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VMG Health Associates Explain Fair Market Value and Referral Risks at Town Hall

Bartt Warner, director of compensation arrangements at VMG Health, and Dylan Alexander, manager for business valuation and transaction advisory at VMG Health, presented information to Texas Ambulatory Surgery Center Society members on May 27 about fair market value in the surgical center industry, as well as an Office of Inspector General opinion that speaks directly to ASC investment concerns.

VMG Health is a company that specializes in healthcare valuation, strategy and compliance. The company provides fair market value on all assets of the medical field, from equipment to physician salaries, and has developed experts to look at each component of the industry to satisfy customers’ total needs. It also helps with tailoring a compliance program specific to your organization that will ensure compliance with Center for Medicare and Medicaid Services, as well as other governmental regulations.

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The History & The Future Of Ambulatory Surgery Centers

The History & The Future Of Ambulatory Surgery Centers

According to Texas Health & Human Services, there are 560 ambulatory surgery centers (ASCs) — medical facilities specialized in elective, same-day and outpatient surgical procedures — in Texas. 

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AAAHC Officer Explains How to Prepare for Accreditation Surveys

On May 13, Dr. David Shapiro, an officer for the Accreditation Association for Ambulatory Health Care (AAAHC), spoke to Texas Ambulatory Surgery Center Society members about the survey process and steps ASCs can take in preparation for their surveys.

When it comes to AAAHC’s approach, Shapiro explained the surveyors work to be consultants with facility staff and collaborate with them to ensure they become accredited and are able to keep that status. “A lot of our standards are very open-ended,” he said. “We ask you to define things.” For example, pediatrics could mean something different for every center, and some centers might not even have pediatric departments, so it’s up to the facility to define what they have and what the cut-offs are for their departments.

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Texas Health and Human Services Commission Answers Questions About COVID-19 Updates

In April, the Texas Health and Human Services Commission answered some questions from the Texas Ambulatory Surgery Center Society about survey updates, rule changes and other helpful resources for ASCs.

As it pertains to surveys, HHSC is not authorized to do any virtual surveys at this time, and in-person visits are expected to meet the established expectations for infection control. All visits for surveys are addressed on a case-by-case basis. When it comes to the top survey citation since COVID, the staff expressed that surveyors have a special focus on infection control practices throughout all CMS-certified providers.

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TASCS Hosts Infection Control Week

April 26 to April 30, the Texas Ambulatory Surgery Center Society hosted Infection Control Week. This virtual conference brought together industry experts, discussing the initiatives, expectations and future of infection prevention in ambulatory surgery centers.

On Monday, Lisa McKown, the manager of research and development for Beyond Clean, spoke about public health initiatives to reduce healthcare-associated infections and offered helpful ways the community can get involved to prevent HAIs.

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STERIS Associates Discuss Outsourcing Sterilization Process to Prevent Infection

STERIS Associates Discuss Outsourcing Sterilization Process to Prevent Infection
By Tara Phipps

On Thursday, April 22, two STERIS associates discussed offsite reprocessing centers and issues ambulatory surgery centers face with vendor trays at the bi-weekly Texas Ambulatory Surgery Center Society town hall event.

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TASCS’s Capitol Day during the 87th Texas Legislative Session

Last week, the Texas Ambulatory Surgery Center Society (TASCS) held its bi-annual Capitol Day virtually. The event was a success that included meetings with a focus group of ambulatory surgery center (ASC) members and various legislative offices, including a welcome kick-off from Senator Dawn Buckingham, MD herself. 

Texas Senator Dawn Buckingham welcomes TASCS Capitol Day to discuss 87th Legislative Session initiatives concerning the healthcare industry.

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3 Ways Outsourcing the Sterile Processing Department Will Keep Your Total Joints Program Ahead of ASC Trends

3 Ways Outsourcing the Sterile Processing Department Will Keep Your Total Joints Program Ahead of ASC Trends

 

At one time it might have been surprising to find out that an Ambulatory Surgery Center (ASC) functioned without an in-house Sterile Processing Department (SPD). Today, it's common to see centers survive and even thrive without them.

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This World Health Day, What Are You Doing To Build A Fairer, Healthier World?

This World Health Day, What Are You Doing To Build A Fairer, Healthier World?
By TASCS Board Member James McClung, Chief Development Officer of Reliant Medical Services

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Incident Reporting: Best Practices For ASCs

On March 4, Texas Ambulatory Surgery Center Society members attended a virtual town hall, in order to learn best practices on proper incident reporting to Texas Health and Human Services.  

