Phase 5 Building completion

 3-6 months prior to first cases
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With construction now complete, the building will be inspected to ensure the structure meets all necessary safety, health and building code standards. During this time, the general contractor will also provide building training to the facility owner and maintenance group, and IT will ensure the facility is ready for integration activities.

Inspections

  • Structural
  • Electrical
  • Plumbing
  • HVAC
  • Fire safety
  • Safety features

Milestones:

  • Construction completion
  • Building inspections
  • IT walkthrough
  • Building training
  • Infrastructure equipment installation
  • Building address creation and communication
  • Supplier account setup
  • Provider credentialing
  • Preference card creation
  • Patient selection criteria
  • Revenue cycle management solution

Site of service

The facility’s address should be registered with the city and the United States Postal Service. Once complete, the final address should be communicated to payers for this to be considered an approved site of service.

Accounts can now be created with supplier partners using the facility’s newly created address, as this is where equipment and supplies will be shipped. It’s important that any pre-existing vendor agreements be updated to reflect the final address of the surgery center.

Stryker expertise

Infrastructure equipment installation

Stryker surgical lights, equipment booms and surgical tables are essential infrastructure in an operating room. These pieces of equipment require installation and coordination between the general contractor and supplier. This equipment is often installed prior to the Certificate of Occupancy (COO) and marks the completion of construction activities.

Offsite storage may be helpful for staging equipment prior to receiving access to the facility via the Certificate of Occupancy.

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Credentialing

The credentialing process verifies that each provider has the qualifications, experience, licensure and professional standing required to practice at the surgery center in a safe and legal manner.

The credentialing process can take up to several months to complete and should be started as early as possible to accommodate any potential delays and to ensure all providers are ready on the first day of planned cases.

Establishing processes

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Patient selection criteria

Clinical guidelines and protocols should be created outlining which patients are appropriate candidates for the outpatient surgical procedures offered by the center. These criteria help to reduce risk for both the surgery center and the patient by ensuring patients are medically suitable to receive care in an outpatient setting.

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Surgeon preference cards

Each surgeon should document their instrument, equipment and implant preferences by procedure in a standard format. Preference cards help to ensure the entire surgical team is well-prepared for each surgeon’s needs in advance of cases to facilitate safe and efficient surgical procedures. Detailed preference cards can help reduce case costs by ensuring no extra supplies are utilized.

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Revenue cycle management

It’s important to prepare not only for the clinical aspects of performing surgery but the financial aspects as well. The revenue cycle management process starts with patient scheduling and authorization and ends with payment collection. Will this process be managed by an internal employee or outsourced? If this will be an outsourced service, it’s important to select a vendor prior to starting cases.

Next phase of the new build process: Final prep

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Phase 6: Final prep

After all building inspections have been successfully completed, the Certificate of Occupancy is granted. This certifies that the facility is in compliance with all building codes and regulations and that it is suitable for occupancy.

View Phase 6

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. 

Back to Phase 4