Managing the ASC Medical Staff
The California Ambulatory Surgery Association (CASA) and Nossaman LLP co-hosted a one-day seminar on "Managing the ASC Medical Staff" on March 5th in Los Angeles, CA. Medical directors must provide leadership and be integrally involved with the governing body, assuring that appropriate measures are in place not only to meet regulatory requirements, but to assure they are providing protection for the public as well. Often the ASC medical directors and administrators are new to this responsibility. This one-day seminar was dedicated to equipping ASC medical directors and administrators with the most current information and tools to navigate these legal challenges. The presenters were legal experts as well as experienced medical directors and administrators who shared their experiences from their time spent “in the trenches.” This program was designed to provide attendees with a wealth of useful knowledge they can implement upon return to their centers.
Tom Curtis spoke on “Medical Staff Bylaws,” which was dedicated to equipping the ASC administrator and ASC governing body with the most current information to navigate these challenges and provide effective leadership. Oversight of the ASC Medical Staff and the Healthcare Professional is a critical responsibility. The governing body must be integrally involved and assure that appropriate measures are in place to meet regulatory requirements as well as assure they are providing protection for the public. These obligations and duties are typically outlined in the ASC bylaws. This responsibility is new to many ASC professionals who often find themselves looking for direction.
Rebecca Hoyes then presented “The Credentialing Process and Common Pitfalls,” which showed the ASC staff how to navigate challenges related to the application process, expedited credentialing, low physician volume and undesirable medical staff. The credentialing process can be overwhelming if there is not a clear understanding of relevant Centers for Medicare and Medicaid Services (CMS) requirements and accreditation standards.
Rebecca Hoyes continued with another session, “Managing the Compromised Physician.” Almost every surgery center has encountered a difficult or compromised physician. There are several instances that may raise concerns for your ASC leadership whether disclosed during the initial application or after appointment while practicing at a surgery center. These situations can be difficult to manage, and this session provided the attendee with specific guidance on how to conduct an investigation and/or inquiry.
Later, Tom Curtis and David Balfour co-presented on “Fair Hearings, 805 Reporting and the Consequences.” ASCs are required by the California Business and Professions Code 805 to report certain peer review activities within a specific time frame. A clear understanding of the requirements for 805 reporting is the responsibility of the ASC leadership, including the Governing Board, in order to avoid legal implications. This session provided the attendee with an understanding of the law and the possible consequences of failure to report.
In the final session of the program, Raja Sékaran presented on “Medical Director Roles and Responsibilities.” There are no educational or certification requirements for becoming the medical director of the an ASC, yet the physician in this role has a variety of unique responsibilities. This is because the medical director oversees the medical staff and all activities related to patient care, which is a heavily regulated business. This session reviewed key areas of compliance medical directors must adhere to and provide strategies for effectively managing medical and allied health staff.