Laura Schneider  RN, Sr. Director of Clinical Services for Amsurg, began by reviewing the requirements of ASC Incident Reporting:

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5 Tips For Patient Safety Awareness Week

5 Tips For Patient Safety Awareness Week 

Patient Safety Awareness Week encourages people to learn more about healthcare safety, and this year, it takes place March 14–20, 2021. This topic can include the reporting, prevention and reduction of issues that harm patients and others in medical settings.

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ASC Accreditation During The COVID-19 Pandemic

ASC Accreditation During The COVID-19 Pandemic

The Texas Ambulatory Surgery Center Society provides members with information and education through bi-weekly virtual town halls. On February 11, members learned what to expect in regards to surveys for accreditation programs during the COVID-19 pandemic.

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POSTPONED- Capitol Day

Capitol Day has been postponed to allow centers to recover from the impacts of the Winter Storm Uri. Because each center has been impacted in some way, we appreciate your input on when a new advocacy day would be convenient for your participation.

TAKE THE SURVEY

POSTPONED-Infection Control Week!

NEW DATE TO BE ANNOUNCED SOON!

 We apologize for any inconvenience but we are rescheduling next week's event due to the inclement weather and power shortages that our ASCs have experienced this week.

A future date is TBD and will be announced when available. 

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Controlled Medication Logs in Ambulatory Surgery Centers

In order to provide members with information and education, even in the midst of a pandemic, the Texas Ambulatory Surgery Center Society (TASCS) has been holding virtual town halls. The latest one took place on Jan. 28 and was about controlled medication logs in ambulatory surgery centers.

It was a focused, brief, yet very informative symposium from two of Texas’ top experts on the topic, Diane Buffington of Surgical Care Affiliates and Chris Dembny of Dembny Pharmacy Consultants LLC.

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DEA Compliance Update

SUMMARY: The Drug Enforcement Administration (DEA) is amending its regulations to implement a new single-sheet format for DEA Form 222, used by DEA registrants to order schedules I and II controlled substances. The rule provides for a two-year transition period, during which the existing triplicate version of the forms may continue to be used. The rule also includes a number of minor procedural changes.

https://www.deadiversion.usdoj.gov/fed_regs/rules/2019/fr0930.htm

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Virtual Town Hall this Thursday!

 

Join us this Thursday for our next topic in our Town Hall series

Controlled Medication Logs in the ASC 

Collaborate with these two speakers to discuss this important topic on the 28th.  

 

This is a members-only benefit and you must register to get access. 

To sign up for a membership, please fill out our application. 

Legislative Recap WE 1/22/21

From our TASCS Lobbyist


The highlight of this week was the House and Senate releasing their base budgets for the 2022-2023 biennium. Both chambers proposed General Revenue expenditures of $119.7 billion, staying under the Legislative Budget Board’s 7.06 percent spending limit. Senate Finance Committee Chair Jane Nelson referenced the “many tools available to balance this budget, which will require us to re-establish our priorities, stretch every dollar and find more efficient ways to deliver services.” The budgets are notably similar, prioritizing teacher’s retirement funding and the investments in public education that were made last session, providing funding for Medicaid caseload growth, and increasing funding for mental health initiatives. Budget hearings are predicted to begin in February. 
 
Both chambers will convene on January 26th, and the House will convene again on the 27th, before adjourning until the following Tuesday, February 2nd.  Remember also that the race to replace former Rep. Drew Springer in House District 68 will be Saturday, January 23rd. We will send out a report as soon as the results are in.
 
On Thursday, President Joe Biden’s Chief Medical Adviser Dr. Anthony Fauci discussed new COVID-19 variants found in South Africa and Brazil. Early evidence suggests that the new variants show greater resistance to the body’s immune response than the dominant strain, and could potentially slightly decrease the effectiveness of the vaccine.  He underscored the importance of widespread mask-wearing and immunization.
 
President Biden also released the new administration’s National Strategy for The COVID-19 Response and Pandemic Preparedness. The document outlines a strategy to mitigate the spread of the virus through expanded mask-wearing, testing, and public health guidance; utilize the Defense Production Act to increase production of vaccination and testing supplies; advance health equity for racial and ethnic groups disproportionately affected by the virus; and increase protections for workers while reopening schools and businesses. This strategy was accompanied by multiple COVID-19-specific executive orders.
 
