Janet L. Carlson, MSN, BSN, RN, NE-BC, FACHE, Vice President of ASC Operations at Commonwealth Pain & Spine | Advanced Surgical Institute
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What is Janet Carlson's background and role in ASC operations?
Hello, this is Francesca Matthews with the Becker's ASC Review Podcast. I'm thrilled to be joined today by Janet Carlson, MSN, BSN, RN, Vice President of ASC Operations at Commonwealth Pain and Spine Advanced Surgical Institute. Janet, thank you so much for being here today. Thank you for having me, Francesca. Absolutely. To start us off, could you please just introduce yourself and tell us a little bit about your background?
Sure. So Janet Carlson, I am a registered nurse. I began working in the ambulatory space at a multi-specialty center in the early 2000s. And I've worked in every role in an ASC and I've led some very successful surgery centers. And now I am in charge with creating, designing, operationalizing and scaling our ambulatory operations for Commonwealth Pain and Spine. And our ASCs are under a new name and logo. It's called Advanced Surgical Institute. And so I'm currently working right now on building four ASCs across three states.
Absolutely. Yeah. It sounds like you're kind of an ASC jack of all trades. So it'll be great to get further insights from you. Yeah. What are you, what are the top three trends that you're following in healthcare and ASCs today?
You know, I know everyone says AI, but I really think that's an important component as an adjunct technology capability to help us better serve our patients and For example, having an automated call system with an integrated AI feature that will help be responsive to patient calls to clinics and to surgery centers, keep that communication going with patients because often they get frustrated. They have to get switched around to multiple people. They don't end up talking to somebody. So I think AI is something that we're just going to see more increased use of in the space as well as, you know, enhancing our existing workflows. Another example would be using AI for a template for your EHR charting in an ASC.
And that would allow you just to populate specifics to the patient case at hand. But it would be very helpful in your throughput times in an ASC, reducing some of the manual entry and charting requirements that you have today. So AI is one of the things I'm watching. Another thing I'm watching is the increased migration of higher acuity cases into the ASC space. Obviously, we know that Total Joint started doing this gosh, 20 years ago, and then spine followed next. And now the hot thing in the newest space for ASC service lines is cardiovascular, peripheral vascular, and interventional radiology. So I'm following those trends as well. Surgery centers are also investing in equipment like a DaVinci robot so that they could offer some of the
higher acuity, minimally invasive, very precise surgeries that are traditionally done in the hospital and now moving those to a very concierge setting, very boutique type experience, bespoke experience for the patient to the ASC space and get to go home on the same day. The other thing that I'm following are obviously payer trends, contract negotiations, for compensation for care provided to our patients and our ASCs and the revenue cycle management process that follows with it. So making sure that we're billing and coding correctly up front. Again, another plug for AI where you could start working the claim the minute that the case is booked on your surgical schedule. And then be ready on the back end if you needed to assist arbitration
and looking for the payment for that claim. Providers should be paid for the work and the care that they take care of these patients. And so making sure that you're getting paid for the actual services that you've done is key to your bottom line.
Absolutely. And that definitely echoes some of the themes that we hear from other ASC leaders here at Becker's. I'm curious what you're most excited about right now.
I'm just excited about the growing awareness overall in our country for what is an ASC. I think one of the silver linings of COVID was that many people learned overnight that there are 6,000 smaller independent hospital-like structures that are like a little engine that could, that were self-contained and that
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