ECG provided the health system with actionable insights on OR planning and site-of-service recommendations to accommodate surgery migration, potential implications to the MFP, sequencing of the development of two ASCs, and the conversion of the HOPD to an ASC. Key findings included the following:

• Identified more than 30,000 surgical and procedural cases as ASC eligible, representing more than half of the system’s total surgical and procedural volume
• Determined that 12 ORs and 6 procedure rooms would be required to support the ASC case volume and allow the hospital to increase OR and procedure room capacity
• Projected the total number of hospital ORs, procedure rooms, interventional cath labs, and office-based surgery suites required to support growth in surgery and procedural case volume over 10 years
• Highlighted an opportunity to capture accretive value of approximately $5 million in ASC net revenue by recruiting new GI specialists and developing an endoscopy center while positioning the health system to recover lost case volume and attract GI patients
• Provided an ASC plan and timeline for the development of the endoscopy center and a bone and joint ASC, as well as sequencing to mitigate lost case volume during ASC development

This plan reduced projected losses by $7 million as a result of limiting the ASC development to case types that were migrating out due to market competition. The plan provided the health system with insights and new opportunities to recruit and retain gastroenterologists and orthopedic surgeons, positioning the system to recover lost volume and capture accretive value in surgical, procedural, inpatient, and ancillary services.