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Today's clinical providers and healthcare systems

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need a strategic partner that is focused on

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the evolution of healthcare delivery.

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At Surgery Partners, we are redefining the healthcare

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industry

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as a nation's leading independent operator of surgical

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facilities and ancillary services.

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With an extensive presence spanning over 180

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locations nationwide,

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our commitment extends beyond healthcare.

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It's about fostering successful partnerships

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that enhance the quality of care in the

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communities we serve.

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Surgery Partners is more than an operator or

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service provider. We are your strategic ally committed

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to transforming healthcare delivery.

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Learn more at surgerypartners.com.

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This is Alan Connan with the Becker's ASC

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podcast. And I'm thrilled to be joined today

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by Rebecca Craig, CEO at Harmony Surgery Center,

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which is a joint venture partnership between the

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University of Colorado Health,

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I. E. UCHealth,

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and local physicians.

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Rebecca, a pleasure to have you join the

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podcast

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today. For those of our listeners who might

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not be as familiar with you, your surgery

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center, or the work that you do, do

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you mind taking a moment to give us

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a little bit more insight into the role

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and your background?

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Absolutely. And thanks for having me on Becker's

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podcast.

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Appreciate the time.

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Just a little bit about myself. Like you

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said, I'm the CEO for Harmony Surgery Center

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and, Peak Surgical Management.

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This facility, we I helped open twenty five

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years ago. We're a large multi specialty surgery

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center,

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five ORs and six procedure rooms.

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And like you said, we're a joint venture

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with UCHealth.

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We're accredited

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by the joint commission. And last year, we

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had the honor of serving over 25,

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thousand patients.

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And,

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as far as the management company, we formed

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Peak Surgical Management in 02/2007,

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and that was just to help us continue

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allow managing Harmony Surgery Center

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and,

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doing

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other development

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projects such as other developing other ASCs

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and,

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providing

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just consulting health care services

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for whoever needed assistance, whoever gave us a

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call.

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So a little bit about myself. I'm a

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I started out in the OR as a

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OR nurse circulating and scrubbing

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and

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worked in PACU and GI and pain management.

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So all those areas just really folded in

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wonderfully to my career in the the ASC

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industry and

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got my MBA after,

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after a while of of doing this. And

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it's just been a great compliment, and I

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feel very,

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very grateful to have such

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a career that I love and and enjoy

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and a wonderful team of people that I

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work with.

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Yeah. Fantastic. Thanks so much for the the

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brief breakdown there. Certainly, it seems like you

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wear many different hats, I think it's fair

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to say, on any given day.

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Both a CEO of Harmony Surgery Center, also

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in terms of those consulting services as well.

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Rebecca, when you're

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as CEO

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of your ASC, when you're sup survey the

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ASC industry today,

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what are kind of two or three key

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trends that you're paying close attention to and

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why?

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Well, on a more, facility level, it was

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still a national issue, but,

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I I think I

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I felt important to mention it. Currently, we're

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working on the new AMI standards, the AMI

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s t one zero eight standards and being

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compliant. I

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think last year, we heard a little bit

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about it, but

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as other ASCs were being surveyed and,

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cited for deficiencies,

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I think it was it's important to just

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talk about that. So, hopefully, everybody's

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getting that word because most of our instrumentation

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has IFUs or,

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instructions for use that we have to follow.

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And a lot of those instrumentation,

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processing, it requires critical water

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and in our reprocessing

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area,

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So sterile processing.

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And to meet that critical water requirement,

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a lot of ASCs will need to invest

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in pricey water treatments

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systems back in their sterile processing areas.

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So hopefully everybody is working on that.

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Otherwise,

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whether the state comes in, federal, or your

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crediting body comes in, we're gonna see more

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and more deficiencies cited. So, hopefully, everybody's,

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on point with that and working working on

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that. I know it was I was had

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a sticker shock when,

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when the company came in and let us

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know how much our investment was gonna be,

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but I just think people need to be

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working on that.

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I guess the other thing that people need

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to be keeping an eye on, which I

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think we all are, we've it's been around.

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So site neutrality, I'm just

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on a on a federal level keeping an

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eye on that those discussions.

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And then facility fees

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that came around to Colorado

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and other states, and we're just wanting to

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make sure that,

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we don't want it to impact ASCs. I

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think they're that legislation

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has been geared towards,

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I'll just make it global, but other other

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entities.

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And we just wanna make sure it inadvertently

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doesn't impact surgery centers.

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So continuing to educate our legislators on that.

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Yeah. I I guess,

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just quick thought to follow-up on the AMES

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t one zero eight standards. You'd obviously mentioned,

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the sterile processing aspect. I'm just curious. Are

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there any other particular challenges you've come up

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against in terms of being compliant there or

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anything you're doing, to kinda stay on top

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of those?

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Well, I I think educating ourselves

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because, again, yesterday I I don't know exactly

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when they were approved, but last year was

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when we started to hear more about it.

