Latest / Becker’s Healthcare Podcast / Jeffrey Singerman, Administrator and COO, Manhattan Endoscopy Center
Transcript
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- 0:32forward slash beckers podcast.
- 0:35This is Gracelyn Keller with the Becker's Healthcare
- 0:37Podcast, and we are recording live at the
- 0:39thirty first annual business and operations of ASCs.
- 0:42I'm currently sitting down with Jeffrey Singerman, who
- 0:45is the administrator and COO at Manhattan Endoscopy
- 0:48Center. Jeffrey, thanks for being here. To kick
- 0:51us off, can you share a little bit
- 0:52about yourself and your work in the ASC
- 0:54space? Sure. Good morning. So as you said,
- 0:56my name is Jeff Singerman. I am the
- 0:57chief operating officer slash administrator for Manhattan Endoscopy.
- 1:01We are a single specialty,
- 1:05nonhospital affiliated,
- 1:07ASC
- 1:08located in Midtown Manhattan.
- 1:11We are GI specific. We have seven procedure
- 1:14rooms and should probably end the year with
- 1:17about 10,000 patients coming through the door.
- 1:20Alright.
- 1:21Well, thanks for being here. And let's start
- 1:22our conversation with the ASC market. Because in
- 1:25The US, this is projected to reach $60,800,000,000
- 1:28by 2030,
- 1:30and it continues to experience strong year over
- 1:32year growth. From your perspective, what are the
- 1:35most significant trends in market forces driving this
- 1:37expansion, and how should ASC leaders be preparing
- 1:40today?
- 1:41So I think part of this trend is
- 1:43contributed
- 1:45to the
- 1:46cost base between the hospital, the hospital OPD,
- 1:50and the ASC.
- 1:52The cost base is much lower
- 1:54at in the within the ASC environment.
- 1:57And our outcomes,
- 1:59I'm happy to say, are probably as good,
- 2:01if not better, than what goes on in
- 2:03the hospital. And then the second part that
- 2:06I think is contributing to this
- 2:08is
- 2:09that we can pivot
- 2:11from a technological
- 2:12standpoint
- 2:13much quicker
- 2:15than the larger health systems that have to
- 2:17go through layers and layers of bureaucracy
- 2:21to obtain what we can do in almost
- 2:23a instantaneous
- 2:24decision.
- 2:26From a administrator's
- 2:27standpoint or a COO standpoint,
- 2:30I believe that you need to be flexible,
- 2:33open minded, and evaluate
- 2:35what your ROI is gonna be on any
- 2:37investment that you're gonna make as this trend
- 2:39continues.
- 2:41Absolutely.
- 2:42And shifting gears slightly
- 2:44from AI and robotic surgeries to advanced DHR
- 2:46systems, technology does remain a make or break
- 2:49factor and a critical driver of ASC operations
- 2:51at scale.
- 2:52So how do you see deeper deeper tech
- 2:54integration shaping the way ASCs deliver care and
- 2:56manage their business over the next few years?
- 2:59So I kinda divide this into
- 3:02two different venues. I think one is a
- 3:04clinical venue and one is an administrative venue.
- 3:07So from a clinical standpoint
- 3:09and we've gone through
- 3:11two, if not three tests of AI,
- 3:14and its current iteration,
- 3:16it really has not helped in the GI
- 3:18environment.
- 3:19I think when we look out in 2030,
- 3:22I think where we'll probably see the most
- 3:24advances
- 3:25will be in polyp detection
- 3:28and possibly being able to look at when
- 3:30a when a gastroenterologist
- 3:32is doing histology,
- 3:34in an area where their mucosal changes,
- 3:37that they conceivably
- 3:38determine if this is cancers or not before
- 3:41it's ever removed from the body.
- 3:43But where I really see
- 3:44in 2030, and if not sooner,
- 3:47the impacts on the administrative side, which would
- 3:50ultimately, I believe, reduce staffing
- 3:53and
- 3:54help
- 3:55in the area of documentation
- 3:57from a physician standpoint as well
- 4:00that they can meet the criteria
- 4:02that the insurance companies are putting up there
- 4:06to
- 4:07inhibit reimbursement
- 4:09or look for excuses to deny claims.
- 4:12And following up to that, is there any
- 4:14specific technology or innovation that stands out to
- 4:17you as especially transformative?
- 4:19Probably gonna be on the EMR side.
- 4:22And I I see beta testing now going
- 4:25on in
- 4:27voice dictation for procedure notes,
- 4:30much different than what we saw in radiology
- 4:32in the last five to ten years.
- 4:34And I'm also starting to see it in
- 4:36working with one company and helping to develop
- 4:39some of it in the procedure documentation area.
- 4:41And I think those may have the biggest
- 4:42impact in the next eighteen to twenty four
- 4:44months. 100%.
- 4:46And with 60% of health systems considering ASC
- 4:49joint ventures
- 4:50and many ASCs already partnering with systems in
- 4:53their communities, what opportunities do you see for
- 4:55collaboration whether with other providers or vendors to
- 4:58strengthen patient care and operational efficiency?
- 5:00Great question.
- 5:02And I think where I see the it's
- 5:04a couple places where I'm gonna there will
- 5:06be a large impact. One, I think it's
- 5:08gonna make it easier, especially with hot hospital
- 5:11partnerships,
- 5:13to recruit
- 5:14and do succession planning. So if you think
- 5:17about it now, the average fellow coming out
- 5:19of,
- 5:21fellowship is probably somewhere about a half $1,000,000
- 5:23in debt
- 5:25and has to make a decision, do I
- 5:27go to an ASC environment or a hospital
- 5:29environment? And right now, the hospital environment is
- 5:31more
- 5:32conducive
- 5:34for salary stabilization.
- 5:36If there's that partnership there,
- 5:39the hospital
- 5:41can direct or feed the ASC environment
- 5:44the
- 5:45physicians necessary to maintain as close to a
- 5:48100% occupancy as possible.
- 5:50The second area, and there's a nationwide shortage
- 5:53in anesthesia and nursing,
- 5:55they'll help that as well in being able
- 5:57to move staff around to
- 5:59substitute in where there are callouts and of
- 6:02that nature.
- 6:04And as we wrap up our conversation today,
- 6:06is there anything that we didn't touch on
- 6:08or any final thoughts you'd like to share
- 6:09on the podcast?
- 6:11Yeah. I think from an administrative standpoint, I
- 6:13think any administrator needs to be flexible,
- 6:16and they need to do their homework. They
- 6:17need to do their due diligence to ensure
- 6:20that whatever investments they're making are gonna be
- 6:23in the best interest for the ASC.
- 6:25Absolutely. Well, Jeff, thanks so much for being
- 6:27here today on the Becker's Healthcare podcast to
- 6:29share these thoughts and insights. Again, we are
- 6:31recording live at the thirty first annual business
- 6:33and operations of ASCs. Thank you. My pleasure.