Phase 3 Operational planning

12-24 months prior to first cases

Breaking ground

Full speed ahead as interior and exterior finishes are selected and building permits are secured from the city. A groundbreaking ceremony can be held to mark the milestone and construction begins.

Milestones:

  • Permits secured
  • Capital equipment plan
  • IT and software plan 
  • Construction begins
  • Finish selection
  • Hire clinical director
  • Anesthesia coverage solution 
  • Selection of accrediting organization 
  • Preliminary meeting with payers
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Milestone videos Hear from experts on the critical milestones in Phase 3.

IT planning

Developing an accreditation plan

Anesthesia coverage plan


Technology strategy

IT plans should be developed early and need to be a part of the overall construction plans to ensure seamless integration of equipment and systems within the building itself. Involving an IT consultant from the onset can ensure construction, equipment and software plans are synchronized to deliver the desired functionality. 

Key software decisions will need to be made early in the process to ensure solutions can be integrated with one another and that they meet all operational and clinical requirements.

Software considerations

  • Electronic medical record (EMR) system
  • Practice management
  • Surgical scheduling
  • Revenue cycle management
  • Inventory management
  • Compliance and regulatory
  • Patient portal

Securing clinical expertise

A Clinical Director is one of the first staff members that should be hired. It’s critical to include a Clinical Director in the initial stages of the project to ensure a patient centric and efficient design is prioritized from the onset.

It’s also important to determine what anesthesia coverage solution will be utilized. Will this service be provided by an in-house employee or contracted to an external provider? If your group elects to outsource anesthesia, formalize a partnership and ensure adequate capacity to support future operations.

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Accreditation

It can be helpful to select the accrediting body that your surgery center will utilize to ensure the specific standards and requirements are understood and planned for during the build process. There are three main options for ASC accreditation:

  • Accreditation Association for Ambulatory Health Care (AAAHC)
  • The Joint Commission (TJC)
  • Accreditation Commission for Health Care (ACHC)

 

Deemed status

Requesting deemed status when applying for accreditation can help to speed up the approval process by eliminating the need for a separate survey conducted by the Centers for Medicare and Medicaid Services (CMS). When selected, the survey results from the accrediting organization can serve as evidence that the surgery center is in compliance with CMS standards.

 

Payer notification

Payer negotiations can be a lengthy process and slow down a new center’s ability to ramp up operations. A best practice is to alert major payers of your new surgery center and its plans early to drive awareness and to help speed up future negotiations.


Stryker expertise

Equipment planning

You may elect to work with an equipment planner to determine medical equipment needs for your new facility to ensure it’s equipped with the technologies required to provide high quality patient care.

Stryker’s comprehensive portfolio and dedicated ASC Regional Manager can help save time by streamlining the procurement process and simplifying integration activities.

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"Stryker stood out as a partner for us. With their wide range of products, we could use just one vendor that was high quality, streamlining our process."

 

Benji Miller, MD

Medical Director |  Orthopaedic Surgeon
Center for Sports Medicine and Orthopaedics

Lobby
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Pre-op
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Procedure room
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Post-op
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Stryker expertise

Flexible financing

Preserving cash flow is critical during this phase when development and construction activities are ongoing. Through Stryker’s Flex Financial business, there are a range of financing options that offer flexibility beyond a cash purchase - enabling the acquisition of Stryker’s comprehensive portfolio while keeping cash on hand.

 

Financing options

  • Deferred payment programs: get the equipment needed today and pay for it over time
  • Fee per disposable or implant: get the capital you need and pay for it with premiums added to disposables and implants
  • Traditional leases: whether you want to own the equipment or pay for the use of the equipment, options are available
  • Customized programs: if an ‘off the shelf’ program doesn’t fit the needs of your center, Stryker can customize a payment program that will work with your individual financial situation

 

Benefits

  • One payment for multiple pieces of equipment across service lines
  • One plan to add maintenance, service and future technology needs
  • One solution to simplify the budgeting process

Start-up project management

Once the agreement for Stryker equipment is finalized and signed, a dedicated Stryker ASC Program Manager will work directly with your project lead to develop a Stryker equipment delivery, installation and staff training plan. Stryker’s dedicated people, resources and programs will keep you on track and provide peace of mind every step of the way.

"It was overwhelming not knowing what the process would be, but honestly, it felt like I had a partner. The Stryker team exceeded my expectations."

Stephany Smith
Administrator
SmartCare Surgical Partners

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Next phase of the new build process: Clinical planning

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Phase 4: Clinical planning

During this phase of the project, policies and procedures should be generated to outline how the surgery center will operate on a day-to-day basis.

Phase 2: Project launch

In phase 2, the project begins to accelerate as interior and exterior blueprints are developed.