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Archive August 2009 X, No. 8

6 Secrets of Our Turnaround Success

Blood, sweat and tears weren't enough to save my surgery center.

Alisa Fischer-Hurst, RN, MHSA, CASC

BIO

I walked into the St. Augustine (Fla.) Surgery Center for the first time knowing I'd have to change everything. In 2006, an ASC management company hired me to help turn around the failing facility. My welcoming committee consisted of stained carpets, rainwater leaking through walls, demoralized staff sulking outside empty ORs and a business office littered with unlabeled file folders that contained accounts receivables 74 days out, bloated case expenses and a third-party payor mix that put us squarely behind the reimbursement 8-ball. My initial decision as the new administrator was simple enough: It was time to roll up my sleeves and get to work.

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