Member Focus

Focus on Members

Focus on Members

Member Focus

Member Focus invites ASCA members to express their views on key ASC issues. Share your perspective with your colleagues and get to know your peers in the ASC community.

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Joshua Dean, RN

Joshua Dean

Title: Director of Clinical Operations
Facility Name: Indiana University Health Bloomington Endoscopy Center
City: Bloomington
State: Indiana
Length of time your facility has been an ASCA member: Five or more years

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What is your policy, protocol or algorithm for BMI and patient selection?

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Our center is primarily focused on endoscopic procedures that require minimal levels of sedation. Patients who are larger than 350 lbs, have a history of opioid use, have implantable devices, have a history of needing higher sedation levels, are on home oxygen, have poor mobility, and/or have an infectious disease requiring isolation are scheduled at the endoscopy department at our partnering hospital.

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How do you determine your capital equipment budget?

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Our center is part of a larger health system and our capital equipment process is completed on a regional level. The system sets capital budgets for each region based on upcoming strategic projects in the next three to five years. Near the beginning of the third quarter in the current fiscal year, any capital items to be purchased for the following year have to be submitted to a capital committee with a full business plan and quote from the vendor. After initial assessment by the committee, projects are prioritized based on need for all requesting areas. Toward the fourth quarter in the current fiscal year, capital projects are approved for the following year. Upon approval, departments can utilize capital dollars for approved projects in the first quarter of the capital year. Any capital items needed outside of the normal review cycle have to be submitted to the finance department and executive team with a completed pro forma to determine return on investment and how the project improves operational performance.

 

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