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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Rebecca Craig, RN, CASC

Rebecca Craig

Title: Chief Executive Officer
Facility Name: Harmony Surgery Center, LLC
City: Fort Collins
State: Colorado
Length of time your facility has been an ASCA member: Five or more years

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What incidents/adverse events do you track and how?

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We track every incident/occurrence/event that is not consistent with our routine operation in delivery of care and treatment to patients or the functioning of the center. So, anything that deviates from our "norm" or standard practice, initiates an occurrence report.

Our occurrence report is an organized data collection tool which provides the user with the ability to capture prompt and accurate details of an occurrence or potential occurrence. The report provides a method for identification of an occurrence or a deviation from standard practice and a means to implement an investigation of the cause or a tracking mechanism. Examples of what we track include, but are not limited to, injury, patient transfers, fall, blood product transfusions, transfusion reaction, cancellations after admission, procedure complications, medication errors, drug reaction, patient complaint, prolonged nausea/vomiting, bleeding, re-operation, cardio-respiratory arrest, new neurological deficit, organ injury, safety concern, adverse anesthetic event, any undesirable circumstance that deviates from the expected outcome, environmental disaster and equipment malfunctions.

All our quality data flows up to our Medical Quality Assurance Committee and then the governing body for review and oversight. By having a robust quality assurance process and program, we are able to identify and resolve issues quickly before they become a problem to ensure we continue operating at an optimal level, providing safe and high-quality care to our patients and a safe environment for our team members.

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Is your ASC facing staffing shortage and poaching? If yes, how are you handling it?

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Yes, our facility has been facing staffing shortages like most everyone else. We not only have less applicants to choose from when we post a position, but have also experienced positions being vacant for longer periods of time. It has been harder to compete with the local hospitals, especially for RNs and surgical techs, as they continue to increase their wage ranges and pay scales to attract and fill their open positions.

In addition to open positions, we continue to have staff out due to COVID-19 exposures. With case volume being higher and our schedules packed, these staffing shortages take a toll on our team.

To address this challenge, we have had to increase our wages multiple times over the last year to stay in the same ball park and compete with other healthcare entities. To support our team and help keep our work environment positive during these challenging times, we try to provide snacks, meals and coffee cart days to increase morale. Another avenue we are exploring is reaching out to the local colleges to attract new RN and surgical tech graduates.

 

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