Brett Maxfield, MS, CRNA and President and CEO of Maxfield Healthcare Solutions
episode
Becker’s Healthcare -- Spine and Orthopedic Podcast
22 min
1 speaker
8 chapters
transcribed 2 days ago
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Who is Brett Maxfield and what led him from bedside anesthesia to founding Maxfield Healthcare Solutions?
Hello, this is Francesca Matthews with the Becker's ASC Review Podcast. I'm thrilled to be joined today by Brett Maxfield, CRNA, President and CEO of Maxfield Healthcare Solutions. Brett, thank you so much for being here today.
Hey, my pleasure, Francesca. Thanks for having me.
Yeah, of course. To start us off, could you please introduce yourself and tell us a little bit about your background?
You bet. Yeah, absolutely. So my name is Brett Maxfield. As you mentioned, I am a by licensure CRNA, but that's not really what I do anymore. So life has kind of evolved and changed a little bit. So I originally that was the plan was to be a CRNA and do anesthesia and life kind of changed a little bit. so about 15 years ago i had some pretty significant health issues and had to kind of transition careers and so out of that necessity the consulting firm was born and so i transitioned from doing bedside anesthesia to now i do a whole bunch of different things kind of all under the umbrella of that healthcare solutions so i guess kind of just naming things off um I own a multi-specialty surgery center in Southeast Idaho.
And then with the consulting firm, I help to supply, manage, direct, aid, train, multitude of different things with about 400 to 450 different surgery centers and office-based surgical practices worldwide. So we're in all 50 states and expanded internationally. In addition to doing that, I also am a member of the board of directors for Quad A. I'm also the president of the Idaho Ambulatory Surgery Center Association. I am an international surveyor for Quad A. I'm the chair of the practice committee for the American Association of Nurse Anesthesiology. And yeah, that kind of covers pretty much all my professional life. So I like to stay busy. I'm kind of all over the place and rarely home. So it's kind of a fun life.
Yeah, quite the background there. Thanks for sharing that. I always love to talk with people who have kind of a wide range of experiences. Yeah, I feel like it always, it's always interesting. Jumping just right into questions here. What are the top three trends that you're following in healthcare and ASCs today?
You know, there's a couple. Obviously, the thing, when you talk about ASCs, the thing at everybody's forefront of their mind right now is the cost involved and how it's just our reimbursements going down and our expenses are going up.
What are the three biggest trends currently shaping ambulatory surgery centers (ASC) according to Brett?
You know, and when you stratify those costs post-pandemic, the first thing that hit us was the cost of supplies. You know, the supply chain got disrupted. Supplies went up. And quite honestly, we were hoping that things would come back down. And I don't know if the actual expense has stayed that high or Or if people just realized, like they often do, that, hey, you know, people pay these prices and just kept things high. But, you know, that was the first wave to hit us. The next wave to hit us was the anesthesia shortage. So I think that... Doing what I do, working in the consulting field, I saw a big, big, big uptick in demand for my services post-pandemic because a lot of the people who were deemed non-essential decided that they weren't going to let the hospitals determine their livelihood.
And so they said, you know, we're taking this out of your hands. And they started reaching out to people like me and creating office-based surgical practices, ambulatory surgery centers, things like that. which most of the hospitals didn't care because it was, you know, again, the ones they deemed non-essential. So this was the plastics, the podiatry, things like that, you know, pediatric dentistry. I think what they failed to realize, though, was that when those people left the hospital, it also meant they were going to take anesthesia with them. And then a lot of these things especially for CRNAs, my background, the opportunity to leave and do your own thing was significantly more lucrative with a better lifestyle than staying at the hospital.
And so I think that was an unforeseen result of that kind of push to you know de-prioritize the non-essential providers was the hospitals didn't realize they're going to lose a big chunk of their anesthesia so obviously that's another big one that we're watching right now and then the newest latest entry into the the mix is AI you know AI is definitely something that as we integrate it more see it more in play it's definitely going to change things within the ASC
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Chapters
8 chapters
1
Who is Brett Maxfield and what led him from bedside anesthesia to founding Maxfield Healthcare Solutions?
0:00–2:29
2
What are the three biggest trends currently shaping ambulatory surgery centers (ASC) according to Brett?
2:29–5:51
3
How are rising supply‑chain costs and anesthesia provider shortages impacting ASC profitability?
5:51–8:04
4
Why is AI considered the most exciting opportunity for ASC revenue‑cycle and efficiency improvements?
8:04–10:26
5
What technology adoption challenges do ASCs face, especially regarding EMR affordability and usability?
10:26–13:25
6
How does Brett envision ASC growth over the next 12 months amid economic uncertainty and hospital‑ASC dynamics?
13:25–15:47
7
What lessons did the state‑policy discussion reveal about ASC reimbursement versus hospital/HOPD payments?
15:47–19:13
8
How can improved efficiency and data‑driven scheduling reduce waste and enhance patient experience in ASCs?
19:13–22:04
Speakers
1 identifiedMore from Becker’s Healthcare -- Spine and Orthopedic Podcast
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