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The Next Evolution in Ophthalmic Surgery is Here

Office-Based Surgery is the Future

iOR Partners is revolutionizing healthcare by leading the movement towards office-based surgery (OBS).  This is a once-in-a-generation change that addresses the needs of Physicians, Patients, and Payers. 

An Accelerating Movement

Over 4 million cataract surgeries are performed each year by about 9,000 surgeons. With the aging population, volume is expected to grow by 3-4% annually, reaching six million by 2030. At the same time, many ASCs are deprioritizing cataract procedures in favor of more lucrative procedures, such as orthopedics. This creates a critical supply and demand imbalance for the world’s most commonly performed procedures.

Challenges that highlight the need for a new approach to ophthalmic surgery:
  1. Provider shortage: As the demand grows, the number of ophthalmic surgeons and anesthesia providers is declining creating a long-term capacity crisis.
  2. Restricted surgical time: Multi-specialty ASCs are de-prioritizing ophthalmic procedures in favor of those with higher reimbursements. Limited surgical time for ophthalmologists is resulting in a backlog of cases. 
  3. Inefficient workflow: Traveling from the office to the facility for every procedure wastes clinic time and workflow efficiency. Downtime in ASC = wasted time. 
  4. Lack of control and flexibility: Surgeons are required to use the ASC's supplies, equipment, and staff and follow its policies and procedures. Any changes are subject to committees and red tape for approval.  
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What is Office-Based Surgery?

Any surgical or invasive procedure performed by a licensed physician in a location other than a hospital or ambulatory surgery center. These procedures are typically performed in a surgical suite located within the physician's office and utilize minimal to moderate anesthetics. 

Ophthalmic Office-Based Procedures:
Cataracts, RLEs, ICLs, Oculoplastics, Retina, Glaucoma, Cornea
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Benefits of Office-Based Surgery

Office-based surgery is a once-in-a-generation change that unites physicians, patients, and payers.
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Surgeon Controlled
Surgeons are independent from large healthcare systems while offering high-quality care. Autonomy over scheduling and the entire surgical process is a game changer.
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Patient Preferred
Patients benefit from more convenient access to care, a comforting environment, and familiar staff, which reduces anxiety on surgery day.
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Proven Safe
A growing body of research of over 93,000 cases indicates OBS outcomes match or exceed those in other facilities.
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Viability
OBS takes a fraction of the time, space, and cost it takes to build and maintain an ASC and all surgical revenue stays in the practice.

A Natural Evolution to More Efficient Care

The evolution of OBS closely resembles the previous transition from hospital-based surgery to ASC-based surgery. Trends are showing a similar adoption rate for office-based surgery. 
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Considerations for Office-Based Surgery

There is a lot to consider when transitioning to office-based surgery. Understanding the safety, accreditation, anesthesia, and reimbursements in the OBS environment is important. 
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Safety & Efficacy
A growing body of research indicates OBS outcomes match or exceed those in other facilities. With 93,000+ successful outcomes, OBS is the embodiment of safe and effective surgery.
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Reimbursements
OBS is reimbursed by all major payors including Medicare. When surgery is performed in an office-based surgerical suite, 100% of surgical revenue is retained by the practice.
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Anesthesia
OBS suites utilize either oral IV sedation. The main difference is that the type of anesthesia used is the surgeon’s choice vs. facility protocols.