Doctors sue HealthSouth over surgery centers sale

I feel sorry for the Tuscaloosa AL doctors who invested with HealthSouth ASC. This is an excellent case study to demonstrate that physicians who invest in joint ventures with hospitals or surgical center management companies should understand that they have a high chance of losing money when they are minority partners in joint ventures with hospitals or healthcare corporations (worse than investing with local hospital). There is no convergence of purpose between these companies and the doctors. The ASC management companies are just interested in recovering their investment ASAP and selling out to the next highest bidder. The doctors are focused on long-term investment; build up of equity, quality and outcomes. When these companies approach us to start a surgical or endoscopy center, I have noticed the very senior (just about to retire) physicians in a group are the first to jump up and grab these offers. The economics of running surgical and ambulatory endoscopy centers are complex. Principal factors that can bring down a free standing surgical or endoscopy center is poor personnel management and over-building. Overstaffing with marginally qualified people is a sure formula for disaster. The performance and compensation of the best performing physicians is diluted by waste, inefficiency and high cost of operations. The best way to run these centers is for the physicians to own ASC jointly with very high stakes in the success of the center (need to be more than 60% investing partners, not 10-15%) . Everyone credentialed doctor needs to assume an active role in critical aspects of operations. In certain areas like Gastroenterology, ophthalmology and ENT the current market forces actually favor office-based centers rather than large ASC. Insurance companies are beginning to balk at the huge differential in for office –based VS. ASC payments for simple procedures like endoscopy. This is an evolving area.

I can empathize with the surgeons, whom were in the conflict with HealthSouth Corp. This information, is not meant, to downgrade or upgrade the Healthsouth Corp. However, I am glad, someone else, other than me felt that,the corporation, was marketing itself in a different light than what the consumer thought.

Perhaps, in the next life he and she can be more specific when positioning and segmenting their brand to the public.

I applaud the teams who stood up and requested information to validate the service of delivery from this organization thank you soo very much; when the minority is correct, the majority has a habit of allowing other citizens to belive the minority is paranoid, and even paranoid citizens get poor quality services.

thank you
bysbee
we are regular folks!

Mismanagement is the hot topic for every organization. Unfortunately, some administration does not believe in continuing education. It is vital to continue education. I try and remember when consulting clients to tell him or her about the soars oaxley accounting rules.
It sounds like this administration was working for a non for profit orgainzation, but the finance department is suppose to have a quality control organization as well to look into the proper way to post accounts. and to document when account is in insufficient funds as well as its liquidity.

Unfortunately, as the world evolves bits of history gets lost because of the illiteracy rate and the friendly sensitive software packages. Jobs are being modified so communities may have an empowerment zone, while we are shortchanging our American organizations, we are growing poor at the same time. Accounting is the history of the business transactions and it was good an employee is finally being terminated for doing a bad job.

More managers need to get off of the empathetic affect when an employee is not picking up the information and his or her abilities are not demonstrating comprehension for the tasks in any position.

America is so afraid to fire employees, but if he or she can not comprehend nor has the ability and training has not worked, seeking medical attention has not worked, changing the environment is not the problem either, the next communication in the appraisal is we can not afford to keep you on any longer.

Cudos!
why over work people whom have their job to complete and orientation has been over for 12 years. this is not acceptable.