This week, ASC expert Carol Hiatt joins us to share practical tips for improving OR utilization in orthopedic surgery centers. With over 30 years in the industry, Carol dives into common causes of underutilization and how to fix them.

Then in our Data & Insights segment, we spotlight dental ASCs. Drawing from 35 facilities and over 15,000 cases, we break down key metrics like block utilization, pre-auth rates, and patient deposit collection.

Resources Mentioned:

https://www.hstpathways.com/specialty-data/dental

Brought to you by HST Pathways.

Kevin Turner is the Sr. VP of IT & Analytics at HealthCrest Surgical Management. He has been in IT for over 30 years and has been through the software evaluation process countless times. Kevin shares with us his repeatable, proven, 8-step process that anyone can use to guide their software decisions. Whether you’re choosing your first system or replacing a legacy tool, this structured approach will help you navigate the process with confidence. With so many vendors and features to consider, it’s easy to feel overwhelmed, but this step-by-step process will keep you focused on what matters most and make sure all stakeholders are happy with the decision.

In our news recap, we’ll cover the DOJ’s Anticompetitive Regulations Task Force, Ascension’s acquisition of AMSURG, the biggest opportunity for growth in ASCs, and, of course, end the news segment with a positive story about a nurse who uses her own personal tragedy to provide once-in-a-lifetime care.

Recommend 8-Step Process:

1. Define Business Needs and Objectives
2. Assemble a Cross-Functional Selection Team
3. Gather Requirements and Prioritize Features
4. Research the Market and Identify Potential Vendors
5. Evaluate and Compare Options
6. Assess Integration, Security, and Compliance
7. Review Costs and Negotiate Contracts
8. Pilot, Test, and Finalize the Decision

Resources Mentioned:

• ASC Stakeholders Voice Market-Competition Concerns, Ask DOJ Task Force to Cut Red Tape
• Ascension agrees to acquire Amsurg to expand ambulatory surgery reach
• The biggest opportunities for ASC growth 
• From Paralyzed Patient to Spinal Cord Nurse: Rachel Stewart, BSN, RN, Turns Trauma into Triumph

Brought to you by HST Pathways.

At the end of every discussion, we always ask our guests, “What is one thing our listeners can do this week to improve their surgery centers?” For today’s episode, we took the last 15 answers we received from our guests and turned them into a 20-minute highlight reel.

This roundup features, in order: Scott Allen, Becky Ziegler-Otis, Tina DiMarino, Kathy Wilson, Ryan Short, Colin Park, Mayte Rechani, Mark Henderson Leary, Maddie Traylor, Richard Parker, Melanie Howitt, Kristle Young, Josh Rudd, Nyleen Flores, Shannen Reyes-Aguayo, and Will Evans.

A huge thank you to everyone who has shared their advice!

Brought to you by HST Pathways.

Will Evans, HST’s Senior Director of Data Science and Insights, is fresh off presenting Advanced Financial Strategies at last month’s ASCA conference. I wanted to spend a few minutes with Will recapping the second half of that presentation for those who may have missed it, including four key metrics for assessing financial health, how to identify the most important metrics for your unique ASC, and ways to incorporate benchmarking. If you’re looking to strengthen your ASC’s financial performance, this is a great place to start—and you’ll hear a success story or two along the way.

After my conversation with Will, we’ll shift to our Data & Insights segment. You’re likely familiar with our full State of the ASC Industry Report, but we recently released 12 new specialty benchmarking reports—shorter, data-focused reports that take a deeper dive into one specialty at a time. Today, I’ll spotlight average monthly revenue trends for two longstanding specialties—Gastroenterology and Ophthalmology—versus two emerging specialties—Cardiology and Total Joints. We’ll break down average monthly case volume, revenue per case, and what trends we’re seeing across these specialties.

Resources Mentioned:

• https://www.hstpathways.com/specialty-data/gastroenterology/
• https://www.hstpathways.com/specialty-data/ophthalmology/
• https://www.hstpathways.com/specialty-data/cardiovascular/
• https://www.hstpathways.com/specialty-data/totaljoint/

Brought to you by HST Pathways.

Nyleen Flores, CEO of MedElevate, and Shannen Reyes, President of Advanced Quality Compliance, are joining us today. With decades of experience between them, Nyleen and Shannen have helped countless surgery centers streamline their credentialing processes, reducing risk and improving patient safety along the way. In this episode, we unpack common misconceptions, share tools and systems that actually work, and chat about their brand-new podcast, Credentialing Chronicles.

