BUILDING A SUCCESSFUL ASC TOTAL JOINT PROGRAM IP2OP℠

IP2OPSM is a service mark of Spires Advisory. All rights reserved. Building a Successful ASC Total Joint Program – IP2OP℠ Desired Outcome: Develop an executable plan and create a replicable program to equip surgeons and the ASC team to: • Identify appropriate patients for ASC total joint cases. • Deliver higher quality care. • Be the low cost provider... • and profitable.

Two rails that keep this train on track: • Efficacy = Doing the right thing for the right patient. • Efficiency = Doing the right thing right, i.e., optimize processes & pathways. Building a Successful ASC Total Joint Program – IP2OP℠ Key Considerations: • Strategy: Why do we want to do this? o Growth - Add volume/revenue o Current Partner or user mix. Recruit new partners? o Market response • Political: How will “others” respond? o “WDC” mentality o Local health systems/hospitals (THIS CAN BE HUGE!) • Partners • Competitors o Competitive ASCs • Financial: Can we make money or more than on current mix? Building a Successful ASC Total Joint Program – IP2OP℠ . Total Knee Replacement . Unicondylar Knee Replacement . Total Hip Replacement . Total Shoulder Replacement

ORTHOPEDIC - JOINT RECONSTRUCTIVE KNEE CPT CODE PROCEDURE 27446 UNICOMPARTMENTAL KNEE ARTHROPLASTY 27447 TOTAL KNEE ARTHROPLASTY

HIP CPT CODE PROCEDURE 27130 TOTAL HIP ARTHROPLASTY 27125 HEMIARTHROPLASTY HIP

SHOULDER CPT CODE PROCEDURE 23470 SHOULDER REPLACEMENT HEMIARTHROPLASTY 23472 TOTAL SHOULDER ARTHROPLASTY Building a Successful ASC Total Joint Program – IP2OP℠ Pathways to Successful Execution

SURGEON ALIGNMENT

LEGAL-REGULATORY REVIEW

PAYOR STRATEGY

PERIOPERATIVE

RECOVERY CARE

SUPPLY CHAIN

QUALITY Building a Successful ASC Total Joint Program – IP2OP℠

EXECUTION, MEASUREMENT & ACCOUNTABILITY Detailed program management and individual tracking tools have been developed and should be used to help surgeons and center leadership track progress. They include assignment of team members to tasks, accountability, timelines, and obstacles to success. Building a Successful ASC Total Joint Program – IP2OP℠ Surgeon quote: “We can do this ourselves. Why should we pay for outside advice and assistance?” Great question. The answer is you should not if you have administrators and clinical staff looking for more to do. And you are not in a hurry to develop the program. Otherwise, here are a few good reasons to get expert help.  Comprehensive knowledge of all areas of the program – this is more than just the perioperative side.  Exceptional experience and skills working with surgeons, clinical team, payors, and suppliers.  Reduced time to starting line. Building a Successful ASC Total Joint Program – IP2OP℠

For additional information, please contact: Walter Spires SPIRES Advisory 615.406.5397 [email protected]