Retina in the ASC Setting - AAO 2015
Friday, March 25, 2016
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Chapters
Retina in the ASC Setting Brian Joondeph
Our Practice
Current ASC Use
Economics Assumptions
Return on Investment
Bending the Cost Curve
Instruments
Other Supplies
Other Vit Machine Considerations
Surgeons
My Set-up
Some final tips/tricks
Cryo break at beginning of case
Use Brilliant Blue to stain ILM
Thank you
Georgia Retina Sri Krishna Mukkamala
New York Eye and Infirmary
Instruments
80,000 outpatient visits
Other Facilities
Georgia Retina Ambulatory Surgical Center
Case selection
Efficiency
Profitability
Summary
Retina Surgery in the ASC: Landscape and Viability Derek Kunimoto
Financial Disclosure
Landscape of the Ambulatory Surgery Center
Landscape of the ASC
Medicare Payments to ASCs Have Grown
Ophthalmology procedures represent a large portion of all cases done in ASC
Retina Cases in the ASC are Growing
Proportion of Retina Cases in the ASC are Growing vs HOPD
ASC Vitrectomy Facility Fees Have Increased
Retina technology has advanced with the (r)evolution of microincisional surgery
Should we bring Retina into our ASC?
Lesson An ASC can recover the cost of bringing in Retina relatively quickly
What does it cost?
What does it cost to bring retina to an ASC?
What does it cost to do a retina case?
What does it cost to do a retina case? Pt.2
What is the minimum number of retina cases needed to break even at an ASC?
Lesson An ASC can recover the cost of bringing in Retina relatively quickly
Lesson Special challenges of Retina (late and emergency cases) can be overcome
Special challenges of Retina
Late cases or weekend cases
Emergency cases
Hospital should be a backup for all retina surgeons
Thank You
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