Randy Robbins, MD, President of Valiant Anesthesia Associates
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What is the background of Dr. Randy Robbins?
Hello, this is Francesca Matthews with the Becker's ASC Review Podcast. I'm thrilled to be joined today by Dr. Randy Robbins, President of Valiant Anesthesia Associates. Randy, thank you so much for being here today.
Thanks. It's an honor to be here.
Great. To start us off, could you please introduce yourself and just tell us a little bit about your background?
Sure. Like I said, my name is Randy Robbins. I'm a board-certified anesthesiologist in the Dallas-Fort Worth Metroplex. I'm the founder and president of Valiant Anesthesia Associates. I founded this practice back in April of 2013 here in Dallas, one of the most competitive markets in the country for anesthesia with two of us. And we're currently about 40 providers and do probably roughly... 15,000 cases a year or so now. I'm also the CEO of Vertex Medical Solutions and online scheduling and software, scheduling software and charge capture management system that we've got. Then I'm the medical director at Baylor Surgeon Care Centennial. I'm the chief of staff at Methodist Southlake Hospital. And I'm also on city council in Southlake.
So that's what I do in my spare time.
All right, lots of experiences here to kind of inform your perspective. Yeah, we love when, you know, folks have an array of experiences to be able to contribute to our conversations here. Kind of just jumping straight into it, what are the top three trends that you're following in healthcare and ASCs today?
So I think number one, you know, the elephant in the room for ASCs, especially right now, is anesthesia. It's crazy to have been a part of anesthesia for the last, I finished my residency in 03 and came straight into practice. And then having gone through, worked for a couple of different groups and now having started my own practice, I think we've seen such a massive transition in anesthesia over especially since COVID. I think our specialty was hit especially hard with COVID, and I think we lost more providers, not necessarily from a mortality standpoint, but I just think from a physicians choosing to exit the specialty standpoint than a lot of other specialties did. So I think it's changed the face of anesthesia when you look at it from a compensation standpoint, when you look at it from a labor force standpoint.
And for the first time, honestly, I feel like in decades or maybe forever, we're seeing ASCs really, really struggling to to find coverage for anesthesia. So I think that's going to be probably the single biggest piece of anesthesia of ASC concern over the next, gosh, decade plus, because I don't see, I don't see that changing much from an anesthesia manpower standpoint. Secondly, I think you look at public policy and healthcare, you know, what are the different bills going to do? What are the different, you know, politicians going to try to put forth that, that put pressure on medicine in America. I think we do a great job with providing care to patients. I do think that there's a lot of pressure put on physicians and how they do that and where they cut those costs for saving standpoint.
They seem to always come after the physicians. And I think that's going to continue to put more pressure on physicians. And I think you have to start worrying about physician burnout and what it's going to do and how that's going to affect kind of overall, not just ASC anesthesia specifically, but, you know, surgeons and primary care and everything across the board, they just can't keep making less, working harder. You know, I heard a physician today quote that she said, you know, we always have a desire to do more with less. And I kind of challenged that a little bit. I said, I don't know that it's a desire to do more with less. I think, unfortunately, we're just being demanded to do more with less on an almost day-to-day basis.
I think the other thing for me that is a huge piece of just overall success for physicians and for facilities and for ASCs and for everyone in industry and across the board is just kind of physician communication.
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