turnkey services

TurnKey ASC Development

SCSA consultants will provide you with a comprehensive hand on approach in the establishment of your ambulatory surgery center. The ASC development program includes five phases:


Strategic and Economic Feasibility Assessment

  • Feasibility assessment, including initial telephone consultation, fact gathering, preparation of pro forma, investigation of financing options, and determination of optimal facility square footage.
  • Regulatory and legal examination of the project in consultation with experienced and qualified legal counsel.
  • Negotiation and planning assistance with joint venture participants and advisers, leading to effective financial and operational structures, and development of capital budget.


ASC Facility Design and Development

  • Design assistance in workflow and space planning based on years of experience with similar facilities.
  • Initial on-site visit to include contract execution, site evaluation, consultation with architects, development of initial floor plan, and client plan review and approval.
  • Manage the plan review/approval process with local health department, building department, and fire marshal.
  • Prepare state and local licensure applications, floor plan filing with the state Life Safety group, Medicare filings, and assistance in the preparation of certificate of need applications (where necessary).


Project Management

  • Project coordination, including solicitation of proposals from architects, review of local and national architects, and awarding and execution of architectural contract(s).
  • Bidding negotiation and awarding of contracts, including execution of documents, establishment of project draw process, and acquisition of building permits.
  • Construction management process, including on-site visits as well as regular contact with contractor and subcontractors.
  • Final inspections, including physician/owner walk through with fire marshal to obtain certificate of occupancy.


Equipment Selection (*)

  • Comprehensive list of ASC equipment.
  • List of office and ancillary equipment.


State Licensure and CMS Certification

  • Credentialing services to guarantee compliance with applicable regulatory requirements for Medicare and state agencies.
  • Evaluation of candidates and selection of ASC director and other required staff additions.
  • Development of policy and procedures manuals, including staff training and familiarization with manuals.
  • Perform initial cases and schedule certification visits for Medicare and/or state.
  • Follow-up meetings include 30-day and 90-day conference calls to physicians/ASC director to review operation of the center.

(*) Note: To meet the specific needs of its clients, several of the component services of ASC development program offered by Surgery Center Services of America can be purchased separately.

These include:

  • Feasibility Analysis
  • Equipment Planning and Purchasing
  • Facility Licensure and Medicare Certification