Turnkey ASC/EOP Development


SOSI consultants can provide a comprehensive assistance in the establishment of new ambulatory surgery center facilities. The ASC development program includes five phases:

PHASE 1: 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.

PHASE 2: 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).

PHASE 3: 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.

PHASE 4: Equipment Selection (*)

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

PHASE 5: Licensing and 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