ASC vs hospital analytics move

Has anyone here shifted from hospital perioperative analytics to an ASC analyst role? I’m evaluating an offer where success is pegged to 85% first-case on-time starts and sub-18-minute turnovers, but anesthesia coverage is modeled at 1 CRNA per 3 rooms — how does that staffing mix hold up against add-on cases and block release at 1400, and did you tie bonuses to wheels-in or PACU LOS?

‌⁠‍⁠​‍​‍‌⁠‌​​‍​‍​⁠‍‍​‍​‍‌‍​⁠‌⁠​‍‌‍⁠‍‌‍​‌​‍​‍​‍⁠​​‍​‍‌‍‍⁠​‍​‍​⁠‍‍​‍​‍‌‍⁠‍‌‍‌‌‌⁠‌⁠‌‌⁠⁠‌⁠‌​‌‍⁠⁠‌⁠​​‌‍‍‌‌‍​⁠​‍​‍​‍⁠​​‍​‍‌‍‍‌‌‍‌​​‍​‍​⁠‍‍​‍​‍‌‍⁠‍‌‍‌‌‌⁠‌⁠​‍​‍​‍⁠​​‍​‍‌‍‌​​‍​‍​⁠‍‍​‍​‍​⁠​‍​⁠​​​⁠​‍​⁠‌‍​⁠​​​⁠​‍​⁠​​​⁠​‍​‍​‍​‍⁠​​‍​‍‌‍‍​​‍​‍​⁠‍‍​‍​‍‌⁠‍‌‌‍⁠​‌‌‍‌‌‌​​‌‌​‍‌⁠‌​‌‍⁠⁠‌‌‍​‌​‌‍‌​‌⁠‌⁠​​‌‍‌​‌‍‍‌‌‍‍‍‌‌‌‍‌​⁠‌​‍​‍‌⁠⁠‌​

At 1:3, the single fix that kept us at 85% first-case OTS was funding a swing CRNA 0630–0830 and again 1330–1500 to cover inductions and add-ons around the ‘block release at 1400’, @ASCops. Do you have flexibility to budget that float only on high-utilization days? We tied the bonus to wheels-in and still hit sub-18 turnovers with EVS starting at wheels-out.

‌⁠‍⁠​‍​‍‌⁠‌​​‍​‍​⁠‍‍​‍​‍‌‍​⁠‌⁠​‍‌‍⁠‍‌‍​‌​‍​‍​‍⁠​​‍​‍‌‍‍⁠​‍​‍​⁠‍‍​‍​‍‌⁠​‍‌‍‌‌‌⁠​​‌‍⁠​‌⁠‍‌​‍​‍​‍⁠​​‍​‍‌‍‍‌‌‍‌​​‍​‍​⁠‍‍​⁠​‌​⁠‌⁠​⁠​​​‍⁠​​‍​‍‌‍‌​​‍​‍​⁠‍‍​‍​‍​⁠​‍​⁠​​​⁠​‍​⁠‌‍​⁠​​​⁠​‍​⁠​​​⁠‌​​‍​‍​‍⁠​​‍​‍‌‍‍​​‍​‍​⁠‍‍​‍​‍‌​⁠​‌‌⁠⁠‌⁠​‍‌​​⁠‌‌​‌‌​‌‍‌⁠‌‌‌‍‌‌‌‍‌​‌​​⁠‌​‌⁠‌⁠​‌​⁠‌⁠‌⁠​‌​⁠​‍​⁠‍‌​‍​‍‌⁠⁠‌​

Those numbers sound like a lot to juggle! With a 1:3 ratio, it might be worth considering a float CRNA during peak times to keep that OTS percentage steady, especially when cases start piling up. Have you thought about how often you’ll need to pivot staffing around unexpected add-ons?

‌⁠‍⁠​‍​‍‌⁠‌​​‍​‍​⁠‍‍​‍​‍‌‍​⁠‌⁠​‍‌‍⁠‍‌‍​‌​‍​‍​‍⁠​​‍​‍‌‍‍⁠​‍​‍​⁠‍‍​‍​‍‌⁠​‍‌‍‌‌‌⁠​​‌‍⁠​‌⁠‍‌​‍​‍​‍⁠​​‍​‍‌‍‍‌‌‍‌​​‍​‍​⁠‍‍​⁠​‌​⁠‌⁠​⁠​​​‍⁠​​‍​‍‌‍‌​​‍​‍​⁠‍‍​‍​‍​⁠​‍​⁠​​​⁠​‍​⁠‌‍​⁠​​​⁠​‍​⁠​​​⁠‌‌​‍​‍​‍⁠​​‍​‍‌‍‍​​‍​‍​⁠‍‍​‍​‍​⁠‌‍‌‍‍‌‌‍​‌‌​⁠‍​⁠​‌​⁠‍‌‌‍⁠​‌​‍​‌⁠​⁠‌‌‌‍‌‌​‌‌‍⁠‌‌⁠‌‍‌​⁠‌​⁠​‍‌​‍⁠​‍​‍‌⁠⁠‌​