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To learn 13 00:00:30,649 --> 00:00:32,929 more, visit carecredit.com 14 00:00:32,929 --> 00:00:34,789 forward slash beckerspodcast. 15 00:00:35,809 --> 00:00:37,890 This is Gracelyn Keller with the Becker's Healthcare 16 00:00:37,890 --> 00:00:39,969 Podcast, and we are recording live at the 17 00:00:39,969 --> 00:00:43,030 thirty first annual business and operations of ASCs. 18 00:00:43,664 --> 00:00:45,984 I'm currently joined by Helen Lowenworth, who is 19 00:00:45,984 --> 00:00:48,945 the administrator of Eastside Endoscopy. So, Helen, thanks 20 00:00:48,945 --> 00:00:51,024 for being here. Let's kick us off by 21 00:00:51,024 --> 00:00:52,545 having you share a little bit more about 22 00:00:52,545 --> 00:00:54,564 yourself and your work in health care. Okay. 23 00:00:54,625 --> 00:00:56,465 Well, I've been in health care for a 24 00:00:56,465 --> 00:00:58,564 very long time. Mostly private practice 25 00:00:59,119 --> 00:01:01,219 and most recently in an ASC. 26 00:01:01,759 --> 00:01:03,840 For the past almost fourteen years, I've been 27 00:01:03,840 --> 00:01:06,099 the administrator at e in Eastside Endoscopy. 28 00:01:06,959 --> 00:01:07,939 We are a, 29 00:01:08,319 --> 00:01:10,719 currently five room. We started as as four 30 00:01:10,719 --> 00:01:11,219 room, 31 00:01:11,625 --> 00:01:12,525 single specialty, 32 00:01:13,305 --> 00:01:13,805 ASC. 33 00:01:14,745 --> 00:01:16,505 We do about 12,000 34 00:01:16,505 --> 00:01:19,704 procedures a year. We call ourselves joint venture. 35 00:01:19,704 --> 00:01:21,885 We have, ownership from physicians, 36 00:01:22,905 --> 00:01:25,245 hospital partner, and management company. 37 00:01:25,859 --> 00:01:27,159 Have about 40 employees, 38 00:01:27,780 --> 00:01:29,939 and we're in the Gramercy Park section of 39 00:01:29,939 --> 00:01:31,400 New York. Awesome. 40 00:01:31,859 --> 00:01:34,420 Well, thanks for being here. And let's start 41 00:01:34,420 --> 00:01:36,740 our conversation talking about the ASC market. In 42 00:01:36,740 --> 00:01:40,045 The US, this is projected to reach $60,800,000,000 43 00:01:40,045 --> 00:01:42,765 by 2030, and it continues to experience strong 44 00:01:42,765 --> 00:01:43,905 year over year growth. 45 00:01:44,284 --> 00:01:46,045 So from your perspective, what are the most 46 00:01:46,045 --> 00:01:48,765 significant trends in market forces driving this expansion, 47 00:01:48,765 --> 00:01:51,265 and how should ASC leaders be preparing today? 48 00:01:51,484 --> 00:01:52,704 Well, I think 49 00:01:53,150 --> 00:01:55,310 the most important thing we're gonna see over 50 00:01:55,310 --> 00:01:56,450 the next few years 51 00:01:56,989 --> 00:01:58,450 is the transgression 52 00:01:59,150 --> 00:01:59,650 of 53 00:02:00,670 --> 00:02:01,170 procedures 54 00:02:01,469 --> 00:02:04,609 out of the hospital into the ASC markets. 55 00:02:06,055 --> 00:02:07,974 Depending on where you are in the country, 56 00:02:07,974 --> 00:02:10,634 it's very different in New York. We're, famously 57 00:02:10,694 --> 00:02:13,014 a certificate of need state, so we don't 58 00:02:13,014 --> 00:02:14,854 have that many well, you know, relative to 59 00:02:14,854 --> 00:02:17,275 other states, we have about a 140 60 00:02:17,334 --> 00:02:17,834 ASCs 61 00:02:18,134 --> 00:02:19,495 for 18,000,000 62 00:02:19,495 --> 00:02:19,995 people, 63 00:02:20,319 --> 00:02:22,020 not not nearly enough. 