This week, the Department of State Health Services (DSHS) received 333,650 first doses of COVID-19. DSHS requested that those doses be shipped to 260 providers across the state, including 77 large hub providers.
Texas Headlines
Toxic substance or water supply? Lawmakers to weigh whether wastewater from oil fields could replenish the state's aquifers
 

Success in scramble to succeed Sen. Springer in the Texas House could rely on shifting population
 

Lt. Gov. Dan Patrick Statement on the Texas Senate Budget
 

TribCast: What the new Biden administration means for Texas
 

Texas employers applaud bills to prevent surprise taxes on PPP loans
 

Health officials issue dire warning as Texas sees its worst COVID-19 outbreak
 

Watch: New Texas senators discuss plans to address COVID-19’s impact on health, businesses
 

Reversing Donald Trump policy, Joe Biden will include undocumented immigrants in critical census count
 

Pandemic drives worst annual job losses on record for Texas
 

Texas has a problem with its COVID-19 vaccination data, and the stakes are high. Now the state is scrambling to solve it.
 

Dan Patrick asks Texas to revise coronavirus vaccine distribution plan as eligible people experience frustration trying to locate a dose
What to Expect Next Week
View this document for scheduled legislative meetings. 
Priority Bill Tracking Report
Please click HERE to review bills tracked through January 22, 2021.
Relevant State & Federal COVID-19 Updates from the Week
Please click HERE to read the COVID-19 Updates from the week. 

Legislative Recap WE 1/16/21

From our TASCS Lobbyist

Opening week of the 87thLegislative Session started with better-than-expected news from the Comptroller of Public Accounts. While previous estimates warned of a $4.6 billion deficit, revised estimates place that closer to $1 billion. Additionally, we are entering the session with $112.5 billion available for general-purpose spending during the 2022-23 biennium, just 4% shy of the funds available for the previous session. This is a relief for budget-writers as they try to craft a balanced budget.
 
On Tuesday, the Texas House and Senate gaveled in the 87thTexas Legislature. Rep. Dade Phelan was sworn in as the Speaker of the House of Representatives while Sen. Brian Birdwell was elected President Pro Tempore of the Texas Senate. Both chambers are now adjourned until January 26th, but the rules of procedure were passed before their departure. The most significant change to the Senate rules was a measure lowering the threshold of votes required to bring a bill to the floor to 18 votes, or a three-fifths majority.  Not coincidentally, there are 18 Republicans in the Texas Senate.
 
In the House, the most controversial alteration to the rules was removed almost as quickly as it was introduced. The “Consensus Calendar” was intended to address the time-constraints of the 87thSession and would be charged with bills which, “…in the opinion of the Committee on Calendars, could be considered expeditiously with limited debate.” This provision would include restricted time for speeches and disincentives to introducing amendments during second reading. It was struck from the rules on Thursday with an amendment introduced by Rep. Todd Hunter.
 
Both sets of rules contain amendments in response to the COVID-19 pandemic. The House rules relax the restrictions around emergency adjournment, require face coverings, and expand the information required in hearing notices to ensure access for constituents, but do not allow for virtual testimony. The Senate rules do not directly allude to the pandemic, but consolidate and streamline operations by removing the Committees on Agriculture and Property Tax, adding the Committee on Jurisprudence, and renaming the Committee on Intergovernmental Relations as the Committee on Local Government and the Committee on Water and Rural Affairs as the Committee on Water, Agriculture, and Rural Affairs. The rules also restrict media presence to a designated press area, rather than the whole floor.
 
The rules for both chambers also address redistricting, which will likely take place in a special session as the latest Census numbers are not expected until April. While neither set of rules specifically addresses COVID-19, the Senate rules allow for videoconferencing during regional hearings if a) those meetings are held the capitol and the witness is not in the same physical location, b) the witness is clearly visible and audible, and c) they submit a witness affirmation form prior to testifying.
 
Lt. Governor Dan Patrick released committee assignments which can be found here.  House Committee preference requests from members are due on January 22nd. We will send out a release as soon as committee assignments are posted.  
 
Late last week, the Department of State Health Services (DSHS) released the COVID-19 vaccination hub provider locations. Twenty-eight large providers will receive 158,825 doses of vaccine, allocated according to the number of people each provider estimated it could vaccinate in a week. DSHS and the Texas Department of Emergency Management (TDEM) have released an updated provider map displaying first and second dose availability from providers around the state.













 

Texas Headlines

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2021 Payment Rules Affecting Pharmacy

2021 Payment Rules Affecting Pharmacy

As we move into the new outpatient/ambulatory payment year still in the midst of the COVID-19 pandemic, navigating payment rules across sites of care and ensuring that pharmacy is in sync with their organization’s overall strategies are essential. Themes finalized in the rule sets are: embrace patient centricity, continue to simplify (electronic health record requirements and reporting, regulations), cut costs and save money, and not lose focus on pharmacy’s efforts to combat the opioid crisis.

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2021 OPPS Effects

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