This is one of my favorite data sources! Just out — hope you enjoy it!
Number of Medicare-certified ambulatory surgery centers (ASCs)
- 4,567 2006
- 4,838 2007
- 5,045 2008
- 5,157 2009
- 5,252 2010
- 5,344 2011
- 5,359 1st Q 2012
Over this 6-year period, the number of Medicare-certified ASCs grew by 17 percent overall, but a higher annual growth rate was seen 2006 to 2008 than in more recent years. Currently, the growth rate is about 2 percent per year. MedPAC speculates that this may be due to many factors, including the recession, a major revision of the ASC payment system in 2008, saturation of the market, and an increased trend toward physician employment by hospitals.
Number of Operating Rooms in ASCs? MedPAC reports average of 2.7 and a median of 2 ORs/ASC. Well, I figured I’d call and probe into this a bit more. Unfortunately, I learned that MedPAC does not have the total count of ORs. The analyst suggested multiplying the average by the total number of facilities. So, here we go:
- 5,359 ASCs in 1st Quarter 2012 x 2.7 average ORs/facility = 14,469 total ORs in ASCs. But, since we’re estimating anyway, let’s round it up to about 14,500 total ASC operating rooms currently in the US.
Procedures migrating from hospital outpatient setting to ASCs? Trend has stalled.
Top 5 types of procedures done in ASCs? These make up 50% of procedures (I believe this analysis is for Medicare beneficiaries only):
- Cataract with lens implant (leader by a wide margin)
- Upper GI endoscopy
- Diagnostic colonoscopy
- Colonoscopy with biopsy
- After cataract laser surgery
- Lesion removal colonoscopy
Source: Ambulatory surgical center services, in: Medicare Payment Policy: Report to the Congress. Washington, DC: MedPAC, 2013, Chapt. 5, pp 105-123. Click here for full text free: http://www.medpac.gov/chapters/Mar13_Ch05.pdf Posted by AHA Resource Center, (312) 422-2050, firstname.lastname@example.org
Filed under: Ambulatory surgery, Benchmarking, Future trends, Medicare, Posted by Kim Garber | Tagged: Ambulatory surgery center trends, Medicare Payment Advisory Commission, MedPAC, Outpatient surgery center | Leave a Comment »