64 00:02:22,719 --> 00:02:25,379 And and so we're we're seeing, 65 00:02:26,080 --> 00:02:28,639 hospital more joint ventures to to move things 66 00:02:28,639 --> 00:02:30,560 out out of the hospitals. They're be they 67 00:02:30,560 --> 00:02:32,240 they get it. They're beginning to get what 68 00:02:32,240 --> 00:02:33,139 we do well, 69 00:02:33,439 --> 00:02:36,074 why it's beneficial. The patients love it. 70 00:02:36,715 --> 00:02:39,675 We're also working to get cardiac procedures approved 71 00:02:39,675 --> 00:02:40,574 in New York. 72 00:02:41,354 --> 00:02:43,114 Some states already have it. I think there's 73 00:02:43,114 --> 00:02:43,995 23 74 00:02:43,995 --> 00:02:45,134 states in the country 75 00:02:45,675 --> 00:02:48,175 that have cardiac procedures in in ASCs. 76 00:02:48,610 --> 00:02:50,370 New York, it's it needs to go through 77 00:02:50,370 --> 00:02:51,030 a regulatory, 78 00:02:51,650 --> 00:02:53,889 review. We're currently working very hard to get 79 00:02:53,889 --> 00:02:54,629 that done. 80 00:02:54,930 --> 00:02:56,930 The the whole point is to increase access 81 00:02:56,930 --> 00:02:59,330 to patients. The access to care is the 82 00:02:59,330 --> 00:03:01,650 real problem, and and the ASCs are a 83 00:03:01,650 --> 00:03:03,349 big, big part of that future. 84 00:03:04,335 --> 00:03:04,835 Absolutely. 85 00:03:05,294 --> 00:03:08,354 And from AI and robotic surgeries to advanced 86 00:03:08,415 --> 00:03:09,395 EHR systems, 87 00:03:09,935 --> 00:03:12,415 technology remains both a make or break factor 88 00:03:12,415 --> 00:03:14,974 and a critical driver of ASC operations at 89 00:03:14,974 --> 00:03:15,474 scale. 90 00:03:16,014 --> 00:03:17,955 So how do you see deeper tech integration 91 00:03:18,094 --> 00:03:20,870 shaping the way ASCs deliver care and manage 92 00:03:20,870 --> 00:03:22,730 their business over the next few years? 93 00:03:23,349 --> 00:03:24,569 Yeah. It it's, 94 00:03:25,590 --> 00:03:26,650 more than a buzzword 95 00:03:27,030 --> 00:03:27,770 these days, 96 00:03:28,069 --> 00:03:28,569 AI. 97 00:03:28,950 --> 00:03:30,090 I think every 98 00:03:30,629 --> 00:03:31,849 every center, 99 00:03:32,390 --> 00:03:34,409 almost every business is is being 100 00:03:35,305 --> 00:03:36,844 inundated with new programs. 101 00:03:37,705 --> 00:03:39,705 The big secret is what is really AI 102 00:03:39,705 --> 00:03:41,465 and how can we apply it in our 103 00:03:41,465 --> 00:03:42,284 our business. 104 00:03:42,905 --> 00:03:43,805 In the GI 105 00:03:44,264 --> 00:03:47,724 market, we have models that help increase abnormal 106 00:03:47,784 --> 00:03:50,740 detection rates as the doctors are doing procedures. 107 00:03:50,960 --> 00:03:52,800 We we employ that in our center and 108 00:03:52,800 --> 00:03:54,900 many many other places do. 109 00:03:55,520 --> 00:03:58,500 We're seeing it come in with documentation procedure 110 00:03:58,560 --> 00:03:59,060 documentation, 111 00:04:00,240 --> 00:04:02,740 more than just a voice recognition, but but 112 00:04:02,965 --> 00:04:06,025 helping the the reports be more consistent 113 00:04:06,324 --> 00:04:07,364 and then document 114 00:04:08,084 --> 00:04:09,465 going further with the coding, 115 00:04:10,965 --> 00:04:12,185 it's much more efficient, 116 00:04:13,204 --> 00:04:14,424 finishing the notes. 117 00:04:16,230 --> 00:04:18,629 Operations, we're seeing a lot in in terms 118 00:04:18,629 --> 00:04:21,430 of operations, some of our scheduling modules, how 119 00:04:21,430 --> 00:04:21,930 to 120 00:04:22,470 --> 00:04:24,170 apply some artificial intelligence 121 00:04:24,550 --> 00:04:25,930 to those those 122 00:04:26,790 --> 00:04:28,009 areas to improve 123 00:04:29,085 --> 00:04:29,585 efficiency 124 00:04:30,125 --> 00:04:32,705 and scheduling procedures in the right order, 125 00:04:33,245 --> 00:04:35,105 reaching out to patients in advance, 126 00:04:36,205 --> 00:04:38,064 communication. There's a lot more, 127 00:04:38,605 --> 00:04:40,764 sending bot messages, things like that. You know? 128 00:04:40,764 --> 00:04:42,605 So it and and it's helping. It's helping 129 00:04:42,605 --> 00:04:43,264 in renewables. 