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I think ASCA had a

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education on it earlier in the year, but

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surprisingly,

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I I didn't see a lot on it.

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I I guess I would imagine more to

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be out on it because that's that's a

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huge

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a huge undertaking for a lot of ASCs,

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whether you're two OR ASCs or whether you're

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you're large. I think everybody needs to be

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doing their assessment

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on what you know, looking at your IFUs

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to see what specifically,

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the IFUs say. But if if you need

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critical water and you're just using,

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tap water in your sterile you know, your

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washers, your big stairs washers, or you you

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need to be looking at all of that

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and assessing,

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whether if it's just if you just do

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GI, OR, what whatever your needs are, you

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need to be doing that assessment now so

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you can because, again, if you have to

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work with a, a company to install those

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water treatment systems, it's a huge undertaking. So

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I think everybody just needs to be jumping

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on it and looking at their facility to

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make sure you're good or if not, what

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you need to be to, you know, to

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be compliant.

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Yeah. Yeah. Absolutely. And and in terms of

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the other things you mentioned,

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obviously, no doubt on the top of most

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ASC leaders' minds when we think about site

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neutrality,

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the the move from hospitals pushing towards site

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neutral payments. Facility fees, obviously, a big a

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big one in Colorado.

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In terms of the the new administration that

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we're under now, is there are there any

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changes that you are

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more more concerned about or anything you see

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coming down the pipeline? I know there's so

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much in the up in the air at

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the moment. How do you kinda stay on

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top of,

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news from Capitol Hill and how it may

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or may not affect your ASC?

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Well, I'm actually excited about this administration because

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previously,

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they were very helpful

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in decreasing administrative burden for ASCs. We we

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saw a little bit of relief.

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So I was,

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I I'm hopeful.

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I think the they they're focusing on efficiency,

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and that's right up our alley. So I

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think that,

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it could have some positive impacts for our

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industry.

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I think. And then kind of following on

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directly from that, we talked a little bit

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about some of the challenges, some of the

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trends that you're focused on there. When you

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look ahead,

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what are you most focused on or most

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excited about as it pertains to to your

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center at the moment?

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Well, I think I'm I'm proud of last

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year when we added our fifth OR and

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our sixth procedure room

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with that renovation. I'm proud of,

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that project in general because it came in

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under budget on time. We didn't have any

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interim life safety issues, and my team was

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very flexible and supportive of the renovation.

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So I think that was a win win.

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So I'm I'm pretty proud of that, accomplishment

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that we that we did last year. And

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looking forward,

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I'll be working on, you know, of course,

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making sure that that is utilized and our

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business continues to grow.

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Yeah. Fantastic. I mean, what I think definitely

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worth, giving a feather in your cap there.

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Five awards, I believe you said, six procedure

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rooms. I believe you said cater to 25,000

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patients, if I'm not mistaken, last year.

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Can you can you give us some insight?

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What were the keys,

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in your view to bringing that project

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under budget and on time?

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Well, I think just staying on top of

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everything, we're very involved.

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We had a great,

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construction company and a project team.

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So I think that everybody worked well together.

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And, again, just being very I I have

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a wonderful team that surrounds me. I think

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that's

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that's has led our facility to be successful,

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very just very involved in in the day

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to day and making sure that I don't

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know. We're just I think that's the biggest

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thing is we're just very involved and very

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dedicated to the success of the center.

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Our hearts are

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very involved, and it means a lot to

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us that we save every little penny that

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we can, but ensuring that we end up

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with a a great

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a great outcome. And, again, our project or

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our our construction team,

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with Beacon Construction was they did an excellent

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job. So I think that whole picture

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lended itself to a successful outcome.

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Fantastic. It's great to hear a little bit

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more about you, the CEO, the team around

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you.

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Rebecca, last question I have before I let

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you go.

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The ASC space, such a exciting

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yet challenging time, but but plenty to look

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forward to, plenty coming down the pipeline.

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What advice would you give to

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emerging leaders in the ASC space today?

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Well, I think being involved on a state

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level and a federal level, that that's how

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you learn.

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That's how you can network.

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And I know personally that's how I grew.

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I tried to jump into the state and

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federal,

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whether it was our state association

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or ASCA.

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And

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I I think being involved, that's that's the

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best way. And they ASCA's got some great

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mentoring programs.

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So I think for for new emerging leaders,

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which we need those, and if hopefully, all

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ASCs are trying to work on their succession

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planning within their surgery centers to make sure

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that

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when, somebody retires, those those shoes are filled.

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But,

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yeah, I I would just say be involved.

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And whether it's going to Becker's,

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it's it's all that. That's what I did

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to develop myself, and I I think that

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I think that that all is very helpful.

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I think some excellent advice and food for

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thought to round out our discussion today.

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Rebecca, a real pleasure to get to connect

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you today, make your debut appearance on the

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Beckers podcast, and certainly look forward to catching

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up with you and your team down the

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line. Thank you. Thank you so much for

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having me.