ASCs. “Image Stream provides highly modular, procedure-space integration so- lutions that include room control, surgical video recording, image capture, collabora- tion, and content-management functions. These visual collaboration tools support more efficient clinician workflows; for example, streamlining patient registration and case-close processes, which make them well-suited to a high-volume ASC. Since many ASC clinicians also will practice at associated full-service hospitals, it’s im- portant to be able to access patient surgi- cal video and image data wherever they are. Image Stream’s content- management system supports this kind of ‘anywhere’ access easily and securely across an enterprise. In addition, Image Stream supports the kind of cost-effective scalability needed in the market, scaling easily from a couple of rooms in a single ASC to hundreds of suites for a nationwide organization.”

Henry Schein Medical is another resource that assists with compliance require- ments by offering a variety of products and services that target the unique needs of the ASC. “We actively monitor ASCA discussion boards to ensure our products and solutions address unmet needs,” said Scott Jackson, Healthcare Services General Manager, ASCs. “One such solution is an application that streamlines and automates ASC facility compliance. This application allows an ASC to more efficiently manage ongoing compliance requirements.” Other ASC-specific solutions include revenue-cycle management, electronic med- ical record, practice marketing, controlled- substance medication-management sys- tems, inventory management, and medical- waste disposal. “Each of these solutions are tailored specifically to meet the needs of an ASC,” declared Jackson. For example, Henry Schein Medical’s network of ASC solutions also make it easier for ASCs to implement best practices for managing medication. “Henry Schein’s medication-management system offers ASCs the ability to manage controlled substances within their center more effectively, leading to better control and controlled-substance recordkeeping, ul- timately reducing the chances for diversion. We recently placed three such systems in a three–operating-room multispecialty ASC that had experienced issues with diversion in the past. Our system greatly reduced this center’s probability for future diversion issues, due to the enhanced controls now in place.”

ASCs that are looking to gain greater con- trol over their medical-products inventory can also find support. “Our multi-vendor ASC materials-management system allows ASCs the ability to reduce days on hand of product, automates the physical-inventory count process, and enhances the ASC’s abil- ity to manage preference cards and perform case costing in a more accurate manner. Henry Schein Medical also offers ASCs the ability to place low unit-of-measure orders late in the day and receive them the next day, which helps to facilitate just-in-time inventory management.”

The MedBank Mini Cubex system, available from Henry Schein

Clean and compliant ASCs also strive to hold the bar up high when it comes to sterile- processing activities and aim to follow the same standards and best practices as do hospitals — and oftentimes with much less. “The ASC has the same re- processing requirements and cost constraints as a sterile-processing department in an acute-care hos- pital,” said Joe Smith, Director of Marketing, Belimed Inc. “The primary difference is the ASC has tighter space requirements, lower instrument volumes, and quicker turnaround times.” To comfortably fit the space constraints common to ASCs, Belimed’s MST V 446 sterilizer, new Be- limed Protect cleaning solutions, and WD 200 washer/disinfector are part of a comprehensive portfolio of products for the ASC’s sterile- processing area. “Each of these products offers a smaller footprint and chamber capacity, mak- ing them more suitable to the lower volumes of an ASC,” Smith said. “To meet the quicker

Belimed's MST V 446 Steam Sterilizer

turnaround requirements, the WD 200 cycles have been optimized for minimum time, when used in combination with the Belimed Protect detergent.” John Nies, Product Manager, Belimed Inc., and an AAMI ST79 Committee Mem- ber, dispelled rumors that ASCs are not subject to AAMI’s recommended practice for hospital steam sterilization. “I have heard stories that some ASCs believe that AAMI ST79, the standard for best practices in sterile processing, may not be applicable to them, as they are different from acute- care facilities; nothing could be further from reality,” Nies affirmed. “The Joint Commis- sion uses ST79 as a guidance document for


their surveys. As they visit more and more ASCs, noting practices that do not follow ST79 standards, that reality is being recog- nized. Every facility, including ASCs, that reprocesses instruments, should own and follow ST79.”

Nies strongly recommends taking ad- vantage of education provided at related organization meetings, to keep best prac- tices strong and updated. “Attending IAHCSMM conferences and networking with colleagues from other facilities, both local and national, is a great way to keep in touch with current best practices and can help make The Joint Commission visit go smoother. Of course, the most important end result is a better process, which keeps the patient safer.”

Sore-spot solutions

As the patient population ages and ASCs become more ubiquitous — and busy — the risk of patients developing pressure ulcers is another important consideration. Even shorter procedures can put certain patients at risk. Pressure ulcers are costly, too. Debra Meixsell, Wound Care and Bar- iatric, TSS Marketing, Getinge Group, Americas, said the RIK Fluid Overlay with Skin IQ Microclimate coverlet offers a safer environment for their patients who may be at risk of developing pressure ulcers. “The RIK products both contain a viscous fluid that conforms to ‘micro’ contours of the body to relieve pressure and ‘flow’ with patient movement to help prevent friction and shear,” explained Meixsell. “It’s like lying in pudding, where the fluid envelops the patient, protecting them from the operating room table, and then as they move into the recovery room. The Skin IQ is a microclimate coverlet that fits right over the RIK Overlay and draws mois- ture away from the patient’s skin using negative-airflow technology. Simply put, it’s a mighty coverlet, pulling moisture away from the patient at a higher level than traditional low air-loss products, which are blowing up and around the patient.” HPN

Enterprise bed with a Skin IQ Microclimate coverlet from Getinge Group


1. Munnich EL, Parente ST. Procedures take less time at ambulatory surgery centers, keeping costs down and ability to meet demand up. Health Aff (Millwood). 2014;33(5):764-769.

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