130 00:04:43,759 --> 00:04:45,360 So and that's just I know more in 131 00:04:45,360 --> 00:04:47,040 the GI space. I know in some of 132 00:04:47,040 --> 00:04:48,420 the other multispecialty 133 00:04:48,879 --> 00:04:49,379 areas, 134 00:04:49,759 --> 00:04:52,800 there's all sorts of the the machines, the 135 00:04:52,800 --> 00:04:55,360 robotics, the which I can't speak to, but 136 00:04:55,360 --> 00:04:58,019 it's out there, and it's improving the efficiency 137 00:04:58,080 --> 00:04:58,980 of our operations. 138 00:04:59,625 --> 00:05:00,125 Absolutely. 139 00:05:00,585 --> 00:05:03,705 And with 60% of health systems considering ASC 140 00:05:03,705 --> 00:05:06,585 joint ventures and many ASCs already partnering with 141 00:05:06,585 --> 00:05:07,884 systems in their communities, 142 00:05:08,425 --> 00:05:11,145 what opportunities do you see for collaboration, whether 143 00:05:11,145 --> 00:05:14,339 with other providers or vendors, to strengthen patient 144 00:05:14,339 --> 00:05:16,579 care and operational efficiency? I I think, 145 00:05:18,100 --> 00:05:20,279 well, I won't go on about the hospitals. 146 00:05:20,339 --> 00:05:21,959 They're they're already, you know, 147 00:05:22,899 --> 00:05:25,139 starting ABCs. They've been involved from the very 148 00:05:25,139 --> 00:05:25,639 beginning. 149 00:05:26,115 --> 00:05:29,074 But the, vendors are becoming more and more 150 00:05:29,074 --> 00:05:29,574 important, 151 00:05:30,035 --> 00:05:32,915 especially for new cent new centers that open 152 00:05:32,915 --> 00:05:35,495 up. They they are coming in as investors. 153 00:05:36,194 --> 00:05:39,410 The striker comes to mind. They will, finance 154 00:05:39,410 --> 00:05:40,150 your operations. 155 00:05:40,530 --> 00:05:43,009 They manage the supply chain, which is a 156 00:05:43,009 --> 00:05:45,730 big issue for for many centers. So I 157 00:05:45,810 --> 00:05:47,490 I'd say over the next couple of years, 158 00:05:47,490 --> 00:05:48,790 the vendor involvement 159 00:05:49,090 --> 00:05:50,310 is gonna be key. 160 00:05:51,144 --> 00:05:53,144 Well, thank you, Helen, so much for joining 161 00:05:53,144 --> 00:05:53,805 me today. 162 00:05:54,264 --> 00:05:55,944 Is there anything else we didn't touch on 163 00:05:55,944 --> 00:05:57,464 or final thoughts you'd like to share on 164 00:05:57,464 --> 00:05:59,784 the show? Well, in another life, I I 165 00:06:00,104 --> 00:06:02,685 I'm part of the New York State Association 166 00:06:03,169 --> 00:06:03,750 of Ambulatory 167 00:06:04,209 --> 00:06:05,110 Surgery Centers, 168 00:06:05,490 --> 00:06:06,629 and we're seeing 169 00:06:07,169 --> 00:06:07,730 a big, 170 00:06:08,449 --> 00:06:09,829 becoming more and more involved 171 00:06:10,209 --> 00:06:13,970 with the payers and then the, changes in 172 00:06:13,970 --> 00:06:14,629 the Medicaid 173 00:06:15,089 --> 00:06:15,589 programs. 174 00:06:16,209 --> 00:06:17,509 And and I think 175 00:06:18,915 --> 00:06:22,675 the Medicaid programs and the legislators are beginning 176 00:06:22,675 --> 00:06:23,415 to realize 177 00:06:23,954 --> 00:06:24,694 the value 178 00:06:25,154 --> 00:06:25,975 of ASCs, 179 00:06:27,154 --> 00:06:30,194 the benefits of moving the cases from the 180 00:06:30,194 --> 00:06:30,935 higher cost 181 00:06:31,259 --> 00:06:33,599 hospital settings into ambulatory care 182 00:06:34,060 --> 00:06:34,560 and 183 00:06:35,579 --> 00:06:36,879 the patient satisfaction 184 00:06:37,180 --> 00:06:38,060 levels. So, 185 00:06:39,019 --> 00:06:40,779 that's something I, we talk about it a 186 00:06:40,779 --> 00:06:42,539 lot, and I wanna keep the focus on 187 00:06:42,539 --> 00:06:44,079 that because that is really important. 188 00:06:44,805 --> 00:06:46,725 Absolutely. Well, Helen, thanks so much for being 189 00:06:46,725 --> 00:06:49,285 here. Again, we are recording live at the 190 00:06:49,285 --> 00:06:51,144 thirty first annual Becker's 191 00:06:51,444 --> 00:06:53,384 business and operations of ASCs.