't 144 00:05:16,104 --> 00:05:17,805 deliver, there's a backup, 145 00:05:18,584 --> 00:05:19,084 or 146 00:05:19,464 --> 00:05:21,324 where a market's already saturated 147 00:05:21,625 --> 00:05:23,625 and you may not want to go into 148 00:05:23,625 --> 00:05:25,625 because, again, we're looking at the race to 149 00:05:25,625 --> 00:05:27,324 the bottom then on price. 150 00:05:27,750 --> 00:05:31,129 Your vendors also can collaborate with you to 151 00:05:31,350 --> 00:05:34,230 deliver procurement platforms so you can really see 152 00:05:34,230 --> 00:05:35,050 your spend, 153 00:05:35,589 --> 00:05:38,250 compare your different supply pricing, 154 00:05:38,710 --> 00:05:40,694 have great and sustainable 155 00:05:41,794 --> 00:05:42,774 supply chain, 156 00:05:43,154 --> 00:05:46,294 which we've all discovered during COVID and afterwards 157 00:05:46,754 --> 00:05:49,714 that just in time ordering is no longer 158 00:05:49,714 --> 00:05:52,115 just in time, and you always really need 159 00:05:52,115 --> 00:05:53,894 to have a backup vendor 160 00:05:54,519 --> 00:05:57,959 for your mission critical items. And your vendors 161 00:05:57,959 --> 00:05:59,019 can help you 162 00:06:00,040 --> 00:06:02,060 with negotiating rate 163 00:06:02,680 --> 00:06:05,500 and having platforms that give you transparency 164 00:06:06,360 --> 00:06:08,845 to see what other vendors are doing, and 165 00:06:08,845 --> 00:06:10,785 you can get those vendors to work together 166 00:06:11,004 --> 00:06:13,584 to give you better pricing and sustainable 167 00:06:13,884 --> 00:06:14,384 supply. 168 00:06:15,644 --> 00:06:17,564 And is there anything else that we didn't 169 00:06:17,564 --> 00:06:19,245 touch on or any final thoughts you'd like 170 00:06:19,245 --> 00:06:20,944 to share as we wrap up the conversation? 171 00:06:22,050 --> 00:06:24,050 I think it's really important for us to 172 00:06:24,050 --> 00:06:25,829 take a look at, as I mentioned before, 173 00:06:26,289 --> 00:06:29,669 not just chasing the shiny new thing. Sometimes 174 00:06:29,729 --> 00:06:32,310 it's not always best to be first 175 00:06:32,769 --> 00:06:36,050 when a lot of new regulations are rolled 176 00:06:36,050 --> 00:06:36,550 out, 177 00:06:36,914 --> 00:06:39,175 new procedures are released to outpatient. 178 00:06:39,875 --> 00:06:42,595 It still can be a gray area of 179 00:06:42,595 --> 00:06:45,095 how it's billed, how it's gonna be reimbursed, 180 00:06:45,235 --> 00:06:47,574 how it'll be handled, what's the pre authorization 181 00:06:48,194 --> 00:06:50,720 pain points going to be, Because you need 182 00:06:50,720 --> 00:06:53,040 to be prepared for all of that, and 183 00:06:53,040 --> 00:06:55,620 how will you staff up for 184 00:06:56,000 --> 00:06:57,060 the new procedures 185 00:06:57,600 --> 00:06:59,840 or the new equipment that needs to be 186 00:06:59,840 --> 00:07:02,480 brought on for that and be able to 187 00:07:02,480 --> 00:07:04,240 take a look at what are your costs 188 00:07:04,240 --> 00:07:05,220 going to be 189 00:07:06,064 --> 00:07:08,384 in that front loaded time wherein you are 190 00:07:08,384 --> 00:07:08,884 training, 191 00:07:09,345 --> 00:07:09,845 investing 192 00:07:10,384 --> 00:07:12,965 to be able to finally execute with excellence. 193 00:07:13,905 --> 00:07:16,284 Absolutely. Well, Tara, thanks so much for joining 194 00:07:16,284 --> 00:07:18,364 me today on the Becker's Healthcare Podcast. Again, 195 00:07:18,364 --> 00:07:20,444 we're recording live at the thirty first annual 196 00:07:20,444 --> 00:07:22,224 business and operations of ASCs. 197 00:07:22,844 --> 00:07:24,224 Thank you for having me.