Later in the episode, I’ll walk through our latest Data & Insights spotlight. You’ve probably seen our full State of the ASC Industry Report, but we’ve just released 12 new benchmarking reports focused on specific specialties. Today, we're focusing in on Cardiovascular ASCs—with insights from 108 centers and roughly 9,000 cases.

Resources Mentioned: https://www.hstpathways.com/specialty-data/cardiovascular

Brought to you by HST Pathways.

Josh Rudd recently opened Knoxville Spine Surgery Center, his first time leading the launch of a brand-new facility. I sat down with Josh to hear what the process was really like, from the initial idea all the way to their very first procedure. Whether you're planning a new build or just curious about what it takes to open an ASC from scratch, this conversation is packed with first-hand insights you'll find both valuable and engaging.

After my conversation with Josh, we’ll head into our Data & Insights segment. HST released its annual State of the Industry report in September, based on data from 590 surgery centers. Today, we’re diving into expected vs. actual OR start times and sharing practical tips to help keep your schedule running on time.

Resources Mentioned: HST’s State of the Industry Report

Brought to you by HST Pathways.

We’re continuing our series on Improving Profitability. Last week, Melanie Howitt shared how AI and automation can improve your ability to collect outstanding balances. This week, Kristle Young from Collective RCM joins us to discuss strategies for reducing days in AR.

In our news recap, we cover key trends from the ASCA Conference, the rise of shoulder replacements, a new joint venture between Cleveland Clinic and Regent Surgical, and end on a high note with this year’s Nap Gary Award recipient.

Resources Mentioned:

ASCA 2025 Recap: Profitability, Tech, and Leadership

Gaining Ground

Cleveland Clinic, Regent Surgical Strike ASC Joint Venture Agreement

Wilson Receives Nap Gary Award for Lifetime Achievement

Brought to you by HST Pathways.

We’re kicking off a brand-new three-part series on Improving Profitability at Your ASC. First up: Melanie Howitt, Transition and Implementation Manager at in2itive, joins host Nick Latz to discuss how AI and automation can streamline collections and reduce outstanding balances. She also shares field-tested best practices for optimizing the back end of the revenue cycle.

Then, in our Data & Insights segment, we dive into findings from HST’s latest State of the Industry report. With data from 590 surgery centers, we break down the most common reasons for case cancellations—and which ones your ASC can work to prevent.

Resources Mentioned:

HST’s State of the Industry Report: https://www.hstpathways.com/resources/surgery-center-industry-report/

How to Create a CustomGPT: https://www.youtube.com/watch?v=_u0tHytmKqw

Brought to you by HST Pathways.

HST CEO David Thawley recently joined ASCA’s podcast to discuss key ASC trends in 2024—from rising specializations and OR efficiencies to new RCM data from our State of the Industry Report. We’re excited to share that conversation here with permission from ASCA.

Quick reminder: if you’re listening on Tuesday, April 29, the ASCA conference is officially underway! Come visit us at Booth #303 to say hi, grab your copy of the report, and win a prize.

Check out ASCA’s podcast, Advancing Surgical Care: https://www.ascassociation.org/asca/news-and-publications/podcast

Download HST’s State of the Industry Report: https://www.hstpathways.com/resources/surgery-center-industry-report/

Brought to you by HST Pathways.

Today’s guest is Richard Parker, Associate Director of Life Safety & Physical Environment at ACHC—the Accreditation Commission for Health Care. We talk about what life safety includes, what surveyors are really looking for, how to document properly, and the most common deficiencies ACHC sees during surveys.

Reminder: the ASCA conference is just two weeks away! If you haven’t registered yet, online registration closes Friday, April 18th, so now's the time to register if you haven’t yet. HST will be there at Booth #303, right up front in the exhibit hall. Stop by to say hello, grab a copy of our State of the Industry report, take a quiz for a chance to win a prize, and check out all our latest solutions. We hope to see you there.

Resources Mentioned:

• Closing the ASC Tech Gap: EHRs, AI and Beyond
• How ASCs can flip the script on anesthesia challenges
• Streamlining the PACU Experience for Total Joints Patients
• The dog-tor will see you now
• Learn more about ACHC Webinars: https://www.achc.org/

Brought to you by HST Pathways.