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The Economics of Prefilled Syringes - August 2017 - 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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The bottom line appears to be the bottom line: We get the sense that eye center administrators want to buy into the future of cataract sur- gery, as long as the price is right. Deciding where to spend your facili- ty's hard-earned money demands considering not only the technology you'll add, but also the patients and surgeons who might go elsewhere if you don't pull the trigger on new purchases. "Your cataract service line must remain profitable and current," says Carol Cappella, RN, MSN, CNOR, clinical director of the Delray Beach (Fla.) Surgery Center. "You also have to look at what you can't afford to lose." Lasers level off Half of our survey's respondents currently offer femtosecond laser cataract surgery at their facilities and 45% own their platforms outright. A majority of respondents say the technology is used in fewer than half of all cataract cases performed at their facilities. When we asked those without lasers how likely they were to add the technology within the next 2 years, 75% said they're "unlikely" or "very unlikely" to do so. The physician-owners of the 3-OR Eye Surgery Center at the Biltmore in Phoenix, Ariz., invested in a femtosecond platform in late 2012. About 45% of the center's 7,600 cataract patients choose to undergo laser surgery. The center has increased profits by charging patients for the use of the laser in pass-through fees that cover premi- um IOLs and improved refractive outcomes, says administrator Sharon Dillon, RN, CNOR, CASC, adding that aligning laser technolo- gy with pre-op diagnostic platforms — which feed patient data direct- ly to the laser unit — maps out a surgical plan designed to improve the accuracy of lens implant placement and refractive outcomes, par- ticularly in patients with astigmatism. Ms. Dillon says the Eye Surgery Center made a substantial initial investment in the platform and faces ongoing per-case click fees and A U G U S T 2 0 1 7 • O U T PA T I E N TS U R G E R Y. N E T • 7 3

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