Industry Outlook Group Shot


Established in 1970 in Phoenix, Arizona, the first Ambulatory Surgery Center (ASC) was the brainchild of two physicians wishing to provide timely and convenient surgical services to their patients. Disgruntled by hospital equipment budgets, limited operating room availability and scheduling delays, these physicians were looking for a cost-effective alternative for routine surgical procedures that did not require a prolonged hospital stay.

Also called outpatient surgical centers, ASCs are health facilities that provide surgeries and diagnostic services where no overnight stay is required. Overall, these centers focus on procedures that are more intensive than what might be performed in a doctor’s office, but allow the patient to leave within a few hours. As early as thirty years ago, many knee,
eye and cosmetic surgery procedures were routinely performed in this type of setting. Today, extensive dental, orthopedic, gynecology, as well as routine cardiac procedures and colonoscopies are the norm. Not to be confused with urgent care centers that provide primary health care, ASCs accept patients solely on a physician referral basis, and maintain at least one, and sometimes more, dedicated operating rooms. There is no emergency room for walk-in patients, and no facilities for lengthy recuperations.

Physicians have full or part ownership in approximately 61 percent of all ASCs, according to a recent report by the American Association of Ambulatory Surgery Centers. Additionally, information recently provided by Verispan, a Pennsylvania based company that provides health care data, notes that outpatient surgery centers have grown more than 65 percent between 2000 and 2006.

There is also evidence to support a growing percentage of out-patient centers that are owned and operated by hospitals that share their name. Several of these facilities are located within the Kansas City metropolitan area, and include Shawnee Mission Surgery Center (Shawnee Mission Medical Center) Olathe Medical Center Outpatient Surgery (Olathe Medical Center), as well as those affiliated with Saint Luke’s Nueterra Healthcare and St. Mary’s Medical Center. Four more are operated by the HCA Midwest Health System, including the Centerpoint Ambulatory Surgery Center, Surgicenter of Johnson County, Overland Park Surgery Center, and Mid America Surgery Institute.

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