Archive January 2018 XIX, No. 1

Does Your Paycheck Match Your Purchasing Power?

A surgical facility leader's salary should reflect the capital equipment budgets you manage and the buying decisions you make.

Daniel Cook

Daniel Cook, Executive Editor


BEHIND CLOSED DOORS Vendor reps must go through surgical administrators to get expensive equipment into ORs.

Sue Hrnicek, MSN, RN, CNOR, is a self-described gatekeeper to the OR. As director of surgical services at Columbus (Neb.) Community Hospital, she decides which capital equipment warrants consideration for purchase, compares pricing in search of the best value, sets up and monitors product trials, writes lengthy justifications about the investments that need to be made and presents her research to members of the hospital's C-suite. She's currently working on outfitting 4 ORs with 4K imaging and larger video monitors. All of the proposals and paperwork for the $1 million project have come across her desk.

"I don't write the checks, but I do nearly everything else," laughs Ms. Hrnicek.

Her situation probably sounds familiar. More than half (56%) of the 402 ASC administrators and 44% of the 264 hospital surgical managers who participated in Outpatient Surgery's 13th annual salary survey say they're "very involved" in deciding which products reach the OR. Nearly half (45%) of the ASC administrators control $100,000 to $500,000 on capital equipment purchases each year and one-fifth (20%) allocate more than $1 million to big-ticket items. The hospital leaders spend more on new equipment: 41% earmark more than $1 million a year.

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