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How Safe Are Your Patients? - June 2016 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Believed to be Colorado's first dual-licensed ASC, the Functional Neurosurgical Ambulatory Surgical Center hosted its first case on April 15. It's open on the first and third Friday of the month. It occu- pies the same space as the host center lessor, the Highline South Surgical Center, which is open for all but the first and third Friday of the month. How can a surgery center subsist when it's only open 2 days a month? Neurosurgeon David VanSickle, MD, PhD, performs highly profitable deep brain stimulation for patients with Parkinson's dis- ease, dystonia, essential tremor and severe obsessive-compulsive dis- order. He begins the two-part surgical procedure at Littleton Adventist Hospital, a 51% partner in the joint venture. There, patients are anes- thetized while a CT scan and robotic guidance identify where to place 2 electrical devices to slow too-rapid brain activity. One week later, the patient undergoes a brief — 1 hour or less — procedure at the ASC to insert a small battery-powered generator similar to a pacemak- er into his chest. Dr. VanSickle needs to do only 8 cases to recoup his investment, which he expects to do after 3 months. The Functional Neurosurgical ASC cost $465,000 to develop, includ- ing the developer's consulting fees, state licensure fees, and the pur- chase of equipment and supplies. It costs around $3 million to develop a 1-OR, single-specialty ASC and up to $10 million to build a 5-OR facil- ity, says Ms. Kirchner. "Compare that to roughly $500,000," she adds. Development time for a dual-licensed timeshare is also a lot shorter: roughly 12 months compared to 18 to 24 months to build a de novo center. Filling empty ORs The timeshare model is also working well in St. Louis, Mo., where a pain management physician leases a plastic surgeon's single-OR cen- J U N E 2 0 1 6 • O U T PA T I E N TS U R G E R Y. N E T • 2 3

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