Strategy Anesthesia

WHAT'S IMPORTANT WHEN CHOOSING AN ANESTHESIA GROUP When choosing an Anesthesia Group to provide services to your ASC or Office-Based practice there are many aspects to consider. Having clarity up front and good communication in a partnership with an anesthesia group is essential. Anesthesia groups can do an excellent job in maximizing throughput and reducing costs by enabling the practitioners to do more procedures while optimizing a smoother clinical flow.... Most practitioners and ASC’s understand that an anesthesia group’s profitability is based on case volume and payor mix to ensure profitability. A practice with high governmental payor mix can expect an anesthesia group to request a stipend. Commercial payors payments are much higher, so the mix is important. In the initial negotiations with the anesthesia group, there needs to be an understanding of the group’s need for profitability. When taking on a new office-based practice or ASC, the anesthesia group provides significant capital upfront until cash collections are generated. Most collections are not realized for at least 90 days. The benefit of having an anesthesia group is that they manage the anesthesia program. Thus, ASCs and private practices are alleviated from the burdens of negotiating complex employment relationships and managing anesthesia billing, which has unique multifaceted characteristics. When considering whether to employ your own anesthesia providers or contract out with a private group, ASCs and office-based practices should realize that private groups tend to operate more productively due to the incentive to increase caseload order to increase revenue, benefiting both the ASC and the anesthesia group. Additionally, the anesthesia group alleviates the practice of having the burden of managing the anesthesia providers themselves. The scope of services provided by an anesthesia group extends beyond the delivery of anesthesia. Maximizing favorable outcomes and reducing patients postprocedural complications and postoperative multimodal pain management reduces recovery times. In summary, Anesthesia groups have relationships with numerous anesthesia providers thus providing well-qualified providers with experience. The patient experience is the most important thing and having skillful providers, who are practiced in your specialty facilitates a seamless outcome. Allowing an anesthesia group to manage your anesthesia program surely will create a smoother procedural flow and reduce added workload for your employees.

AMA president weighs the pros and cons of MACRA, MIPS Healthcare Finance News With the Merit-Based Incentive System and the Medicare Access and CHIP Reauthorization Act, the federal government is beginning to harmonize programs to simplify reporting, decrease the number of measures and potential penalties and adding an upside opportunity for the solid performers. "We have a better framework to go forward," said David Barbe, MD, president of the American Medical Association ...Continue reading

MAC Anesthesia for Office-Based Pain Management Procedures Practices are moving toward using MAC anesthesia for pain management procedures in the office and for a good reason. Patients really love receiving propofol and by outsourcing for anesthesia there are a multitude of savings. Strategy Anesthesia offers interventional pain management physicians CRNAs to administer MAC anesthesia. Below are some of the patient testimonials that we receive on a regular basis. Our CRNA ...will speak to your patients before their procedure and explain the benefits. In 80-90% of all cases, the patient agrees and after the procedures raves. Patient Testimonials: Procedure went smoothly and the doctors team and the anesthesia team made my experience very good, very smooth C.R. It was a really good experience. It made the procedure a lot better W.M. I can tell you one thing about propofol. It’s wonderful!!! I don’t remember anything and I felt great afterwards. E.S. Our clinical team will be dedicated to your office and not shared with any other facility. We will alleviate your RN so they can act as recovery RN. We provide a practice manager who will credential our providers, stock anesthesia medications and supplies and oversee the entire operation. Your clinical flow will be smooth and we will not slow you down. For more information about clinical anesthesia services and solutions for your medical practice, please feel free to contact Strategy Anesthesia at (323) 999-4963 today.

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We provide anesthesia services to physicians who do procedures in their office.

Patient satisfaction with procedural sedation Procedural sedation has been determined to create greater patient satisfaction. Specifically, the administration of propofol with or without fentanyl has the greatest satisfaction and the least satisfaction is of those who are administered nitrous oxide with or without opioid. Patients sedated with propofol with or without fentanyl had the greatest depths of sedation. Greater satisfaction is associated with deeper sedation and... sedation with propofol for procedures. Patient satisfaction was measured with the Iowa Satisfaction with Anesthesia Scale after full recovery and was a study of adult patients who received procedural sedation. Strategy Anesthesia specializes in colonoscopy and pain management with the use of propofol sedation. Patient satisfaction is very high vs no anesthesia for pain procedures or conscious sedation for colonoscopy. When you want a team of anesthesia professionals to provide services in for your in-office procedures, Strategy Anesthesia is the group to go to.

COMBATTING OPIOID ADDITION AND ABUSE Washington, DC, April 14, 2017US Senators John McCain (RAZ) and Kirsten Gillibrand (DNY) recently introduced bipartisan legislation to combat opioid addiction and abuse by limiting the initial supply of opioid prescription for acute pain to seven days. Opioid addiction and abuse is commonly happening to those being treated for acute pain, such as a broken bone or wisdom tooth extraction. This federal legislation is modeled after laws i...n several states, including Arizona and New York. One of the main causes for the alarming increase in drug overdoses in the United States is the overprescription of highly addictive opioids, which have increased by 300% over the last 15 years, said Senator McCain. In fact, people who are addicted to prescription opioids are 40 times more likely to become addicted to heroin. In Arizona alone, heroin and opioid overdoses have skyrocketed, with the Arizona Department of Health Services reporting that more than 1,000 people required emergency room treatment for drug overdoses in 2014 while heroincaused deaths increased by 44% between 2013 and 2014. Our legislation builds on the important steps taken by Arizona Governor Doug Ducey last fall to tackle a root cause of this epidemic by limiting the supply of an initial opioid prescription for acute pain to seven days. We have a long way to go to end the scourge of drugs across our communities, but this legislation is an important step forward in preventing people from getting hooked on these deadly drugs. Our bipartisan bill would target one of the root causes of the opioid addiction crisis, which is the overprescription of these powerful and addictive drugs for acute pain, said Senator Gillibrand. Too many lives have been destroyed, too many families have been torn apart, and too many communities all over New York are suffering because of this tragic epidemic. I am proud to join with Senator McCain in this urgent fight against the overprescription of opioids, and I look forward to seeing it pass through the Senate as quickly as possible. Under current federal law, a medical professional must receive a license from the Drug Enforcement Agency (DEA) in order to be allowed to prescribe a schedule II, III, or IV controlled substance in the United States. This registration must be renewed every three years. This legislation would require medical professionals to certify, as part of their DEA registration, that they will not prescribe an opioid as an initial treatment for acute pain in an amount that exceeds a sevenday supply, and may not provide a refill. This limit does not apply to the treatment of chronic pain, pain being treated as part of cancer care, hospice or other end of life care, or pain treated as part of palliative care.

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